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Erschienen in: Diabetologia 7/2010

01.07.2010 | Article

Hepatocyte nuclear factor (HNF)-4α-driven epigenetic silencing of the human PED gene

verfasst von: P. Ungaro, R. Teperino, P. Mirra, M. Longo, M. Ciccarelli, G. A. Raciti, C. Nigro, C. Miele, P. Formisano, F. Beguinot

Erschienen in: Diabetologia | Ausgabe 7/2010

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Abstract

Aims/hypothesis

Overexpression of PED (also known as PEA15) determines insulin resistance and impaired insulin secretion and may contribute to progression toward type 2 diabetes. Recently, we found that the transcription factor hepatocyte nuclear factor (HNF)-4α binds to PED promoter and represses its transcription. However, the molecular details responsible for regulation of PED gene remain unclear.

Methods

Here we used gain and loss of function approaches to investigate the hypothesis that HNF-4α controls chromatin remodelling at the PED promoter in human cell lines.

Results

HNF-4α production and binding induce chromatin remodelling at the −250 to 50 region of PED, indicating that remodelling is limited to two nucleosomes located at the proximal promoter. Chromatin immunoprecipitation assays also revealed concomitant HNF-4α-induced deacetylation of histone H3 at Lys9 and Lys14, and increased dimethylation of histone H3 at Lys9. The latter was followed by reduction of histone H3 Lys4 dimethylation. HNF-4α was also shown to target the histone deacetylase complex associated with silencing mediator of retinoic acid and thyroid hormone receptor, both at the PED promoter, and at GRB14 and USP21 regulatory regions, leading to a reduction of mRNA levels. Moreover, HNF-4α silencing and PED overexpression were accompanied by a significant reduction of hepatic glycogen content.

