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<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2017.5493</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-5493</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>TCF4/&#x03B2;-catenin complex is directly upstream of <italic>FGF21</italic> in mouse stomach cancer cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Pei</surname><given-names>Jihua</given-names></name>
<xref rid="af1-etm-0-0-5493" ref-type="aff">1</xref>
<xref rid="fn1-etm-0-0-5493" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Song</surname><given-names>Na</given-names></name>
<xref rid="af2-etm-0-0-5493" ref-type="aff">2</xref>
<xref rid="fn1-etm-0-0-5493" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Limin</given-names></name>
<xref rid="af1-etm-0-0-5493" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Qi</surname><given-names>Jinbo</given-names></name>
<xref rid="af2-etm-0-0-5493" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Xia</surname><given-names>Shenglong</given-names></name>
<xref rid="af1-etm-0-0-5493" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Xu</surname><given-names>Changlong</given-names></name>
<xref rid="af1-etm-0-0-5493" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zheng</surname><given-names>Bo</given-names></name>
<xref rid="af1-etm-0-0-5493" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Jun</given-names></name>
<xref rid="af2-etm-0-0-5493" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Qiu</surname><given-names>Yanyan</given-names></name>
<xref rid="af2-etm-0-0-5493" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Haijun</given-names></name>
<xref rid="af3-etm-0-0-5493" ref-type="aff">3</xref>
<xref rid="c2-etm-0-0-5493" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Jiang</surname><given-names>Yi</given-names></name>
<xref rid="af1-etm-0-0-5493" ref-type="aff">1</xref>
<xref rid="c1-etm-0-0-5493" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-5493"><label>1</label>Department of Gastroenterology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, P.R. China</aff>
<aff id="af2-etm-0-0-5493"><label>2</label>Department of Molecular Biology and Biochemistry, Xinxiang Medical University, Xinxiang, Henan 453003, P.R. China</aff>
<aff id="af3-etm-0-0-5493"><label>3</label>Department of Pathology, Xinxiang Medical University, Xinxiang, Henan 453003, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-5493"><italic>Correspondence to</italic>: Dr Yi Jiang, Department of Gastroenterology, The Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan West Road, Wenzhou, Zhejiang 325027, P.R. China, E-mail: <email>yijiang1970@126.com</email></corresp>
<corresp id="c2-etm-0-0-5493">Dr Haijun Wang, Department of Pathology, Xinxiang Medical University, 601 Jinsui Road, Xinxiang, Henan 453003, P.R. China, E-mail: <email>wnavy200299@163.com</email></corresp>
<fn id="fn1-etm-0-0-5493"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>01</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>11</month>
<year>2017</year></pub-date>
<volume>15</volume>
<issue>1</issue>
<fpage>1041</fpage>
<lpage>1047</lpage>
<history>
<date date-type="received"><day>27</day><month>10</month><year>2016</year></date>
<date date-type="accepted"><day>29</day><month>06</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Fibroblast growth factor 21 (FGF21) as a member of the FGFs serves a key role in glucose homeostasis and protection of the liver, heart, kidney and skin from damage as well as cancer cell development. In addition, transcription of <italic>FGF21</italic> is sensitive to diverse damages; however, the role of the transcriptional regulator of <italic>FGF21</italic> in cancer cells remains to be elucidated. FGFs were identified to have dominant expression in cancer cells; therefore, mouse forestomach carcinoma (MFC) cells were used in the present study, which is a mouse stomach cancer cell strain for identifying the <italic>FGF21</italic> regulators. In promoter analysis of <italic>FGF21</italic>, the putative transcription factor 4 (TCF4) binding motifs (<sup>T</sup>/<sub>A</sub><sup>C</sup>/<sub>G</sub>AAAG) were observed within 1.5 kb of the promoter region. Further chromatin immunoprecipitation and yeast-one hybrid assays identified that TCF4 directly bound to one of the two putative binding motifs observed. A co-immunoprecipitation assay identified that &#x03B2;-catenin interacts with TCF4 in MFC cells, and