Upstream stimulatory factor 1 is a
protein
Proteins are large biomolecules and macromolecules that comprise one or more long chains of amino acid residue (biochemistry), residues. Proteins perform a vast array of functions within organisms, including Enzyme catalysis, catalysing metab ...
that in humans is encoded by the ''USF1''
gene
In biology, the word gene has two meanings. The Mendelian gene is a basic unit of heredity. The molecular gene is a sequence of nucleotides in DNA that is transcribed to produce a functional RNA. There are two types of molecular genes: protei ...
.
Gene
The upstream stimulatory factor gene encodes a
transcription factor
In molecular biology, a transcription factor (TF) (or sequence-specific DNA-binding factor) is a protein that controls the rate of transcription (genetics), transcription of genetics, genetic information from DNA to messenger RNA, by binding t ...
USF that belongs to the
proto-oncogene
An oncogene is a gene that has the potential to cause cancer. In tumor cells, these genes are often mutated, or expressed at high levels. MYC family and is featured by a
basic helix-loop-helix
Basic or BASIC may refer to:
Science and technology
* BASIC, a computer programming language
* Basic (chemistry), having the properties of a base
* Basic access authentication, in HTTP
Entertainment
* ''Basic'' (film), a 2003 film
* Basic, one ...
leucine zipper (bHLH-LZ) motif in the protein structure.
USF was originally identified to regulate the major late promoters of
adenovirus
Adenoviruses (members of the family ''Adenoviridae'') are medium-sized (90–100 nm), nonenveloped (without an outer lipid bilayer) viruses with an icosahedral nucleocapsid containing a double-stranded DNA genome. Their name derives from t ...
, and recent research has further revealed its role in tissue protection.
The bHLH-LZ motif enables the
transactivation capacity of the USF protein through interacting with the
Initiator element
The initiator element (''Inr''), sometimes referred to as initiator motif, is a core promoter that is similar in function to the Pribnow box (in prokaryotes) or the TATA box (in eukaryotes). The ''Inr'' is the simplest functional promoter that i ...
(Inr) and
E-box
An E-box (enhancer box) is a Response element, DNA response element found in some eukaryotes that acts as a protein-binding site and has been found to regulate gene expression in neurons, muscles, and other tissues. Its specific DNA sequence, CANNT ...
motif on the bound DNA.
In the context of insulin and glucose-induced USF activities, those E-box motifs can act as a glucose-responsive element (GRE) and a part of the
carbohydrate response element (ChoRE) to interact with transcription factors.
Isoforms
USF comprises two major
isoforms
A protein isoform, or "protein variant", is a member of a set of highly similar proteins that originate from a single gene and are the result of genetic differences. While many perform the same or similar biological roles, some isoforms have uniqu ...
: USF1 and
USF2. ''USF1'' gene locates on the chromosome region 1q22-q23 in both human and mice; ''USF2'' gene locates on the chromosome 19q13 in human and chromosome 19q7 in mice, respectively.
Both ''USF1'' and ''USF2'' transcripts comprise 10 exons and can undergo exon 4-excision during
alternative splicing
Alternative splicing, alternative RNA splicing, or differential splicing, is an alternative RNA splicing, splicing process during gene expression that allows a single gene to produce different splice variants. For example, some exons of a gene ma ...
.
From an auto-regulation perspective, these exon 4-excision products act as dominant negative regulators and are found to suppress USF-dependent gene expression.
Protein

Although USF1 and USF2 share 70% of the amino acid sequence in their bHLH-LZ region, only 40% of similarity is found in their full-length proteins. In addition, USF1 and USF2 exhibit different protein abundances in a cell type-specific manner.
It has been found that USF1 and USF2 expression increases during the differentiation of
erythroid cells. Despite the ubiquitous expression of both isoforms, USF1 and USF2 mediate different biological processes and functions in cells. While USF1 modulates metabolism,
immune response
An immune response is a physiological reaction which occurs within an organism in the context of inflammation for the purpose of defending against exogenous factors. These include a wide variety of different toxins, viruses, intra- and extracellula ...
, and tissue protection, USF2 primarily controls
embryonic development
In developmental biology, animal embryonic development, also known as animal embryogenesis, is the developmental stage of an animal embryo. Embryonic development starts with the fertilization of an egg cell (ovum) by a sperm, sperm cell (spermat ...
, brain function,
iron metabolism
Human iron metabolism is the set of chemical reactions that maintain human homeostasis of iron at the systemic and cellular level. Iron is both necessary to the body and potentially toxic. Controlling iron levels in the body is a critically impo ...
, and
fertility
Fertility in colloquial terms refers the ability to have offspring. In demographic contexts, fertility refers to the actual production of offspring, rather than the physical capability to reproduce, which is termed fecundity. The fertility rate ...