Conclusions/interpretation

These results show that HNF-4α serves as a scaffold protein for histone deacetylase activities, thereby inhibiting liver expression of genes including PED. Dysregulation of these mechanisms may lead to upregulation of the PED gene in type 2 diabetes.
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Literatur
1.
Zurück zum Zitat Sladek R, Rocheleau G, Rung J et al (2007) A genome-wide association study identifies novel risk loci for type 2 diabetes. Nature 445:881–885CrossRefPubMed Sladek R, Rocheleau G, Rung J et al (2007) A genome-wide association study identifies novel risk loci for type 2 diabetes. Nature 445:881–885CrossRefPubMed
2.
Zurück zum Zitat Saxena R, Voight B, Lyssenko V et al (2007) Genome-wide association analysis identifies loci for type 2 diabetes and triglyceride levels. Science 316:1331–1336CrossRefPubMed Saxena R, Voight B, Lyssenko V et al (2007) Genome-wide association analysis identifies loci for type 2 diabetes and triglyceride levels. Science 316:1331–1336CrossRefPubMed
3.
Zurück zum Zitat Prokopenko I, McCarthy M, Lindgren C (2008) Type 2 diabetes: new genes, new understanding. Trends Genet 24:613–621CrossRefPubMed Prokopenko I, McCarthy M, Lindgren C (2008) Type 2 diabetes: new genes, new understanding. Trends Genet 24:613–621CrossRefPubMed
4.
Zurück zum Zitat Danziger N, Yokoyama M, Jay T, Cordier J, Glowinski J, Chneiweiss H (1995) Cellular expression, developmental regulation, and phylogenic conservation of PEA-15, the astrocytic major phosphoprotein and protein kinase C substrate. J Neurochem 64:1016–1025PubMedCrossRef Danziger N, Yokoyama M, Jay T, Cordier J, Glowinski J, Chneiweiss H (1995) Cellular expression, developmental regulation, and phylogenic conservation of PEA-15, the astrocytic major phosphoprotein and protein kinase C substrate. J Neurochem 64:1016–1025PubMedCrossRef
5.
Zurück zum Zitat Condorelli G, Vigliotta G, Iavarone C et al (1998) PED/PEA-15 gene controls glucose transport and is overexpressed in type 2 diabetes mellitus. EMBO J 17:3858–3866CrossRefPubMed Condorelli G, Vigliotta G, Iavarone C et al (1998) PED/PEA-15 gene controls glucose transport and is overexpressed in type 2 diabetes mellitus. EMBO J 17:3858–3866CrossRefPubMed
6.
Zurück zum Zitat Condorelli G, Vigliotta G, Trencia A et al (2001) Protein kinase C (PKC)-alpha activation inhibits PKC-zeta and mediates the action of PED/PEA-15 on glucose transport in the L6 skeletal muscle cells. Diabetes 50:1244–1252CrossRefPubMed Condorelli G, Vigliotta G, Trencia A et al (2001) Protein kinase C (PKC)-alpha activation inhibits PKC-zeta and mediates the action of PED/PEA-15 on glucose transport in the L6 skeletal muscle cells. Diabetes 50:1244–1252CrossRefPubMed
7.
Zurück zum Zitat Valentino R, Lupoli GA, Raciti GA et al (2006) In healthy first-degree relatives of type 2 diabetics, ped/pea-15 gene is overexpressed and related to insulin resistance. Diabetologia 49:3058–3066CrossRefPubMed Valentino R, Lupoli GA, Raciti GA et al (2006) In healthy first-degree relatives of type 2 diabetics, ped/pea-15 gene is overexpressed and related to insulin resistance. Diabetologia 49:3058–3066CrossRefPubMed
8.
Zurück zum Zitat Perfetti A, Oriente F, Iovino S et al (2007) Phorbol esters induce intracellular accumulation of the anti-apoptotic protein ped/pea-15 by preventing ubiquitinylation and proteasomal degradation. J Biol Chem 282:8648–8657CrossRefPubMed Perfetti A, Oriente F, Iovino S et al (2007) Phorbol esters induce intracellular accumulation of the anti-apoptotic protein ped/pea-15 by preventing ubiquitinylation and proteasomal degradation. J Biol Chem 282:8648–8657CrossRefPubMed
9.
Zurück zum Zitat Hayhurst G, Lee Y, Lambert G, Ward J, Gonzalez F (2001) Hepatocyte nuclear factor 4 alpha (nuclear receptor 2A1) is essential for maintenance of hepatic gene expression and lipid homeostasis. Mol Cell Biol 21:1393–1403CrossRefPubMed Hayhurst G, Lee Y, Lambert G, Ward J, Gonzalez F (2001) Hepatocyte nuclear factor 4 alpha (nuclear receptor 2A1) is essential for maintenance of hepatic gene expression and lipid homeostasis. Mol Cell Biol 21:1393–1403CrossRefPubMed
10.
