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            - Review  - 
            Epididymis-specific lipocalin promoters 
            Kichiya Suzuki1,2,7, Xiuping 
Yu2, Pierre Chaurand3,6, Yoshihiko 
Araki4,*, Jean-Jacques 
Lareyre4,7, Richard M. 
Caprioli3,6, Marie-Claire 
Orgebin-Crist4,5,7, Robert J. 
Matusik2,5,7 
            1Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai 980-8574, Japan Departments of 2Urologic Surgery, 
3Biochemistry, 4Obstetrics and Gynecology, 
5Cell and Developmental Biology, 
6Mass Spectrometry Research Center and 
7Center for Reproductive Biology Research, Vanderbilt University School of Medicine, 
Nashville, Tennessee 37232, USA
             Abstract 
            Our goal is to decipher which DNA sequences are required for tissue-specific expression of epididymal genes.  At 
least 6 epididymis-specific lipocalin genes are known.  These are differently regulated and regionalized in the epididymis. 
Lipocalin 5 (Lcn5 or mE-RABP) and Lipocalin 8 
(Lcn8 or mEP17) are homologous genes belonging to the 
epididymis-specific lipocalin gene cluster.  Both the 5 kb promoter fragment of the 
Lcn5 gene and the 5.3 kb promoter fragment of the 
Lcn8 gene can direct transgene expression in the epididymis 
(Lcn5 to the distal caput and Lcn8 to the 
initial segment), indicating that these promoter fragments contain important 
cis-regulatory element(s) for epididymis-specific gene expression.  To define further the fragments regulating gene expression, the 
Lcn5 promoter was examined in transgenic mice and immortalized epididymal cell lines.  After serial deletion, the 1.8 kb promoter fragment of 
the Lcn5 gene was sufficient for tissue-specific and region-specific gene expression in transgenic mice.  Transient 
transfection analysis revealed that a transcription factor forkhead box A2 (Foxa2) interacts with androgen receptor 
and binds to the 100 bp fragment of the 
Lcn5 promoter between 1.2 kb and 1.3 kb and that Foxa2 expression inhibits 
androgen-dependent induction of the Lcn5 promoter activity.  Immunohistochemistry indicated a restricted 
expression of Foxa2 in the epididymis where endogenous 
Lcn5 gene expression is suppressed and that the Foxa2 inhibition 
of the Lcn5 promoter is consistent with the lack of expression of Lcn5 in the corpus and cauda.  Our approach 
provides a basic strategy for further analysis of the epididymal lipocalin gene regulation and flexible control of 
epididymal function.  (Asian J Androl 2007 July; 9: 515_521)
             Keywords:  androgen; epididymis; gene cluster; gene evolution; gene regulation; lipocalin; transcription factor 
            Correspondence to: Dr Kichiya Suzuki, Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 
1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.
 Tel: +81-22-717-7254      Fax: +81-22-717-7258
 E-mail: kichiyasuzuki@mail.tains.tohoku.ac.jp
 *Present address of Dr Yoshihiko Araki: Institute for Environmental and Gender-specific Medicine, Juntendo University Graduate School 
of Medicine, Urayasu 279-0021, Japan.
             DOI: 10.1111/j.1745-7262.2007.00300.x			            
              
1    Introduction
 In mammals, the epididymis is a specialized organ for sperm storage and sperm maturation.  Sperm acquire the 
capacity for motility and fertilizing ability during transit through the epididymis.  There are numerous proteins 
expressed in a region-specific manner in the epididymis. One of the epididymal proteins, epididymal retinoic acid 
binding protein (E-RABP or Lipocalin [Lcn] 5), belongs to the lipocalin family and displays a distinct gene expression pattern and 
regulation in the epididymis [1, 2]. To decipher the fundamental mechanism for epididymis-specific gene expression, we 
have chosen and studied the mouse Lcn5 promoter as a model. The findings from the study of the epididymis-specific 
gene promoters should provide immense possibilities to facilitate 
epididymal research. 
