The - 175T - C Mutation Increases Promoter Strength in Erythroid Cells: Correlation With Evolutionary Conservation of Binding Sites for Two Trans-Acting Factors By Deborah L. Gumucio, Wendy K. Lockwood, Janice L. Weber, Ann M. Saulino, Kathleen Delgrosso, Saul Surrey, Elias Schwartz, Morris Goodman, and Francis S. Collins A point mutation at position -175 has been detected in 'y as well as 'y globin genes in individuals with hereditary persistence of fetal hemoglobin (HPFH). To prove that this single point mutation results in increased promoter strength, we transfected erythroid and nonerythroid cell lines with constructs containingnormal and mutant promoters linked to the bacterial chloramphenicol acetyl transferase (CAT) gene. Differences in transfection efficiency were controlled by cotransfection of pRSVgpt. In K562 erythroleukemia cells, the - 175 HPFH promoter directed three- to fourfold more CAT activity than its wild type counterpart. However, in HeLa cells the two promoters were similar in strength. The -195 to -165 region of the y-globin promoter contains binding sites for two proteins: a ubiquitously distributed octamer binding protein. OBP, and the erythroid-specific protein, GF-I W e find that while the GF-1 binding site is highly conserved among related primate y-globin genes, the octamer binding site is not. The evolutionary conservation of GF-1 as well as its erythroid-specific distribution suggest that this protein is important in y-globin gene expression. A role for OBP in the regulation of y-globin, if any, must have arisen recently in primate evolution. 0 1990 by The American Society of Hematology. E occurs in the eighth base of a conserved octamer sequence, ATGCAAAT, which has been shown to be an important transcriptional control element in a variety of other genes."-I3 We and others have shown that the y-globin octamer sequence is recognized by a ubiquitously distributed octamer binding protein (OBP).'4-'s Furthermore, the HPFH mutation at -175 dramatically reduces the binding of this p r ~ t e i n , ' ~ . ' suggesting ~-'~ that, in this context, the octamer element may represent a repressor binding site. A second, erythroid-specific binding factor, named by various investigators GF- 1,I7 NF-El ,16,19.20 GATAAG binding protein,2' Eryf-1,22 or EF-ya,I4 recognizes sequences adjacent to the octamer binding ~ i t e . ' ~ *Interactions '~-'~ between these two proteins may be important in the regulation of y gene expression. To provide functional proof that a y-globin promoter bearing the -175 HPFH mutation is capable of upregulating a linked reporter gene, we determined the relative strength of normal and - 175 mutant y-globin promoters in a transient expression assay in both erythroid and nonerythroid cells. To further assess the possible roles of OBP and GF-1 in mediating this over-expression, we tested whether the binding sites for these proteins are conserved in related primate y-globin genes. LUCIDATION of the molecular mechanisms that control developmentally programmed switches in gene expression is a major goal of molecular biology. The human fetal to adult hemoglobin switch provides a well-characterized model system in which to study these mechanisms. This switch is characterized by reduced expression of the paired y-globin genes (Gy and Ay) and increased expression of the adult (6 and 0) globin genes. In some individuals, the switch is incomplete and expression of the y genes persists in adult life. This benign condition, known as hereditary persistence of fetal hemoglobin (HPFH), can result from deletions within the globin cluster. However, in a subset of individuals no deletions are apparent and the only defect seems to be a point mutation in the promoter region of the overexpressed y gene. HPFH point mutations have been detected at positions -202, -198, -196, -175, -161, -158,and -117,relative to the start site for y gene transcription.'.'' The T C substitution a t position - 175 is of particular interest since it - From the Departments of Internal Medicine and Human Genetics, University of Michigan. and the Howard Hughes Medical Institute, Ann Arbor, MI; Division of Hematology, Department of Pediatrics and Human Genetics, Children's Hospital of Philadelphia, PA;and the Department of Anatomy and Cell Biology, Wayne State University School of Medicine. Detroit, MI. Submitted July 28, 1989; accepted September 29, 1989. Supported by Grants No. 1-1100 from the March of Dimes, HL28157 and HL33940 from the National Institutes of Health (NiH).and by a comprehensive Sickle Cell Center Grant (HL38632) from the NIH. D.L.G. acknowledges support from NIH National Research Service Award I F32 HLO7654-01. F.S.C. is an Associate Investigator of the Howard Hughes Medical Institute. Address reprint requests to Deborah L. Gumucio, PhD, Howard Hughes Medical Institute. University of Michigan, I I50 WMedical Center Dr, 4570 MSRB II, Ann Arbor. MI 48109-0650. