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Endocrinology Vol. 141, No. 9 3194-3199
Copyright © 2000 by The Endocrine Society


ARTICLES

Androgen-Regulated Expression of a Novel Member of the Aldo-Keto Reductase Superfamily in Regrowing Rat Prostate1

Nozomu Nishi, Hiroki Shoji, Hiroshi Miyanaka and Takanori Nakamura

Department of Endocrinology (N.N., H.S., T.N.) and Research Equipment Center (H.M.), Faculty of Medicine, Kagawa Medical University, Kagawa 761-0793, Japan

Address all correspondence and requests for reprints to: Nozomu Nishi, Department of Endocrinology, Faculty of Medicine, Kagawa Medical University, 1750–1, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. E-mail: nnishi{at}kms.ac.jp


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The rat prostate is dependent on androgen for normal growth and differentiation. In addition, the organ undergoes rapid cell death upon withdrawal of androgen on castration, and the atrophied tissue is capable of regrowth after androgen replacement in adult animals. In our search for novel factor(s) that participate in this androgen-induced proliferation of adult rat prostate cells, we have generated a complementary DNA (cDNA) library enriched in cDNAs transiently up-regulated after androgen stimulation in castrated rat ventral prostate using a PCR-based subtractive hybridization technique. Sequence analysis of about one hundred clones in the library showed that approximately 70% of them are identical or closely related to genes of known function, the remaining ones showing no or very low similarity to any genes characterized previously. Among the former a new member of the rat aldo-keto reductase superfamily that is closely related to aflatoxin, B1 aldehyde reductase has been identified. The newly identified protein (androgen-inducible aldehyde reductase, AIAR) and rat aflatoxin B1 aldehyde reductase (AFAR) exhibit 80% amino acid sequence homology. The enzymatic activity toward 4-nitrobenzaldehyde of recombinant AIAR expressed in Escherichia coli was about 16% of that of rat AFAR. Northern blot analysis revealed AIAR expression in various adult rat tissues in addition to the ventral and dorsolateral prostates, which differs from the highly restricted expression of AFAR in the kidney and liver. The AIAR messenger RNA (mRNA) content of the ventral prostate was low in normal and castrated rats, transiently increased after androgen administration to castrated rats, attaining a peak 12–24 h after the treatment. Although the physiological substrate(s) of AIAR has not been identified, the current results suggest that AIAR expression is associated with some growth-related processes in regrowing rat prostate.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IT IS NOW generally accepted that epithelial-stromal interactions play a pivotal role in the growth- and differentiation-promoting action of androgen in target tissues including the prostate. These interactions are believed to be regulated by paracrine signaling molecules produced in an androgen-dependent manner. Keratinocyte growth factor (KGF), a member of the fibroblast growth factor (FGF) family (FGF-7), has received attention as a mediator of stromal to epithelial communication because of its unique properties: KGF is only secreted by cells of mesenchymal origin and appears to act specifically on epithelial cells (1, 2). Indeed, the participation of KGF in morphogenetic epithelial-mesenchymal interactions in developing mammary gland, salivary gland and lung has been reported (3, 4). In the case of male accessory glands, KGF also has been proposed to be a candidate stromal-derived factor responsible for androgen-dependent growth and differentiation of the seminal vesicle and prostate (5, 6). However, there is controversy regarding the presence of androgen response element in the KGF promoter (7, 8) and androgen regulation of KGF expression in vivo (9, 10, 11). Recently, Thomson and Cunha showed that FGF-10, another member of the FGF family, exhibited properties consistent with a mesenchymal paracrine regulator of epithelial growth in the developing rat prostate and seminal vesicle (12). The expression of FGF-10, however, was not regulated by androgens in vivo.

In a previous study, we examined changes in the expression of several growth factor systems during castration-induced involution and subsequent androgen-induced regrowth of rat prostates. Our work was based on the assumption that the expression of one or more specific growth factor systems that mediate the androgen action is transiently up-regulated after androgen administration to castrated rats. Contrary to our expectation, no growth factor system examined, including epidermal growth factor, transforming growth factor-{alpha}, transforming growth factor-ß1, basic FGF, KGF, and hepatocyte growth factor showed the "ideal" change during the androgenic manipulation (9).

