Binds E-box motifs (5’-CACGTG-3’) and pyrimidine-rich initiator elements to regulate genes involved in lipid metabolism (e.g., FASN, ACC), insulin signaling, and stress responses .
Interacts with co-factors like SREBP1C, SP1, and PCAF to modulate chromatin accessibility and transcriptional activation .
Variants in USF1 are linked to familial combined hyperlipidemia (FCHL), characterized by elevated triglycerides and cardiovascular risk .
In atherosclerosis, reduced USF1 expression correlates with plaque progression and altered CXCR4/HBB gene expression .
Overexpression of USF1 in hepatocellular carcinoma (HCC) regulates 350 differentially expressed genes (DEGs), including NEAT1 (a tumor-suppressive lncRNA) and ETV5 (a transcription factor) .
USF1 binds promoter regions of 10,891 genes, with enrichment near transcription start sites (TSS) of apoptosis and cell-cycle regulators .
ChIP-seq revealed USF1 binding motifs (e.g., G(C)GTCACGTGA(G)) at promoters of protein-coding genes and lncRNAs .
In HCC cells, USF1 overexpression downregulates NEAT1, which is associated with poor prognosis (Fig. 5E–F) .
USF1 haplotype GCC CGG carriers exhibit reduced USF1 expression and dysregulated lipid metabolism genes (e.g., CXCR4, HBB), impacting cardiovascular outcomes .
| Category | Proteins Involved |
|---|---|
| Phosphorylation | ERK1/2, DNA-PK, AMPK |
| Acetylation | PCAF |
| Methylation | SET7/9 |
| Transcription Co-Factors | SREBP1C, MED17, BAF60c |
| Gene | Function | Regulation by USF1 |
|---|---|---|
| NEAT1 | Tumor-suppressive lncRNA | Downregulated |
| ETV5 | Oncogenic transcription factor | Upregulated |
| FASN | Fatty acid synthase | Upregulated |
USF1 is a member of the helix-loop-helix leucine zipper family of transcription factors. It is located in region q22.3 of chromosome 1, contains 11 exons, and has a total length of 5,734 kb. The protein functions by binding to the E-box motif in the promoter regions of its target genes, leading to transcription activation and/or enhanced gene expression . The helix-loop-helix motif is critical for its DNA-binding capabilities and subsequent transcriptional regulation activities.
USF1 serves as a crucial transcriptional regulator for more than 40 cardiovascular-related genes . It plays a significant role in regulating genes involved in lipid and glucose metabolism . In normal physiology, USF1 helps maintain homeostasis of various metabolic pathways by controlling the expression of target genes in response to cellular needs and environmental signals. Its ubiquitous expression pattern suggests fundamental roles across multiple tissue types and biological systems.
USF1 expression can be measured through several methodological approaches:
Immunohistochemical assays for protein-level detection in tissue samples
RT-PCR or qPCR for transcript-level quantification
Whole genome mRNA expression profiling in tissue samples, as demonstrated in studies using atherosclerotic samples
The choice of method depends on the research question, with protein-level methods providing information about translated USF1, while transcript analyses reveal regulation at the gene expression level.
For studying USF1's transcriptional regulatory functions, several experimental approaches have proven effective:
Promoter Region Analysis and Dual-Luciferase Assays: These techniques help determine whether USF1 binds to specific promoter regions. For example, researchers have used this approach to explore USF1's binding to the UGT1A3 promoter region .
siRNA Knockdown and Recovery Experiments: These methods can reveal the regulatory effects of USF1 on target genes by first reducing USF1 expression and then restoring it to observe changes in target gene expression .
Two-Group Experimental Designs: When testing the effects of USF1 variants or manipulations, pretest-posttest control group designs can be utilized, where subjects are randomly assigned to treatment and control groups with measurements taken before and after intervention .
The effect can be calculated as:
Treatment Effect = (O₂ - O₁) - (O₄ - O₃)
Where O represents observations at different timepoints for treatment and control groups.
USF1 genetic variants significantly influence cardiovascular disease risk through several mechanisms that require specific methodological approaches to investigate:
SNP Analysis: Particular SNPs like rs2516839 have been associated with atherosclerotic lesion development. This SNP tags common USF1 haplotypes and has been linked to the presence of advanced atherosclerotic plaques (P=0.02) and calcified lesions (P<0.001) in coronary arteries .
Quantitative Morphometric Measurements: In autopsy studies (like the Helsinki Sudden Death Study with 700 middle-aged men), researchers quantitatively measured coronary atherosclerosis to correlate with USF1 variants .
Risk Calculation: Carriers of risk alleles of rs2516839 showed a 2-fold increased risk for sudden cardiac death (genotype TT versus CC; OR 2.10, 95% CI 1.17 to 3.75, P=0.04) .