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C.section I734 solely to indicate this fact. 0 1990 by The American Society of Hematology. 0006-4971/90/7503-0022$3.00/0 756 . MATERIALS AND METHODS Cell lines. Transfections were performed using K562 human erythroleukemia cellsz3or human cervical carcinoma cells (HeLa).24 Both lines were maintained in Dulbecco modified Eagle medium (Hazelton Laboratories, Lenexa, KS) supplemented with 10%fetal calf serum. In one experiment, 25 Mmol/L hemin was added to K562 cells for 4 days before electroporation in an effort to further induce y-globin expre~sion.'~The chloramphenicol acetyl transferase (CAT)/GPT ratio in this experiment was similar to values obtained in the absence of hemin. Because hemin is highly toxic to cells, the remainder of experiments were performed without added hemin. DNA. The promoter region (-299 to +35) of a wild type y' gene (yCAT) as well as a promoter containing the -175 T C mutation (-/-17SCAT) were cloned next to the CAT gene.26The pRSVgpt plasmidz7was used as a control for transfection efficiency. Plasmid DNAs were purified by alkaline lysis and cesium banding. - Blood, Vol 75, No 3 (February 1). 1990: pp 756-761 - 175T -t 757 C INCREASES PROMOTER STRENGTH Transfections. K562 or HeLa cells (1 x lo7 cells/transfection) were washed in phosphate buffered saline (PBS) and resuspended in 400 pL of ice cold PBS (K562) or Hepes buffered saline (HeLa). DNA (20 pg pRSVgpt and 40 pg of y test plasmid, ?CAT, or y-175CAT) was added in a volume of 100 pL. Cells and DNA were subjected to an electrical pulse of 200 V, 700 microfarads (K562) or 200 V, 1,300 pF (HeLa) using a BTX Transfector 300 electroporator (Biotechnologies and Experimental Research, Inc, San Diego, CA). For K562 transfections, sheared salmon sperm DNA was added to a final concentration of 250 pg/mL. Immediately after electroporation, cells were returned to culture medium. After 48 hours, cells were harvested by centrifugation, washed 2 times with PBS, and resuspended in 100 to 150 p L of 0.25 mol/L Tris, pH 7.8. Extracts were prepared by three cycles of freezing and thawing. Assays for CAT26and GPTZswere performed according to published procedures. After thin-layer chromatography and autoradiography, converted substrate was quantitated by scintillationcounting. For calculations of promoter strength, all CAT results were normalized by GPT activities. Student's r test was used to determine whether differences between means were significant. Gel retardation. Nuclear extracts were prepared as previously described.14Gel retardation was performed with syntheticoligonucleotide probes that were labeled with Klenow polymerase (New England Biolabs, Beverly, MA) to a specific activity of IO5cpm/ng. Binding reactions and electrophoresis were performed as described.14 RESULTS For each transfection, both CAT and GPT activities were assayed using four different volumes of extract. The percent conversion of radioactive substrate was plotted for each volume, and linear regression was performed. Final calculations include only those experiments in which excellent linearity (9 > .92) of CAT and GPT activity could be demonstrated. The slopes (m) of these lines were used A. GPT to determine the relative strength of each promoter as "CAT/"GPT. Final values for relative promoter strength (RPS) of the - 175 plasmid were calculated as: (CAT-,,,/ GPT-,75)/(CATw,/GPTw,). Figure 1 summarizes the results of transfections done in K562 cells. Data are grouped and presented as the average slope of C A T or GPT activity for each plasmid on a given day. Three different plasmid preparations were used throughout the course of the experiments. Daily variations were noted in transfection efficiency as evidenced by random scatter in the G P T slopes (Fig 1A). However, despite this variation, C A T activity driven from the - 175 promoter was always greater than that driven from the wild type promoter (Fig 1B). When data were corrected for transfection efficiency (Fig lC), the - 175 promoter was found to be 3.7 0.5-fold (mean f SEM, n = 5 ) stronger than its wild type counterpart (P5 .005). Analysis of Fig 1 shows that no promoter interference occurred between the cotransfected pRSVgpt and either of the test CAT constructs. First, the level of G P T activity did not directly correlate with cotransfection of either C A T construct (Fig 1A). Second, an experiment done in the presence of hemin, where both C A T and GPT activities were several fold higher (Fig 1, day 1, stars), showed similar G P T activities with both cotransfected test plasmids (GPT slope for yCAT cotransfection = 2.99; G P T slope for y-175CAT cotransfection = 2.83); in the same experiment, CAT activity was 3.55-fold greater for the -175yCAT construct ( C A T slope f o r ? C A T = 7.01; C A T slope f o r y-175CAT = 24.9). Similarly, analysis of raw data from transfections done in HeLa cells showed no evidence of promoter interference. C. CAT/GPT 6. CAT b -175 WT -175 WT -175 WT Fig 1. Transient expression in K562 cells. (A) GPT activities. Each point represents the average slope of GPT activity resulting from cotransfection of pRSVgpt with the wild type (WT) plasmid, YCAT, or the - 175yCAT plasmidon a given day. Slopes were calculated from assays using four different volumes of extract as described in the text. Results for W T and -1 75 plasmids on the same day are connected with a straight line. (*I, Day 1 (hmhadded, see Materials and Methods): WT n = 1; - 175 n = 1. (01, Day2: W T n = 1; - 175 n = 1. (0). Day 3: W T n = 2; - 175 n = 2. N),Day 4 WT n = 4; - 175 n = 2. (0).Day 6: WT n = 2; - 175 n = 2. (B) CAT activities. Data are presented as daily averages of CAT slopes for each plasmid as in A. Symbols represent days as described in A. (C) CAT/GPT ratios. Points represent daily average CAT slopes as plotted in B divided by daily average GPT slopes as plotted in A. Symbols represent days as described in A. 758 GUMUCIO ET AL Figure 2 compares the RPS of the - 175 promoter in K562 and HeLa cells. The results indicate that the up-regulation caused by the -175 HPFH promoter is detectable in erythroid cells only. In HeLa cells, the relative strengths of the two promoters were not significantly different (- 175 RPS = 1.07 + 0.09,n = 3). Data from individual transfections showed that the CAT/GPT ratio of the wild type promoter was similar in K562 cells (CAT,,/GPT,, = 5.09 * 1.36,n = 10) and HeLa cells (CAT,,/GPT,, = 7.97 f 2.93, n = 4). However, the - 175 promoter was stronger in K562 cells (CAT~,,,/GPT_,,, = 19.41 + 4.32, n = 8) and unchanged in HeLa (8.35 f 3.04,n = 4). The similar ratios of CAT/GPT observed for the y promoter in K562 and HeLa cells did not result from lowered CAT and GPT activity in HeLa cells. Clearly, the y promoter used in these experiments lacks elements that control cell specificity of activity. Others have also observed significant activity of the y promoter in HeLa and other nonerythroid cells.'7s'8~29330 Several methods were used to determine whether the augmentation in CAT activity mediated by the -175 promoter was the result of increased transcription originating from the correct messenger RNA (mRNA) initiation site. Total RNA was isolated from K562 cells 24 hours after transfection and attempts were made to analyze CAT transcripts by S1 -nuclease mapping, RNase protection, or 6.0 a 5.0 ..T .G ... .G Orang Gibbon Spider Galago Fig 3. Sequences of the -175 region from related primate y-globin promoters. The positions of the octamer sequence, ATGCAAAT, and two TATCT motifs that interact with a single GF-1 m o l e c ~ l e 'are ~ indicated. Dots indicate identity with the human sequence. Sequences are from orangutan (Pongo pygmaeut?'), spider monkey (Ateles geot7roy~).gibbon (Hylh a t e s la?), and galago (G8lago C r a s s i c a u d ~ t i ~ ~ ) . polymerase chain reaction. No CAT transcripts could be detected by any of these techniques, suggesting that CAT mRNA is highly labile in these cells. After submission of this manuscript, Nicolis et a13' reported detection of yCAT constructs using polyA selected RNA. In those studies, a three- to fourfold increase in the levels of correctly initiated yCAT RNA was demonstrated in cells transfected with the - 175 HPFH promoter. Previous studies have shown that two proteins bind the y-globin promoter in the region between - 185 and - 170: a ubiquitously distributed octamer binding protein, OBP, and an erythroid-specific protein, GF- 1 .I4-', If these two proteins are important for the regulation of y-globin expression, it might be expected that their binding sites would be conserved in closely related primate