The messenger RNA (mRNA) differential display and the PCR-based subtractive hybridization techniques have been successfully used to identify differentially expressed genes in a wide variety of tissues. Novel genes associated with the transformation and castration-induced apoptosis of prostate cells have been identified by means of these methods (13, 14, 15, 16). In the present study, we used the latter technique to find novel factor(s) that may participate in androgen-dependent growth of prostate cells. Sequence analysis of about one hundred clones in a cDNA library produced by means of the PCR-based subtractive hybridization technique, and subsequent Northern blot analysis of selected clones resulted in the isolation of several novel genes that show close to the "ideal" change during the androgenic manipulation. Here, we describe characterization of a new member of the rat aldo-keto reductase superfamily whose expression is transiently up-regulated by androgen in regrowing rat prostate.

The aldo-keto reductases comprise a functionally diverse gene family that catalyzes the NADPH-dependant reduction of a variety of biogenic and xenobiotic carbonyl compounds, including carcinogens. The newly identified member of the superfamily androgen-inducible aldehyde reductase (AIAR) exhibited significant homology to rat and human aflatoxin B1 aldehyde reductase (AFAR). AFARs metabolize not only aflatoxin B1, a potent hepatocarcinogen, but also a variety of aldehydes. AIAR may afford protection to rapidly proliferating prostate cells against chemical-induced carcinogenesis.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals and hormonal treatment
Testosterone propionate was purchased from Nakarai Chemicals Ltd. (Kyoto, Japan). Mature (12 weeks, 400–420 g) male Sprague Dawley rats were obtained from CLEA Japan (Tokyo, Japan). Rats were housed at 20-25 C with 12-h periods of light and darkness. Pelleted food and tap water were supplied ad libitum. Male rats were castrated by means of a scrotal incision under ether anesthesia. The castrated rats were maintained under standard laboratory conditions for 7 days. Treatment of 7-day castrated rats with exogenous androgen comprised daily sc injections of testosterone propionate (2 mg/rat) for up to 5 days. At various times following castration and androgen treatment, groups of rats were killed by cervical dislocation. The ventral prostate, liver, and kidney were removed and frozen in liquid nitrogen for later RNA extraction.

Subtractive hybridization and RACE analysis
Total RNA was extracted from rat tissue specimens by the method of Chomczynski and Sacchi (17). Poly(A)+RNA was isolated from the total RNA fraction using a PolyATtract mRNA isolation system (Promega Corp., Madison, WI).

Subtractive hybridization was carried out using a PCR-select cDNA subtraction kit (CLONTECH Laboratories, Inc., Palo Alto, CA) according to the manufacturer’s protocols. Briefly, double-strand cDNA was synthesized using 2 µg of poly(A)+RNA isolated from ventral prostates of untreated rats (N), 7-day castrated rats (C7), and C7 treated with androgen for 6 h (C7T0.25), 12 h (C7T0.5), and 24 h (C7T1). A mixture of equal amounts of cDNA from N and C7 was used as the "driver", and one of that from C7T0.25, C7T0.5 and C7T1 as the "tester." After two rounds of PCR-based subtraction, the enriched cDNAs were cloned into the pGEM-T Easy vector (Promega Corp.) for screening.

For 5'- and 3'-RACE analysis, an adaptor-ligated cDNA library was generated using a mixture of equal amounts of poly(A)+RNA from C7T0.25, C7T0.5 and C7T1, and a Marathon cDNA amplification kit (CLONTECH Laboratories, Inc.). Amplification of 5' and 3' cDNA fragments was performed by PCR using a specific adaptor primer supplied in the kit and gene specific primers, 5'-GTAGGTCTCAGACCAGCTATTCCC-3' (5'-RACE) and 5'-CTGCCTCAGATACTTCGGACTGAG-3' (3'-RACE).

Screening of the human prostate cDNA library
The human prostate cDNA library (human prostate 5'-stretch plus cDNA library, CLONTECH Laboratories, Inc.) was screened with a cDNA clone obtained by subtractive hybridization. The probe was labeled with digoxigenin as described below.

