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    <title>Trapman, J.</title>
    <link>http://repub.eur.nl/res/aut/2555/</link>
    <description>List of Publications</description>
    <language>en</language>
    <image>
      <url>http://repub.eur.nl/static-eur/img/logo.png</url>
      <title>RePub, Erasmus University Rotterdam</title>
      <link>http://repub.eur.nl</link>
    </image>
    <item>
      <title>Androgen regulation of ETS gene fusion transcripts in prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/30885/</link>
      <pubDate>2011-09-23T00:00:00Z</pubDate>
      <description>Fusion between androgen-regulated TMPRSS2 and ETS transcription factor gene ERG is the most frequent genetic alteration that occurs in 40-70% of prostate cancers. Not only ERG but also other ETS transcription factor genes are involved in gene fusions. ETV1, ETV4, and ETV5 have all several fusion partners. One common feature shared by the majority of these partners is androgen-regulated expression. Despite its high frequency, the biological and molecular effects of ETS gene fusion in prostate cancer development and progression are unknown. In this chapter quantitative polymerase chain reaction (Q-PCR) is used for detection and further studying the incidence and properties of these fusion transcripts. The focus is on the expression of TMPRSS2-ERG transcripts in clinical prostate samples. Androgen regulation of TMPRSS2 is measured in commonly used LNCaP prostate cancer cells grown with and without the synthetic androgen R1881. Furthermore, combining Q-PCR with 5′ RLM-RACE and sequencing are described for the identification of novel ETS fusion partners. </description>
    </item> <item>
      <title>Immunohistochemical ETS-related gene detection in a Japanese prostate cancer cohort: Diagnostic use in Japanese prostate cancer patients (Article)</title>
      <link>http://repub.eur.nl/res/pub/26572/</link>
      <pubDate>2011-07-01T00:00:00Z</pubDate>
      <description>Chromosomal rearrangements that result in high expression levels of the ETS-related gene (ERG) present in approximately 50% of prostate cancer (PCa) patients, making this one of the most common oncogenic alterations in PCa. However, ERG overexpression at the protein level has not been rigorously evaluated in Japanese PCa patients. In this study, we evaluated ERG expression using antibody-based detection in 230 prostate specimens in a Japanese PCa cohort. Overall, we identified 20.1% ERG-positive PCa cases. ERG was not detected in benign glands. The specificity of ERG staining for detecting PCa was almost 100%; all of the ERG-positive samples were also diagnosed as PCa. The expression level of the ERG protein correlated with clinicopathological variables, including grade (P= 0.038), stage (P= 0.005), and metastatic status (P= 0.014). No correlation was observed with age (P= 0.196) or with preoperative prostate-specific antigen level (P= 0.322). Although the frequency of ERG-positive cases in Japanese PCa patients (20.1%) was lower than that reported in a PCa cohort in Western countries (approximately 50%), our study demonstrates that the clinical utility of ERG detection at the protein level can serve as an ancillary tool for diagnosing PCa in the Japanese population. © 2011 The Authors. Pathology International </description>
    </item> <item>
      <title>Confirmation of the association of TMPRSS2(exon 0):ERG expression and a favorable prognosis of primary prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/33848/</link>
      <pubDate>2011-07-01T00:00:00Z</pubDate>
      <description></description>
    </item> <item>
      <title>No evidence of FGFR3 mutations in prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/33779/</link>
      <pubDate>2011-05-01T00:00:00Z</pubDate>
      <description>BACKGROUND FGFR3 mutations are associated with a good clinical disease course in bladder tumors. Currently, prognostic markers to stratify prostate cancer (PCa) patients for conservative management are lacking. Conflicting results have been found on the presence of FGFR3 mutations in PCa. Our objective was to determine the prevalence of FGFR3 mutations in a subset of prostate tumors. Next, determine the prevalence of FGFR3 mutations in PCa patients with coexistent tumors in other tissues. METHODS Primary and locally advanced prostate tumors (n = 132) were collected at our medical center. From the 132 PCa patients, 28 (21%) were diagnosed with coexistent primary tumors (bladder, skin, pancreas, renal cell, gastric, colon, hepatic, and lung). Tumors were analyzed by FGFR3 mutation analysis on exon 7, 10, and 15, known to harbor the most frequent mutations. RESULTS The prevalence of FGFR3 mutations in patients with only PCa was 0%. Most PCa patients presented with coexistent bladder (n = 12) and bladder and skin tumors (n = 7). Other coexistent tumors in PCa patients included: bladder and pancreatic cancer (n = 1); bladder and renal cell carcinoma (n = 1); bladder and gastric carcinoma (n = 1); skin cancer (n = 1); colon cancer (n = 3); hepatic carcinoma (n = 1); and lung cancer (n = 1). FGFR3 mutations were detected in 9/15 (60%) analyzed bladder tumors. CONCLUSIONS FGFR3 mutations were absent in the investigated prostate tumors, suggesting a minor role of these mutations in tumorigenesis. Hence, FGFR3 mutation analysis is not suitable to select patients for conservative management. Interestingly, if a prostate tumor coincided with other tumors these were mostly bladder and skin. </description>
    </item> <item>
      <title>Overexpression of full-length ETV1 transcripts in clinical prostate cancer due to gene translocation (Article)</title>
      <link>http://repub.eur.nl/res/pub/23994/</link>
      <pubDate>2011-02-07T00:00:00Z</pubDate>
      <description>ETV1 is overexpressed in a subset of clinical prostate cancers as a fusion transcript with many different partners. However, ETV1 can also be overexpressed as a full-length transcript. Full-length ETV1 protein functions differently from truncated ETV1 produced by fusion genes. In this study we describe the genetic background of full-length ETV1 overexpression and the biological properties of different full-length ETV1 isoforms in prostate cancer. Break-apart FISH showed in five out of six patient samples with overexpression of full-length ETV1 a genomic rearrangement of the gene, indicating frequent translocation. We were able to study the rearrangements in more detail in two tumors. In the first tumor 59′-RACE on cDNA showed linkage of the complete ETV1 transcript to the first exon of a prostate-specific two exon ncRNA gene that maps on chromosome 14 (EST14). This resulted in the expression of both full-length ETV1 transcripts and EST14-ETV1 fusion transcripts. In chromosome spreads of a xenograft derived from the second prostate cancer we observed a complex ETV1 translocation involving a chromosome 7 fragment that harbors ETV1 and fragments of chromosomes 4 and 10. Further studies revealed the overexpression of several different full-length transcripts, giving rise to four protein isoforms with different N-terminal regions. Even the shortest isoform synthesized by full-length ETV1 stimulated in vitro anchorage-independent growth of PNT2C2 prostate cells. This contrasts the lack of activity of even shorter N-truncated ETV1 produced by fusion transcripts. Our findings that in clinical prostate cancer overexpression of full-length ETV1 is due to genomic rearrangements involving different chromosomes and the identification of a shortened biologically active ETV1 isoform are highly relevant for understanding the mechanism of ETV1 function in prostate cancer. </description>