 2    Regionalization of gene (protein) expression
 If the sperm maturation process relies on the sequential modification of sperm surface, it is reasonable to search 
for region-specific proteins secreted into the epididymal lumen.  In 1980, Brooks and Higgins [3] reported luminal 
proteins B, C, D and E in the rat epididymis. They 
demonstrated that proteins B and C are synthesized in the 
initial segment of the epididymis and that protein D is 
secreted in the caput and cauda epididymidis by 
polyacrylamide gel electrophoresis under non-denaturing and 
denaturing conditions.  Two decades later, although 
approximately 200 region-specific proteins have been 
identified in the epididymal fluids of different species, very 
few epididymal proteins are found to be directly involved 
in epididymal function [4]. Therefore, there is increasing 
demand for a robust and simple technique to screen 
epididymal secretory proteins. 
 Imaging mass spectrometry (IMS) is currently 
considered a powerful tool for studying the regionalization 
of protein expression in the epididymis.  IMS was 
developed by Chaurand et al. [5, 6], and can be used to map 
the distribution of targeted compounds in tissue sections. 
This technique uses 12 µm frozen sections of the 
epididymis placed on a sample plate.  After deposition of 
matrix with a diameter of less than 1 mm, protein profiling 
can be obtained above 200 000 mass-to-charge 
(m/z) with high resolution in the range of 2 000 to 70 000 
m/z from each matrix spot [7].  In the epididymis, more than 400 
signals can be obtained, and at least 50 epididymal 
proteins, both known and unknown, are found to be 
expressed in a region-specific manner [6].  In the range of 
16 000 to 28 000 m/z, Chaurand 
et al. [6] demonstrate that several epididymis-specific proteins, such as 
cysteine-rich secretory protein 1 (Crisp1) and glutathione 
peroxidase 5 (GPX5), are detected by IMS, 
corresponding to previous reports using immunohistochemistry (IHC) 
or in situ hybridization (ISH) [6].  For example, IMS 
detected Lcn5 with the signals at 
18 007 m/z (short form) and 
18 309 m/z (long form).  These signals were first 
detected in the mid-caput and were observed with 
increasing intensity from mid-caput to cauda, indicating 
that Lcn5 tends to accumulate in the cauda.  These 
results obtained for Lcn5 by IMS correlate well with the 
localization data previously obtained by ISH [1] and IHC 
[8].  Lcn5 mRNA expression is observed only in the 
principal cells of the mid/distal caput (segments II [faint], 
III, IV and V).  Lcn5 immunoreactivity was first 
detected in the epididymal epithelial cells and the lumen in 
the mid caput (segment III) and was present in the 
lumen from distal caput to cauda.  Overall, IMS has proven 
to be a useful discovery tool for studying epididymis, 
and region-specific protein expression.  We have elected 
to study Lcn5 further to determine the mechanism of 
epididymis-specific gene expression.
 3    Identification of an epididymis-specific lipocalin: 
Lcn 5
 Lcn5 was first identified as proteins B/C in the rat 
epididymis [3] and then as mouse epididymal protein 10 
(MEP10) in that species [8].  Rat Lcn5 was subsequently 
purified and the cDNA was cloned by cDNA library screening using a DNA probe based on its predicted amino 
acid sequence [9].  Mouse Lcn5 was also purified and 
the N-terminal amino acid sequence was obtained.  The 
mouse Lcn5 cDNA was cloned by reverse transcription 
polymerase chain reaction (RT-PCR) from murine epididymal mRNA using specific primers designed from the 
murine Lcn5 N-terminal amino acid sequence [1].  