species. To examine this question, we performed gel retardation assays using oligonucleotide probes corresponding to the - 175 region of human, orangutan, spider monkey, gibbon, and galago. While the upstream portion of the bipartate GF-1 binding site is completely conserved, two changes in the downstream site occur in the galago sequence (Fig 3). One of these changes is identical to the -175 T C HPFH mutation. Changes occur in the consensus octamer binding site in all sequences except the human promoter. Figure 4 shows that all primate promoters retain the capability of binding GF- 1. In contrast, OBP binds only to the human y-globin promoter. - 4.0 -175 RPS 3.0 - 2.0 1.0 K562 HeLa Fig 2. Relative strength of the -175 HPFH promoter in K562 and HeLa cells. -175 RPS is defined as: (CAT-,,,/GPT_,,,)/ (CAT,/GPT,). For K562 cells, 10 transfections of yCAT and eight transfections of 7-175 CAT were performed on 5 separate days. For HeLa cells, four transfections of each plasmid were done on 3 separate days. Points represent daily averages of -175 RPS in each cell type. DISCUSSION The T C mutation at - 175 was first observed in the Gy gene of an American black family6 and a family from Northern Sardinia.' Recently, a third individual with this mutation was reported; this time the mutation was detected in the promoter of the Aygene." In each case, the high level of HbF (17% to 38%) was derived from predominant expression of the y gene bearing the promoter mutation. These observations provide good circumstantial evidence that the -175 site marks a sequence that is important for y-globin gene expression. The data presented here demonstrate that a promoter with the - 175 HPFH mutation is 3.7-fold stronger than the wild type promoter in K562 erythroleukemia cells. Because differences in the relative strengths of the wild type and -175 HPFH promoters were small, great care was taken to control experimental variables. All test CAT constructs were cotransfected with the pRSVgpt plasmid. Results were then ex- - 175T - 759 C INCREASES PROMOTER STRENGTH Fig 4. 0 . 1 retardation assay testing the conservation of OBP and GF-1 binding sites. Double-stranded oligonucleotide probos for the 176 region of the human f-globin gene and four related primetes bequences shown in Fig 3)were Inbeled and incubated with 6 #g of K682 nuclear extract in the presence of 600 ng of poly (dldC1. Binding reactions and electrophoresia were performed as previously described." The positions of protein-DNA complexes formed with OEP and GF-1 are indicated. i pressed as the ratio of CAT/GPT activity. providing an internal normaliration that corrects for sample to sample variations in transfection efficiency. In addition. GPT and CAT assays were performed using four diNerent volumes of extract. Regression lines were calculated to assure that all four points fell in the linear portion of the saturable curves. Final values for relative promoter strengths were then calculated. not from single points. but from the slopes of these regression lines. This approach allows the accurate detection of small differences in promoter strength. despite the daily variations in transfection eficicncy that are inherent to the clectroporation procedure. The T C change at - 175 is the only difference between the two promoters tested. Thus, this report provides direct proof that this single base change causes upregulation of a linked gene. However. the three- to fourfold increment in relative promoter strength that we observe in these transient expression assays is far less than the more than 100-fold upregulation of the mutated gene in vivo.'.".'" It is possible that the fetal-like expression pattern of K562 cells (which express t and y, but not 6 ) does not provide an optimum background against which to discern an increase in y-globin expression. The existing level of y expression in these cells may dampen the observed erect of the upmutation. which is most apparent in the adult in vivo. It is also possible that the relatively small promoter fragment used in these studies (-299 to 35) lacks other determinants that may interact with the - 175 site to result in full augmentation of expression. Other investigators observed similarly small effects of the - I17 HPFH mutation (three- to fourfold upregulation) even after transfection of a 3.3-kilobase (kb) Hindlll fragment containing entire "y-globin gene.M In another study. I .4-fold upregulation of a y' gene carrying the - 1 I7 HPFH mutation was seen in a noncrythroid cell after transfection of cosmid clones containing most of the 6 globin locus.w However. none of these constructs contain the recently described dominant control region located upstream from the y-globin gene. which directs high-level, tissue-specific exprcssion of homologous and hetcrologous prom~tcrs.".'