    </item> <item>
      <title>Expression of the Androgen-Regulated Fusion Gene TMPRSS2-ERG Does Not Predict Response to Endocrine Treatment in Hormone-Naïve, Node-Positive Prostate Cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/27945/</link>
      <pubDate>2010-05-01T00:00:00Z</pubDate>
      <description>Background: Fusion of the androgen-regulated gene transmembrane protease, serine 2, TMPRSS2, to the v-ets erythroblastosis virus E26 oncogene homolog (avian), ERG, of the erythroblast transformation-specific (ETS) family is the most common genetic alteration in prostate cancer (PCa). Objective: To determine whether expression of androgen-regulated TMPRSS2-ERG predicts response to endocrine treatment in hormone-naïve, node-positive PCa. Design, setting, and participants: Eighty-five patients with histologically confirmed, node-positive PCa who were without treatment at the moment of lymph node dissection were analysed. RNA was isolated from the paraffin-embedded lymph node metastases and complementary DNA (cDNA) was made. The quality of cDNA was tested by polymerase chain reaction (PCR) analysis of the expression of the housekeeping gene hydroxymethylbilane synthase, HMBS (formerly PBGD). TMPRSS2-ERG expression was analysed by PCR using a forward primer in TMPRSS2 exon 1 and a reverse primer in ERG exon 4. Measurements: The primary end point was time from start of endocrine therapy to the occurrence of three consecutive rises in prostate-specific antigen (PSA) that were at least 2 wk apart and resulted in two 50% increases over the PSA nadir. Secondary end points were time to PSA nadir after start of endocrine treatment and cancer-specific and overall survival. Results and limitations: TMPRSS2-ERG was expressed in 59% of the 71 patients who could be analysed. Median duration of response to endocrine therapy was 20.9 mo versus 24.1 mo for gene fusion-positive versus gene fusion-negative patients (95% confidence intervals: 18.6-23.1 vs 18.9-29.4, p = 0.70). Furthermore, no significant differences were seen between the two groups for the secondary end points. Conclusions: Expression of TMPRSS2-ERG is frequent in lymph node metastases of patients with untreated PCa; however, expression of this androgen-regulated fusion gene did not correspond with duration of response to endocrine therapy. Our results suggest that expression of TMPRSS2-ERG is not a candidate marker to select for metastatic PCa patients who will benefit more from endocrine treatment. </description>
    </item> <item>
      <title>Functional analysis of novel androgen receptor mutations in a unique cohort of Indonesian patients with a disorder of sex development (Article)</title>
      <link>http://repub.eur.nl/res/pub/24935/</link>
      <pubDate>2009-12-01T00:00:00Z</pubDate>
      <description>Mutations in the androgen receptor (AR) gene, rendering the AR protein partially or completely inactive, cause androgen insensitivity syndrome, which is a form of a 46,XY disorder of sex development (DSD). We present 3 novel AR variants found in a cohort of Indonesian DSD patients: p.I603N, p.P671S, and p.Q738R. The aim of this study was to determine the possible pathogenic nature of these newly found unclassified variants. To investigate the effect of these variants on AR function, we studied their impact on transcription activation, AR ligand-binding domain interaction with an FxxLF motif containing peptide, AR subcellular localization, and AR nuclear dynamics and DNA-binding. AR-I603N had completely lost its transcriptional activity due to disturbed DNA-binding capacity and did not show the 114-kDa hyperphosphorylated AR protein band normally detectable after hormone binding. The patient with AR-I603N displays a partial androgen insensitivity syndrome phenotype, which is explained by somatic mosaicism. A strongly reduced transcriptional activity was observed for AR-Q738R, together with diminished interaction with an FxxLF motif containing peptide. AR-P671S also showed reduced transactivation ability, but no change in DNA- or FxxLF-binding capacity and interferes with transcriptional activity for as yet unclear reasons. </description>
    </item> <item>
      <title>Overexpression of prostate-specific TMPRSS2(exon 0)-ERG fusion transcripts corresponds with favorable prognosis of prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/25269/</link>
      <pubDate>2009-10-15T00:00:00Z</pubDate>
      <description>Purpose: To gain insight in the mechanism and clinical relevance of TMPRSS2-ERG expression in prostate cancer,wedetermined the specific characteristics of fusion transcripts starting at TMPRSS2 exon 1 and at a more upstream and less characterized exon 0. Experimental Design: We used quantitative PCR analysis to investigate expression of wild-type TMPRSS2(exon 0) and TMPRSS2(exon 1) and of ERG fusion transcripts. Expression was tested in normal tissue samples, in prostate cancer cell lines and xenografts, and in fresh-frozen clinical prostate cancer samples (primary tumors and recurrences). Expression in clinical samples was correlated with disease progression. Results: TMPRSS2(exon 0) and TMPRSS2(exon 1) transcripts were similarly androgen regulated in prostate cancer cell lines, but the expression levels ofTMPRSS2(exon 1)were much higher. Comparison of expression in different tissues showed TMPRSS2(exon 0) expression to be much more prostate specific. In androgen receptor-positive prostate cancer xenografts, TMPRSS2(exon 1) transcripts were expressed at similar levels, but TMPRSS2(exon 0) transcripts were expressed at very variable levels. The same phenomenon was observed for TMPRSS2-ERG fusion transcripts. In clinical prostate cancers, the expression of TMPRSS2(exon 0)-ERG was even more variable. Expression of TMPRSS2 (exon 0)-ERG transcripts was detected in 55% (24 of 44) of gene fusion-positive primary tumors but only in 15% (4 of 27) of gene fusion-positive recurrences and at much lower levels. Furthermore, in primary tumors, expression of TMPRSS2(exon 0)-ERG transcripts was an independent predictor of biochemical progression-free survival. Conclusion: The expression of TMPRSS2(exon 0)-ERG fusion transcripts in prostate cancer is associated with a less-aggressive biological behavior. </description>
