Why the study?
Other highly conserved motifs besides hepatocyte nuclear factor 1 binding motifs may affect ACE2 expression from the proximal promoter region.
FOXA2 is identified as a key transcriptional activator required for the basal transcription of ACE2, providing insight into the molecular regulation of this protective enzyme.
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FOXA2 regulates ACE2 in islets; hypothesis-generating for metabolic influences on this enzyme, with human validation required.
Angiotensin-converting enzyme 2 (ACE2) has protective effects on a wide range of morbidities associated with elevated angiotensin-II signaling. Most tissues, including pancreatic islets, express ACE2 mainly from the proximal promoter region. We previously found that hepatocyte nuclear factors 1α and 1β stimulate ACE2 expression from three highly conserved hepatocyte nuclear factor 1 binding motifs in the proximal promoter region. We hypothesized that other highly conserved motifs would also affect ACE2 expression. By systematic mutation of conserved elements, we identified five regions affecting ACE2 expression, of which two regions bound transcriptional activators. One of these is a functional FOXA binding motif. We further identified the main protein binding the FOXA motif in 832/13 insulinoma cells as well as in mouse pancreatic islets as FOXA2.
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Pedersen et al. (2017) studied this question. Systematic mutation of conserved elements was evaluated on ACE2 expression and identification of binding motifs.
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