Regulation of GST-P gene expression during hepatocarcinogenesis

Placental glutathione S-transferase (GST-P), a member of glutathione S-transferase, is known for its specific expression during rat hepatocarcinogenesis and has been used as a reliable tumor marker for experimental rat hepatocarcinogenesis. To explain the molecular mechanism underlying its specific expression concomitant with the malignant transformation, we have analyzed the regulatory element of the GST-P gene and the transcription factor that binds to this element. From the extensive analyses by the establishment of the transgenic rat lines having various regions of GST-P gene, we could identify the GPE1 as an essential enhancer element for specific GST-P expression. Next, we examined the transcription factor that binds and activates the GPE1, specifically in the early stage of hepatocarcinogenesis and in the hepatoma. Electrophoresis gel mobility shift assay, reporter transfection analysis, and the chromatin immunoprecipitation analysis indicate that the Nrf2/MafK heterodimer binds and activates GPE1 element in preneoplastic lesions and hepatomas but not in the normal liver cells. In this chapter, we describe details of the transgenic rat analyses and the identification of a factor responsible for the specific expression of the GST-P gene and discuss a possible molecular scenario for malignant transformation and tumor marker gene expression.