The International Journal of Biochemistry & Cell Biology 41 (2009) 1157–1164
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The International Journal of Biochemistry
& Cell Biology
journal homepage: www.elsevier.com/locate/biocel
The alpha-1-antitrypsin gene promoter in human A549 lung derived cells,
and a novel transcription initiation site
Kevin Morgan
1
, Sally Chappell
1
, Tamar Guetta-Baranés, Stephen Morley, Noor Kalsheker
∗
School of Molecular Medical Sciences, Institute of Genetics, Queen’s Medical Centre, University of Nottingham, Nottingham NG7 2UH, United Kingdom
article info
Article history:
Received 25 April 2008
Received in revised form 17 October 2008
Accepted 22 October 2008
Available online 28 October 2008
Keywords:
SerpinA1
Cytokine
Promoter
Lung
Gene regulation
abstract
Alpha-1-antitrypsin (AAT), also called serine proteinase inhibitor A1 (Serpin A1), is the most abundant
serpin in human plasma. A major physiological role of AAT is to protect the lung from the destructive effects
of excess uninhibited neutrophil elastase. During inflammation, circulating levels of AAT may increase
twofold-to-threefold as part of the acute-phase response. The liver is the main contributor to this increase.
However, local synthesis may provide an important mechanism for controlling neutrophil elastase activity
at sites of inflammation, and previous studies have shown a marked increase in production after cytokine
stimulation. In the current study we report a distinct transcription initiation site for AAT expression in the
lung alveolar epithelial cell line A549, which is located nine bases upstream of the previously mapped full-
length monocyte transcription start-site, and show using site-directed mutagenesis that two Sp1 sites and
a putative TATA box are functional. EMSA experiments provide evidence for Sp1 and Sp3 binding to these
two Sp1 sites. We have also mapped the minimal promoter region and a cell-specific element essential for
expression in A549 cells, both of which reside in an 865bp fragment upstream of the transcription start-
site. Understanding the mechanisms of AAT gene regulation in a lung-derived cell line has important
implications for understanding the control of localised lung tissue damage which occurs as a result of
excess proteolytic activity.
© 2008 Elsevier Ltd. All rights reserved.
1. Introduction
Alpha-1-antitrypsin (AAT) is a major inhibitor of serine pro-
teinases in human plasma, and the archetype of the serpin
superfamily of proteins. Although AAT has broad specificity, its
main target proteinase is neutrophil elastase (NE), an enzyme that
degrades the extracellular matrix. The elastic tissues of the lung
alveoli are particularly vulnerable to damage by NE and deficiency
states of AAT are associated with chronic lung disease resulting
from destruction of connective tissue components by uninhibited
NE (Crystal, 1990). The major site of AAT synthesis is the liver. Other
cell types, including monocytes, macrophages (Mornex et al., 1986),
bronchial epithelial cells and lung alveolar epithelial cells make it
in substantially lesser amounts (Sallenave et al., 1997) particularly
under basal conditions. However, in the extracellular matrix, local
∗
Corresponding author at: Clinical Chemistry, Queen’s Medical Centre, University
of Nottingham, Nottingham NG7 2UH, United Kingdom. Tel.: +44 115 8230720;
fax: +44 115 8230722.
E-mail addresses: Kevin.morgan@nottingham.ac.uk (K. Morgan),
Sally.chappell@nottingham.ac.uk (S. Chappell),
Tamar.Guetta-Baranes@nottingham.ac.uk (T. Guetta-Baranés),
noor.kalsheker@nottingham.ac.uk (N. Kalsheker).
1
These authors contributed equally to this paper.
production may be an important mechanism for controlling NE
activity at physiologically relevant tissue sites (Cichy et al., 1997).
It has been proposed that AAT production increases up to 110-
fold in lung epithelial cells after treatment with combinations of
oncostatin-M (OSM), transforming growth factor (TGF) and dex-
amethasone (Sallenave et al., 1997; Boutten et al., 1998) suggesting
that this dramatic increase in production after cytokine stimulation
is likely to be physiologically relevant in the lung. The estimated
fold-increase in AAT production may have been exaggerated due to
very low levels present under basal conditions. Other anti-elastases
are also produced locally by the lung, e.g. SLPI and elafin, but greater
than 90% of the anti-NE protection in the alveolar walls is provided
by AAT. The elements of the gene required for control of tissue-
specific expression in the lung are as yet undefined.
The AAT gene consists of seven exons, including three untrans-
lated exons (1A, 1B and 1C) and exons 2–5 that code for the
protein. Distinct promoters and transcription start-sites have
been identified for hepatocytes and extra-hepatic tissues such as
monocytes/macrophages and the cornea. There are three possible
upstream transcriptional start-sites in monoctyes designated M1,
M2 and M3, which generate transcripts of 2, 1.95 and 1.8 kb respec-
tively (Perlino et al., 1987; Hafeez et al., 1992) in addition to the
1.6kb hepatocyte transcript (Long et al., 1984). A distinct corneal
start-site which generates a 1.9 kb transcript has also been proposed
1357-2725/$ – see front matter © 2008 Elsevier Ltd. All rights reserved.
doi:10.1016/j.biocel.2008.10.020