Northern blot analysis
One microgram of poly(A)+RNA was electrophoresed on a 2.2 M formaldehyde-1% agarose gel, transferred to a nylon membrane (Hybond-N, Amersham Pharmacia Biotech, Uppsala, Sweden), and then cross-linked by UV irradiation. After prehybridization, the blot was incubated with probes labeled with digoxigenin for 15 h at 65 C. The membrane was washed with 2 x SSC/0.1% SDS at room temperature, and then with 0.1 x SSC/0.1% SDS at 65 C. The hybridized probe was detected on x-ray film as to chemiluminescence using an alkaline phosphatase-conjugated antidigoxigenin antibody (Roche Molecular Biochemicals, Mannheim, Germany) and Lumi-Phos 530 (Lumigen Inc., Southfield, MI). The results were normalized as to the content per cell of each mRNA species as described (9).

The cDNA probe for rat AFAR was obtained by means of PCR using oligonucleotide primers, 5'-TCCGCTAAGATACATCTGCCTTGG-3', and 5'-TTGGGGCTCAGCCAGCTCTCACTT-3', and first-strand cDNA from rat liver. All the probes were labeled with digoxigenin-11-dUTP by the method of Lanzillo (18).

Bacterial expression and isolation of recombinant AIAR and AFAR
The coding region for AIAR was amplified by PCR from first-strand cDNA prepared from the poly(A)+ RNA fraction of rat ventral prostate using forward and reverse primers tagged with extra 5' EcoRI (5'-CGTCCTGAATTCCCATGTCCCGGTCTCCGGCACCCCGCGCC-3') and XhoI (5'-CGACCGCTCGAGCTATCTGAAGTAGTTGGGACACTCGTG-3') sequences, respectively, and then digested with EcoRI and XhoI. The coding region for AFAR was amplified by PCR from first-strand cDNA prepared from the poly(A)+ RNA fraction of rat liver using forward and reverse primers tagged with extra 5' EcoRI (5'-CGTCCTGAATTCCCATGTCGCAAGCCCGGCCTGCCACTGTG-3') and XhoI (5'-CGACCGCTCGAGTTAGCGGAAATAGTTGGGACACTCGTG-3') sequences, respectively, and then digested with EcoRI and XhoI. The digested cDNA fragments were inserted individually into the EcoRI-XhoI site of pGEX-4T-2 (Amersham Pharmacia Biotech) yielding expression vectors for fusion proteins between glutathione S-transferase (GST) and AIAR (pGEX-AIAR) or rat AFAR (pGEX-rAFAR).

Escherichia coli BL21 cells carrying the expression vectors were grown in 2x YT medium supplemented with 10% (wt/vol) glucose and 100 µg/ml ampicillin to an optical density at 600 nm of 1.0. The expression of fusion proteins was induced by the addition of 0.1 mM isopropyl-ß-D-thiogalactopyranoside, and then the culture was continued for 2 h at 37 C. The cell pellet was suspended in 10 mM Tris-HCl (pH 7.5) containing 0.5 M NaCl and 1 mM phenylmethlysulfonyl fluoride, and then the cells were disrupted by sonication. The sonicate was supplemented with 1% (wt/vol) 3-[(3-cholamidopropyl)dimethylammonio]-1-propane sulfonate (CHAPS) and stirred for 30 min at 4 C, followed by centrifugation. The resulting supernatant was subjected to affinity chromatography on a glutathione-Sepharose column (Amersham Pharmacia Biotech). The affinity-purified fusion proteins were digested with thrombin and the released GST moiety was removed with a glutathione-Sepharose column.

Enzyme assay
Aldehyde reductase activity was determined at 25 C using 0.67 mM 4-nitrobenzaldehyde and 0.2 mM NADPH in 100 mM sodium phosphate buffer (pH 7.0). The reaction was monitored at 340 nm. Protein concentrations were determined by means of the bicinchoninic acid (BCA) assay using BSA as a standard.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Identification of growth-associated mRNAs in rat prostate by subtractive hybridization
To carry out PCR-based subtractive hybridization, cDNAs were prepared from ventral prostate of three different androgenic statuses in vivo: prostate tissues were obtained from normal rats (N), 7-day castrated rats (C7) and C7 treated with androgen for 6, 12, and 24 h (C7T0.25, 0.5, and 1). We constructed a library enriched in cDNAs transiently up-regulated by androgen in castrated rat prostate by subtracting cDNAs from (C7T0.25 + C7T0.5 + C7T1) with those from (N + C7). Sequence analysis of 108 clones in the library showed that 69 (37 nonredundant clones) were identical or closely related to known genes, the remaining clones showing no or very low similarity to any genes characterized previously. No cDNA clone for prostatic binding protein (PBP), a major androgen-dependent secretory protein of rat ventral prostate which accounts for more than 30% of the total protein in the normal tissue, was found.