.
Structurally, the highly conserved bHLH-LZ structure on the C-terminus of USF yields high binding specificity and promotes the formation of USF1 homodimers or USF1-USF2 heterodimers for DNA binding.
The USF-specific region (USR) on the N-terminal region, on the other hand, facilitates the nuclear translocation and activation of USF1.
Function
This gene encodes a member of the
basic helix-loop-helix
Basic or BASIC may refer to:
Science and technology
* BASIC, a computer programming language
* Basic (chemistry), having the properties of a base
* Basic access authentication, in HTTP
Entertainment
* ''Basic'' (film), a 2003 film
* Basic, one ...
leucine zipper
A leucine zipper (or leucine scissors) is a common three-dimensional structural motif in proteins. They were first described by Landschulz and collaborators in 1988 when they found that an enhancer binding protein had a very characteristic 30-amin ...
family and can function as a cellular
transcription factor
In molecular biology, a transcription factor (TF) (or sequence-specific DNA-binding factor) is a protein that controls the rate of transcription (genetics), transcription of genetics, genetic information from DNA to messenger RNA, by binding t ...
. The encoded protein can activate transcription through pyrimidine-rich
initiator (Inr) elements and
E-box
An E-box (enhancer box) is a Response element, DNA response element found in some eukaryotes that acts as a protein-binding site and has been found to regulate gene expression in neurons, muscles, and other tissues. Its specific DNA sequence, CANNT ...
motifs. This gene has been linked to
familial combined hyperlipidemia (FCHL). Two transcript variants encoding distinct
isoforms
A protein isoform, or "protein variant", is a member of a set of highly similar proteins that originate from a single gene and are the result of genetic differences. While many perform the same or similar biological roles, some isoforms have uniqu ...
have been identified for this gene.
A study of mice suggested reduced USF1 levels increase metabolism in
brown fat.
Regulation
Modulation of DNA binding affinity
The symmetrical E-box motif is the main target of bHLH-LZ transcription factors, and USF1 has a high binding affinity for the core sequence CACGTG in the motif.
USF1-DNA binding activity can be modulated by cell type-specific DNA
methylation
Methylation, in the chemistry, chemical sciences, is the addition of a methyl group on a substrate (chemistry), substrate, or the substitution of an atom (or group) by a methyl group. Methylation is a form of alkylation, with a methyl group replac ...
and
acetylation
:
In chemistry, acetylation is an organic esterification reaction with acetic acid. It introduces an acetyl group into a chemical compound. Such compounds are termed ''acetate esters'' or simply ''acetates''. Deacetylation is the opposite react ...
on the E-box motif or by
post-transcriptional modification
Transcriptional modification or co-transcriptional modification is a set of biological processes common to most eukaryotic cells by which an RNA primary transcript is chemically altered following transcription from a gene to produce a mature, f ...
s of the USF1 protein. For example,
CpG methylation on the central E-box motif inhibits the complex formation of USF1 with its co-transcription factors and therefore decreases the corresponding gene expression in mouse
lymphosarcoma cells.
In contrast, phosphorylation of USF1 by
p38 mitogen-activated protein kinases
p38 mitogen-activated protein kinases are a class of mitogen-activated protein kinases (MAPKs) that are responsive to stress stimuli, such as cytokines, ultraviolet irradiation, heat shock, and osmotic shock, and are involved in cell diffe ...
,
protein kinase A
In cell biology, protein kinase A (PKA) is a family of serine-threonine kinases whose activity is dependent on cellular levels of cyclic AMP (cAMP). PKA is also known as cAMP-dependent protein kinase (). PKA has several functions in the cell, in ...
or
protein kinase C
In cell biology, protein kinase C, commonly abbreviated to PKC (EC 2.7.11.13), is a family of protein kinase enzymes that are involved in controlling the function of other proteins through the phosphorylation of hydroxyl groups of serine and t ...
increases its binding to the E-box motif and activate gene transcription.
Phosphorylation
Mitogen-activated protein kinase
A mitogen-activated protein kinase (MAPK or MAP kinase) is a type of serine/threonine-specific protein kinases involved in directing cellular responses to a diverse array of stimuli, such as mitogens, osmotic stress, heat shock and proinflamma ...
(MAPKs) phosphorylates serine and threonine residues of substrate proteins and convert extracellular signals induced by growth factors, mitogens or cytokines into intracellular phosphorylation cascades, which regulate cell proliferation, differentiation, stress responses and
apoptosis (programmed cell death).

Phosphorylation by MAPKs induces a conformational change of the USF protein and exposes its DNA-binding domain for interaction. This increased structural exposure enhances DNA binding and therefore the transcriptional activity of USF.