    </item> <item>
      <title>Conditional Pten knock-out mice: A model for metastatic phaeochromocytoma (Article)</title>
      <link>http://repub.eur.nl/res/pub/16597/</link>
      <pubDate>2009-03-01T00:00:00Z</pubDate>
      <description>Phaeochromocytomas (PCCs) are neuro-endocrine tumours of the adrenal medulla that are usually benign, but approximately 10% of patients develop metastases. Malignant PCCs can only be diagnosed with certainty if metastases are present. Here we describe adrenal tumours generated in a Pten conditional knock-out (KO) mouse model. We characterized the molecular alterations in these tumours and compared them with human PCC. Thirty-two of 41 (78%) male Psa-Cre;Pten-loxP/loxP mice presented adrenal tumours that were shown to be PCC by histology and by immunohistochemical staining for enzymes in the catecholamine biosynthetic pathway. In 6 of 17 investigated mice, histological and immunohistochemical evidence was obtained for the presence of PCC lung metastases. Array comparative genomic hybridization (CGH) analysis of the primary tumours showed loss of chromosomes 6 and 19, which are syntenic to human 3p and 11q. Another frequent alteration found was gain of chromosome 15, which is syntenic to human chromosome 5. The molecular aberrations in the mouse model corresponded to the alterations found in a subtype of human PCC, suggesting that the PCC of the Pten KO mice might be representative of human PCC. The mouse model should allow further studies into the pathogenesis of human malignant PCCs and into therapeutic strategies for these tumours.</description>
    </item> <item>
      <title>An activating mutation in AKT1 in human prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/29084/</link>
      <pubDate>2008-12-01T00:00:00Z</pubDate>
      <description></description>
    </item> <item>
      <title>A novel mutation F826L in the human androgen receptor in partial androgen insensitivity syndrome; increased NH2-/COOH-terminal domain interaction and TIF2 co-activation (Article)</title>
      <link>http://repub.eur.nl/res/pub/29654/</link>
      <pubDate>2008-09-24T00:00:00Z</pubDate>
      <description>A novel mutation F826L located within the ligand binding domain (LBD) of the human androgen receptor (AR) was investigated. This mutation was found in a boy with severe penoscrotal hypospadias (classified as 46,XY DSD). The AR mutant F826L appeared to be indistinguishable from the wild-type AR, with respect to ligand binding affinity, transcriptional activation of MMTV-luciferase and ARE2-TATA-luciferase reporter genes, protein level in genital skin fibroblasts (GSFs), and sub-cellular distribution in transfected cells. However, an at least two-fold higher NH2-/COOH-terminal domain interaction was found in luciferase and GST pull-down assays. A two-fold increase was also observed for TIF2 (transcription intermediary factor 2) co-activation of the AR F826L COOH-terminal domain. This increase could not be explained by a higher stability of the mutant protein, which was within wild-type range. Repression of transactivation by the nuclear receptor co-repressor (N-CoR) was not affected by the AR F826L mutation. The observed properties of AR F826L would be in agreement with an increased activity rather than with a partial defective AR transcriptional activation. It is concluded that the penoscrotal hypospadias in the present case is caused by an as yet unknown mechanism, which still may involve the mutant AR. </description>
    </item> <item>
      <title>Truncated ETV1, fused to novel tissue-specific genes, and full-length ETV1 in prostate cancer (Article)</title>
      <link>http://repub.eur.nl/res/pub/14456/</link>
      <pubDate>2008-09-15T00:00:00Z</pubDate>
      <description>In this study, we describe the properties of novel ETV1 fusion genes, encoding N-truncated ETV1 (dETV1), and of full-length ETV1, overexpressed in clinical prostate cancer. We detected overexpression of novel ETV1 fusion genes or of full-length ETV1 in 10% of prostate cancers. Novel ETV1 fusion partners included FOXP1, an EST (EST14), and an endogenous retroviral repeat sequence (HERVK17). Like TMPRSS2, EST14 and HERVK17 were prostate-specific and androgen-regulated expressed. This unique expression pattern of most ETV1 fusion partners seems an important determinant in prostate cancer development. In transient reporter assays, full-length ETV1 was a strong transactivator, whereas dETV1 was not. However, several of the biological properties of dETV1 and full-length ETV1 were identical. On stable overexpression, both induced migration and invasion of immortalized nontumorigenic PNT2C2 prostate epithelial cells. In contrast to dETV1, full-length ETV1 also induced anchorage- independent growth of these cells. PN T2C2 cells stably transfected with dETV1 or full-length ETV1 expression constructs showed small differences in induced expression of target genes. Many genes involved in tumor invasion/metastasis, including uPA/uPAR and MMPs, were up-regulated in both cell types. Integrin β3 (ITGB3) was clearly up-regulated by full-length ETV1 but much less by dETV1. Based on the present data and on previous findings, a novel concept of the role of dETV1 and of full-length ETV1 overexpression in prostate cancer is proposed.</description>
    </item> <item>
      <title>A small chimeric promoter for high prostate-specific transgene expression from adenoviral vectors (Article)</title>
      <link>http://repub.eur.nl/res/pub/35945/</link>
      <pubDate>2007-06-01T00:00:00Z</pubDate>
      <description>BACKGROUND. Specificity of transgene expression is important for safety during gene therapeutical applications. For prostate cancer, transcriptional targeting has been applied but was hampered by loss of specificity and low activity. We constructed a small chimeric promoter for high and prostate-specific transgene expression from adenoviral vectors. METHODS. A chimeric promoter, composed of the prostate-specific antigen (PSA) enhancer and the rat probasin promoter, was cloned into an adenoviral vector and its activity was compared to vectors containing conventional prostate-specific promoters and the constitutive Cytomegalovirus (CMV) promoter in in vitro and in vivo prostate cancer models. RESULTS. The chimeric PSA-probasin promoter was the most active prostate-specific promoter reaching up to 20% of CMV promoter activity while maintaining prostate-specificity. CONCLUSIONS. The chimeric PSA-probasin promoter is a small promoter that can be utilized in viral vectors for high prostate-specific transgene expression. </description>
    </item> <item>