Sex-Specific Analysis: Studies have shown that USF1 regulates levels and metabolism of circulating apoB and apoB-containing lipoprotein particles in a sex-dependent manner, highlighting the importance of sex-stratified analyses .
Researchers should incorporate both genetic analysis and quantitative phenotyping to fully capture these associations.
Several methodological challenges exist when addressing contradictory findings about USF1:
Sex-Dependent Effects: Studies have shown that USF1 allelic variants influence cardiovascular disease risk differently between males and females . For example, in studies of atherosclerosis, women were more likely to have senile plaques compared to men (OR 2.15, CI 1.49–3.11, P<0.0001) .
Age-Specific Influences: The G-allele of rs2774276 has been associated with late-stage senile plaques among women but early non-neuritic senile plaques among men . Statistical analyses should include age as a variable or stratify results by age groups.
Tissue-Specific Expression: USF1 may have different effects depending on the tissue examined. Researchers should clearly specify which tissues were analyzed and be cautious about extrapolating findings across tissue types.
Interaction with Other Genes: USF1 interacts with numerous genes, including APOE in Alzheimer's disease contexts . Controlling for these interactions is crucial when designing studies.
To address these challenges, researchers should:
Include sufficiently large sample sizes
Stratify analyses by sex and age
Perform tissue-specific investigations
Consider gene-gene interactions
USF1 contributes to lung adenocarcinoma (LUAD) progression through specific mechanisms supported by experimental evidence:
Transcriptional Regulation of UGT1A3: USF1 has been identified as an important transcriptional regulator of UGT1A3, which is highly expressed in LUAD and associated with poor prognosis .
Signaling Pathway Involvement: USF1 promotes LUAD progression by regulating the neurotrophin signaling pathway, specifically the P75NTR, RIPK2, IRAK1, TRAF5, and IKKβ axis .
Experimental Evidence:
This relationship suggests USF1 could serve as a potential therapeutic target for LUAD treatment, particularly given UGT1A3's association with tumor drug resistance.
USF1 polymorphisms show significant associations with Alzheimer's disease (AD) neuropathology, particularly regarding senile plaques (SP) and neurofibrillary tangles (NFT):
Specific SNP Associations:
Haplotype Effects:
This relationship exhibits significant gender- and age-associated effects, suggesting USF1 has an independent influence on AD-related brain lesion development that varies by demographic factors.
| USF1 Haplotype | rs10908821 | rs2073658 | rs2774276 | rs2516839 | rs1556259 | rs2774279 | Frequency |
|---|---|---|---|---|---|---|---|
| Haplotype 2 | C | C | C | T | A | T | 24.6% |
| Haplotype 3 | C | C | C | C | G | C | 13.2% |
| Haplotype 5 | C | C | G | C | A | C | (Not provided) |
| Haplotype 7 | G | C | G | C | A | C | (Not provided) |
Table 1: USF1 Haplotypes and their frequencies in study populations. Haplotype 7 (GCGCAC) contains risk alleles associated with senile plaques in females.
The most effective study designs for investigating USF1's role in cardiovascular pathology include:
Autopsy-Based Studies with Quantitative Morphometric Measurements: The Helsinki Sudden Death Study exemplifies this approach, where 700 middle-aged men were examined with quantitative morphometric measurements of coronary atherosclerosis . This allowed precise correlation between USF1 variants and physical manifestations of disease.
Combined Genotype-Phenotype Studies: Research should integrate genetic analysis (USF1 SNPs) with detailed phenotypic characterization (atherosclerotic lesion types, calcification patterns) .
Sex-Stratified Analyses: Given the sex-dependent effects of USF1 variants on lipoprotein metabolism, studies should either stratify by sex or explicitly test for sex-specific effects .
Longitudinal Designs: Six-year follow-up studies have been effective in tracking changes in serum indices of lipoprotein metabolism and early markers of asymptomatic atherosclerosis in relation to USF1 variants .
Functional Validation Studies: Whole genome mRNA expression profiling in histologically classified atherosclerotic samples can validate the functional impact of genetic variations .
These designs provide robust evidence of USF1's role by connecting genetic variation to measurable cardiovascular outcomes and mechanistic pathways.
Analyzing USF1 expression in heterogeneous tissue samples requires careful methodological considerations:
Histological Classification: First classify tissue samples histologically before proceeding with expression analysis, as demonstrated in studies of atherosclerotic plaques .
Multiple Detection Methods: Employ complementary approaches such as:
Cell-Type Specific Analysis: When possible, isolate specific cell populations from heterogeneous samples to determine cell-type specific expression patterns.
Control for Confounding Variables: Age, sex, cause of death, and comorbidities should be recorded and controlled for in statistical analyses, as these factors can significantly impact USF1 expression .
