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Am J Physiol Gastrointest Liver Physiol 293: G923-G934, 2007. First published August 30, 2007; doi:10.1152/ajpgi.00029.2007
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MUCOSAL BIOLOGY

Molecular cloning and promoter analysis of downregulated in adenoma (DRA)

Waddah A. Alrefai,1 Xiaoming Wen,4 Wen Jiang,4 Jonathan P. Katz,4 Kris A. Steinbrecher,2 Mitchell B. Cohen,2 Ifor R. Williams,3 Pradeep K. Dudeja,1 and Gary D. Wu4

1Section of Digestive Disease and Nutrition, Department of Medicine, University of Illinois at Chicago, and Jesse Brown Veterans Affairs Medical Center, Chicago, Illinois, 2Division of Pediatric Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, 3Department of Pathology, Emory University School of Medicine, Atlanta, Georgia; and 4Division of Gastroenterology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Submitted 14 January 2007 ; accepted in final form 27 August 2007

Downregulated in adenoma (DRA), also referred to as SLC26A3, is an intestinal anion transporter essential for intestinal chloride absorption. Mutations in DRA result in congenital chloride diarrhea. DRA expression has been shown to be induced by differentiation and to be modulated by cytokines. However, mechanisms of DRA gene transcription and its tissue-specific targeting have not yet been investigated. In this study, we cloned a 3,765-bp promoter fragment of human DRA gene and characterized its activity in human colonic LS174T and Caco-2 human colon cell lines. Primer extension identified a single transcriptional initiation site that was identical in both colon cancer cell lines and normal colon. Although hepatic nuclear factor HNF-4 is involved in the basal activity of DRA promoter, sodium butyrate induces its activity in LS174T cells via the binding of Yin Yang 1 (YY1) and GATA transcription factors to their respective cis-elements in promoter region. We also demonstrated a reduction in DRA promoter activity in Caco-2 cells by IFN-{gamma}, suggesting that regulation of DRA promoter by IFN-{gamma} may contribute to the pathophysiology of intestinal inflammation. Furthermore, we showed that the DRA promoter fragment is sufficient to drive human growth hormone transgene expression specifically in villus epithelial cells of the small intestine and in differentiated upper crypt and surface epithelial cells of the colon. Our studies provide evidence for the involvement of HNF-4, YY1, and GATA transcription factors in DRA expression in intestinal differentiated epithelial cells.

SLC26A3; congenital chloride diarrhea; intestinal gene expression



Address for reprint requests and other correspondence: G. D. Wu, Univ. of Pennsylvania School of Medicine, Suite 600 Clinical Research Bldg., 415 Curie Blvd., Philadelphia, PA 19104 (e-mail: gdwu{at}mail.med.upenn.edu) or W. A. Alrefai, Univ. of Illinois at Chicago, Jesse Brown VA Medical Center, Medical Research Service (600/151), 820 S. Damen Ave., Chicago, IL 60612 (e-mail: walrefai{at}uic.edu)







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