* ERK1 (also known as
MAPK3
Mitogen-activated protein kinase 3, also known as p44MAPK and ERK1, is an enzyme that in humans is encoded by the ''MAPK3'' gene.
Function
The protein encoded by this gene is a member of the mitogen-activated protein kinase (MAP kinase) fam ...
) and ERK2 (also known as
MAPK1
Mitogen-activated protein kinase 1 (MAPK 1), also known as ERK2, is an enzyme that in humans is encoded by the ''MAPK1'' gene.
Function
The protein encoded by this gene is a member of the MAP kinase family. MAP kinases, also known as extracell ...
) phosphorylate USF1 in response to TFG-β signaling in vascular smooth muscle cells.
SMAD2 and SMAD3 signaling following the TFG-β receptor activation can also cooperate with EGFR / ERK pathways to activate USF1, which in turn regulates the gene expression of
plasminogen activator inhibitor-1
Plasminogen activator inhibitor-1 (PAI-1) also known as endothelial plasminogen activator inhibitor (serpin E1) is a protein that in humans is encoded by the ''SERPINE1'' gene. Elevated PAI-1 is a risk factor for thrombosis and atherosclerosis.
...
(PAI-1), a significant biomarker and predictor of cardiovascular disease-related death
and a marker of poor prognosis in breast cancer.
*
Casein kinase 2 or CK-II (CK2) is a tetrameric enzyme composed of two catalytic and two regulatory subunits. In pancreatic cells, CK2 phosphorylates USF1,
PDX1 and
MST1
Macrophage-stimulating protein (MSP), also known as hepatocyte growth factor-like protein (HLP, HGFL, or HGFLP), is a protein that in humans is encoded by the ''MST1'' (''macrophage-stimulating 1'') gene
In biology, the word gene has two ...
to suppress insulin expression.
Gene transcription
* Transforming growth factor β 1 (
TGF beta 1
Transforming growth factor beta 1 or TGF-β1 is a polypeptide member of the transforming growth factor beta superfamily of cytokines. It is a secreted protein that performs many cellular functions, including the control of cell growth, cell prol ...
) is encoded by the ''TFGB''1 gene that contains an E-box within the promoter region and has been implicated in excessive extracellular matrix accumulation under a high-glucose condition.
Overexpression of either USF1 or USF2 is found to elevate the ''TFGB1'' promoter activity in human embryonic kidney cells. However, only USF1 overexpression leads to increased TGF-β1 secretion.
*
Thrombospondin 1 (TSP1) is involved in the development of
diabetic nephropathy
Diabetic nephropathy, also known as diabetic kidney disease, is the chronic loss of kidney function occurring in those with diabetes mellitus. Diabetic nephropathy is the leading cause of chronic kidney disease (CKD) and end-stage renal disease ...
. USF1/2 binds to the E-box motif (CAGATG) on the human ''THBS1'' promoter and regulates high-glucose-induced TSP1 expression in
mesangial cell
Mesangial cells are specialised cells in the kidney that make up the mesangium of the glomerulus. Together with the mesangial matrix, they form the vascular pole of the renal corpuscle. The mesangial cell population accounts for approximately ...
s.
USF2 overexpression has been found to augment ''THBS1'' promoter activity and TSP1 expression. The resulting increase in TSP1 expression further promotes the formation of active TGF-β.
*
AP-1 transcription factor
Activator protein 1 (AP-1) is a transcription factor that regulates gene expression in response to a variety of stimuli, including cytokines, growth factors, stress, and bacterial and viral infections. AP-1 controls a number of cellular proc ...
(AP-1) refers to a complex of dimeric transcription factors composed of
c-Jun,
c-Fos
Protein c-Fos is a proto-oncogene that is the human homolog of the retroviral oncogene v-fos. It is encoded in humans by the ''FOS'' gene. It was first discovered in rat fibroblasts as the transforming gene of the FBJ MSV (Finkel–Biskis–Ji ...
or
activating transcriptionfactor
Factor (Latin, ) may refer to:
Commerce
* Factor (agent), a person who acts for, notably a mercantile and colonial agent
* Factor (Scotland), a person or firm managing a Scottish estate
* Factors of production, such a factor is a resource used ...
(ATF) that bind to the
AP-1 binding site on DNA.
cJun-cJun / cJun-cFos dimers preferentially bind to the phorbol
12-O-Tetradecanoylphorbol-13-acetate
12-''O''-Tetradecanoylphorbol-13-acetate (TPA), also commonly known as tetradecanoylphorbol acetate, tetradecanoyl phorbol acetate, and phorbol 12-myristate 13-acetate (PMA) is a diester of phorbol. It is a potent Tumor promotion, tumor promoter ...
