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Updated: Mar 9, 2026

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Published on: September 9, 2021
Transcription factor assisted loading and enhancer dynamics dictate the hepatic fasting response
Ido Goldstein1, Songjoon Baek1, Diego M Presman1
1Laboratory of Receptor Biology and Gene Expression, The National Cancer Institute, The National Institutes of Health, Bethesda, Maryland 20892, USA.
Fasting triggers liver gene programs for glucose and ketone production, controlled by key transcription factors (TFs). Glucocorticoid receptor (GR) and CREB1 enhance glucose production, while GR and PPARA regulate ketone production.
Area of Science:
- Metabolic regulation
- Molecular biology
- Gene transcription
Background:
- Fasting induces significant metabolic shifts in hepatocytes, including glucose and ketone production.
- This metabolic reprogramming is orchestrated by complex transcriptional programs involving numerous transcription factors (TFs).
- Understanding the regulatory network of enhancers and TFs is crucial for deciphering the fasting response.
Purpose of the Study:
- To identify specific enhancers and TFs that govern the transcriptional response to fasting in hepatocytes.
- To elucidate the mechanisms by which these factors regulate glucose and ketone production during fasting.
Main Methods:
- Chromatin accessibility profiling to identify fasting-induced enhancers.
- Computational analysis of enhancer features and TF cistromes.
- Single-molecule tracking to study TF-DNA interactions.
- Analysis of gene expression changes related to glucose and ketone metabolism.
Main Results:
- Fasting reorganizes liver chromatin, revealing numerous fasting-induced enhancers.
- Four key TFs—glucocorticoid receptor (GR), CREB1, PPARA, and CEBPB—were implicated in regulating the fasting response.
- Two distinct modules were identified: a gluconeogenic module (GR-CREB1) and a ketogenic module (GR-induced PPARA cascade).
- GR enhances CREB1 binding and activity at specific enhancers, promoting rapid glucose production.
- GR activation leads to a PPARA cascade, facilitating gradual ketone production.
Conclusions:
- A complex network of enhancers and TFs dynamically regulates hepatic homeostasis during fasting.
- GR plays a dual role, synergizing with CREB1 for rapid glucose production and initiating a cascade for gradual ketone production.
- Enhancer-selective mechanisms and TF interactions are critical for fine-tuning metabolic fuel production.
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