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Human Molecular Genetics Advance Access published online on October 10, 2008

Human Molecular Genetics, doi:10.1093/hmg/ddn323
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

BEST1 Expression in the Retinal Pigment Epithelium Is Modulated by OTX Family Members

Noriko Esumi1,2,*, Shu Kachi1,2,6, Laszlo Hackler, Jr.1,2, Tomohiro Masuda1,2, Zhiyong Yang1,2, Peter A. Campochiaro1,2,3 and Donald J. Zack1,2,3,4,5

1 The Guerrieri Center for Genetic Engineering and Molecular Ophthalmology at The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA 2 Departments of Ophthalmology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA 3 Departments of Neuroscience, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA 4 Molecular Biology and Genetics, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA 5 The McKusick-Nathans Institute of Genetic Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA

* Correspondence should be addressed to: Noriko Esumi, Johns Hopkins University School of Medicine, 832 Maumenee Building, 600 N. Wolfe Street, Baltimore, MD 21287-9289, USA; Tel.: 410-502-5230; Fax: 410-502-5382; E-mail: nesumi{at}jhmi.edu

Received September 5, 2008; Revised October 3, 2008; Accepted October 3, 2008

A number of genes preferentially expressed in the retinal pigment epithelium (RPE) are associated with retinal degenerative disease. One of these, BEST1, encodes bestrophin-1, a protein that when mutated causes Best macular dystrophy. As a model for RPE gene regulation, we have been studying the mechanisms that control BEST1 expression, and recently demonstrated that members of the MITF-TFE family modulate BEST1 transcription. The human BEST1 upstream region from -154 to +38 bp is sufficient to direct expression in the RPE, and positive regulatory elements exist between –154 and –104 bp. Here, we show that the -154 to -104 bp region is necessary for RPE expression in transgenic mice and contains a predicted OTX-binding site (Site 1). Since another non-canonical OTX site (Site 2) is located nearby, we tested the function of these sites using BEST1 promoter/luciferase constructs by in vivo electroporation and found that mutation of both sites reduces promoter activity. Three OTX family proteins, OTX1, OTX2, and CRX, bound to both Sites 1 and 2 in vitro, and all increased BEST1 promoter activity. Surprisingly we found that human and bovine RPE expressed not only OTX2 but also CRX, the CRX genomic region in bovine RPE was hypersensitive to DNase I, consistent with active transcription, and that both OTX2 and CRX bound to the BEST1 proximal promoter in vivo. These results demonstrate for the first time CRX expression in the RPE, and suggest that OTX2 and CRX may act as positive modulators of the BEST1 promoter in the RPE.


6 Present address: Department of Ophthalmology, Nagoya University School of Medicine, 65 Tsurumacho, Showa-ku, Nagoya, Aichi, 4668550 Japan


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