(TPA)-responsive element (TRE region, TGACTCA), whereas cJun-ATF dimers and ATF homodimers preferentially bind to the cAMP-responsive element (
CRE, TGACGTCA).
The AP-1 complex becomes activated in response to high glucose, oxidative stress,
low-density lipoprotein
Low-density lipoprotein (LDL) is one of the five major groups of lipoprotein that transport all fat molecules around the body in extracellular water. These groups, from least dense to most dense, are chylomicrons (aka ULDL by the overall density ...
(LDL) and oxidised LDL. It has been reported that a high glucose level upregulates USF and AP-1 binding activities, as well as the protein level of cFos.
Interaction between USF1 and other transcription factors, including
SP1, PEA3 (also known as
ETV4) and
MTF1, also leads to cooperative transcriptional regulation. For instance, the
leucine zipper
A leucine zipper (or leucine scissors) is a common three-dimensional structural motif in proteins. They were first described by Landschulz and collaborators in 1988 when they found that an enhancer binding protein had a very characteristic 30-amin ...
motif of USF1 recruits PEA3 to form a ternary complex and co-regulates the transcription of
BAX, an apoptosis regulator.
Another USF1-regulated target is
topoisomerase
DNA topoisomerases (or topoisomerases) are enzymes that catalyze changes in the topological state of DNA, interconverting relaxed and supercoiled forms, linked (catenated) and unlinked species, and knotted and unknotted DNA. Topological issues in ...
III (hTOP3⍺), which catalyzes the topological changes of DNA, modifies DNA supercoil structures, and increases the chromatin accessibility for gene expression.
Similar interactions exist between USF1 and
JMJD1C or
H3K9 demethylase
Demethylases are enzymes that remove methyl (CH3) groups from nucleic acids, proteins (particularly histones), and other molecules. Demethylases are important epigenetics, epigenetic proteins, as they are responsible for transcriptional regulation ...
, in which the molecular interactions change chromatin accessibility and elevate the transcription of a series of lipogenic genes, including ''
FASN'',
''ACC'',
''ACLY'', and
''SREBP1''.
Chromosome boundary by USF

Chromosomes are generally classified into
euchromatin
Euchromatin (also called "open chromatin") is a lightly packed form of chromatin (DNA, RNA, and protein) that is enriched in genes, and is often (but not always) under active transcription. Euchromatin stands in contrast to heterochromatin, which ...
and
heterochromatin
Heterochromatin is a tightly packed form of DNA or '' condensed DNA'', which comes in multiple varieties. These varieties lie on a continuum between the two extremes of constitutive heterochromatin and facultative heterochromatin. Both play a rol ...
with distinct histone modifications, compaction levels, and the resulting gene expression patterns. Heterochromatin is a tightly condensed and transcriptionally repressed chromatin domain that is characterized by distinct combinations of histone post-translational modifications.
Heterochromatin is required for genome stability and gene expression regulation. However, it can spread into neighboring DNA regions and inactivate gene expression.
Chromosome boundary elements are thus necessary to block such stochastic spreads of heterochromatin and maintain stable gene expression.
USF1 and USF2 have been found to recruit various histone-modifying complexes, including the histone H3 methyltransferase
Set1 complex and the H4 arginine 3 methyltransferase
PRMT1, with the latter known to establish active chromatin domains.
USF1/USF2 binding deposits a high level of activating histone modifications on adjacent nucleosomes and thus prevents the propagation of chromatin silencing modifications from the heterochromatin, such as H3K9 and K27 methylation.
Other USF1/USF2-related chromatin modifications include the recruitment of the E3 ubiquitin ligase,
RNF20, to moniubiquitinate
histone H2B
Histone H2B is one of the 5 main histone proteins involved in the structure of chromatin in eukaryotic cells. Featuring a main globular domain and long N-terminal and C-terminal tails, H2B is involved with the structure of the nucleosomes.
Struc ...
.
The loss of RNF20 is found to cause an extension of the silencing modifications from the 16 kb heterochromatic domain into the
β-globin locus.
Moreover, USF1 and USF2 can bind to the 5' DNase I hypersensitive site HS4 and recruit an H3 acetyltransferase,
PCAF
P300/CBP-associated factor (PCAF), also known as K(lysine) acetyltransferase 2B (KAT2B), is a human gene and transcriptional coactivator associated with p53.
Structure
Several domains of PCAF can act independently or in unison to enable its fu ...
, which blocks the heterochromatin spread into the β-globin locus.