the &#x03B2;-catenin/TCF4 complex bound to the promoter of <italic>FGF21</italic>. In order to examine the function of TCF4 and &#x03B2;-catenin in transcriptional regulation of <italic>FGF21</italic>, <italic>TCF4</italic> and <italic>&#x03B2;-catenin</italic> was transiently expressed in MFC cells. Reverse transcription-quantitative polymerase chain reaction results revealed that overexpression of <italic>TCF4</italic> and <italic>&#x03B2;-catenin</italic> activated <italic>FGF21</italic> transcription. Besides, suppression of <italic>&#x03B2;-catenin</italic> via a specific short interfering RNA resulted in reduction of <italic>FGF21</italic> expression. Together these findings suggest that the &#x03B2;-catenin/TCF complex directly activates <italic>FGF21</italic> via promoter binding. The observations of the present study may help elucidate the regulatory mechanism of <italic>FGF21</italic>, which is a key pharmaceutical protein.</p>
</abstract>
<kwd-group>
<kwd>fibroblast growth factor 21</kwd>
<kwd>transcription factor 4</kwd>
<kwd>&#x03B2;-catenin</kwd>
<kwd>activation</kwd>
<kwd>interaction</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Fibroblast growth factors (FGFs) include 23 members, which serve important roles in metabolism regulation and development (<xref rid="b1-etm-0-0-5493" ref-type="bibr">1</xref>). FGFs have been demonstrated to be associated with the processes of embryogenesis, gastrulation, somitogenesis, body plan formation, organogenesis and skin wound healing (<xref rid="b2-etm-0-0-5493" ref-type="bibr">2</xref>&#x2013;<xref rid="b7-etm-0-0-5493" ref-type="bibr">7</xref>). FGF21 is a member of the FGF family that belongs to the FGF19 subfamily, and activation of the FGF receptor by FGF21 requires the co-receptor &#x03B2;-klotho (<xref rid="b8-etm-0-0-5493" ref-type="bibr">8</xref>,<xref rid="b9-etm-0-0-5493" ref-type="bibr">9</xref>). <italic>FGF21</italic> has been reported to preferentially express in the liver (<xref rid="b10-etm-0-0-5493" ref-type="bibr">10</xref>). However, previous studies have identified that FGF21 is also highly expressed in mouse skin tissue as well as an inducible feature of <italic>FGF21</italic> by starvation, drug administration and wounding, and its diverse function in glucose homeostasis, liver and heart protection from injury or skin wound healing (<xref rid="b11-etm-0-0-5493" ref-type="bibr">11</xref>&#x2013;<xref rid="b15-etm-0-0-5493" ref-type="bibr">15</xref>). Recently, FGF21 has been shown to improve hepatic insulin sensitivity by inhibiting the mammalian target of the rapamycin complex 1 (<xref rid="b16-etm-0-0-5493" ref-type="bibr">16</xref>).</p>
<p>Fasting-mediated induction of <italic>FGF21</italic> was regulated by the nuclear receptor peroxisome proliferator-activated receptor &#x03B1; (PPAR&#x03B1;) in the liver (<xref rid="b17-etm-0-0-5493" ref-type="bibr">17</xref>). Further studies identified that nuclear receptor retinoic acid receptor-related receptor &#x03B1; (ROR&#x03B1;) regulates <italic>FGF21</italic> in hepatocytes (<xref rid="b18-etm-0-0-5493" ref-type="bibr">18</xref>), whereas retinoic acid receptor &#x03B2; (RAR&#x03B2;) regulates hepatic induction of <italic>FGF21</italic> to promote fatty acid oxidation (<xref rid="b19-etm-0-0-5493" ref-type="bibr">19</xref>), indicating the complexity of transcriptional regulation of <italic>FGF21</italic>. The canonical Wnt signaling pathway is also defined as the Wnt/&#x03B2;-catenin or the &#x03B2;-catenin/T-cell factor (TCF) pathway (<xref rid="b20-etm-0-0-5493" ref-type="bibr">20</xref>) that regulates diverse aspects of biological processes (<xref rid="b21-etm-0-0-5493" ref-type="bibr">21</xref>&#x2013;<xref rid="b23-etm-0-0-5493" ref-type="bibr">23</xref>). The hallmark of the Wnt/&#x03B2;-catenin pathway is the stabilization of cytosolic &#x03B2;-catenin. Under unstimulated conditions, &#x03B2;-catenin is constantly phosphorylated by a destruction complex consisting of glycogen synthase kinase-3&#x03B2; (GSK3&#x03B2;) and other proteins (<xref rid="b24-etm-0-0-5493" ref-type="bibr">24</xref>); phosphorylated &#x03B2;-catenin is ubiquitinated by this complex and targeted for degradation by the proteasome (<xref rid="b24-etm-0-0-5493" ref-type="bibr">24</xref>,<xref rid="b25-etm-0-0-5493" ref-type="bibr">25</xref>). Furthermore, activation of the Wnt cascade inhibits GSK3&#x03B2; activity, allowing &#x03B2;-catenin accumulation and subsequent relocation to the