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Prepublished online as a Blood First Edition Paper on December 27, 2002; DOI 10.1182/blood-2002-07-2331.

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Submitted August 1, 2002
Accepted December 10, 2002

Direct binding of Nur77/NAK-1 to the plasminogen activator inhibitor 1 (PAI-1) promoter regulates TNF{alpha}-induced PAI-1 expression

Florian Gruber, Peter Hufnagl, Renate Hofer-Warbinek, Johannes A Schmid, Johannes M Breuss, Renate Huber-Beckmann, Markus Lucerna, Nikolina Papac, Hanna Harant, Ivan Lindley, Rainer deMartin, and Bernd R Binder*

Department of Vascular Biology and Thrombosis Research, University of Vienna, Vienna, Austria
Roche Diagnostics GmbH, Vienna, Austria
Novartis Research Institute, Vienna, Austria
BMT-Research, Vienna, Austria
LBI for Applied Cancer Research, Vienna, Austria

* Corresponding author; email: bernd.binder{at}univie.ac.at.

Plasminogen activator inhibitor 1 (PAI-1) is the main fibrinolysis inhibitor and high plasma levels are associated with an increased risk for vascular diseases. Inflammatory cytokines regulate PAI-1 through a hitherto unclear mechanism. Using reporter gene analysis we could identify a region in the PAI-1 promoter that contributes to basal expression as well as to TNF{alpha} induction of PAI-1 in endothelial cells. Using this region as bait in a genetic screen we could identify Nur77 (NAK-1, TR3, NR4A1) as an inducible DNA-binding protein that binds specifically to the PAI-1 promoter. Nur77 drives transcription of PAI-1 through direct binding to a NGFI-B responsive element (NBRE) indicating monomeric binding and a ligand independent mechanism. Nur77 itself is transcriptionally upregulated by TNF{alpha}. High expression levels of Nur77 and its co-localization with PAI-1 in atherosclerotic tissues indicate that the described mechanism for PAI-1 regulation may also be operative in vivo.


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