This article is available online at http://www.jlr.org transcription factor that could bind to cAMP response element (CRE) and activate the transcription driven by CREcontaining promoters, such as rat phosphoenolpyruvate carboxykinase (PEPCK) promoter ( 1, 2 ).Recent studies employing genetic ablation of CREBH or in vivo delivery of sequence-specifi c shRNA revealed that CREBH is involved in a variety of physiological functions of the liver. It has been shown that CREBH is proteolytically activated by ER stress ( 5 ), induced acute phase response genes ( 5 ), and the iron metabolism regulator, hepcidin ( 6 ). It has also been demonstrated that CREBH is induced in the liver of fasted mice ( 7 ), and promotes the transcription of genes involved in gluconeogenesis ( 8 ) and plasma TG clearance ( 9 ).While CREBH controls the expression of a variety of target genes, the upstream signal that activates CREBH and the promoter element mediating the CREBH function remain poorly understood. Despite the postulated roles for CREBH in ER stress-mediated infl ammatory response and hepcidin expression, it remains controversial whether CREBH is indeed activated by ER stress. Zhang et al. ( 5 ) fi rst reported that CREBH was activated by ER stress, in a manner similar to ATF6 ␣ . However, subsequent studies by several other groups failed to detect proteolytic activation of CREBH by ER stress inducers in stable cell lines expressing exogenous CREBH ( 10, 11 ). On the other hand, hepatic CREBH mRNA is induced by fasting and suppressed by refeeding, which appears to be mediated by glucocorticoid receptor and PPAR ␣ that bind to peroxisome proliferator responsive element (PPRE) and glucocorticoid transcriptional response element on the CREBH promoter ( 7,8,12 ).
Abstract cAMP responsive element-binding protein H (CREBH) is an endoplasmic reticulum (ER) anchored tran-scription factor that is highly expressed in the liver and small intestine and implicated in nutrient metabolism and proinfl ammatory response. ApoA-IV is a glycoprotein secreted primarily by the intestine and to a lesser degree by the liver. ApoA-IV expression is suppressed in CREBHdefi cient mice and strongly induced by enforced expression of the constitutively active form of CREBH, indicating that CREBH is the major transcription factor regulating Apoa4 gene expression. Here, we show that CREBH directly controls Apoa4 expression through two tandem CREBH binding sites (5 ′ -CCACGTTG-3 ′ ) located on the promoter, which are conserved between human and mouse. Chromatin immunoprecipitation and electrophoretic mobility-shift assays demonstrated specific association of CREBH with the CREBH binding sites. We also demonstrated that a substantial amount of CREBH protein was basally processed to the active nuclear form in normal mouse liver, which was further increased in steatosis induced by high-fat diet or fasting, increasing apoA-IV expression. However, we failed to fi nd signifi cant activation of CREBH in response to ER stress, arguing against the critical role of CREBH in...