nucleus, where it associates with TCF/lymphoid enhancer binding factor (TCF/LEF), leading to the transcription of Wnt signaling genes that are associated with cell survival, proliferation and differentiation (<xref rid="b24-etm-0-0-5493" ref-type="bibr">24</xref>). Genome wide array of TCF/LEF binding sequences analysis identified that transcription regulation complex including TCF/LEF binds to the putative <italic>cis</italic>-elements (<sup>T</sup>/<sub>A</sub><sup>C</sup>/<sub>G</sub>AAAG) appeared in the promoter of downstream genes (<xref rid="b26-etm-0-0-5493" ref-type="bibr">26</xref>). However, connections between TCF/LEF and <italic>FGF21</italic> have not yet been reported.</p>
<p>In the present study, the appearance of the putative TCF/LEF binding motifs in the promoter of <italic>FGF21</italic> was observed via promoter sequence analysis. Furthermore, chromatin immunoprecipitation (ChIP) and yeast-one hybrid assays were performed to test the possibility of transcription factor 4 (TCF4) binding to the promoter of <italic>FGF21</italic>. In addition, &#x03B2;-catenin interaction with TCF4 and transcriptional regulation of the &#x03B2;-catenin/TCF4 complex to <italic>FGF21</italic> was also examined. Finally, the experiments transiently overexpressing <italic>TCF4</italic> and <italic>&#x03B2;-catenin</italic> or <italic>&#x03B2;-catenin</italic>-specific short interfering (si) RNA were performed to test <italic>FGF21</italic> transcription levels. Together, these results indicate that the &#x03B2;-catenin/TCF4 complex directly regulates <italic>FGF21</italic> transcription and the present findings may help elucidate <italic>FGF21</italic> transcriptional regulation.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>The mouse forestomach carcinoma (MFC) fibroblast cell line, purchased from Bena Culture Collection (Suzhou, China; cat. no. BNCC100581), was plated at a density sufficient to create a confluent monolayer following 12 h of culture at 37&#x00B0;C in an incubator with 5&#x0025; CO<sub>2</sub>. Cells were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (cat. no. 11965-092) containing 0.5&#x0025; fetal bovine serum (cat. no. 10437-028; Thermo Fisher Scientific, Inc., Waltham, MA, USA).</p>
</sec>
<sec>
<title>Yeast-one hybrid assay</title>
<p>For a yeast one-hybrid assay, the 1.5-kb <italic>FGF21</italic> was amplified from genomic DNA of MFC fibroblast cells by polymerase chain reaction (PCR) under the following conditions: Initial denaturation at 98&#x00B0;C for 30 sec, followed by 30 cycles at 98&#x00B0;C for 10 sec, 65&#x00B0;C for 20 sec and 72&#x00B0;C for 2 min, with a final extension step at 72&#x00B0;C for 10 min. PCR was performed using Q5<sup>&#x00AE;</sup> High-Fidelity DNA Polymerase (cat. no. M0491; New England Biolabs, Inc., Ipswich, MA, USA) and the primers listed in <xref rid="tI-etm-0-0-5493" ref-type="table">Table I</xref>. Then, <italic>FGF21</italic> promoter sequences were cloned into the <italic>pHISi</italic> vector (cat. no. 102239; BioVector NTCC Inc., Beijing, China), in which <italic>FGF21</italic> promoter drives histidine synthase coding sequences. The open reading frame (ORF) sequences of <italic>TCF4</italic> were cloned into the <italic>pGAD424</italic> vector (BioVector NTCC Inc., Beijing, China). The constructed <italic>pGAD424-TCF4</italic> or empty vector <italic>pGAD424</italic> was transformed into the yeast one hybrid bait strain (YM4271) using a transformation solution (polyethylene glycol, lithium acetate, Tris, and EDTA; STZ; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) under the following conditions: 28&#x00B0;C for 30 min, 42&#x00B0;C for 15 min and 28&#x00B0;C for 5 min. After transformation, the yeast cells were harvested at 10,000 &#x00D7; g for 1 min, and the supernatant was removed. The cells were suspended in the dH<sub>2</sub>O and plated on synthetic dropout (SD)-Leu or -His media (Takara Biotechnology Co., Ltd., Dalian, China) with subsequent growth at 30&#x00B0;C for 3 days.</p>
</sec>
<sec>
<title>ChIP assay</title>
