Diabetes mellitus is a significant health problem, affecting over 18 million people in the United States alone.Mutations in several hepatic nuclear factors have been linked to early onset non-insulin dependent diabetesmellitus (MODY), underscoring the importance of the hepatic transcription factors for glucose homeostasis.In the previous grant cycle, we have employed tissue-specific gene ablation to demonstrate the essentialfunction of Foxa2 (previously known as HNF3(3) in the integration of the transcriptional response of thehepatocyte to fasting. In addition, Foxa2 has been proposed as a major mediator of insulin signaling inhepatocytes. We propose the following three Aims:
In Aim 1, which is the direct result of the interactions within the PO1 with Dr. Birnbaum, we will test thehypothesis that Foxa2 is the major mediator of insulin signaling via AKT2 using genetic means. We willderive mice which are deficient for both AKT2 and Foxa2 in hepatocytes to test if Foxa2 is indeed required toestablish the AKT2 mutant phenotype.
In Aim 2, we will collaborate with Dr. Ahima to investigate thecombined role of Foxa1 AND Foxa2 in hepatic metabolism.
This aim i s based on our discovery that Foxaland Foxa2 act jointly to enable the hepatogenic program during fetal devlopment. We hypothesize that thetwo genes also cooperate in transcription in the adult hepatocyte. We will use simulatenous conditional geneablatation for Foxa1 and Foxa2 combined with physiological and genomics approaches to test ourhypothesis that the two genes open chromatin to enable binding of hormone-dependent transcription factorslike CREB and GR.
In Aim 3, we will address a recent controversy concerning the regulation of hepaticgluconeogenesis by cAMP. Currently, two conflicting models exist regarding the regulation of thetranscription factor CREB in hepatocyte. The first proposes that PKA-dependent phosphorylation of CREB isrequired for recruitment of the co-activator CBP/p300 and subsequent activation of target genes, while thesecond invokes PKA-dependent translocation of the novel co-activator TORC2 from the cytoplasm to thenucleus as the central regulator of CREB-dependent transcription. We will address the relative importanceof both pathways in hepatic glucose homeostasis by genetic means. We will develop mouse modelscarrying a Ser/Ala mutation in the PKA-phosphorylation site of CREB or a hepatocyte-specific ablation ofTORC2, and analyze the consequences to glucose metabolism both in vivo and in isolated hepatocytes.Together, these studies will further our understanding of the transcriptional regulation of hepatic metabolismand in insulin action.

National Institute of Health (NIH)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Research Program Projects (P01)
Project #
Application #
Study Section
Special Emphasis Panel (ZDK1-GRB-6 (M1))
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Pennsylvania
United States
Zip Code
Juliana, Christine A; Yang, Juxiang; Cannon, Corey E et al. (2018) A PDX1-ATF transcriptional complex governs ? cell survival during stress. Mol Metab 17:39-48
Barnoud, Thibaut; Budina-Kolomets, Anna; Basu, Subhasree et al. (2018) Tailoring Chemotherapy for the African-Centric S47 Variant of TP53. Cancer Res 78:5694-5705
Kim, Yong Hoon; Marhon, Sajid A; Zhang, Yuxiang et al. (2018) Rev-erb? dynamically modulates chromatin looping to control circadian gene transcription. Science 359:1274-1277
Plikus, Maksim V; Guerrero-Juarez, Christian F; Ito, Mayumi et al. (2017) Regeneration of fat cells from myofibroblasts during wound healing. Science 355:748-752
Juliana, Christine A; Yang, Juxiang; Rozo, Andrea V et al. (2017) ATF5 regulates ?-cell survival during stress. Proc Natl Acad Sci U S A 114:1341-1346
Ediger, Benjamin N; Lim, Hee-Woong; Juliana, Christine et al. (2017) LIM domain-binding 1 maintains the terminally differentiated state of pancreatic ? cells. J Clin Invest 127:215-229
Jang, Jessica C; Li, Jiang; Gambini, Luca et al. (2017) Human resistin protects against endotoxic shock by blocking LPS-TLR4 interaction. Proc Natl Acad Sci U S A 114:E10399-E10408
Carr, Rotonya M; Dhir, Ravindra; Mahadev, Kalyankar et al. (2017) Perilipin Staining Distinguishes Between Steatosis and Nonalcoholic Steatohepatitis in Adults and Children. Clin Gastroenterol Hepatol 15:145-147
Park, Hyeong Kyu; Kwak, Mi Kyung; Kim, Hye Jeong et al. (2017) Linking resistin, inflammation, and cardiometabolic diseases. Korean J Intern Med 32:239-247
Ackermann, Amanda M; Zhang, Jia; Heller, Aryel et al. (2017) High-fidelity Glucagon-CreER mouse line generated by CRISPR-Cas9 assisted gene targeting. Mol Metab 6:236-244

Showing the most recent 10 out of 220 publications