Function of human renin proximal promoter DNA. An understanding of the
mechanisms involved in the control of the human renin promoter have b
een hampered and confounded in work to date because of deficiencies in
material available and experimental design. The promoter appears to b
e weak and a good cell model is lacking. Chorio-decidual cultures have
been used since these have high renin synthesis, are readily availabl
e and grow well in culture. They suffer, however, from phenotypic vari
ability and do not transfect well in transient expression analyses. Re
cent evidence suggests that 2.6 kb of proximal 5'-flanking DNA is unab
le to induce native promoter activity under basal conditions. Experime
nts in which an exogenous enhancer was introduced have raised the poss
ibility that an endogenous enhancer residing outside of the 2.6 kb 5'-
flanking region could be required. Cell-type specific factors also app
ear to be needed. The proximal flanking DNA does, however, appear to b
e capable of conferring activity on the promoter in chorio-decidual ce
lls under stimulated conditions, suggesting that factors so activated
may have considerable importance. Evidence suggests that forskolin-res
ponsive signal transduction pathways may lead cyclic AMP responsive el
ement (CRE) binding protein (CREB) to act on a CRE at -222 in the prox
imal REN promoter DNA. Activation of the mouse promoter by cAMP appear
s to involve a different element, however. Furthermore, overall contro
l of renin synthesis is likely to involve post-transcriptional mechani
sms as well. Thus, despite being the first cardiovascular gene to be c
loned, much more work is required before the control of the human reni
n gene is fully understood.