<p>ChIP assay was performed using a ChIP assay kit (cat no. 17-295; EMD Millipore, Billerica, MA, USA) according to the manufacturer&#x0027;s instructions. A total of 1 &#x00B5;g anti-TCF4 antibody (cat. no. 2566; Cell Signaling Technology, Inc., Danvers, MA, USA) and anti-&#x03B2;-catenin antibody (cat. no. ab32572; Abcam, Cambridge, UK) were used for immunoprecipitation. The immunoprecipitated (IP) DNA by the antibodies were compared with the DNA precipitated without addition of antibodies using quantitative PCR (qPCR) with SYBR-Green mixture (cat. no. 4472908; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s protocol. A reaction of ChIP-PCR was performed with an initial denaturation at 95&#x00B0;C for 3 min, followed by 40 cycles of denaturation for 30 sec at 95&#x00B0;C, annealing for 30 sec at 58&#x00B0;C, and extension at 72&#x00B0;C for 30 sec, followed by a final extension at 72&#x00B0;C for 5 min. GAPDH was used as a reference gene to normalize data. The primer sequences for qPCR are listed in <xref rid="tI-etm-0-0-5493" ref-type="table">Table I</xref>. The 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method was used for the fold change calculation (<xref rid="b27-etm-0-0-5493" ref-type="bibr">27</xref>).</p>
</sec>
<sec>
<title>Co-immunoprecipitation (Co-IP) assay</title>
<p>A Nuclear-Cytosolic Protein Extraction kit (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) was used for protein extraction of MFC cells. A total of 500 &#x00B5;g (in 500 &#x00B5;l) extracted protein was incubated at 4&#x00B0;C with 1 &#x00B5;g anti-TCF4 antibody (cat. no. 2566; Cell Signaling Technology, Inc.), anti-&#x03B2;-catenin antibody (cat. no. ab32572; Abcam), and horseradish peroxidase-conjugated anti-mouse immunoglobulin G (IgG) H&#x0026;L (ab6789; Abcam) for 1 h. Subsequently, 20 &#x00B5;l MagnaBind Protein A Beads (cat no. 21348; Thermo Fisher Scientific, Inc.) were added and incubated for 2 h. Following centrifugation at 10,000 &#x00D7; g at 4&#x00B0;C for 5 min, the beads were washed four times with extraction buffer containing 0.1&#x0025; Triton X-100 and eluted with SDS sample buffer.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were lysed in an ice-cold lysis solution containing 7 M urea, 2 M thiourea, 2&#x0025; 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate, 40 mM Trizma base, 40 mM dithiothreitol and 1&#x0025; protease inhibitor. Following complete lysis of the cells and centrifugation at 15,000 &#x00D7; g for 15 min at 4&#x00B0;C, the total protein concentration in the supernatant was measured using a Bradford protein assay kit (Bio-Rad Laboratories, Inc., Richmond, CA, USA). The proteins (40 &#x00B5;g/lane) were separated on 12&#x0025; SDS-PAGE and electrotransferred onto Immobilon-P transfer membranes (EMD Millipore). The membranes were incubated in TBS containing 5&#x0025; skimmed milk and 0.05&#x0025; Tween-20 for 1 h and blotted with primary antibodies at 4&#x00B0;C overnight. Anti-TCF4 (1:1,000; cat. no. 2566; Cell Signaling Technology, Inc.), anti-&#x03B2;-catenin (1:2,000; cat. no. ab32572; Abcam) and anti-GAPDH (1:2,000; cat. no. ab8245; Abcam) antibodies were used as the primary antibodies. GAPDH was used as the internal control. The membranes were incubated for 1 h at 37&#x00B0;C with an anti-mouse or anti-rabbit horseradish peroxidase-linked secondary antibody (1:2,000; cat. nos. 7076 and 7074, Cell Signaling Technology, Inc.), and the signal was visualized using an electrochemiluminescence kit (GE Healthcare, Chicago, IL, USA).</p>
</sec>
<sec>
<title>Total RNA extraction, cDNA synthesis and reverse transcription-qPCR (RT-qPCR)</title>
<p>In total, 2 &#x00B5;g total RNA, extracted with RNeasy Mini kit (cat. no. 74104; Qiagen China Co., Ltd., Shanghai, China) from MFC cells, was reverse-transcribed using a GoScript reverse transcription kit (Promega Corporation, Madison, WI, USA) following the manufacturer&#x0027;s instructions. RT-qPCR was performed with SYBR Green mixture (cat. no. 4472908; Thermo Fisher Scientific, Inc.), and gene expression was quantified as described previously (<xref rid="b27-etm-0-0-5493" ref-type="bibr">27</xref>). GAPDH was used as an internal control. The sequences of primers used in RT-qPCR are listed in <xref rid="tI-etm-0-0-5493" ref-type="table">Table I</xref>.</p>
</sec>
<sec>
<title>Overexpression and RNA interference</title>