''FASN'' transactivates for lipogenesis

USF is known to bind the L-type
pyruvate kinase
Pyruvate kinase is the enzyme involved in the last step of glycolysis. It catalyzes the transfer of a phosphate group from phosphoenolpyruvate (PEP) to adenosine diphosphate (ADP), yielding one molecule of pyruvate and one molecule of ATP. Pyruv ...
promoter on DNA at high glucose and insulin levels. Excessive insulin activates kinases and phosphatases that post-translationally modify USF, sterol regulatory element-binding protein 1C (SREBP1C),
Carbohydrate-responsive element-binding protein (ChREBP), and
Liver X receptor
The liver X receptor (LXR) is a member of the nuclear receptor family of transcription factors and is closely related to nuclear receptors such as the PPARs, FXR and RXR. Liver X receptors (LXRs) are important regulators of cholesterol, fatt ...
(LXRs).
With insulin stimulation, USF1 and USF2 bind to the E-boxes at -332 and -65 in the promoter region of ''FASN'' that encodes
Fatty acid synthase
Fatty acid synthase (FAS) is an enzyme that in humans is encoded by the ''FASN'' gene.
Fatty acid synthase is a multi-enzyme protein that catalyzes fatty acid synthesis. It is not a single enzyme but a whole enzymatic system composed of two ide ...
(FAS) for lipogenesis.
Various post-translational modifications of USF1 determine its activity and signaling pathways and can affect the lipogenesis process. An abnormal increase in the USF-mediated ''de novo'' fatty acid synthesis is found to cause intracellular fatty acid accumulation and deregulate gene expression and cellular processes like tumor cell survival.
Lipogenic pathways
* In response to insulin elevation,
DNA-protein kinase (DNA-PK) involved in DNA damage repair becomes dephosphorylated and activated.
The active form of DNA-PK indirectly phosphorylates USF1 at S262 through
AMP-activated protein kinase
5' AMP-activated protein kinase or AMPK or 5' adenosine monophosphate-activated protein kinase is an enzyme (EC 2.7.11.31) that plays a role in cellular energy homeostasis, largely to activate glucose and fatty acid uptake and oxidation when cell ...
(AMPK). The S262 phosphorylation increases USF1 interaction with SREBP1C near the sterol regulatory element (SRE) and facilitates the synergistic activation of SREBP1C and transcription of the downstream lipogenic genes.
* USF1 S262 phosphorylation also recruits
PCAF
P300/CBP-associated factor (PCAF), also known as K(lysine) acetyltransferase 2B (KAT2B), is a human gene and transcriptional coactivator associated with p53.
Structure
Several domains of PCAF can act independently or in unison to enable its fu ...
to acetylate USF1 at the site K237. Both S262 phosphorylation and K237 acetylation enhance USF1 activities and the subsequent transcriptional activation of the
fatty acid synthase
Fatty acid synthase (FAS) is an enzyme that in humans is encoded by the ''FASN'' gene.
Fatty acid synthase is a multi-enzyme protein that catalyzes fatty acid synthesis. It is not a single enzyme but a whole enzymatic system composed of two ide ...
gene (''FASN)''.
Fatty acid synthase
Fatty acid synthase (FAS) is an enzyme that in humans is encoded by the ''FASN'' gene.
Fatty acid synthase is a multi-enzyme protein that catalyzes fatty acid synthesis. It is not a single enzyme but a whole enzymatic system composed of two ide ...
(FAS), together with
Acetyl-CoA carboxylase
Acetyl-CoA carboxylase (ACC) is a biotin-dependent enzyme () that catalyzes the irreversible carboxylation of acetyl-CoA to produce malonyl-CoA through its two catalytic activities, biotin carboxylase (BC) and carboxyltransferase (CT). ACC ...
(ACC), produces
malonyl-CoA
Malonyl-CoA is a coenzyme A derivative of malonic acid.
Biosynthesis
Malonyl-CoA cannot cross membranes and there is no known malonyl-CoA import mechanism. The biosynthesis therefore takes place locally:
* cytosol: Malonyl-CoA is formed by c ...
, converts it to long-chain fatty acids, and promotes the ''de novo'' fatty-acid synthesis for energy provision and
protein lipidation.
* USF1 modified with S262 phosphorylation an K237 acetylation also recruits BGR1 (also known as
SMARCA4
Transcription activator BRG1 also known as ATP-dependent chromatin remodeler SMARCA4 is a protein that in humans is encoded by the ''SMARCA4'' gene.
Function
The protein encoded by this gene is a member of the SWI/SNF family of proteins and ...
)-associated factor 60c (BAF60c).
BAF60c is then phosphorylated by atypical
protein kinase C
In cell biology, protein kinase C, commonly abbreviated to PKC (EC 2.7.11.13), is a family of protein kinase enzymes that are involved in controlling the function of other proteins through the phosphorylation of hydroxyl groups of serine and t ...
(aPKC) at S257, allowing it to form a LipoBAF complex at promoters of lipogenic genes to regulate chromatin structure and gene transcription.
