In earlier studies, we had suggested that the fasting signal induces TR4 orphan nuclear receptor expression in vivo. The detailed
mechanism(s), however, remain unclear. In this study, we found that cAMP/PKA, the mediator of fasting and glucagon signals,
could induce TR4 gene expression that in turn modulates gluconeogenesis. Mechanistic dissection by in vitro studies in hepatocytes
demonstrated that cAMP/PKA might trigger C/EBP α and β binding to the selective cAMP response element, which is located at
the TR4 promoter, thus inducing TR4 transcription. We also demonstrated that the binding activity of C/EBPs to the TR4 promoter
is increased in response to cAMP treatment. Together, our data identified a new signaling pathway from the fasting signal → cAMP/PKA → C/EBP
α and β → TR4 → gluconeogenesis in hepatocytes; and suggested that TR4 could be an important regulator to control glucose
homeostasis. The identification of activator(s)/inhibitor(s) or ligand(s) of TR4 may provide us an alternative way to control
gluconeogenesis.
Keywords TR4 - Orphan nuclear receptor - Cyclic AMP - Protein kinase A - CAAT/enhancer binding protein - Gene promoter - Chromatin immunoprecipitation