<p>ORF regions of <italic>TCF4</italic> (NM_013685.2, NCBI) and <italic>&#x03B2;-catenin</italic> (NM_001165902.1, NCBI) were amplified from cDNA of MFC cells by the gene specific primers with Q5<sup>&#x00AE;</sup> High-Fidelity DNA Polymerase (cat. no. M0491; New England Biolabs, Inc.) and cloned into the <italic>pcDNA3.1</italic> (&#x002B;) (cat. no. V79020; Thermo Fisher Scientific, Inc.) expression vector to contract <italic>TCF4</italic> overexpression and <italic>&#x03B2;-catenin</italic> overexpressed plasmids. The primers used for <italic>TCF4</italic> and <italic>&#x03B2;-catenin</italic> are listed in <xref rid="tI-etm-0-0-5493" ref-type="table">Table I</xref>. siRNA for <italic>&#x03B2;-catenin</italic> (ON-TARGET plus SMART pool, L-004018) and negative control siRNA (ON-TARGETplus si CONTROL non-targeting pool, D-001810) were purchased from Dharmacon RNA Technologies (Chicago, IL, USA). The MFC cells were seeded 12 h prior to transfection at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub> and reached a density of 30&#x2013;50&#x0025; confluence at the time of transfection. Subsequently, 30 nM siRNA duplex and 2 &#x00B5;g <italic>TCF4</italic> overexpression or <italic>&#x03B2;-catenin</italic> overexpression plasmids were transfected on day 0 using Lipofectamine 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) and Opti-MEM I Reduced Serum Medium (Gibco; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s instructions. On day 1 (24 h after transfection), the cells were confluent and the overexpression or siRNA solutions were exchanged with full growth medium. These transfected cells were subsequently used for RT-qPCR (as described above), for which the density reached 80&#x2013;90&#x0025; confluence at the time of harvest for RNA preparation on day 3 (72 h after transfection).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the mean &#x00B1; standard error of the mean. Each experiment was performed in triplicate. Statistical calculations were performed with Prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Data were analyzed using the Student&#x0027;s t-test for two groups and one-way analysis of variance followed by Tukey&#x0027;s test for more than two groups. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>TCF4 directly activates FGF21 transcription</title>
<p><italic>FGF21</italic> promoter sequences analysis demonstrated that two putative TCF/LEF binding motifs (AGAAAG) (<xref rid="b26-etm-0-0-5493" ref-type="bibr">26</xref>) appeared within 1.5 kb of the promoter. The two putative binding motifs are located 1,163 and 876 bp upstream of the start codon, respectively (<xref rid="f1-etm-0-0-5493" ref-type="fig">Fig. 1A</xref>). In order to examine whether TCF4 directly binds to the putative motifs, ChIP assays were performed using the TCF4 antibody and the precipitation without antibody as the control. <italic>FGF21</italic> exhibited a higher expression level in the MFC cells (data not shown); therefore, the MFC cells were used in the experiments (<xref rid="b14-etm-0-0-5493" ref-type="bibr">14</xref>,<xref rid="b15-etm-0-0-5493" ref-type="bibr">15</xref>). The IP DNA fragments were amplified by two primer pairs, which spanned the F1 and F2 regions in the <italic>FGF21</italic> promoter (<xref rid="f1-etm-0-0-5493" ref-type="fig">Fig. 1B</xref>). The ChIP-PCR data was normalized to input DNA and the results revealed that TCF4 bound to the F1 but not F2 region in the promoter of the <italic>FGF21</italic> gene (<xref rid="f1-etm-0-0-5493" ref-type="fig">Fig. 1B</xref>). To further verify the ChIP results, a yeast-one hybrid assay was performed by co-expressing activation domain (AD)-TCF4 and <italic>pFGF21</italic>-His or <italic>mpFGF21</italic>-His (<xref rid="f1-etm-0-0-5493" ref-type="fig">Fig. 1C</xref>). The results indicate that AD-TCF4 co-expressing <italic>pFGF21</italic>-His were able to grow in SD media missing histidine, whereas the empty vector transforming or AD-TCF4 co-expressing <italic>mpFGF21</italic>-His cells failed to grow (<xref rid="f1-etm-0-0-5493" ref-type="fig">Fig. 1D</xref>). These data indicated that TCF4 activates the <italic>FGF21</italic> promoter in yeast.</p>
</sec>
<sec>
<title>&#x03B2;-catenin interacts with TCF4 and &#x03B2;-catenin/TCF4 complex binds to the promoter of FGF21</title>
<p>After &#x03B2;-catenin accumulates in the nucleus, it interacts with TCF/LEF, and activates the transcription of Wnt signaling genes (<xref rid="b24-etm-0-0-5493" ref-type="bibr">24</xref>). To test whether TCF4 and &#x03B2;-catenin interact in MFC cells, Co-IP assay was performed. The cell lysate was incubated with TCF4 or IgG antibodies, and &#x03B2;-catenin and TCF4 were detected using &#x03B2;-catenin and TCF4 antibodies prior to and following immunoprecipitation (<xref rid="f2-etm-0-0-5493" ref-type="fig">Fig. 2A</xref>). GAPDH levels in IgG and TCF4 incubated samples were similar (<xref rid="f2-etm-0-0-5493" ref-type="fig">Fig. 2A</xref>). The results indicate that &#x03B2;-catenin and TCF4 physically interact with the MFC cells. To further test the binding of the &#x03B2;-catenin complex to the promoter of <italic>FGF21</italic>, ChIP assays were performed using &#x03B2;-catenin. ChIP-PCR results indicate that similar to the TCF4, &#x03B2;-catenin IP DNA was enriched in the F1 region but not in the F2 region (<xref rid="f2-etm-0-0-5493" ref-type="fig">Fig. 2B and C</xref>).</p>