Based on the sequence data, about 30 clones were selected for analysis of androgen dependency by Northern blotting. As a result the expression of several clones was found to be transiently up-regulated in androgen-stimulated tissues (Fig. 1Go and Table 1Go). One of the clones, AIEG300, showed significant homology to rat aflatoxin B1 aldehyde reductase (AFAR) (19, 20), and thus it was subjected to further characterization in the present study.



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Figure 1. Northern blot analysis of gene expression during castration-induced involution and androgen-induced regrowth of rat ventral prostate. Poly(A)+RNA was prepared from rat ventral prostates collected at various times following castration and androgen treatment. Blots made from poly(A)+RNA (1 µg) were hybridized to various probes labeled with digoxigenin. N, control rats; C7, 7-day castrated rats; C7T0.25-C7T5, C7 treated with daily injections of testosterone propionate for 0.25 days (6 h)-5 days. AIEG291-AIEG626, cDNA clones obtained by means of a PCR-based cDNA subtraction technique. PBP (C1), C1 component of prostatic binding protein.

 

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Table 1. Identification of AIEG clones obtained by PCR-based subtractive hybridization

 
The effect of castration on the AIEG300 mRNA content (per cell) was negligible, but androgen replacement in castrated rats resulted in a rapid increase in the content of AIEG message (Fig. 2Go). It increased about 5-fold in over 7-day castrated rats within 12 h after androgen administration and decreased thereafter to near the control level. On the contrary, the content of mRNA for the C1 component of PBP decreased to an undetectable level with castration and recovered steadily after androgen replacement (Fig. 2Go).



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Figure 2. Changes in mRNA expression per cell of AIEG300 and the C1 component of PBP during castration-induced involution and androgen-induced regrowth of rat ventral prostate. The maximum and control values were taken as 100% in the cases of AIEG300 and PBP (C1), respectively. A representative analysis from three separate analyses of three pools of prostates obtained at each time point is shown.

 
The AIEG300 mRNA was expressed at higher levels in the kidney and liver than in the prostate (see below). Although many genes are known to be under androgenic control in the kidney and liver, castration and subsequent androgen replacement had negligible to moderate influence on AIEG300 mRNA content in these tissues (Table 2Go).


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Table 2. Changes in AIEG300 (AIAR) mRNA expression in rat liver and kidney

 
Determination of the full-length sequence of the cDNA corresponding to AIEG300 and cloning of the human counterpart
As AIEG300 exhibited homology to the 3'-coding region of rat AFAR, the full-length sequence of the corresponding cDNA was determined by means of the 5'- and 3'-RACE methods. The sequence was confirmed by amplification of the full-length cDNA by PCR and sequence analysis of the PCR products. This cDNA (termed androgen-inducible aldehyde reductase, AIAR) comprises 1271 bp with a 1017 bp ORF (Fig. 3Go). The predicted AIAR protein is eleven amino acids longer than rat AFAR due to an insertion at N terminus. AIAR showed the highest homology (about 90% amino acid homology) with human AFAR (27), whereas AIAR and rat AFAR exhibited 80% homology (Fig. 4Go). As expected from the sequence similarity data, screening of a human prostate cDNA library with AIEG300 resulted in the isolation of several cDNA clones which exhibited complete sequence identity with human AFAR (data not shown).



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Figure 3. Nucleotide and deduced amino acid sequences of androgen-inducible aldehyde reductase (AIAR, full-length sequence of AIEG300). The original AIEG300 sequence is underlined. The polyadenylation signal, AATAAA, is double underlined.