      <title>Targeted biallelic inactivation of Pten in the mouse prostate leads to prostate cancer accompanied by increased epithelial cell proliferation but not by reduced apoptosis. (Article)</title>
      <link>http://repub.eur.nl/res/pub/13863/</link>
      <pubDate>2005-07-01T00:00:00Z</pubDate>
      <description>The PTEN tumor suppressor gene is frequently inactivated in human tumors, including prostate cancer. Based on the Cre/loxP system, we generated a novel mouse prostate cancer model by targeted inactivation of the Pten gene. In this model, Cre recombinase was expressed under the control of the prostate-specific antigen (PSA) promoter. Conditional biallelic and monoallelic Pten knock-out mice were viable and Pten recombination was prostate-specific. Mouse cohorts were systematically characterized at 4 to 5, 7 to 9, and 10 to 14 months. A slightly increased proliferation rate of epithelial cells was observed in all prostate lobes of monoallelic Pten knock-out mice (PSA-Cre;Pten-loxP/+), but minimal pathologic changes were detected. All homozygous knock-out mice (PSA-Cre;Pten-loxP/loxP) showed an increased size of the luminal epithelial cells, large areas of hyperplasia, focal prostate intraepithelial neoplasia lesions and an increased prostate weight at 4 to 5 months. More extensive prostate intraepithelial neoplasia and focal microinvasion occurred at 7 to 9 months; invasive prostate carcinoma was detected in all male PSA-Cre;Pten-loxP/loxP mice at 10 to 14 months. At 15 to 16 months, a rare lymph node metastasis was found. In hyperplastic cells and in tumor cells, the expression of phospho-AKT was up-regulated. In hyperplastic and tumor cells, expression of luminal epithelial cell cytokeratins was up-regulated; tumor cells were negative for basal epithelial cell cytokeratins. Androgen receptor expression remained detectable at all stages of tumor development. The up-regulation of phospho-AKT correlated with an increased proliferation rate of the epithelial cells, but not with a reduced apoptosis.</description>
    </item> <item>
      <title>Antiandrogens prevent stable DNA-binding of the androgen receptor (Article)</title>
      <link>http://repub.eur.nl/res/pub/8364/</link>
      <pubDate>2005-01-01T00:00:00Z</pubDate>
      <description>The androgen receptor (AR) is essential for development of the male gender
      and in the growth of the majority of prostate cancers. Agonists as well as
      most antagonists induce translocation of the receptor to the nucleus,
      whereas only agonists can activate AR function. Antagonists are therefore
      used in the therapy of metastasized prostate cancer. To obtain insight
      into the mechanism by which antagonists block AR function in living cells,
      we studied nuclear mobility and localization of green fluorescent protein
      (GFP)-tagged AR in the presence of either the agonist R1881 or the
      antagonists bicalutamide and hydroxyflutamide. As controls we investigated
      a non-DNA-binding AR mutant (A573D) and two mutants (W741C and T877A) with
      broadened ligand specificity. We demonstrate that in the presence of
      R1881, AR localizes in numerous intranuclear foci and, using complementary
      fluorescence recovery after photobleaching (FRAP) approaches and computer
      modelling, that a fraction of AR ( approximately 10-15%) is transiently
      immobilized in a DNA-binding-dependent manner (individual ARs being
      immobile for approximately 45 seconds). By contrast, antagonist-bound
      GFP-AR showed no detectable immobile fraction and the mobility was similar
      to that of the R1881-liganded non-DNA-binding mutant (A573D), indicating
      that antagonists do not induce the relatively stable DNA-binding-dependent
      immobilization observed with agonist-bound AR. Moreover, in the presence
      of bicalutamide and hydroxyflutamide GFP-AR was homogeneously distributed
      in the nucleus. Binding of bicalutamide and hydroxyflutamide to
      GFP-AR(W741C) and GFP-AR(T877A), respectively, resulted in similar
      mobility and heterogeneous nuclear distribution as observed for
      R1881-liganded GFP-AR. The live cell studies indicate that the
      investigated antagonists interfere with events early in the
      transactivation function of the AR.</description>
    </item> <item>
      <title>Phosphorylation of androgen receptor isoforms (Article)</title>
      <link>http://repub.eur.nl/res/pub/13437/</link>
      <pubDate>2004-10-15T00:00:00Z</pubDate>
      <description>Phosphorylation of the human AR (androgen receptor) is directly correlated with the appearance of at least three AR isoforms on an SDS/polyacrylamide gel. However, it is still not clear to what extent phosphorylation is involved in the occurrence of isoforms, which sites are phosphorylated and what are the functions of these phosphosites. The human AR was expressed in COS-1 cells and AR phosphorylation was studied further by mutational analyses and by using reversed-phase HPLC and MS. The reversed-phase HPLC elution pattern of the three isoforms revealed that Ser-650 was phosphorylated constitutively. After de novo synthesis, only Ser-650 was phosphorylated in the smallest isoform of 110 kDa and both Ser-650 and Ser-94 were phosphorylated in the second isoform of 112 kDa. The hormone-induced 114 kDa isoform shows an overall increase in phosphorylation of all the isolated peptides. The activities of the Ser-Ala substitution mutant S650A (Ser-650--&gt;Ala) was found to be identical with wild-type AR activation in four different cell lines and three different functional analyses, e.g. transactivation, N- and C-terminal-domain interaction and co-activation by transcriptional intermediary factor 2. This was also found for mutants S94A and S515A with respect to transactivation. However, the S515A mutation, which should eliminate phosphorylation of the potential mitogen-activated protein kinase site, Ser-515, resulted in an unphosphorylated form of the peptide containing Ser-650. This suggests that Ser-515 can modulate phosphorylation at another site. The present study shows that the AR isoform pattern from AR de novo synthesis is directly linked to differential phosphorylation of a distinct set of sites. After mutagenesis of these sites, no major change in functional activity of the AR was observed.</description>
    </item> <item>
      <title>A bioinformatics-based functional analysis shows that the specifically androgen-regulated gene SARG contains an active direct repeat androgen response element in the first intron. (Article)</title>
      <link>http://repub.eur.nl/res/pub/13545/</link>
      <pubDate>2004-10-01T00:00:00Z</pubDate>
      <description>We characterized the specifically androgen-regulated gene (SARG), which is
      expressed in the androgen receptor (AR) and glucocorticoid receptor (GR)
      positive cell line lymph node carcinoma of the prostate-1F5 (LNCaP-1F5).