</sec>
<sec>
<title>Overexpression of TCF4 and &#x03B2;-catenin activated FGF21 transcription</title>
<p>As TCF4 and &#x03B2;-catenin bound to the F1 region of the <italic>FGF21</italic> promoter, effects of TCF4 and &#x03B2;-catenin on <italic>FGF21</italic> expression were tested. TCF4 and &#x03B2;-catenin modulated transcription of <italic>FGF21</italic> was confirmed by plasmid (<italic>pcDNA3.1-TCF4</italic> or <italic>pcDNA3.1-&#x03B2;-catenin</italic>)-mediated transfection experiments using Lipofectamine 2000. At 24 h following transfection, <italic>TCF4</italic> was ~22-fold and <italic>&#x03B2;-catenin</italic> was ~20-fold higher in the <italic>TCF4</italic> overexpression and <italic>&#x03B2;-catenin</italic> overexpressed cells compared with the control in which empty vector was transformed (<xref rid="f3-etm-0-0-5493" ref-type="fig">Fig. 3A and B</xref>). Furthermore, <italic>FGF21</italic> expression levels were monitored by RT-qPCR. The results revealed that the <italic>FGF21</italic> transcript was 2.7 and 2.6 fold higher in <italic>TCF4</italic> overexpression and <italic>&#x03B2;-catenin</italic> overexpressed cells compared with the control, respectively (<xref rid="f3-etm-0-0-5493" ref-type="fig">Fig. 3C</xref>).</p>
</sec>
<sec>
<title>Suppression of &#x03B2;-catenin reduced FGF21 levels</title>
<p>As overexpression of <italic>&#x03B2;-catenin</italic> induced <italic>FGF21</italic> expression, <italic>FGF21</italic> levels in the <italic>&#x03B2;-catenin</italic> knockdown MFC cells was analyzed further. RT-qPCR results indicated that two independent transfection of <italic>&#x03B2;-catenin</italic> specific siRNAs significantly reduced the expression of <italic>&#x03B2;-catenin</italic> (~70&#x2013;80&#x0025;; <xref rid="f4-etm-0-0-5493" ref-type="fig">Fig. 4A</xref>). In addition, siRNA-mediated knockdown of <italic>&#x03B2;-catenin</italic> largely contributed to the reduction in the expression of <italic>FGF21</italic> (~50&#x0025;; <xref rid="f4-etm-0-0-5493" ref-type="fig">Fig. 4B</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>FGF21 is sensitive to diverse physiological changes (e.g., fasting and injury) and serves an important role in development and metabolism, including glucose metabolism (<xref rid="b11-etm-0-0-5493" ref-type="bibr">11</xref>&#x2013;<xref rid="b15-etm-0-0-5493" ref-type="bibr">15</xref>). Transcription of <italic>FGF21</italic> was previously identified under the control of PPAR&#x03B1; (<xref rid="b17-etm-0-0-5493" ref-type="bibr">17</xref>), ROR&#x03B1; (<xref rid="b18-etm-0-0-5493" ref-type="bibr">18</xref>), and RAR&#x03B2; in hepatocytes (<xref rid="b19-etm-0-0-5493" ref-type="bibr">19</xref>). In addition, <italic>FGF21</italic> transcription was also induced by feeding or cold treatment in brown adipose tissue (<xref rid="b28-etm-0-0-5493" ref-type="bibr">28</xref>,<xref rid="b29-etm-0-0-5493" ref-type="bibr">29</xref>), indicating the complicated regulation of <italic>FGF21</italic> transcription. To elucidate transcriptional regulation, the promoter of <italic>FGF21</italic> was investigated for identifying <italic>cis</italic>-element information. The putative TCF/LEF binding motifs (<xref rid="b26-etm-0-0-5493" ref-type="bibr">26</xref>) were observed within 1.5 kb of its promoter region. Furthermore, ChIP and yeast-one hybrid assays confirmed that TCF4 directly bound to one of the two putative TCF/LEF motifs in the <italic>FGF21</italic> promoter.</p>