Zurück zum Zitat Pereira F, Tsai M, Tsai S (2000) COUP-TF orphan nuclear receptors in development and differentiation. Cell Mol Life Sci 57:1388–1398CrossRefPubMed Pereira F, Tsai M, Tsai S (2000) COUP-TF orphan nuclear receptors in development and differentiation. Cell Mol Life Sci 57:1388–1398CrossRefPubMed
11.
Zurück zum Zitat Ungaro P, Teperino R, Mirra P et al (2008) Molecular cloning and characterization of the human PED/PEA-15 gene promoter reveal antagonistic regulation by hepatocyte nuclear factor 4 alpha and chicken ovalbumin upstream promoter transcription factor II. J Biol Chem 283:30970–30979CrossRefPubMed Ungaro P, Teperino R, Mirra P et al (2008) Molecular cloning and characterization of the human PED/PEA-15 gene promoter reveal antagonistic regulation by hepatocyte nuclear factor 4 alpha and chicken ovalbumin upstream promoter transcription factor II. J Biol Chem 283:30970–30979CrossRefPubMed
12.
Zurück zum Zitat Li J, Ning G, Duncan SA (2000) Mammalian hepatocyte differentiation requires the transcription factor HNF-4a. Genes Dev 14:464–474PubMed Li J, Ning G, Duncan SA (2000) Mammalian hepatocyte differentiation requires the transcription factor HNF-4a. Genes Dev 14:464–474PubMed
13.
Zurück zum Zitat Parviz F, Matullo C, Garrison W et al (2003) Hepatocyte nuclear factor 4 alpha controls the development of a hepatic epithelium and liver morphogenesis. Nat Genet 34:292–296CrossRefPubMed Parviz F, Matullo C, Garrison W et al (2003) Hepatocyte nuclear factor 4 alpha controls the development of a hepatic epithelium and liver morphogenesis. Nat Genet 34:292–296CrossRefPubMed
14.
Zurück zum Zitat Black MH, Fingerlin TE, Allayee H et al (2008) Evidence of interaction between PPARG2 and HNF4A contributing to variation in insulin sensitivity in Mexican Americans. Diabetes 57:1048–1056CrossRefPubMed Black MH, Fingerlin TE, Allayee H et al (2008) Evidence of interaction between PPARG2 and HNF4A contributing to variation in insulin sensitivity in Mexican Americans. Diabetes 57:1048–1056CrossRefPubMed
15.
Zurück zum Zitat Menjivar M, Granados-Silvestre MA, Montùfar-Robles I et al (2008) High frequency of T130I mutation of HNF4A gene in Mexican patients with early-onset type 2 diabetes. Clin Genet 73:185–187CrossRefPubMed Menjivar M, Granados-Silvestre MA, Montùfar-Robles I et al (2008) High frequency of T130I mutation of HNF4A gene in Mexican patients with early-onset type 2 diabetes. Clin Genet 73:185–187CrossRefPubMed
16.
Zurück zum Zitat Johansson S, Raeder H, Eide SA et al (2007) Studies in 3,523 Norwegians and meta-analysis in 11,571 subjects indicate that variants in the hepatocyte nuclear factor 4 alpha (HNF4A) P2 region are associated with type 2 diabetes in Scandinavians. Diabetes 56:3112–3117CrossRefPubMed Johansson S, Raeder H, Eide SA et al (2007) Studies in 3,523 Norwegians and meta-analysis in 11,571 subjects indicate that variants in the hepatocyte nuclear factor 4 alpha (HNF4A) P2 region are associated with type 2 diabetes in Scandinavians. Diabetes 56:3112–3117CrossRefPubMed
17.
Zurück zum Zitat Rosenfeld MG, Lunyak VV, Glass CK (2006) Sensors and signals: a coactivator/corepressor/epigenetic code for integrating signal-dependent programs of transcriptional response. Genes Dev 20:1405–1428CrossRefPubMed Rosenfeld MG, Lunyak VV, Glass CK (2006) Sensors and signals: a coactivator/corepressor/epigenetic code for integrating signal-dependent programs of transcriptional response. Genes Dev 20:1405–1428CrossRefPubMed
18.
Zurück zum Zitat Strahl BD, Allis CD (2000) The language of covalent histone modifications. Nat Genet 403:41–45CrossRef Strahl BD, Allis CD (2000) The language of covalent histone modifications. Nat Genet 403:41–45CrossRef
19.
Zurück zum Zitat Kouzarides T (2007) Chromatin modifications and their function. Cell Mol Life Sci 128:693–705 Kouzarides T (2007) Chromatin modifications and their function. Cell Mol Life Sci 128:693–705
20.
Zurück zum Zitat Saha A, Wittmeyer J, Cairns BR (2006) Chromatin remodelling: the industrial revolution of DNA around histones. Nat Rev Mol Cell Biol 7:437–447CrossRefPubMed Saha A, Wittmeyer J, Cairns BR (2006) Chromatin remodelling: the industrial revolution of DNA around histones. Nat Rev Mol Cell Biol 7:437–447CrossRefPubMed
21.