* In contrast,
HDAC9
Histone deacetylase 9 is an enzyme that in humans is encoded by the ''HDAC9'' gene.
Function
Histones play a critical role in transcriptional regulation, cell cycle progression, and developmental events. Histone acetylation/deacetylation alter ...
deacetylates USF1 during cell fasting, prevents the recruitment of USF1-interacting factors, and suppresses the transcriptional activation of lipogenic genes.
In early embryonic development
USF1 transcription undergoes active dynamics during cell meiosis, in which the USF1 mRNA first increases significantly during 2-8 cells and then decreases to an undetectable level at the blastocyst stage, indicating its role in the embryo genome activation.
USF1 siRNA knockout has been shown to compromise the blastocyst rate and deregulate the transcripts of
twist-related protein 2 (increased),
growth differentiation factor-9 and
follistatin
Follistatin, also known as activin-bindings protein, is a protein that in humans is encoded by the ''FST'' gene. Follistatin is an autocrine glycoprotein that is expressed in nearly all tissues of higher animals.
Its primary function is the b ...
(decreased) by affecting their promoter-binding element E-box region during oocyte maturation.
Clinical significance
Diabetic kidney disease
Diabetic kidney disease (DKD) (or
Diabetic nephropathy
Diabetic nephropathy, also known as diabetic kidney disease, is the chronic loss of kidney function occurring in those with diabetes mellitus. Diabetic nephropathy is the leading cause of chronic kidney disease (CKD) and end-stage renal disease ...
) is a progressive
microalbuminuria disease with a slight loss of albumin in the urine (30–300 mg per day); DKD has been viewed as a diabetic complication-related
microvascular disorder in a renal manifestation.
In kidney biopsy, DKD is characterized by glomerular and tubular basement thickening,
mesangial expansion,
glomerulosclerosis,
podocyte
Podocytes are cells in Bowman's capsule in the kidneys that wrap around capillaries of the glomerulus. Podocytes make up the epithelial lining of Bowman's capsule, the third layer through which filtration of blood takes place. Bowman's capsule ...
effacement (histology) and nephron loss.
DKD occurs in 30%-50% of the diabetic patient population and leads to kidney failures in up to 20% of the
type 1 diabetic patients.
However, a substantial portion of DKD patients do not manifest
albuminuria
Albuminuria is a pathological condition of elevated albumin protein in the urine (often measured as urine albumin-to-creatinine ratio of >30 milligrams of albumin per 1 gram of creatinine per day). It is a type of proteinuria, and is the most com ...
.
DKD pathogenesis is attributed to the dysregulated glucose transport at a higher glucose level and the excessive influx of intracellular glucose into endothelial cells.
The elevated glucose level is sustained along with multiple metabolic phenotypes such as excess
fatty acid
In chemistry, in particular in biochemistry, a fatty acid is a carboxylic acid with an aliphatic chain, which is either saturated and unsaturated compounds#Organic chemistry, saturated or unsaturated. Most naturally occurring fatty acids have an ...
s and
oxidative stress
Oxidative stress reflects an imbalance between the systemic manifestation of reactive oxygen species and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting damage. Disturbances in the normal ...
, as well as
shear stress
Shear stress (often denoted by , Greek alphabet, Greek: tau) is the component of stress (physics), stress coplanar with a material cross section. It arises from the shear force, the component of force vector parallel to the material cross secti ...
es induced by
hypertension
Hypertension, also known as high blood pressure, is a Chronic condition, long-term Disease, medical condition in which the blood pressure in the artery, arteries is persistently elevated. High blood pressure usually does not cause symptoms i ...
and
hyperfusion, and can lead to microvascular
rarefaction
Rarefaction is the reduction of an item's density, the opposite of compression. Like compression, which can travel in waves (sound waves, for instance), rarefaction waves also exist in nature. A common rarefaction wave is the area of low relati ...
, hypoxia and
maladaptation
In evolution, a maladaptation ( /ˌmælædæpˈteɪʃən/) is a trait that is (or has become) more harmful than helpful, in contrast with an adaptation, which is more helpful than harmful. All organisms, from bacteria to humans, display maladapt ...
in glomerular
neoangiogenesis.
USF1 as an insulin-sensitive transcription factor that becomes active in response to a high glucose level promotes the transactivation of genes involved in lipid metabolism, including
hepatic lipase (''LIPC''),
hepatocyte nuclear factor 4 alpha
Hepatocyte nuclear factor 4 alpha (HNF4A) also known as NR2A1 (nuclear receptor subfamily 2, group A, member 1) is a nuclear receptor that in humans is encoded by the ''HNF4A'' gene.