      SARG mRNA expression can be up-regulated by androgens, but not by
      glucocorticoids. SARG mRNA expression is high in prostate tissue. SARG is
      composed of four exons and spans a region of 14.5 kbp on chromosome
      1q32.2. Transcripts of 5.5, 3.3 and 2.3 kb are the result of alternative
      polyadenylation. SARG mRNA splice variants lack exon 2 and vary in length
      of exon 1. The SARG protein has a length of 601 amino acids and is located
      in the cytoplasm. By screening the 18 kbp genomic sequence flanking the
      transcription start site we identified the imperfect direct repeat
      5'-TGTGCTaacTGTTCT-3'in intron 1 as an active androgen response element
      (ARE-SARG+4.6). A 569 bp genomic DNA fragment containing this element
      functioned as an androgen-specific enhancer in transiently transfected
      LNCaP-1F5 cells. ARE-SARG+4.6 cooperated with flanking sequences for
      optimal activity. Inactivation of ARE-SARG+4.6 completely abolished the
      androgen response of the enhancer. Chromatin immunoprecipitation (ChIP)
      experiments showed chromatin structural changes of the enhancer in the
      presence of R1881. ARE-SARG+4.6 was able to bind to the androgen receptor,
      but not to the glucocorticoid receptor, correlating with its
      androgen-specific activity in transfections.</description>
    </item> <item>
      <title>Distinct recognition modes of FXXLF and LXXLL motifs by the androgen receptor. (Article)</title>
      <link>http://repub.eur.nl/res/pub/13416/</link>
      <pubDate>2004-09-01T00:00:00Z</pubDate>
      <description>Among nuclear receptors, the androgen receptor (AR) is unique in that its
      ligand-binding domain (LBD) interacts with the FXXLF motif in the
      N-terminal domain, resembling coactivator LXXLL motifs. We compared AR-
      and estrogen receptor alpha-LBD interactions of the wild-type AR FXXLF
      motif and coactivator transcriptional intermediary factor 2 LXXLL motifs
      and variants of these motifs. Random mutagenesis revealed a key role for
      the F residues in FXXLF motifs in high-affinity and selective AR LBD
      interaction. The FXXLF motif in full-length AR and transcriptional
      intermediary factor 2 LXXLL motifs competed for an overlapping binding
      site. A computer model of the AR LBD/AR FXXLF complex showed that the
      bulky F residues are buried in a deep coactivator-binding groove. The
      corresponding groove in estrogen receptor alpha LBD is considerably
      shallower, explaining lack of binding of any of the FXXLF motifs tested.
      FXXLF and LXXLL motif interaction depended on different charged amino acid
      residues in the AR LBD present at opposite ends of the coactivator groove.
      In conclusion, our data demonstrate the importance of a deep hydrophobic
      groove and alternative usage of charged amino acids in specifying peptide
      binding to the AR LBD.</description>
    </item> <item>
      <title>Differential modulation of androgen receptor transcriptional activity by the nuclear receptor co-repressor (N-CoR). (Article)</title>
      <link>http://repub.eur.nl/res/pub/13289/</link>
      <pubDate>2004-05-01T00:00:00Z</pubDate>
      <description>Antiandrogens are widely used agents in the treatment of prostate cancer,
      as inhibitors of AR (androgen receptor) action. Although the precise
      mechanism of antiandrogen action is not yet elucidated, recent studies
      indicate the involvement of nuclear receptor co-repressors. In the present
      study, the regulation of AR transcriptional activity by N-CoR (nuclear
      receptor co-repressor), in the presence of different ligands, has been
      investigated. Increasing levels of N-CoR differentially affected the
      transcriptional activity of AR occupied with either agonistic or
      antagonistic ligands. Small amounts of co-transfected N-CoR repressed CPA
      (cyproterone acetate)- and mifepristone (RU486)-mediated AR activity, but
      did not affect agonist (R1881)-induced AR activity. Larger amounts of
      co-transfected N-CoR repressed AR activity for all ligands, and converted
      the partial agonists CPA and RU486 into strong AR antagonists. In the
      presence of the agonist R1881, co-expression of the p160 co-activator TIF2
      (transcriptional intermediary factor 2) relieved N-CoR repression up to
      control levels. However, in the presence of RU486 and CPA, TIF2 did not
      functionally compete with N-CoR, suggesting that antagonist-bound AR has a
      preference for N-CoR. The AR mutation T877A (Thr877--&gt;Ala), which is
      frequently found in prostate cancer and affects the ligand-induced
      conformational change of the AR, considerably reduced the repressive
      action of N-CoR. The agonistic activities of CPA- and
      hydroxyflutamide-occupied T877A-AR were hardly affected by N-CoR, whereas
      TIF2 strongly enhanced their activities. These results indicate that lack
      of N-CoR action allows these antiandrogens to act as strong agonists on
      the mutant AR.</description>
    </item> <item>
      <title>Amino acids 3-13 and amino acids in and flanking the 23FxxLF27 motif modulate the interaction between the N-terminal and ligand-binding domain of the androgen receptor (Article)</title>
      <link>http://repub.eur.nl/res/pub/10020/</link>
      <pubDate>2002-01-01T00:00:00Z</pubDate>
      <description>The N-terminal domain (NTD) and the ligand-binding domain (LBD) of the
      androgen receptor (AR) exhibit a ligand-dependent interaction (N/C
      interaction). Amino acids 3-36 in the NTD (AR3-36) play a dominant role in
      this interaction. Previously, it has been shown that a PhixxPhiPhi motif
      in AR3-36, 23FxxLF27, is essential for LBD interaction. We demonstrate in
      the current study that AR3-36 can be subdivided into two functionally
      distinct fragments: AR3-13 and AR16-36. AR3-13 does not directly interact
      with the AR LBD, but rather contributes to the transactivation function of
      the AR.NTD-AR.LBD complex. AR16-36, encompassing the 23FxxLF27 motif, is
      predicted to fold into a long amphipathic alpha-helix. A second
      PhixxPhiPhi candidate protein interaction motif within the helical
      structure, 30VREVI34, shows no affinity to the LBD. Within AR16-36, amino
      acid residues in and flanking the 23FxxLF27 motif are demonstrated to
      modulate N/C interaction. Substitution of Q24 and N25 by alanine residues
      enhances N/C interaction. Substitution of amino acids flanking the
      23FxxLF27 motif by alanines are inhibitory to LBD interaction.</description>
    </item> <item>
      <title>Substitution of Ala564 in the first zinc cluster of the deoxyribonucleic acid (DNA)-binding domain of the androgen receptor by Asp, Asn, or Leu exerts differential effects on DNA binding (Article)</title>
      <link>http://repub.eur.nl/res/pub/8755/</link>
      <pubDate>1998-01-01T00:00:00Z</pubDate>
      <description>In the androgen receptor of a patient with androgen insensitivity, the
          alanine residue at position 564 in the first zinc cluster of the
          DNA-binding domain was substituted by aspartic acid. In other members of
          the steroid receptor family, either valine or alanine is present at the
          corresponding position, suggesting the importance of a neutral amino acid
          residue at this site. The mutant receptor was transcriptionally inactive,
          which corresponded to the absence of specific DNA binding in gel
          retardation assays, and its inactivity in a promoter interference assay.