<p>TCF and &#x03B2;-catenin are the master transcriptional regulators of the Wnt signaling pathway, and translocation of &#x03B2;-catenin from the cytosol to the nucleus resulted in formation of a TCF complex, including TCF and &#x03B2;-catenin (<xref rid="b24-etm-0-0-5493" ref-type="bibr">24</xref>). Furthermore, the complex activates a large number of downstream genes via binding to the specific sequences in their promoters (<xref rid="b26-etm-0-0-5493" ref-type="bibr">26</xref>). To further identify the possibility that TCF4/&#x03B2;-catenin complex-mediated regulation of <italic>FGF21</italic> transcription, Co-IP and ChIP assays were performed. Co-IP results indicated that TCF4 and &#x03B2;-catenin interact in MFC cells. Furthermore, ChIP assay data revealed that &#x03B2;-catenin is associated with the <italic>FGF21</italic> transcriptional regulator complex that may function together with TCF4. Overexpression of <italic>TCF4</italic> or <italic>&#x03B2;-catenin</italic> in MFC induced <italic>FGF21</italic> transcription, whereas suppression of <italic>&#x03B2;-catenin</italic> via a specific siRNA repressed the <italic>FGF21</italic> level. These results indicated that TCF4 and &#x03B2;-catenin activates <italic>FGF21</italic> by binding to the F1 region of its promoter.</p>
<p>Previous reports identified that Wnt/&#x03B2;-catenin acts upstream of <italic>FGF2</italic> in lung tissues to regulate proximal-distal patterning (<xref rid="b30-etm-0-0-5493" ref-type="bibr">30</xref>). However, no direct connection between &#x03B2;-catenin and FGF gene was observed. In the present study, TCF4/&#x03B2;-catenin was identified to directly regulate <italic>FGF21</italic> in a mouse embryonic fibroblast cell line, MFC, and further experiments are indeed required to examine whether TCF4/&#x03B2;-catenin mutant mice exhibit a similar phenomenon as that presented in <italic>FGF21</italic> mutants, including glucose metabolism abnormality and heart dysfunction. However, the observations of the present study have improved the understanding of <italic>FGF21</italic> regulation as direct connections were observed between Wnt and FGF signaling.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was funded by Wenzhou Medical University (grant no. 025gt8972). This work was also supported by the Doctoral Scientific Research Foundation of Xingxiang Medical University (grant no. XYBSKYZZ201512&#x0026;201513) and grants from The Education Department of Henan Province (grant nos. 201610472040, 172102310584). The vectors and yeast strain used in the yeast two hybrid assay were kindly donated by the Yuan lab at Wenzhou Medical University.</p>
</ack>
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<floats-group>
<fig id="f1-etm-0-0-5493" position="float">
<label>Figure 1.</label>
<caption><p>TCF4 bound directly to the promoter of <italic>FGF21</italic>. (A) The schematic diagram indicates the locations of the putative TCF binding motifs, F1 and F2 (gray circles), within the 1.5 kb <italic>FGF21</italic> promoter. (B) A ChIP assay was performed by amplifying IP DNA to detect the F1 and F2 regions in the <italic>FGF21</italic> promoter; relative ratios of IP DNA to input DNA was determined by ChIP-PCR, and input DNA was used to normalize the data. Data are presented as the mean &#x00B1; standard error (n=3); &#x002A;P&#x003C;0.05 vs. -Ab. (C) A 1.5 kb sequence of the <italic>FGF21</italic> promoter with or without mutations at the TCF4 binding motif was cloned into the <italic>pHISi</italic> vector in which His was a reporter gene. The gray circle indicates the TCF4 binding motif and &#x2018;X&#x2019; indicates mutation of the TCF4 binding sequences. (D) A yeast one-hybrid assay was performed to analyze the activation of TCF4 on the <italic>FGF21</italic> promoter. Yeast cells harboring either the AD vector without promoter or AD-TCF4 together with <italic>pFGF21</italic>-His or <italic>mpFGF21</italic>-His were grown on synthetic dropout media lacking Leu or His. TCF4, transcription factor 4; FGF21, fibroblast growth factor 21; ChIP, chromatin immunoprecipitation; IP, immunoprecipitated; PCR, polymerase chain reaction; Ab, antibody; -Ab, without antibody; AD, activation domain.</p></caption>
<graphic xlink:href="etm-15-01-1041-g00.tif"/>
</fig>
<fig id="f2-etm-0-0-5493" position="float">
<label>Figure 2.</label>
<caption><p>&#x03B2;-catenin physically interacts with TCF4 and binds to the promoter of <italic>FGF21</italic>. (A) Mouse forestomach carcinoma cell lysate was incubated with TCF4 Ab or immunoglobin and subjected to IP. The TCF4 and &#x03B2;-catenin levels were evaluated prior to and following IP by western blot analysis. GAPDH was used as an internal control. (B) The schematic diagram indicates the locations of the putative TCF binding motifs (gray circles) within the 1.5 kb <italic>FGF21</italic> promoter. F1 and F2 indicate regions amplified in the ChIP-PCR analysis. (C) A ChIP assay was performed by amplifying IP DNA to detect the F1 and F2 regions in the <italic>FGF21</italic> promoter; relative ratios of IP DNA to input DNA were determined by ChIP-PCR; input DNA was used to normalize the data. Data are presented as the mean &#x00B1; standard error of the mean (n=3). &#x002A;P&#x003C;0.05 vs. -Ab. TCF4, transcription factor 4; FGF21, fibroblast growth factor 21; Ab, antibody; IP, immunoprecipitation; IgG, immunoglobulin G; ChIP, chromatin immunoprecipitation; PCR, polymerase chain reaction; -Ab, without antibody.</p></caption>