Function
HNF-4α is a nuclear transcription factor that bi ...
(''HNF4A''),
Apolipoprotein AI (''APOA1)'',
Apolipoprotein L1 (
''APOL1'''')'' and
Haptoglobin-related protein (''HPR'').
Especially, APOL1 is known to complex with APOA-I and HDL to facilitate cell
autophagy
Autophagy (or autophagocytosis; from the Greek language, Greek , , meaning "self-devouring" and , , meaning "hollow") is the natural, conserved degradation of the cell that removes unnecessary or dysfunctional components through a lysosome-depe ...
in response to injuries and prevent glomerular diseases; however, an ''APOL1'' risk variant specific to podocyte inhibits cell autophagy and can trigger kidney disease.
Cancer
Increased ''FASN''-mediated de novo lipid synthesis
Cancer cells exhibit a set of phenotypes, including a highlighted increase in
aerobic glycolysis, lactic acid production (known as
the Warburg effect), elevated protein and DNA synthesis, and increased ''de novo'' or endogenous
fatty acid synthesis
In biochemistry, fatty acid synthesis is the creation of fatty acids from acetyl-CoA and NADPH through the action of enzymes. Two ''De novo synthesis, de novo'' fatty acid syntheses can be distinguished: cytosolic fatty acid synthesis (FAS/FASI) ...
by
fatty acid synthase (FAS).
FAS synthesizes primarily palmitate from malonyl-CoA, which is further esterified to
triglyceride
A triglyceride (from '' tri-'' and '' glyceride''; also TG, triacylglycerol, TAG, or triacylglyceride) is an ester derived from glycerol and three fatty acids.
Triglycerides are the main constituents of body fat in humans and other vertebrates ...
s for energy storage. Normally,
''FASN'' is active during embryogenesis and in fetal lungs for lubricant production; however, it is physiologically low-expressed in non-cancerous adult cells. In contrast, abnormal ''FASN'' overexpression is detected in multiple cancer types, spanning
breast cancer
Breast cancer is a cancer that develops from breast tissue. Signs of breast cancer may include a Breast lump, lump in the breast, a change in breast shape, dimpling of the skin, Milk-rejection sign, milk rejection, fluid coming from the nipp ...
,
colorectal cancer
Colorectal cancer (CRC), also known as bowel cancer, colon cancer, or rectal cancer, is the development of cancer from the Colon (anatomy), colon or rectum (parts of the large intestine). Signs and symptoms may include Lower gastrointestinal ...
,
prostate cancer
Prostate cancer is the neoplasm, uncontrolled growth of cells in the prostate, a gland in the male reproductive system below the bladder. Abnormal growth of the prostate tissue is usually detected through Screening (medicine), screening tests, ...
,
pancreatic cancer
Pancreatic cancer arises when cell (biology), cells in the pancreas, a glandular organ behind the stomach, begin to multiply out of control and form a Neoplasm, mass. These cancerous cells have the malignant, ability to invade other parts of ...
and ovarian cancer.
''FASN-''mediated ''de novo'' lipid synthesis accounts for more than 93% of
triglyceride
A triglyceride (from '' tri-'' and '' glyceride''; also TG, triacylglycerol, TAG, or triacylglyceride) is an ester derived from glycerol and three fatty acids.
Triglycerides are the main constituents of body fat in humans and other vertebrates ...
s in tumor cells.
Specifically, tumor cells prefer glycolysis over oxidation for energy consumption and re-direct the glycolytic products towards ''de novo'' fatty acid synthesis to supply lipids for membrane production and
protein lipidation for fast cell proliferation.
For example,
PI3K-AKT pathway is found to increase in
LNCaP prostate cancer cells to stimulate ''FASN'' overexpression. Concurrently, fatty acid synthase overexpression is also post-translationally sustained by
USP2a-mediated ubiquitination reduction, stabilizing FAS for constitutive signal transduction.
In addition to ''de novo'' lipogenesis, FAS promotes the localization of VEGFR-2 to the lipid raft of the endothelial cell membrane and thus enhances angiogenesis in tumor development.
Meanwhile, mutual activation between FAS and ERBB2 (
HER2
Receptor tyrosine-protein kinase erbB-2 is a protein that normally resides in the membranes of cells and is encoded by the ''ERBB2'' gene. ERBB is abbreviated from erythroblastic oncogene B, a gene originally isolated from the avian genome. The ...
) signaling also potentiates tumorigenesis, in which ERBB2 amplification is associated with elevated survival and proliferation of cancer cells and poor prognosis in breast and gastric cancers; an ERBB2 increase, especially, contributes to 18-25% of breast cancers. In prostate cancer cells and promyelocytic leukemia cells, USF1 activation also attains a high-level
of PAI-1 expression and inhibits spontaneous or
camptothecin
Camptothecin (CPT) is a topoisomerase inhibitor. It was discovered in 1966 by M. E. Wall and M. C. Wani in systematic screening of natural products for anticancer drugs. It was isolated from the Bark (botany), bark of ''Camptotheca acuminata'' (� ...
