The mechanisms by which neuroendocrine stimulants regulate CCK gene transcr
iption are unclear. We examined promoter activation by pituitary adenylate
cyclase-activating polypeptide (PACAP), a known CCK secretagogue, in the en
teroendocrine cell line STC-1. The promoter region from -70 to -87 bp, rela
tive to the transcriptional start site, contains a composite calcium/cyclic
AMP response element (CRE)/activator protein 1 (AP1) site that may bind CR
E binding protein (CREB) and AP1. PACAP (with IBMX) stimulated expression o
f an 87-bp construct 3.35 +/- 0.36-fold but had no effect on a 270 construc
t. The effect was blocked by the protein kinase A inhibitor H-89 and by a d
ominant-negative CREB plasmid. Mutation of the CRE/AP1 site to a canonical
CRE site did not affect the response to PACAP, but mutation to a canonical
AP1 site prevented it. CREB phosphorylation was increased after PACAP treat
ment. Electrophoretic mobility shift assay and supershift analysis revealed
that CREB and not AP1 bound to the CRE/AP1 site and that PACAP increased t
he proportion of phosphorylated CREB that was bound. We conclude that PACAP
increases CCK gene expression via a cAMP-mediated pathway involving CREB p
hosphorylation by protein kinase A and activation of a composite CRE/AP1 si
te.