~The presence of this locus may influence promoter strength in cis - 1 1 HUMAN ORANG GALAGO GIBBON SPIDER in a manner similar to that recently proposed for developmental regulation of globin switching in chicken erythroid ccIIs.Iv It would be of interest to test the activity of normal and HPFH y-globin promoters in the context of a minilocus containing this control region. The - I75 HPFH mutation occurs in the eighth base of a conserved octamer sequence. We and others have shown that an ORP with the same gel mobility and ubiquitous distribution as NF-A I I ' binds to the y-globin octamer sequence.""* In addition. an erythroid-specific protein, GF-I binds to an area that overlaps the ORP site.'' I ' In gel shift experiments. the presence of the - 175 mutation reduces the binding of ORP by 12-fold,'' but does not affect the binding of GF- 1 .''.IHowever, one recent study demonstrates that this mutation does produce subtle alterations in the footprint of GF-I on the DNA.'- Therefore. either one or both of these proteins could conceivably be involved in upregulation of the - 175 mutant promoter. The results presented here show that the increase in promoter strength caused by the - 175 mutation is erythroid-specific. While this manuscript was being prepared and reviewed. three reports appeared in the literature that corroborate this finding.".'"." The erythroid-specific nature of the - 175 upregulation suggests that despite the dramatic elfect of this mutation on O R P binding. the mechanism of overexpression probably docs not involve relief from active repression by a ubiquitous ORP. The same conclusion has been reached in two very recent studies that have used site-directed mutagenesis to further analyze the contribution of both ORP and GF-I to y-promoter strength."." In these studies. it was concluded that while an intact GF-I site is necessary to observe upregulation in the presence of the - 175 HPFH mutation. other mutations that destroy octamer binding do not result in increased promoter strength. The experiments presented here demonstrate that the octamer binding site in the human y promoter is actually a very recent acquisition. The prosimian galago y-globin gene. which like that of the rabbit and mouse is expressed as an embryonic locus and switched o r at the beginning of fetal life." lacks the octamer site. Moreover. the site is absent even 760 GUMUCIO in some closely related simian primate genes, which like the human gene have been recruited to a fetal expression pattern. Other simian primate y genes (gorilla and rhesus monkey33) d o possess a functional OBP site (data not shown). Therefore, the acquisition of a n octamer binding site does not correspond with the phenomenon of fetal recruitment of y-globin expression. The role, if any, of this sequence and its cognate protein in the control of y-globin gene regulation has yet to be determined. The GF-1 binding site, in contrast, is present and functional in all y-globin promoters tested. We recently found that the rabbit y gene also retains a GF-1 site in the homologous position (data not shown). T h e erythroid- ET AL specific distribution of GF-1 suggests that it may be a n important determinant of promoter strength in the presence of the - 175 HPFH mutation. Strong evolutionary conservation of its binding site also points toward a significant role for GF-1 in y-globin gene expression. The recent cloning of this interesting protein should facilitate further investigation of its regulatory fun~tion.4O.~’ ACKNOWLEDGMENT The authors thank Drs David Bodine and Timothy Ley for many helpful discussions. We are also grateful to Heidi Heilstedt and Kris Blanchard for help with the CAT assays, and Bernice Sandri for secretarial help. REFERENCES 1 . Collins FS, Stoeckert CJ, Serjeant GR, Forget BG, Weissman SM: Gyj3+ hereditary persistence of fetal hemoglobin: Cosmid cloning and identification of a specific mutation 5‘ to the Gygene. Proc Natl Acad Sci USA 81:4894,1984 2. Tate VE, Wood WG, Weatherall DJ: The British form of hereditary persistence of fetal hemoglobin results from a single base mutation adjacent to an S1 hypersensitive site 5’ to the globin gene. Blood 68:1389,1986 3. 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