Computer analysis of the cDNAs and genomic sequences [10, 
11] showed that rat and murine Lcn5 are orthologous 
with 75% identity.  The genomic organization of murine 
Lcn5 shows 7 exons that closely align to the exon 
patterns of other lipocalin family genes [12].  Both rat and 
murine Lcn5 possess the three conserved sequence 
motifs characteristic of the lipocalin family.  To determine 
rat Lcn5 3-D structure, it was purified and crystallized 
[13].  Murine Lcn5 has not been crystallized yet, but its 
structure was computer-modeled using the amino acid 
sequence and the X-ray structure of rat Lcn5.  The 
basic structural framework of both rat and murine Lcn5 is 
a barrel shape, which forms a deep hydrophobic binding 
pocket for its ligands.  This is the common structure of 
the lipocalin protein fold, indicating that both rat and murine 
Lcn5 belong to the lipocalin family [1].
 Most lipocalins are extracellular proteins secreted into 
blood or ductal lumen.  As mentioned above, the lipocalin 
family has several characteristics, such as (i) structural 
signatures defined by conserved G-X-W in exon 2, T-D-Y in 
exon 4, K/R in exon 5, and cysteine residues in exon 3 
and 5 that are involved in the formation of a disulphide 
bond [14]; (ii) high conservation of a 3-D structure 
folding by a single eight-stranded β-sheet forming a 
β-barrel shape [14], (iii) binding ability for hydrophobic ligands, 
such as retinoids, fatty acid, bilin and hormones 
[14_16]; and (iv) high sequence and structural conservation 
during evolution [12, 14, 17]. 
 Our group found that murine Lcn5 binds 
all-trans, but not 9-cis, retinoic acid 
in vitro [15]; although the endogenous ligand of Lcn5 is still unknown. Retinoic 
acid is important for maintaining epididymal epithelium 
integrity and function [18] and retinoic acid receptor 
knockout (KO) mice have an abnormal epididymal epithelium [19, 20].  Recently, we established an Lcn5 KO 
mouse line to study the physiological function of Lcn5 in 
the epididymis.  Although the Lcn5 KO mice were healthy 
and produced offspring, the cauda epididymidis of Lcn5 
KO mice was not as well developed as that of wild-type 
mice (Suzuki et al. 2007, unpublished data).  We then 
hypothesized that the phenotype might be accentuated if 
the vitamin A loading is reduced in the diet, because 
Lcn5 binds retinoic acid in vitro and might be involved in 
retinoid trafficking in the epididymis.  Such is the case for 
cellular type retinol binding proteins (CRBP I and II) 
because both CRBP I and CRBP II KO mice are normal 
when they are fed a diet containing a normal amount of 
vitamin A.  However, when the mice are fed a vitamin A 
deficient (VAD) diet, CRBP I KO mice demonstrate 
keratinized epithelial cells in the prostate, bladder and 
epididymis [21], and CRBP II KO mice show increased 
neonatal lethality [22].  Indeed, we observed a typical VAD 
effect, like keratinized epithelium, in the Lcn5 KO mice 
fed a VAD diet.  In addition, the Lcn5 KO mice 
demonstrate epididymitis defined by massive infiltration of 
leukocytes into the lumen and rupture of epithelium (Suzuki 
    et al., unpublished data).  Therefore, we conclude that the 
in vivo function of Lcn5 is to transport retinoic acid in the 
cauda epididymidis and to prevent inflammation in the 
epididymis. 
