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Blood, 15 February 2001, Vol. 97, No. 4, pp. 946-951

HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Regulation of human coagulation factor X gene expression by GATA-4 and the Sp family of transcription factors

Hsiao-Ling Hung, Eleanor S. Pollak, Rama D. Kudaravalli, Valder Arruda, Kirk Chu, and Katherine A. High

From the Departments of Pediatrics and Pathology, University of Pennsylvania and the Children's Hospital of Philadelphia, Philadelphia, PA.

Serine protease factor Xa plays a critical role in the coagulation cascade. Zymogen factor X is synthesized and modified in the liver. To understand the mechanisms governing the liver-specific expression of factor X, the proximal promoter of human factor X was previously characterized. Two crucial cis elements at -73 and -128 and their cognate binding proteins, HNF-4 and NF-Y, respectively, were identified. In this report, studies are extended to 3 additional cis elements within the factor X promoter. Using gel mobility shift assays, the liver-enriched protein GATA-4 was identified as the protein binding to the GATA element at -96. GATA-4 transactivates the factor X promoter 28-fold in transient transfection experiments. It was also determined that the Sp family of transcription factors binds 2 DNase I-footprinted sites at -165 and -195. Disruption of Sp protein binding at either site reduces the promoter activity by half. Simultaneous disruption of both sites reduces the promoter activity 8-fold. This is the first report indicating the involvement of GATA-4 in the regulation of clotting factor expression. These observations provide novel insight into mechanisms by which the vitamin K-dependent coagulation factors are regulated.

© 2001 by The American Society of Hematology.
 

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