          Two other receptor mutants with a mutation at this same position were
          created to study the role of position 564 in the human androgen receptor
          on DNA binding in more detail. Introduction of asparagine at position 564
          resulted in transcription activation of a mouse mammary tumor virus
          promoter, although at a lower level compared with the wild-type receptor.
          Transcription activation of an (ARE)2-TATA promoter was low, and binding
          to different hormone response elements could not be visualized. The
          receptor with a leucine residue at position 564 was as active as the
          wild-type receptor on a mouse mammary tumor virus promoter and an
          (ARE)2-TATA promoter, but interacted differentially with several hormone
          response elements in a gel retardation assay. The results of the
          transcription activation and DNA binding studies could partially be
          predicted from three-dimensional modeling data. The phenotype of the
          patient was explained by the negative charge, introduced at position 564.</description>
    </item> <item>
      <title>Functional interactions of the AF-2 activation domain core region of the human androgen receptor with the amino-terminal domain and with the transcriptional coactivator TIF2 (transcriptional intermediary factor2) (Article)</title>
      <link>http://repub.eur.nl/res/pub/8892/</link>
      <pubDate>1998-01-01T00:00:00Z</pubDate>
      <description>Previous studies in yeast and mammalian cells showed a functional
          interaction between the amino-terminal domain and the carboxy-terminal,
          ligand-binding domain (LBD) of the human androgen receptor (AR). In the
          present study, the AR subdomains involved in this in vivo interaction were
          determined in more detail. Cotransfection experiments in Chinese hamster
          ovary (CHO) cells and two-hybrid experiments in yeast revealed that two
          regions in the NH2-terminal domain are involved in the functional
          interaction with the LBD: an interacting domain at the very NH2 terminus,
          located between amino acid residues 3 and 36, and a second domain,
          essential for transactivation, located between residues 370 and 494.
          Substitution of glutamic acid by glutamine at position 888 (E888Q) in the
          AF-2 activation domain (AD) core region in the LBD, markedly decreased the
          interaction with the NH2-terminal domain. This mutation neither influenced
          hormone binding nor LBD homodimerization, suggesting a role of the AF-2 AD
          core region in the functional interaction between the NH2-terminal domain
          and the LBD. The AF-2 AD core region was also involved in the interaction
          with the coactivator TIF2 (transcriptional intermediary factor 2), as the
          E888Q mutation decreased the stimulatory effect of TIF2 on AR AF-2
          activity. Cotransfection of TIF2 and the AR NH2-terminal domain expression
          vectors did not result in synergy between both factors in the induction of
          AR AF-2 activity. TIF2 highly induced AR AF-2 activity on a complex
          promoter [mouse mammary tumor virus (MMTV)], but it was hardly active on a
          minimal promoter (GRE-TATA). In contrast, the AR NH2-terminal domain
          induced AR AF-2 activity on both promoter constructs. These data indicate
          that both the AR NH2-terminal domain and the coactivator TIF2 functionally
          interact, either directly or indirectly, with the AF-2 AD core region in
          the AR-LBD, but the level of transcriptional response induced by TIF2
          depends on the promoter context.</description>
    </item> <item>
      <title>A 6-kb promoter fragment mimics in transgenic mice the prostate-specific and androgen-regulated expression of the endogenous prostate-specific antigen gene in humans (Article)</title>
      <link>http://repub.eur.nl/res/pub/8710/</link>
      <pubDate>1997-01-01T00:00:00Z</pubDate>
      <description>Prostate-specific antigen (PSA) is a kallikrein-like serine protease,
          which is almost exclusively synthesized in the luminal epithelial cells of
          the human prostate. PSA expression is androgen regulated. Previously, we
          characterized in vitro the proximal promoter, and a strong enhancer
          region, approximately 4 kb upstream of the PSA gene. Both regions are
          needed for high, androgen-regulated activity of the PSA promoter in LNCaP
          cells. The goal of the present study is the in vivo characterization of
          the PSA promoter. Three transgenic mouse lines carrying the Escherichia
          coli LacZ gene, driven by the 632-bp proximal PSA promoter, and three
          lines with LacZ, driven by the 6-kb PSA promoter, were generated.
          Expression of the LacZ reporter gene was analyzed in a large series of
          tissues. Transgene expression could not be demonstrated in any of the
          transgenic animals carrying the proximal PSA promoter. All three lines
          carrying the 6-kb PSA promoter showed lateral prostate-specific
          beta-galactosidase activity. Transgene expression was undetectable until 8
          weeks after birth. Upon castration, beta-galactosidase activity rapidly
          declined. It could be restored by subsequent androgen administration. A
          search for mouse PSA-related kallikrein genes expressed in the prostate
          led to the identification of mGK22, which was previously demonstrated to
          be expressed in the submandibular salivary gland. Therefore, the 6-kb
          PSA-LacZ transgene followed the expression pattern of the PSA gene in
          humans, which is almost completely prostate-specific, rather than that of
          mGK22 in mice. In conclusion, the 6-kb promoter fragment appears to
          contain most, if not all, information for androgen regulation and prostate
          specificity of the PSA gene.</description>
    </item> <item>
      <title>Molecular analysis of the androgen-receptor gene in a family with receptor-positive partial androgen insensitivity: an unusual type of intronic mutation (Article)</title>
      <link>http://repub.eur.nl/res/pub/8726/</link>
      <pubDate>1997-01-01T00:00:00Z</pubDate>
      <description>In the coding part and the intron-exon boundaries of the androgen-receptor
          gene of a patient with partial androgen insensitivity, no mutation was
          found. The androgen receptor of this patient displayed normal
          ligand-binding parameters and migrated as a 110-112-kD doublet on SDS-PAGE
          in the absence of hormone. However, after culturing of the patient's
          genital skin fibroblasts in the presence of hormone, the slower-migrating
          114-kD protein, which reflects hormone-dependent phosphorylation, was
          hardly detectable. Furthermore, receptor protein was undetectable in the
          nuclear fraction of the fibroblasts, after treatment with hormone, which
          is indicative of defective DNA binding. By sequencing part of intron 2, a
          T--&gt;A mutation was found 11 bp upstream of exon 3. In our screening of 102
          chromosomes from unrelated individuals, this base-pair substitution was
          not found, indicating that it was not a polymorphism. mRNA analysis
          revealed that splicing involved a cryptic splice site, located 71/70 bp
          upstream of exon 3, resulting in generation of mRNA with an insert of 69
          nucleotides. In addition, a small amount of a transcript with a deleted
          exon 3 and a very low level of wild-type transcript were detected.