 4    Identification of an epididymal lipocalin gene 
cluster
 The cDNA encoding mouse Lcn5 was used to screen 
a mouse 129 strain genomic BAC library [11].  A positive 
clone that covers the Lcn5 gene locus was used for the 
fluorescence ISH study.  The Lcn5 gene was mapped to 
the proximal region [A3-B] of murine chromosome 2, 
which is homologous to the human chromosome 9q and 
10p [11].  The [A3-B] locus is already known as a lipocalin-rich area, where lipocalin 2 (Lcn2) (also known 
as NGAL [23], 24p3 [24] or uterocalin [25]), C8gamma 
and prostaglandin D2 synthase (Pgds) [16] are localized 
[11, 12].  Analysis of the 5'-flanking region of the 
Lcn5 gene revealed a novel gene, termed mEP17 (murine 
Epididymal Protein of 17 kilodaltons or lipocalin 8 [Lcn8]), 
homologous to the Lcn5 gene and localized 
1.7 kb upstream from the transcription starting site of the 
Lcn5 gene [26].  Exon/intron boundaries of the 
Lcn5 and Lcn8 genes are identical, suggesting that these genes were 
generated by tandem in situ duplication within the 
proximal region of mouse chromosome 2.  Computer analysis 
using the mouse genome sequence released by Celera 
Discovery System and the National Center for 
Biotechnology Information revealed an epididymal lipocalin gene 
cluster encompassing the Lcn5 and 
Lcn8 genes and 5 new genes termed 
Lcn9, Lcn10, Lcn11, 
Lcn12 and Lcn13, showing approximately 50% homology to 
Lcn5 [17].  Although Lcn11 is detected by nested-RT-PCR as being 
expressed in the epididymis and other tissues, 
Lcn9, Lcn10, Lcn12 and 
Lcn13 are specifically expressed in the epididymis.
 Interestingly, the epididymis-specific lipocalin 
cluster is flanked by other members of the lipocalin family, 
such as Pgds and Lcn2, which are expressed in other 
tissues besides the epididymis, whereas the 6 genes of 
the epididymal cluster are expressed only in the 
epididymis [27, 28].  These results suggest that the 
epididymis-specific lipocalin cluster contains a locus control region 
that enhances lipocalin gene expression only in the 
epididymis, whereas genes flanking either side of this 
epididymal gene cluster are expressed in other tissues 
besides the epididymis.  A comprehensive comparison of 
the mouse and human genome sequences showed that a 
homologous lipocalin cluster encompassing the PGDS, 
LCN12, C8gamma, LCN8, 
LCN5, LCN10, LCN9 and 
LCN2 genes were found on mouse chromosome 2 and 
human chromosome 9.  Hall's group has reported a 
human Lipocalin 6 (LCN6) specifically expressed in the 
epididymis [29].  This gene is the orthologous gene of 
mouse Lcn5.  Taken together, this epididymal lipocalin 
gene cluster appears to have arisen by tandem in 
situ duplication of an ancestral gene 
Pgds determined by phylogenetic analysis [17].  This high degree of 
conservation during evolution between mouse and human 
suggests that the epididymal lipocalins play an important role 
in epididymal function. 
 Another feature of the epididymal lipocalin cluster is 
different region-specific expression patterns.  
ISH reveals that Lcn5 is expressed in the mid/distal caput 
epididymidis, Lcn8 and Lcn9 are expressed only in the 
initial segment, whereas Lcn10 is expressed not only in 
the initial segment, but also in the upper margin of the 
distal caput [1, 17, 26].  Pgds has broad gene expression 
through the corpus and cauda by ISH [27] and 
Lcn2 is expressed through the caput and corpus by northern blot 
analysis [30].  However, by ISH, we have found 
Lcn2 gene expression to be restricted to the initial segment, as 
are Lcn8 and Lcn9 (Suzuki et 
al. 2007, unpublished  data).
 The hormonal regulation of the epididymal lipocalin 
genes is also different.  Lcn5 is androgen-dependent, 
Lcn8, Lcn9 and Lcn13 are testicular factor-dependent, and 
Lcn10 and Lcn2 are both androgen-dependent and 
testicular factor-dependent [17].  According to these results, 
the epididymis-specific lipocalin gene cluster displays 
different epididymal spatial expression and different gene 
regulation. 
 5   Identification of DNA sequences required for 
tissue-specific expression of epididymal lipocalin genes 
in the Lcn5 promoter
 Although the Lcn5 gene expression is tightly restricted 
in the mid/distal caput epididymidis, little is known about 
how this mechanism is controlled.  To determine which 
DNA sequences are required for tissue-specific 
expression of epididymal genes, both the 
Lcn5 and Lcn8 gene promoters were studied.  The 5 kb 5'-flanking region of 
the Lcn5 gene directs the transgene expression to the 
mid/distal caput epididymidis of transgenic mice in a 
manner that mimics endogenous Lcn5 gene expression 
[31].  This transgenic mice study indicates that the 5 kb 
fragment, but not the 0.6 kb, contains all the information 
required for the mid/distal caput-specific gene expression. 
