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* Department of Cellular Injury, Walter Reed Army Institute of Research, Silver Spring, MD 20910, and Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814;
Department of Medicine, Section of Rheumatology, Washington Hospital Center, Washington, DC 20010; and
Department of Pediatrics, University of Muenster, Muenster, Germany
T cells from patients with systemic lupus erythematosus express increased levels of the cAMP response element modulator (CREM) that has been shown to bind to the IL-2 promoter and suppress its activity. In this study, we demonstrate that CREM binds to the proximal promoter of the c-fos proto-oncogene in live systemic lupus erythematosus T cells and represses its expression following stimulation in vitro. Decreased levels of c-fos protein result in decreased AP-1 activity, as determined in shift assays. Blockade of the translation of CREM mRNA with an antisense CREM vector increases the expression of c-fos and the AP-1 activity. The levels of c-fos mRNA vary with disease activity. We conclude that CREM represses the expression of c-fos and limits the activity of the enhancer AP-1. Thus, CREM is involved indirectly in the modulation of transcriptional regulation of multiple genes including IL-2.
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