The mechanism whereby ethanol ingestion results in hepatic fibrosis re
mains unknown. Acetaldehyde has been shown to increase alpha(1)(I) col
lagen gene transcription in human fibroblasts and in rat myofibroblast
like cells (Ito cells) in culture. In this study, the effect of acetal
dehyde was determined on the activation of the alpha(2)(I) collagen pr
omoter. A plasmid containing the mouse alpha(2)(I) collagen promoter r
egion (-2000 to 54), fused to the coding sequence of the reporter gene
chloramphenicol acetyl transferase and similar plasmid constructs con
taining deletions in the collagen promoter, were transfected into NIH
3T3 fibroblasts in culture. Acetaldehyde (200 mu mol/L) and transformi
ng growth factor-beta 1 (5 ng/ml) activated the wild type promoter. Th
e combination of acetaldehyde and transforming growth factor-beta 1 di
d not result in a greater effect than either alone. Acetaldehyde inhib
ited, whereas transforming growth factor-beta 1 did not activate, the
promoter, with a -352 to -104 deletion. By contrast, acetaldehyde had
no effect, whereas transforming growth factor-beta 1 resulted in a sma
ll decrease in the activity of the promoter, with a -501 to -352 delet
ion. This study shows that acetaldehyde and transforming growth factor
-beta 1 independently activate the mouse alpha(2)(I) collagen promoter
and that this activation is mediated by the same proximal region of t
he promoter.