Midkine (MK) is a heparin-binding growth factor which is strongly expr
essed during the midgestation period of mouse embryogenesis. Wilms' tu
mor is an embryonal kidney malignancy in infants, and WT1 has been ide
ntified as its tumor suppressor gene. The high expression level of MK
in all Wilms' tumor specimens so far examined and the presence of two
WT1 elements (5-GCGGGGGCG-3') in the human MK promoter region led us t
o examine the possible role of the WT1 gene product in the regulation
of MK gene expression. A gel shift assay verified the complex formatio
n between the WT1 gene product and WT1 consensus sequence of MK gene.
DNase1 footprint analysis also demonstrated that the downstream WT1 el
ement was protected from DNase1 cleavage by the addition of the WT1 pr
otein. The human MK promoter fused with the chloramphenicol acetyltran
sferase gene (phMK2.3kCAT) was cotransfected with an effector plasmid
containing the WT1 gene into several cell lines. Transient transfectio
n assays showed suppression of the MK promoter by WT1 co-transfection
in recipient cells; deletion of the WT1 binding site abolished the sup
pression. The evidence reported in this study indicates that MK gene i
s a newly identified WT1 target gene.