 


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Figure 4. Multiple sequence alignment of AIAR with rat AFAR (20 ) and human AFAR (27 ). Dots represent gaps for better alignment. Dashes represent amino acid residues which are identical with those of AIAR.

 
Tissue distribution of AIAR and rat AFAR transcripts
Northern blot analysis was performed to determine the tissue distribution of AIAR mRNA and to compare it with that of rat AFAR. cDNA probes corresponding to the 3' noncoding region, in which there is only low sequence similarity between AIAR and rat AFAR, were used in this experiment to avoid cross-hybridization. A single AIAR transcript of about 1.4 kb was detected in a wide variety of adult rat tissues, with the highest expression in the kidney (Fig. 5Go). Although both AIAR and rat AFAR exhibited the highest degree of expression in the kidney, rat AFAR exhibited a restricted tissue distribution with detectable transcript levels present in the kidney and liver under the conditions used (Fig. 5Go).



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Figure 5. Northern blot analysis of AIAR and rat AFAR (rAFAR) expression. Poly(A)+RNA (1 µg) extracted from different rat tissues was probed with AIAR or rat AFAR cDNA labeled with digoxigenin. The blots were stripped and then reprobed with digoxigenin-labeled glyceraldehyde-3-phosphate dehydrogenase (GAPDH) cDNA. SG, Submaxillary gland; VP, ventral prostate; DLP, dorsolateral prostate; SV, seminal vesicle.

 
Demonstration of enzymatic activity of recombinant AIAR
To determine whether or not AIAR has reductase activity, AIAR and rat AFAR were expressed in Escherichia coli as GST-fusion proteins. The recombinant proteins were efficiently produced as soluble proteins, and purified to apparent homogeneity by glutathione-affinity chromatography (Fig. 6Go). The fusion proteins were digested with thrombin, and the GST moiety was removed by affinity chromatography. The apparent molecular weight of the purified AIAR was slightly lower than the calculated value (37, 601). To determine the molecular weight accurately, the two proteins were analyzed by mass spectrometry. Their molecular weights were determined to be 37,550 (AIAR) and 36,826 (rat AFAR, calculated value = 36,745).



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Figure 6. Purification profiles of AIAR and rat AFAR on SDS-PAGE. Samples at each purification step for AIAR (lanes 2–4) and rat AFAR (lanes 5–7) were electrophoretically separated in a SDS/12% polyacrylamide gel under reducing conditions and then stained with Coomassie brilliant blue R-250. Lane 1, molecular weight markers; lane 2, Escherichia coli BL21/pGEX-AIAR crude extract; lanes 3 and 6, eluate from glutathione-Sepharose; lanes 4 and 7, purified (GST-tag-free) AIAR and rat AFAR, respectively; lane 5, Escherichia coli BL21/pGEX-rAFAR crude extract.

 
The enzymatic activities of recombinant AIAR and rat AFAR were measured by using a prototype aldo-keto reductase substrate, 4-nitrobenzaldehyde (4-NBA). The specific activities of AIAR and rat AFAR were 0.29 and 1.77 µmol/min·mg protein (at 25 C), respectively.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The subtractive hybridization and RNA differential display techniques are powerful tools for screening and identifying altered gene expression in two or more cell/tissue types and during physiological as well as pathological processes. Many novel genes have been identified using these techniques including apoptosis- and transformation-associated genes in the prostate. There is, however, a general problem associated with these approaches. It is not easy to determine or even speculate the function of a newly identified gene unless it exhibits sequence homology with a gene of known function. In this study, we have identified several novel genes transiently up-regulated in androgen-stimulated (regrowing) rat prostate using a PCR-based subtractive hybridization technique. Most of the transiently up-regulated messages showed sequence similarity with previously identified genes. Among them, AIEG300 was selected for close examination in this study based on the extensive homology between AIEG300 and a detoxification enzyme, rat aflatoxin B1 aldehyde reductase.

