Corticosteroid-binding globulin (CBG) is a high-affinity plasma protein that transports glucocorticoids and progesterone. Others and we have reported non-synonymous single nucleotide polymorphisms (SNPs) that influence CBG production or steroid-binding activity. However, no promoter polymorphisms affecting the transcription of human CBG gene (Cbg) have been reported. In the present study we investigated function implications of six promoter SNPs, including 26 C/G, 54 C/T, 144 G/C, 161 A/G, 205 C/A, and 443/444 AG/, five of which are located within the first 205 base pairs of 5′-flanking region and close to the highly conserved footprinted elements, TATA-box, or CCAAT-box. Luciferase reporter assays demonstrated that basal activity of the promoter carrying 54 T or 161 G was significantly enhanced. The first three polymorphisms, 26 C/G, 54 C/T, and 144 G/C located close to the putative hepatic nuclear factor (HNF) 1 binding elements, altered the transactivation effect of HNF1. We also found a negative promoter response to dexamethasone-activated glucocorticoid receptor (GR) , although none of the SNPs affected its transrepression function. Our results suggest that human Cbg 26 C/G, 54 C/T, 144 G/C, and 161 A/G promoter polymorphisms alter transcriptional activity, and further studies are awaited to explore their association with physiological and pathological conditions. , both of which are well-known hormones for pregnancy maintenance or labor onset. While CBG mainly binds >80% of cortisol in human peripheral blood [3], at the maternal-fetal interface CBG will be occupied by the very high concentrations of progesterone, which is several fold higher than those of cortisol [6]. In the circulation of women during mid-late pregnancy, approximately 10% of CBG steroid-binding sites are occupied by progesterone, versus <1% in non-pregnant women [5]. Plasma CBG levels rise progressively through gestation until term pregnancy [7], and so do blood cortisol and progesterone levels. Maternal plasma CBG, total and free cortisol concentrations are reduced in pre-eclampsia and gestational hypertension patients, and this may be a consequence of decreased Cbg synthesis driven by cytokines or increased degradation driven by inflammation [7].
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