We have narrowed down the 5 kb fragment to 3.8 kb 
and 1.8 kb fragments in transgenic mice.  Both constructs 
still drive mid/distal caput-specific gene expression, 
indicating that the 1.8 kb fragment of the 
Lcn5 promoter is essential for the epididymis- and mid/distal 
caput-specific gene expression [32, 33].  To narrow down 
the 1.8 kb Lcn5 gene promoter fragment further, we needed 
appropriate epididymal cell lines because cells from other 
tissues might not reflect the tissue-specific gene 
regulation observed in normal epididymal cells in 
vivo. Therefore, we established immortalized epididymal cell lines from a 
transgenic mouse carrying temperature-sensitive (ts) SV40 
large T antigen [34].  At body temperature, the ts SV40 
large T antigen will be degraded.  However, when the 
cells from the transgenic mouse are isolated and 
cultured in vitro at 33ºC, the cells express the functional 
large T antigen, which induces immortalization of the 
cells.  When the cells are cultured at 39ºC, T antigen is 
degraded and the cells can differentiate [35].  The 
epididymis was isolated and separated into proximal caput 
and distal caput region and the isolated cells were 
cultured at 33ºC.  Using serial cup cloning procedures, we 
established four monoclonal immortalized cell lines; one 
from the proximal caput region (PC1) and three from 
the distal caput (DC1, DC2 and DC3).
 We used DC2 cell line expressing Lcn5 at the protein 
and RT-PCR levels for the Lcn5 promoter assays.  To 
identify the important cis-DNA regulatory elements for 
epididymis-specific gene expression, serial deletion 
constructs of the 1.8 kb fragment of the 
Lcn5 promoter were ligated to the luciferase gene and transfected into the 
epididymal DC2 cells [32, 33].  The androgen response 
was the highest in the 1.3 kb construct, but was lower 
in the 1.4_1.8 kb fragments, suggesting that there are 
inhibitory elements between 1.3 and 1.8 kb.  Gel shift 
assay analysis revealed two androgen receptor (AR) 
binding sites between 1.2 and 1.3 kb, which is consistent the 
high androgen response of the 1.3 kb construct. 
 We identified a putative forkhead box A (Foxa) 
protein binding site close to the two AR binding sites in the 
1.3 kb fragment of the Lcn5 promoter (Figure 1A [32]).  
Foxa proteins (also known as hepatocyte nuclear 
factor-3 proteins) consist of three subtypes: Foxa1, Foxa2 and 
Foxa3.  They belong to a large forkhead box 
transcription family [36].  The putative mechanism of Foxa1 
transcriptional regulation is to displace histones and to open 
up chromatin structures to disassemble nucleosome [37, 
38].  These Foxa proteins are expressed in the endoderm 
and are important during embryo development [39, 40]. 
In adult mice, Foxa1 is strongly expressed in liver, and 
also detected in prostate, seminal vesicle and bladder [41, 
42].  Interestingly Foxa1 regulates prostate-specific genes, 
such as prostate specific antigen (PSA) and probasin [43, 
44].  Our work on these prostate-specific genes has 
identified that these prostate-specific promoters require the 
Foxa binding sites to be close to the AR binding sites for 
prostate-specific gene expression [43].  Indeed, AR 
binding sites and Foxa binding sites are closely localized in 
the PSA and probasin promoters.  Chromatin immunoprecipitation (ChIP) and glutathione-S-transferase 
(GST)-pull down assay revealed that Foxa1 constantly 
occupies the PSA promoter DNA fragment in the absence or 
presence of dihydrotestosterone in vivo and that Foxa1 
and AR can directly interact.  Therefore, we concluded 
that Foxa1 and AR interaction is important for 
prostate-specific gene expression. 