Zurück zum Zitat Roth TY, Cuddapah S, Cui K, Zhao K (2006) The genomic landscape of histone modifications in human T cells. Proc Natl Acad Sci USA 103:15782–15787CrossRef Roth TY, Cuddapah S, Cui K, Zhao K (2006) The genomic landscape of histone modifications in human T cells. Proc Natl Acad Sci USA 103:15782–15787CrossRef
22.
Zurück zum Zitat Kurdistani SK, Tavazoie S, Grunstein M (2004) Mapping global histone acetylation patterns to gene expression. Cell 117:721–733CrossRefPubMed Kurdistani SK, Tavazoie S, Grunstein M (2004) Mapping global histone acetylation patterns to gene expression. Cell 117:721–733CrossRefPubMed
23.
Zurück zum Zitat Schubeler D, MacAlpine DM, Scalzo D et al (2004) The histone modification pattern of active genes revealed through genome-wide chromatin analysis of a higher eukaryote. Genes Dev 18:1263–1271CrossRefPubMed Schubeler D, MacAlpine DM, Scalzo D et al (2004) The histone modification pattern of active genes revealed through genome-wide chromatin analysis of a higher eukaryote. Genes Dev 18:1263–1271CrossRefPubMed
24.
Zurück zum Zitat Fischle W, Wang Y, Allis CD (2003) Histone and chromatin cross-talk. Curr Opin Cell Biol 15:172–183CrossRefPubMed Fischle W, Wang Y, Allis CD (2003) Histone and chromatin cross-talk. Curr Opin Cell Biol 15:172–183CrossRefPubMed
25.
Zurück zum Zitat Peterson TJ, Karmakar S, Pace MC, Gao T, Smith CL (2007) The silencing mediator of retinoic acid and thyroid hormone receptor (SMRT) corepressor is required for full estrogen receptor alpha transcriptional activity. Mol Cell Biol 27:5933–5948CrossRefPubMed Peterson TJ, Karmakar S, Pace MC, Gao T, Smith CL (2007) The silencing mediator of retinoic acid and thyroid hormone receptor (SMRT) corepressor is required for full estrogen receptor alpha transcriptional activity. Mol Cell Biol 27:5933–5948CrossRefPubMed
26.
Zurück zum Zitat Vigliotta G, Miele C, Santopietro S et al (2004) Overexpression of the ped/pea-15 gene causes diabetes by impairing glucose-stimulated insulin secretion in addition to insulin action. Mol Cell Biol 24:5005–5015CrossRefPubMed Vigliotta G, Miele C, Santopietro S et al (2004) Overexpression of the ped/pea-15 gene causes diabetes by impairing glucose-stimulated insulin secretion in addition to insulin action. Mol Cell Biol 24:5005–5015CrossRefPubMed
27.
Zurück zum Zitat Rao S, Procko E, Shannon MF (2001) Chromatin remodeling, measured by a novel real-time polymerase chain reaction assay, across the proximal promoter region of the IL-2 gene. J Immunol 167:4494–4503PubMed Rao S, Procko E, Shannon MF (2001) Chromatin remodeling, measured by a novel real-time polymerase chain reaction assay, across the proximal promoter region of the IL-2 gene. J Immunol 167:4494–4503PubMed
28.
Zurück zum Zitat Hogan GJ, Lee C, Lieb JD (2006) Cell cycle-specified fluctuation of nucleosome occupancy at gene promoters. PLoS Genetics 2:1433–1450CrossRef Hogan GJ, Lee C, Lieb JD (2006) Cell cycle-specified fluctuation of nucleosome occupancy at gene promoters. PLoS Genetics 2:1433–1450CrossRef
29.
Zurück zum Zitat Overbergh L, Valckx D, Waer M, Mathieu C (1999) Quantification of murine cytokine mRNAs using real time quantitative reverse transcriptase PCR. Cytokine 11:305–312CrossRefPubMed Overbergh L, Valckx D, Waer M, Mathieu C (1999) Quantification of murine cytokine mRNAs using real time quantitative reverse transcriptase PCR. Cytokine 11:305–312CrossRefPubMed
30.
Zurück zum Zitat Santos-Rosa H, Schneider R, Bannister AJ et al (2002) Active genes are tri-methylated at K4 of histone H3. Nature 419:407–411CrossRefPubMed Santos-Rosa H, Schneider R, Bannister AJ et al (2002) Active genes are tri-methylated at K4 of histone H3. Nature 419:407–411CrossRefPubMed
31.
Zurück zum Zitat Lachner M, O’Sullivan RJ, Jenuwein T (2003) An epigenetic road map for histone lysine methylation. J Cell Sci 116:2117–2124CrossRefPubMed Lachner M, O’Sullivan RJ, Jenuwein T (2003) An epigenetic road map for histone lysine methylation. J Cell Sci 116:2117–2124CrossRefPubMed
32.
Zurück zum Zitat Chen J, Kinyamu HK, Archer TK (2009) Changes in attitude, changes in latitude: nuclear receptors remodeling chromatin to regulate transcription. Mol Endocrinol 20:1–13CrossRef Chen J, Kinyamu HK, Archer TK (2009) Changes in attitude, changes in latitude: nuclear receptors remodeling chromatin to regulate transcription. Mol Endocrinol 20:1–13CrossRef