Statistical Approaches for Heterogeneity: Use statistical methods that account for sample heterogeneity, such as:
Mixed effects models
Analysis of covariance (ANCOVA)
Stratification by relevant variables
By combining these approaches, researchers can obtain more reliable and interpretable data from heterogeneous tissue samples.
Based on current research, several promising therapeutic targets related to USF1 pathways emerge:
USF1-UGT1A3 Axis in Lung Adenocarcinoma: The transcriptional relationship between USF1 and UGT1A3 may provide new avenues for studying drug resistance and therapy in LUAD. USF1 itself could serve as a potential therapeutic target given its role in promoting cancer progression .
Neurotrophin Signaling Pathway Components: The P75NTR, RIPK2, IRAK1, TRAF5, and IKKβ axis regulated by USF1 in LUAD progression presents multiple potential intervention points .
USF1 in Cardiovascular Disease: Given USF1's regulation of more than 40 cardiovascular-related genes, targeting specific USF1-mediated pathways could help reduce atherosclerotic lesion development and sudden cardiac death risk .
Sex-Specific Interventions: The observed sex-dependent effects of USF1 variants suggest that sex-specific therapeutic approaches might be more effective, particularly for lipoprotein metabolism disorders .
USF1-APOE Interactions in Alzheimer's Disease: The interplay between USF1 and APOE in AD pathology suggests potential targets for reducing senile plaque formation, particularly in sex- and age-specific contexts .
These targets warrant further investigation through preclinical models and eventual translation into clinical studies.
Several methodological advances would enhance our understanding of USF1's tissue-specific effects:
Single-Cell Transcriptomics: This technology would allow researchers to examine USF1 expression at the single-cell level across different tissues, revealing cell-type specific regulation patterns that may be masked in bulk tissue analysis.
Spatial Transcriptomics: These methods preserve spatial information while profiling gene expression, which would help map USF1 activity within specific tissue structures and microenvironments.
CRISPR-Based Functional Genomics: Tissue-specific USF1 knockout or knockdown models using CRISPR technology would help delineate its role in different contexts without the confounding effects of systemic manipulation.
Improved Tissue-Specific Promoter Analysis: Techniques to better characterize how USF1 interacts with tissue-specific promoters and enhancers would clarify its regulatory mechanisms across different tissues.
Integrative Multi-Omics Approaches: Combining genomics, transcriptomics, proteomics, and metabolomics data from the same tissues would provide a more comprehensive picture of USF1's tissue-specific effects and downstream consequences.
Longitudinal In Vivo Imaging: Development of methods to track USF1 activity in living tissues over time would help understand its dynamic regulation in response to physiological changes or disease progression.
These methodological advances would significantly enhance our ability to understand the complex tissue-specific effects of USF1 and potentially reveal new therapeutic opportunities.
Upstream Transcription Factor 1 (USF1) is a ubiquitously expressed transcription factor that plays a crucial role in the regulation of various metabolic and vascular diseases. It is encoded by the USF1 gene located on chromosome 1q23.3 in humans . USF1 belongs to the basic helix-loop-helix leucine zipper (bHLH-LZ) family of transcription factors, which are known for their ability to bind DNA and regulate gene expression .
USF1 is characterized by its bHLH-LZ motif, which facilitates DNA binding and dimerization with other proteins. This transcription factor is involved in the regulation of numerous genes, particularly those associated with lipid metabolism, glucose homeostasis, and cellular response to insulin . USF1 binds to E-box motifs in the promoter regions of target genes, thereby influencing their transcriptional activity .
USF1 has been implicated in the genetic control of metabolic and vascular diseases, including familial combined hyperlipidemia (FCHL), metabolic syndrome, and related conditions . FCHL is characterized by elevated levels of total cholesterol, triglycerides, or both, and is associated with an increased risk of premature coronary heart disease . Studies have shown that USF1 influences plasma lipid levels, insulin sensitivity, and body composition .
The mechanisms by which USF1 regulates metabolic traits are complex and involve multiple pathways. Over-expression of human USF1 in transgenic mice and mice with transient liver-specific over-expression has been shown to affect metabolic phenotypes, including obesity, total cholesterol levels, LDL/VLDL cholesterol, and glucose/insulin ratio . Gene network and pathway analyses have suggested that USF1 is involved in immune responses and metabolism, including an insulin-like growth factor-binding protein 2 (IGFBP2)-centered module .
USF1’s role in metabolic diseases makes it a potential target for therapeutic interventions. Understanding the regulatory mechanisms of USF1 can provide insights into the development of treatments for conditions such as hyperlipidemia, diabetes, and cardiovascular diseases . Additionally, USF1 has been associated with other conditions, including diabetic kidney disease and certain cancers .