-induced apoptosis.
Decreased USF1-p53 interaction and increased p53 instability
The poor prognosis of gastric cancers is associated with low expression of USF1 and p53.
Among gastric cancer patients, 88% of the patients are diagnosed with ''H. pylor''i infection, and half of the patients show lower USF1 expression in tumor tissues. Mechanistically, ''H. pylor''i induces DNA hypermethylation in the promoter regions of USF1 and USF2 and inhibits expression. Decreased expression reduces the interaction between USF1 and p53 when DNA damage occurs, rendering p53 to associate more frequently with the E3-ubiquitin ligase HDM2 (also known as
MDM2) and increasing p53 instability in cancer cells.
Familial combined hyperlipidemia
Familial combined
hyperlipidemia
Hyperlipidemia is abnormally high levels of any or all lipids (e.g. fats, triglycerides, cholesterol, phospholipids) or lipoproteins in the blood. citing: and The term ''hyperlipidemia'' refers to the laboratory finding itself and is also use ...
(FCHL) was first used to describe lipid abnormalities in 47 Seattle pedigree-containing members with hypercholesterolemia and hypertriglyceridemia.
The core FCHL lipid profiles feature high serum cholesterol/triglyceride,
apolipoprotein B
Apolipoprotein B (ApoB) is a protein that in humans is encoded by the gene. Its measurement is commonly used to detect the risk of Atherosclerosis, atherosclerotic Coronary artery disease, cardiovascular disease.
Isoforms
The protein occur ...
(APOB) and LDL levels. Genetic evidence has suggested a FCHL-related locus on the human chromosome 1q21-q23, which is linked to metabolic syndromes.
Fine-mapping of those linked regions identifies USF1 as the first positionally cloned gene for FCHL and a target for FCHL treatment. In addition,
hepatocyte nuclear factor 4 alpha
Hepatocyte nuclear factor 4 alpha (HNF4A) also known as NR2A1 (nuclear receptor subfamily 2, group A, member 1) is a nuclear receptor that in humans is encoded by the ''HNF4A'' gene.
Function
HNF-4α is a nuclear transcription factor that bi ...
(HNF4A) is also implicated in high lipid levels and metabolic syndromes. Cooperative effects of USF1 and HNF4A have been shown to regulate the expression of
apolipoprotein A-II (''APOA2'') and
apolipoprotein C-III
Apolipoprotein C-III also known as apo-CIII, and apolipoprotein C3, is a protein that in humans is encoded by the ''APOC3'' gene. Apo-CIII is secreted by the liver as well as the small intestine, and is found on triglyceride-rich lipoproteins suc ...
(''APOC3'').
Mutations in ''USF1'', ''HNF4A'' and apolipoproteins also increase patients' susceptibility to FCHL.
Additional genes subjected to USF1 regulation and involved in glucose/lipid metabolism include apolipoprotein A5 (''
APOA5''),
apolipoprotein E
Apolipoprotein E (Apo-E) is a protein involved in the metabolism of fats in the body of mammals. A subtype is implicated in Alzheimer's disease and cardiovascular diseases. It is encoded in humans by the gene ''APOE''.
Apo-E belongs to a family ...
(''APOE''),
hormone-sensitive lipase (''LIPE''),
hepatic lipase (''LIPC''),
glucokinase
Glucokinase () is an enzyme that facilitates phosphorylation of glucose to glucose-6-phosphate. Glucokinase is expressed in cells of the liver and pancreas of humans and most other vertebrates. In each of these organs it plays an important ro ...
(''GCK''), islet-specific glucose-6-phosphatase catalytic-subunit-related protein (''IGRP''), insulin,
glucagon receptor
The glucagon receptor is a 62 kDa protein that is activated by glucagon and is a member of the class B G-protein coupled family of receptors ( secretin receptor family), coupled to G alpha i, Gs and to a lesser extent G alpha q. Stimulation o ...
(''GCGR'') and ATP-binding cassette transporter A1 (''
ABCA1
ATP-binding cassette transporter ABCA1 (member 1 of human transporter sub-family ABCA), also known as the ''cholesterol efflux regulatory protein'' (CERP) is a protein which in humans is encoded by the ''ABCA1'' gene. This transporter is a major ...
'').
Interactions
USF1 (human gene) has been shown to
interact with
USF2,
FOSL1 and
GTF2I.
References
Further reading
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External links
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{{Transcription factors, g1
Transcription factors