          Translation of the extended transcript resulted in an androgen-receptor
          protein with 23 amino acid residues inserted between the two zinc
          clusters, displaying defective DNA binding and defective transcription
          activation.</description>
    </item> <item>
      <title>Both androgen receptor and glucocorticoid receptor are able to induce prostate-specific antigen expression, but differ in their growth-stimulating properties of LNCaP cells (Article)</title>
      <link>http://repub.eur.nl/res/pub/8735/</link>
      <pubDate>1997-01-01T00:00:00Z</pubDate>
      <description>Androgen receptor-positive LNCaP cells were stably transfected with a rat
          glucocorticoid receptor (GR) expression plasmid. Ligand-binding studies in
          the generated cell lines revealed high-affinity binding of the cognate
          ligands to their receptors. Transfection experiments with the newly
          derived cell lines showed that, like androgen receptor, GR can induce
          activity of a prostate-specific antigen promoter fragment linked to the
          luciferase gene. Similarly, dexamethasone can stimulate expression of
          endogenous prostate-specific antigen messenger RNA. Cell proliferation
          could be induced by R1881. In contrast, dexamethasone treatment of the
          GR-positive sublines had no stimulatory effect on cell growth. Using the
          differential display technique, a so far unknown complementary DNA
          fragment, designated 21.1, specifically induced by androgens and not by
          glucocorticoids, has been identified. In conclusion, the newly generated
          cell lines, together with the parental LNCaP cell line, form an attractive
          system with which to study the mechanism of specificity of steroid hormone
          regulation of gene expression.</description>
    </item> <item>
      <title>Two androgen response regions cooperate in steroid hormone regulated activity of the prostate-specific antigen promoter (Article)</title>
      <link>http://repub.eur.nl/res/pub/8609/</link>
      <pubDate>1996-01-01T00:00:00Z</pubDate>
      <description>Transcription of the prostate-specific antigen (PSA) gene is androgen
          regulated. The PSA promoter contains at position -170 the sequence
          AGAACAgcaAGTGCT, which is closely related to the ARE (androgen response
          element) consensus sequence GGTACAnnnTGTTCT. This sequence is a high
          affinity androgen receptor (AR) binding site and acts as a functional ARE
          in transfected LNCaP cells. A 35-base pair segment starting at -400 (ARR:
          androgen response region; GTGGTGCAGGGATCAGGGAGTCTCACAATCTCCTG) cooperates
          with the ARE in androgen induction of the PSA promoter. A construct with
          three ARR copies linked to a minimal PSA promoter showed a strong
          (104-fold) androgen induced activity. The ARR was also able to confer
          androgen responsiveness to a minimal thymidine kinase promoter. Both AR
          binding and transcriptional activity resided in a 20-base pair ARR
          subfragment: CAGGGATCAGGGAGTCTCAC (2S). Mutational analysis indicated that
          the sequence GGATCAgggAGTCTC in the 2S fragment is a functionally active,
          low affinity AR binding site. Like AR, the glucocorticoid receptor was
          able to stimulate PSA promoter activity. Both the ARE and ARR are involved
          in dexamethasone regulation of the PSA promoter. Both the AR and
          glucocorticoid receptor were 20-100-fold more active on ARR-PSA and
          ARR-thymidine kinase promoter constructs in LNCaP cells than in other cell
          types (COS, HeLa, Hep3B, and T47D cells), indicating (prostate) cell
          specificity.</description>
    </item> <item>
      <title>Tissue specific and androgen-regulated expression of human prostate-specific transglutaminase (Article)</title>
      <link>http://repub.eur.nl/res/pub/8612/</link>
      <pubDate>1996-01-01T00:00:00Z</pubDate>
      <description>Transglutaminases (TGases) are calcium-dependent enzymes catalysing the
          post-translational cross-linking of proteins. In the prostate at least two
          TGases are present, the ubiquitously expressed tissue-type TGase (TGC),
          and a prostate-restricted TGase (TGP). This paper deals with the molecular
          cloning and characterization of the cDNA encoding the human prostate TGase
          (hTGP). For this purpose we have screened a human prostate cDNA library
          with a probe from the active-site region of TGC. The largest isolated cDNA
          contained an open reading frame encoding a protein of 684 amino acids with
          a predicted molecular mass of 77 kDa as confirmed by in vitro
          transcription-translation and subsequent SDS/PAGE. The hTGP gene was
          tissue-specifically expressed in the prostate, yielding an mRNA of approx.