33.
Zurück zum Zitat McKenna NJ, O’Malley BW (2002) Combinatorial control of gene expression by nuclear receptors and coregulators. Cell 108:465–474CrossRefPubMed McKenna NJ, O’Malley BW (2002) Combinatorial control of gene expression by nuclear receptors and coregulators. Cell 108:465–474CrossRefPubMed
34.
Zurück zum Zitat Grignani F, de Matteis S, Nervi C et al (1998) Fusion proteins of the retinoic acid receptor-alpha recruit histone deacetylase in promyelocytic leukaemia. Nature 391:815–818CrossRefPubMed Grignani F, de Matteis S, Nervi C et al (1998) Fusion proteins of the retinoic acid receptor-alpha recruit histone deacetylase in promyelocytic leukaemia. Nature 391:815–818CrossRefPubMed
35.
Zurück zum Zitat Guenther MG, Lane WS, Fischle W, Verdin E, Lazar MA, Shiekhattar R (2000) A core SMRT corepressor complex containing HDAC3 and TBL1, a WD40-repeat protein linked to deafness. Genes Dev 14:1048–1057PubMed Guenther MG, Lane WS, Fischle W, Verdin E, Lazar MA, Shiekhattar R (2000) A core SMRT corepressor complex containing HDAC3 and TBL1, a WD40-repeat protein linked to deafness. Genes Dev 14:1048–1057PubMed
36.
Zurück zum Zitat Gupta R, Vatamaniuk M, Lee C et al (2005) The MODY gene HNF4alpha regulates selected genes involved in insulin secretion. J Clin Invest 115:1006–1015PubMed Gupta R, Vatamaniuk M, Lee C et al (2005) The MODY gene HNF4alpha regulates selected genes involved in insulin secretion. J Clin Invest 115:1006–1015PubMed
37.
Zurück zum Zitat Hohmeier H, Mulder H, Chen G, Henkel-Rieger R, Prentki M, Newgard C (2000) Isolation of INS-1 derived cell lines with robust ATP-sensitive K+ channel-dependent and -independent glucose-stimulated insulin secretion. Diabetes 49:424–430CrossRefPubMed Hohmeier H, Mulder H, Chen G, Henkel-Rieger R, Prentki M, Newgard C (2000) Isolation of INS-1 derived cell lines with robust ATP-sensitive K+ channel-dependent and -independent glucose-stimulated insulin secretion. Diabetes 49:424–430CrossRefPubMed
38.
Zurück zum Zitat Ruse MDJ, Privalsky ML, Sladek FM (2002) Competitive cofactor recruitment by orphan receptor hepatocyte nuclear factor 4 alpha 1: modulation by the F domain. Mol Cell Biol 22:1626–1638CrossRefPubMed Ruse MDJ, Privalsky ML, Sladek FM (2002) Competitive cofactor recruitment by orphan receptor hepatocyte nuclear factor 4 alpha 1: modulation by the F domain. Mol Cell Biol 22:1626–1638CrossRefPubMed
39.
Zurück zum Zitat Odom DT, Zizlsperger N, Gordon DB et al (2004) Control of pancreas and liver gene expression by HNF transcription factors. Science 303:1378–1381CrossRefPubMed Odom DT, Zizlsperger N, Gordon DB et al (2004) Control of pancreas and liver gene expression by HNF transcription factors. Science 303:1378–1381CrossRefPubMed
40.
Zurück zum Zitat Sladek F, Zhong WM, Lai E, Darnell JE (1990) Liver-enriched transcription factor HNF-4 is a novel member of the steroid hormone receptor superfamily. Genes Dev 4:2353–2365CrossRefPubMed Sladek F, Zhong WM, Lai E, Darnell JE (1990) Liver-enriched transcription factor HNF-4 is a novel member of the steroid hormone receptor superfamily. Genes Dev 4:2353–2365CrossRefPubMed
41.
Zurück zum Zitat Wang JC, Stafford JM, Granner DK (1998) SRC-1 and GRIP1 coactivate transcription with hepatocyte nuclear factor 4. J Biol Chem 273:30847–30850CrossRefPubMed Wang JC, Stafford JM, Granner DK (1998) SRC-1 and GRIP1 coactivate transcription with hepatocyte nuclear factor 4. J Biol Chem 273:30847–30850CrossRefPubMed
42.
Zurück zum Zitat Yoshida E, Aratani S, Itou H et al (1997) Functional association between CBP and HNF-4 in trans-activation. Biochem Biophys Res Commun 241:664–669CrossRefPubMed Yoshida E, Aratani S, Itou H et al (1997) Functional association between CBP and HNF-4 in trans-activation. Biochem Biophys Res Commun 241:664–669CrossRefPubMed
43.
Zurück zum Zitat Nofsinger RR, Li P, Hong SH et al (2008) SMRT repression of nuclear receptors controls the adipogenic set point and metabolic homeostasis. Proc Natl Acad Sci USA 105:20021–20026CrossRefPubMed Nofsinger RR, Li P, Hong SH et al (2008) SMRT repression of nuclear receptors controls the adipogenic set point and metabolic homeostasis. Proc Natl Acad Sci USA 105:20021–20026CrossRefPubMed