 However, the putative Foxa binding site identified in 
the Lcn5 promoter is for Foxa2, not Foxa1.  We confirmed that Foxa1 is expressed in the prostate but Foxa2 
is expressed in the epididymis by RT-PCR and IHC (Figure 1B) [32].  Foxa1 is only detected in the nuclei of 
the prostatic epithelial cells, whereas Foxa2 is expressed 
in the nuclei of the epididymal principal cells.  By 
gel-shift assay using nuclear extract from epididymal DC2 
cells, we again confirmed Foxa2 binding to the 
Lcn5 promoter fragment and interaction of Foxa1 and AR by ChIP 
and GST-pull down assay [32].  When Foxa2 is over-expressed in the cultured cells, the androgen response of 
the Lcn5 promoter is suppressed in the epididymal cells, 
whereas the PSA promoter activity in the prostatic cells 
is activated in the absence of androgen. These results 
imply that Foxa2 binds to both epididymis-specific and 
prostate-specific gene promoters but regulates them by 
different mechanisms.  Our group has recently found 
that Foxa2 is strongly expressed in advanced 
androgen-independent prostate cancer [45].  Foxa2 is only detected 
in neuron-endocrine small cell carcinoma, which 
possesses androgen independence and high metastasis ability.  
Although the role of Foxa2 in prostate cancer 
development is not clear, Foxa2 might be involved in the 
transforming of hormonal regulation into an 
androgen-independent manner in prostate cancer.
 6    Use of epididymis-specific promoter for 
epididymal research
 As of today, several epididymal promoters, 
including Cres, Pem, Gpx-5 and Crisp1, have been examined 
to study which cis-DNA regulatory elements are 
important for epididymal gene regulation [46_48].  At least two 
epididymal promoters, Lcn5 and Lcn8, are proven to be 
epididymis-specific [31, 49].  These promoters can be 
used for two purposes.  First, as described above, 
promoters can be used to identify cis-DNA regulatory 
elements to investigate molecular mechanisms that might 
lead identification of a key molecule important for 
epididymal function.  Second, the ability of the epididymal 
promoters to drive transgene expression in the principal 
cells in specific regions of the epididymis should be 
useful for generating transgenic mice.  A Cre-loxP system 
allows us to disrupt specific gene function in a specific 
region in the epididymis.  Because numerous loxP-floxed 
gene KO mice are available, crossing with transgenic 
mice expressing Cre recombinase under the control of 
Lcn8 or Lcn5 promoter should generate 
epididymis-specific gene inactivation, which might interfere with the 
sperm maturation process.  The information gained from 
these conditional KO mice might provide a new aspect in 
the understanding of epididymal physiology. 
 7    Conclusion
 Here, we reviewed our group's research on the 
isolation of epididymis-specific proteins that display 
region-specific patterns.  Lcn5 and 
Lcn8 are currently focused on and intensively studied for gene regulation mechanisms.  
Foxa2 is a co-regulator interacting with AR for 
epididymis-specific gene expression of Lcn5. 
 There must be other factors that remain unknown in the epididymis.  If 
one could determine key molecules that regulate 
epididymis-specific genes, such molecules would be ideal 
targets for developing synthesized compounds for male 
contraceptive drugs.  In addition, these epididymis-specific 
promoters would be useful for generating 
epididymis-specific Cre-expressing transgenic mice, which help to 
disrupt genes of interest in epididymis-specific and 
region-specific patterns.  Therefore, epididymal promoter 
research is leading to the accumulation of knowledge 
that will accelerate the regulation of epididymal function 
and help to uncover new classes of drugs.
 Acknowledgment
 This research was supported by the Ernst Schering 
Research Foundation (Germany), the Rockefeller 
Foundation (USA), Contraceptive Research and Development 
Program (USA) and the National Institutes of Health 
HD36900 and DK55748 (USA). 
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