          3.5 kb. Furthermore, a 3-fold androgen-induced upregulation of hTGP mRNA
          expression has been demonstrated in the recently developed human prostate
          cancer cell line, PC346C. Other well established human prostate cancer
          cell lines, LNCaP and PC-3, showed no detectable hTGP mRNA expression on a
          Northern bolt. The gene coding for prostate TGase was assigned to
          chromosome 3.</description>
    </item> <item>
      <title>Identification of two transcription activation units in the N-terminal domain of the human androgen receptor (Article)</title>
      <link>http://repub.eur.nl/res/pub/8551/</link>
      <pubDate>1995-01-01T00:00:00Z</pubDate>
      <description>To locate in detail the regions in the human androgen receptor (AR)
          involved in transcription activation, a series of N-terminal deletions was
          introduced in the wild type AR and in a constitutively active AR. The
          different constructs were tested for their capacity to activate
          transcription. Almost the entire N-terminal domain (residues 1-485) was
          necessary for full wild type AR activity when cotransfected with the
          (GRE)2tkCAT reporter in HeLa cells. In contrast, a smaller part of the
          N-terminal domain (amino acids 360-528) was sufficient for the
          constitutively active AR to induce transcription of the same (GRE)2tkCAT
          reporter in HeLa cells. This demonstrates the capacity of the AR to use
          different regions in the N-terminal domain as transcription activation
          units (TAUs). To obtain additional information of AR N-terminal TAUs, the
          GAL4 DNA binding domain was linked to either the entire or parts of the AR
          N-terminal domain and cotransfected with the (UAS)2tkCAT reporter in HeLa
          cells. The results confirmed that the first 485 amino acid residues
          accommodate a transcription activation function. When the chimeric AR-GAL4
          constructs were tested on a different reporter ((UAS)5E1bCAT), a small
          shift in position of the TAU, responsible for full transcription
          activation, was observed. The data presented show that the size and
          location of the active TAU in the human AR is variable, being dependent on
          the promoter context and the presence or absence of the ligand binding
          domain.</description>
    </item> <item>
      <title>In vitro translation of androgen receptor cRNA results in an activated androgen receptor protein (Article)</title>
      <link>http://repub.eur.nl/res/pub/8595/</link>
      <pubDate>1993-01-01T00:00:00Z</pubDate>
      <description>Translation of androgen receptor (AR) cRNA in a reticulocyte lysate and
          subsequent analysis of the translation products by SDS/PAGE showed a
          protein with an apparent molecular mass of 108 kDa. Scatchard-plot
          analysis revealed a single binding component with high affinity for R1881
          (Kd = 0.3 nM). All AR molecules synthesized specifically bound steroid. No
          evidence for AR phosphorylation during in vitro synthesis was found. When
          AR was labelled with [3H]R1881 and analysed on sucrose-density gradients,
          a complex of approx. 6 S was observed. The complex was shifted to a higher
          sedimentation coefficient after incubation with a monoclonal AR antibody
          directed against an epitope in the DNA-binding domain. In the presence as
          well as the absence of hormone, AR molecules were able to bind to
          DNA-cellulose without an activation step. Gel retardation assays revealed
          that the AR forms complexes with a DNA element containing
          glucocorticoid-responsive element/androgen-responsive element sequences.
          Receptor-DNA interactions were stabilized by different polyclonal
          antibodies directed against either the N- or C-terminal part of the AR and
          were abolished by an antibody directed against the DNA-binding domain of
          the receptor. In conclusion, translation of AR cRNA in vitro yields an
          activated AR protein which binds steroid with high affinity. It is
          proposed that AR antibodies enhance AR-DNA binding by stabilizing AR
          dimers when bound to DNA.</description>
    </item> <item>
      <title>Transcriptional regulation of androgen receptor gene expression in Sertoli cells and other cell types (Article)</title>
      <link>http://repub.eur.nl/res/pub/8883/</link>
      <pubDate>1992-01-01T00:00:00Z</pubDate>
      <description>Cooperative actions of FSH and androgens on initiation, maintenance, and
      restoration of spermatogenesis have been described. In the present
      experiments the regulatory effects of FSH on androgen receptor (AR) gene
      expression in Sertoli cells were studied. In immature rats injection of
      FSH (1 microgram/g BW, ip) resulted in a rapid down-regulation of
      testicular AR mRNA expression (4 h), followed by recovery to the control
      level (10 h). Using cultured immature Sertoli cells, a similar transient
      effect on AR mRNA expression was observed after the addition of FSH (500
      ng/ml) or (Bu)2cAMP (0.5 mM). Cycloheximide treatment of the cells did not
      prevent the rapid FSH-induced down-regulation of AR mRNA expression,
      indicating that de novo protein synthesis is not required for this effect.
      Furthermore, using a transcriptional run-on assay, no marked decrease in
      the rate of AR gene transcription was found upon treatment of the cultured
      Sertoli cells with FSH for 2 or 4 h. This demonstrates that the short term
      effect of FSH or AR mRNA expression reflects a change in mRNA stability.
      The AR protein level was not markedly affected by the transient decrease
      in AR mRNA expression. When immature Sertoli cells were incubated with FSH
      for longer time periods (24-72 h), both AR mRNA and protein expression
      were increased. In Sertoli cells isolated from 15-day-old rats, this
      increase was higher (mRNA, 2- to 3-fold; protein, 2-fold) than in Sertoli
      cells isolated from 25-day-old animals. The results indicate that FSH
      plays a complex role in the regulation of AR expression in immature rat
      Sertoli cells</description>
    </item> <item>
      <title>The rat androgen receptor gene promoter (Article)</title>
      <link>http://repub.eur.nl/res/pub/8890/</link>
      <pubDate>1990-01-01T00:00:00Z</pubDate>
      <description>The androgen receptor (AR) is activated upon binding of testosterone or
      dihydrotestosterone and exerts regulatory effects on gene expression in
      androgen target cells. To study transcriptional regulation of the rat AR
      gene itself, the 5' genomic region of this gene was cloned from a genomic
      library and the promoter was identified. S1-nuclease protection analysis
      showed two major transcription start sites, located between 1010 and 1023
      bp upstream from the translation initiation codon. The area surrounding
      these start sites was cloned in both orientations in a CAT reporter
      plasmid. Upon transfection of the constructs into COS cells, part of the
      promoter stimulated transcription in an orientation-independent manner,
      but the full promoter showed a higher and unidirectional activity. In the
      promoter/reporter gene constructs, transcription initiated from the same
      positions as in the native gene. Sequence analysis showed that the
      promoter of the rat AR gene lacks typical TATA and CCAAT box elements, but
      one SP1 site is located at about 60 bp upstream from the major start site
      of transcription. Other possible promoter elements are TGTYCT sequences at
      positions -174 to -179, -434 to -439., -466 to -471, and -500 to -505,
      resembling half-sites of the glucocorticoid-responsive element (GRE).
      Furthermore, a homopurine stretch containing a total of 8 GGGGA elements
      and similar to sequences that are present in several other GC-rich
      promoters, is located between -89 and -146 bp upstream from the major
      start site of transcription</description>
    </item>
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