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Blood, Vol. 93 No. 10 (May 15), 1999:
pp. 3512-3520
Elf-1 and PU.1 Induce Expression of gp91phox Via a
Promoter Element Mutated in a Subset of Chronic Granulomatous
Disease Patients
Kui Shin Voo and
David G. Skalnik
From the Herman B Wells Center for Pediatric Research, Section of
Pediatric Hematology/Oncology, Department of Pediatrics, Indiana
University School of Medicine, Indianapolis, IN.
The cytochrome b heavy chain (gp91phox) is the
redox center of the NADPH-oxidase and is highly expressed in mature
myeloid cells. Point mutations at 57, 55, 53, and 52 bp of
the gp91phox promoter have been detected in
patients with chronic granulomatous disease (CGD; Newburger et al,
J Clin Invest 94:1205, 1994; and Suzuki et al, Proc
Natl Acad Sci USA 95:6085, 1998). We report that Elf-1 and PU.1,
ets family members highly expressed in myeloid cells, bind to
this promoter element. Either factor trans-activates the 102 to
+12 bp gp91phox promoter when overexpressed in
nonhematopoietic HeLa cells or the PLB985 myeloid cell line. However,
no synergy of gp91phox promoter activation occurs
when both Elf-1 and PU.1 are overexpressed. Introduction of the 57
bp or 55 bp CGD mutations into the gp91phox
promoter significantly reduces the binding affinity of Elf-1 and PU.1
and also reduces the ability of these factors to trans-activate the
promoter. These results indicate that Elf-1 and PU.1 contribute to
directing the lineage-restricted expression of the
gp91phox gene in phagocytes and that failure of
these factors to effectively interact with this promoter results in CGD.

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