<graphic xlink:href="etm-15-01-1041-g01.tif"/>
</fig>
<fig id="f3-etm-0-0-5493" position="float">
<label>Figure 3.</label>
<caption><p>Overexpression of <italic>TCF4</italic> and <italic>&#x03B2;-catenin</italic> activates <italic>FGF21</italic>. (A) Full length open reading frame of <italic>TCF4</italic> and <italic>&#x03B2;-catenin</italic> were transiently expressed with Lipofectamine 2000 and the transcription levels of (A) <italic>TCF4</italic> and (B) <italic>&#x03B2;-catenin</italic> were monitored in non-transformed (control) and transformed cells via RT-qPCR. (C) RT-qPCR was performed to examine the level of <italic>FGF21</italic> in non-transformed (control) and TCF4 or &#x03B2;-catenin transformed cells. GAPDH was used as an internal control. Data are presented as the mean &#x00B1; standard error of the mean (n=3). &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. control. TCF4, transcription factor 4; RT-qPCR, reverse transcription-quantitative polymerase chain reaction; FGF21, fibroblast growth factor 21.</p></caption>
<graphic xlink:href="etm-15-01-1041-g02.tif"/>
</fig>
<fig id="f4-etm-0-0-5493" position="float">
<label>Figure 4.</label>
<caption><p>Suppression of <italic>&#x03B2;-catenin</italic> reduces the transcription of <italic>FGF21</italic>. (A) <italic>&#x03B2;-catenin</italic> and (B) <italic>FGF21</italic> transcript levels were analyzed in control (scrambled) siRNA- and <italic>&#x03B2;-catenin</italic> siRNA (Si&#x03B2;-catenin)-transfected cells. GAPDH was used as an internal control. Data are presented as the mean &#x00B1; standard error of the mean (n=3). &#x002A;P&#x003C;0.05 vs. control. FGF21, fibroblast growth factor 21; siRNA, short interfering RNA.</p></caption>
<graphic xlink:href="etm-15-01-1041-g03.tif"/>
</fig>
<table-wrap id="tI-etm-0-0-5493" position="float">
<label>Table I.</label>
<caption><p>Primer sequences.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Primer</th>
<th align="center" valign="bottom">Sequences (5&#x2032;-3&#x2032;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">FGF21</td>
<td align="left" valign="top">F: GATGACGACCAAGACACTG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CGGCCCTGTAAAGGCTCT</td>
</tr>
<tr>
<td align="left" valign="top">TCF4</td>
<td align="left" valign="top">F: AGAGCGACAAGCCCCAGAC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: ATTCGCTGCGTCTCCCATC</td>
</tr>
<tr>
<td align="left" valign="top">&#x03B2;-catenin</td>
<td align="left" valign="top">F: TCGCCAGGATGATCCCAGC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GCCCATCCATGAGGTCCTG</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">F: GCCAAGGTCATCCATGACAACT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GAGGGGCCATCCACAGTCTT</td>
</tr>
<tr>
<td align="left" valign="top">pFGF21</td>
<td align="left" valign="top">F: GAATTCCAGAGTTCCAGGGCCA CATCA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GAGCTCCAGGGCTGCGCTCCGTTCGGGAG</td>
</tr>
<tr>
<td align="left" valign="top">FGF21 F1</td>
<td align="left" valign="top">F: CTAAGCAGGGGTTGGTGAGG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GCGTGTCTGAGGCTTTCTTTC</td>
</tr>
<tr>
<td align="left" valign="top">FGF21 F2</td>
<td align="left" valign="top">F: ACACCAGCTCAGTTGCTTACAC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">ACTGAAGTCTACACTCCTGGGTCT</td>
</tr>
<tr>
<td align="left" valign="top">&#x03B2;-catenin ORF</td>
<td align="left" valign="top">F: AAGCTTATGGCTACTCAAGCTGACCTGATG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CTCGAGTTACAGGTCAGTATCAAACCAGGC</td>
</tr>
<tr>
<td align="left" valign="top">TCF4 ORF</td>
<td align="left" valign="top">F: AAGCTTATGCATCACCAACAGCGAATG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CTCGAGTCACATCTGTCCCATGTGATTC</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-etm-0-0-5493"><p>FGF21, fibroblast growth factor 21; F, forward; R, reverse; TCF4, transcription factor 4; ORF, open reading frame.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