44.
Zurück zum Zitat Jaenisch R, Bird A (2003) Epigenetic regulation of gene expression: how the genome integrates intrinsic and environmental signals. Nat Genet Supplement 33:245–254CrossRef Jaenisch R, Bird A (2003) Epigenetic regulation of gene expression: how the genome integrates intrinsic and environmental signals. Nat Genet Supplement 33:245–254CrossRef
45.
Zurück zum Zitat Tremblay J, Hamet P (2008) Impact of genetic and epigenetic factors from early life to later disease. Metabolism 57:S27–S31CrossRefPubMed Tremblay J, Hamet P (2008) Impact of genetic and epigenetic factors from early life to later disease. Metabolism 57:S27–S31CrossRefPubMed
46.
Zurück zum Zitat Jirtle RL, Skinner MK (2007) Environmental epigenomics and disease susceptibility. Nat Rev Genet 8:253–262CrossRefPubMed Jirtle RL, Skinner MK (2007) Environmental epigenomics and disease susceptibility. Nat Rev Genet 8:253–262CrossRefPubMed
47.
Zurück zum Zitat Park JH, Stoffers DA, Nicholls RD, Simmons RA (2008) Development of type 2 diabetes following intrauterine growth retardation in rats is associated with progressive epigenetic silencing of Pdx1. J Clin Invest 118:2316–2324CrossRefPubMed Park JH, Stoffers DA, Nicholls RD, Simmons RA (2008) Development of type 2 diabetes following intrauterine growth retardation in rats is associated with progressive epigenetic silencing of Pdx1. J Clin Invest 118:2316–2324CrossRefPubMed
48.
Zurück zum Zitat Dabelea D, Mayer-Davis E, Lamichhane A et al (2008) Association of intrauterine exposure to maternal diabetes and obesity with type 2 diabetes in youth: the SEARCH Case–Control Study. Diabetes Care 31:1422–1426CrossRefPubMed Dabelea D, Mayer-Davis E, Lamichhane A et al (2008) Association of intrauterine exposure to maternal diabetes and obesity with type 2 diabetes in youth: the SEARCH Case–Control Study. Diabetes Care 31:1422–1426CrossRefPubMed
49.
Zurück zum Zitat Gill-Randall R, Adams D, Ollerton R, Lewis M, Alcolado J (2004) Type 2 diabetes mellitus—genes or intrauterine environment? An embryo transfer paradigm in rats. Diabetologia 47:1354–1359CrossRefPubMed Gill-Randall R, Adams D, Ollerton R, Lewis M, Alcolado J (2004) Type 2 diabetes mellitus—genes or intrauterine environment? An embryo transfer paradigm in rats. Diabetologia 47:1354–1359CrossRefPubMed
50.
Zurück zum Zitat Dabelea D, Pettitt D (2001) Intrauterine diabetic environment confers risks for type 2 diabetes mellitus and obesity in the offspring, in addition to genetic susceptibility. J Pediatr Endocrinol Metab 14:1085–1091PubMed Dabelea D, Pettitt D (2001) Intrauterine diabetic environment confers risks for type 2 diabetes mellitus and obesity in the offspring, in addition to genetic susceptibility. J Pediatr Endocrinol Metab 14:1085–1091PubMed
51.
Zurück zum Zitat Diakoumopoulou E, Tentolouris N, Kirlaki E et al (2005) Plasma homocysteine levels in patients with type 2 diabetes in a Mediterranean population: relation with nutritional and other factors. Nutr Metab Cardiovasc Dis 15:109–117CrossRefPubMed Diakoumopoulou E, Tentolouris N, Kirlaki E et al (2005) Plasma homocysteine levels in patients with type 2 diabetes in a Mediterranean population: relation with nutritional and other factors. Nutr Metab Cardiovasc Dis 15:109–117CrossRefPubMed
52.
Zurück zum Zitat Poulsen P, Kyvik KO, Vaag A, Beck-Nielsen H (1999) Heritability of type II (non insulin-dependent) diabetes mellitus and abnormal glucose tolerance—a population-based twin study. Diabetologia 42:139–145CrossRefPubMed Poulsen P, Kyvik KO, Vaag A, Beck-Nielsen H (1999) Heritability of type II (non insulin-dependent) diabetes mellitus and abnormal glucose tolerance—a population-based twin study. Diabetologia 42:139–145CrossRefPubMed
Metadaten
Titel
Hepatocyte nuclear factor (HNF)-4α-driven epigenetic silencing of the human PED gene
verfasst von
P. Ungaro
R. Teperino
P. Mirra
M. Longo
M. Ciccarelli
G. A. Raciti
C. Nigro
C. Miele
P. Formisano
F. Beguinot
Publikationsdatum
01.07.2010
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 7/2010
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-010-1732-x

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