AFAR was first reported by Hayes et al. (19) as an ethoxyquin (a chemoprotector)-inducible aldehyde reductase in rat liver implicated in the detoxification of aflatoxin B1 (AFB1). They cloned rat AFAR cDNA and found that a 140-bp region of a human expressed sequence tag (EST) clone exhibited 85% sequence identity with that portion of rat AFAR (20). Recently, they reported the molecular cloning of a novel member of the human aldo-keto reductase superfamily based on the sequence of the EST clone (27). Rat AFAR and the human enzyme (termed human AFAR) are distantly related to the aldo-keto reductase family of enzymes, and these two enzymes appear to constitute a new family, AKR7 (27).

The sequence homology search revealed that AIEG300 (AIAR) exhibited the highest homology with human AFAR. The presence of extra amino acid residues at the amino terminus relative to rat AFAR is common to AIAR and human AFAR. AIAR showed apparent enzyme activity toward 4-NBA, but it was only about 16% of that of rat AFAR. The reductase activity of human AFAR toward 4-NBA was also lower than that of rat AFAR (27). In addition, Northern blot analysis showed that both AIAR and human AFAR transcripts are widely distributed in rat and human tissues, respectively, which is in sharp contrast to the highly restricted expression of rat AFAR. These results suggest that human AFAR is not the human counterpart of rat AFAR, but one of AIAR identified in the present study. Also, it is possible that there is a true "human AFAR," which might be induced by chemoprotectors such as ethoxyquin, in human liver.

It is generally accepted that drug- and carcinogen-metabolizing enzymes are involved in the regulation of the local levels of carcinogens and hence are responsible for the susceptibility to chemical-induced carcinogenesis. In human prostate, high interindividual variation in drug-metabolizing enzymes, cytochrome P-450 2D6 and N-acetyltransferase, has been implicated in differences in cancer risk (28). Rat and human AFAR have been shown to metabolize a panel of compounds including AFB1, succinic semialdehyde (SSA), 2-carboxybenzaldehyde (2-CBA), and 16-oxo-estrone in vitro (27). Although human AFAR was suggested to function as both a SSA reductase and a 2-CBA reductase in vivo, its physiological substrate(s) has not been clearly identified. Currently, the physiological substrate(s) of AIAR is also unknown. However, it is highly probable that AIAR can metabolize a wide variety of compounds including chemical carcinogens because AIAR exhibited extensive structural similarity with human AFAR. The up-regulation of AIAR expression during regrowth of rat prostate is favorable in this context. Cell proliferation/DNA synthesis is an integral part of the process of conversion of DNA adducts (carcinogen-DNA adducts) to mutations. Increased activities of drug-metabolizing enzymes may suppress the formation of DNA adducts, thus leading to lowered risk of carcinogenesis during active cell proliferation. Among rat tissues examined, only the ventral and dorsolateral prostates expressed AIAR mRNA at levels comparable to those in the liver and kidney. As there have been no reports showing that the prostate expresses drug-metabolizing enzymes at high levels, it is possible that AIAR participates in the prostate-specific function, that is, the production of seminal fluid components. AIAR may afford protection to sperm DNA by decreasing active chemicals in seminal fluid.

The content of AIAR mRNA (mRNA content per cell) increased after androgen administration to castrated rats, attaining a peak 12–24 h after the treatment, and then decreased to the control level. As DNA synthesis activity in regrowing prostate reaches a peak 3 days after androgen replacement (9, 29), the validity of the above speculation must be verified by analyzing AIAR expression at the protein level. Androgen replacement resulted in about 5-fold induction of AIAR mRNA, whereas castration caused only a slight decrease in the prostate. On the other hand, the influence of the androgen manipulation on AIAR mRNA in the liver and kidney was moderate at most. The expression of prostatic binding protein (PBP), a major androgen-dependent secretory protein in rat ventral prostate, decreases to an undetectable level on castration and returns to the control level 5–7 days after androgen administration. Several androgen response elements have been identified in the first intron and 5'-flanking region of the prostatic binding protein gene (30). Analysis of response elements of the AIAR gene is needed to clarify the mechanism underlying androgenic regulation of AIAR expression in the prostate.


    Footnotes
 
1 This work was supported in part by a Grant-in-Aid for Scientific Research from the Ministry of Education, Science and Culture of Japan. The nucleotide sequence for AIAR cDNA has been deposited in the DDBJ/EMBL/GenBank nucleotide sequence databases under the Accession No. AB037424. Back

Received February 9, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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