Pii: s0959-440x(99)80007-4
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Combinatorial gene regulation by eukaryotic transcription factors
Lin Chen
Recent structure determinations of high order complexes of
eukaryotic transcription factors bound to DNA have revealedthat residues from their DNA-binding domains are involved in
MCM1 MADS box dimer
protein–protein interactions between distinct factors.
Protein–protein interactions between transactivation domains
and coactivators have also been characterized in a number of
recently determined structures. These studies support thecombinatorial mechanism of transcription regulation ineukaryotic cells and multicellular organisms.
Department of Chemistry and Biochemistry, University of Colorado at
MATα2 homeodomain
Modeled half-site
Boulder, Boulder, CO 80309-0215, USA;e-mail:
[email protected]
Current Opinion in Structural Biology 1999,
9:48–55
Elsevier Science Ltd ISSN 0959-440X
activation function-2
activating protein-1
CREB-binding protein
cAMP-response element
CRE-binding protein
Modeled half-site
GA-binding protein
general transcription factor
Current Opinion in Structural Biology
CREB-binding domain of CBP
The structure of MCM1 (residues 1–100) and MATα2 (residues
ligand-binding domain
103–189) bound to DNA. On a natural
a-specific operator, the MCM1
nuclear factor of activated T cells
MADS box DNA-binding site is flanked on both sides by a MATα2 site.
nuclear factor κB
The MADS box dimer and the left hand MATα2 homeodomain bound
phosphorylated kinase-inducible domain
to DNA is the crystallographically observed complex [9••]. The
PPAR-γ peroxisome proliferator-activated receptor-γ
MATα2–DNA complex on the right hand (light shading and thin stick
Rel homology region
DNA drawing) was modeled manually to represent a
steroid receptor coactivator
MATα2–MCM1–MATα2 complex on an
a-specific operator. Each
signal transducer and activator of transcription
subunit is shaded differently. Note that the β hairpin of MATα2 extends
TBP-associated factor
the central β sheet of MCM1, which forms the major protein–protein
TATA-box-binding protein
interaction interface. The β-strand interaction is probably conserved in
the modeled right-hand half-site, but the rest of the linker and the DNA
transcription factor
conformation may be different with different DNA spacing.
(a) View
herpes simplex virus protein-16
perpendicular to the MCM1 dimer dyad axis.
(b) View from the top,
with a rotation 90° from (a). Note the conserved minor groove DNA
binding by the MATα2 homeodomain ‘arm'. All figures drawn using
Regulated eukaryotic gene transcription involves the
MOLSCRIPT [52].
assembly of an initiation complex at the core promoterregion and regulatory complexes at promoter-enhancer/operator regions [1]. The core promoter complex
here because of the limited space. This review will focus
of RNA polymerase II contains multiple protein factors
on recent structural studies of high order regulatory com-
(referred to as general transcription factors, GTFs), includ-
plexes [9••–11••] and activation domain–coactivator
ing the TATA-box-binding protein (TBP) and its
complexes [12••–15••].
associated factors (TAFs). The structures of a number ofbinary and ternary GTF–DNA complexes have been
The activation of eukaryotic genes
in vivo often requires
determined in previous years [2–4]. More GTF complexes
the coordinated binding of multiple transcription factors
will probably appear soon. Structural studies of eukaryotic
to the promoter-enhancer region; many of these factors
transcription factors continue to reveal novel DNA-bind-
are regulated by distinct signal transduction pathways. In
ing motifs and variants of known motifs [5•,6•,7,8•]. Many
several cases, it has been shown that the binding of mul-
of these studies from the past year will not be discussed
tiple transcription factors to a specific promoter-enhancer
sb9103.qxd 12/16/1999 9:19 AM Page 49
Combinatorial gene regulation by eukaryotic transcription factors Chen 49
region is cooperative and requires a unique composition
and spatial arrangement of transcription-factor-bindingsites [16•,17,18]. The assembly of these enhancer com-
plexes (also referred to as the enhanceosome [19]) is
facilitated by protein–protein interactions betweenDNA-bound factors and protein-induced DNA bending.
Two features of enhanceosome assembly are especially
important for combinatorial transcription regulation: com-binations of multiple transcription factors generate
diverse patterns of regulation [20,21] and highly coopera-tive binding ensures the specificity of transcriptional
The enhanceosome may serve as a template for the
assembly of the core promoter complex by either direct orcoactivator-mediated interactions. Most eukaryotic tran-scription factors contain one or more transactivationdomain involved in interactions with downstream coacti-vators and GTFs [23]. These transactivation domains areusually rich in proline and glutamine, or acidic aminoacids, and appear to be very flexible before binding totheir respective targets. This flexibility is probably the
main reason that the structural characterization of thesedomains lagged behind that of the DNA-binding
Current Opinion in Structural Biology
domains. The recent identification of various targets of
The structure of NFAT1 (residues 399–678), Fos (residues 138–200)
transactivation domains, including TAFs, cAMP-
and Jun (residues 254–315) bound to DNA [10••]. Multiple loops (loops
response element (CRE) binding protein (CREB)
1, 2 and 3 are shown in this orientation) presented by the NFAT N-
binding proteins (CBPs/p300) and steroid receptor coac-
terminal RHR (RHR-N) contact Fos and Jun. Each component (Fos, Junand the two NFAT domains [RHR-N and RHR-C]) is shaded differently.
tivators (SRCs), however, has allowed the structuralcharacterization of several transactivation domains incomplex with their respective target proteins [12••–15••].
bonding of mainchain atoms and hydrophobic packing of
Structures of eukaryotic transcription factor
sidechains. β-strand-mediated interactions have also been
complexes bound to DNA
observed between TFIIA and TBP in TFIIA–TBP–DNA
In
Saccharomyces cerevisiae, three transcription factors, the
complexes [3,4] and may be involved in a wide range of
homeodomain proteins MATα2 and MATa1, and the
physiological and pathological protein–protein interactions.
MADS box protein MCM1, play crucial roles in cell-typespecification. Various combinations of these three factors
Combinatorial control of transcription activation in high-
and additional factors are involved in gene activation and
er eukaryotic cells has been characterized biochemically
repression in different yeast cell types, providing the best
for several promoter-enhancers, including that of the
example of the combinatorial control of eukaryotic gene
TCR α gene [18], the IFN-β gene [16•] and the inter-
regulation [24]. These transcription factors bind various
leukin (IL)-2 gene [27]. A crystallographic study of this
DNA sites cooperatively to form higher order complexes
last was reported recently [10••]. The nuclear factor of
that have distinct regulatory functions. The crystal struc-
activated T cells (NFAT) and members of the activating
ture of a MATα2–MATa1–DNA ternary complex revealed
protein-1 (AP-1) transcription factor family (including
that cooperative DNA binding is induced by a C-terminal
Fos and Jun) bind cooperatively to their target DNA sites
amphipathic α helix of MATα2 bound to a hydrophobic
in the promoter-enhancer and participate in the tran-
groove on the MATa1 homeodomain [25]. In another com-
scriptional regulation of IL-2 and other immune response
plex, that of MATα2–MCM1–MATα2–DNA, an
genes [28]. Although NFAT is activated by calcium sig-
N-terminal flexible linker of MATα2 has been suggested
nals through calcineurin, the AP-1 transcription factors
by biochemical studies to interact with the DNA-binding
are induced by agents that activate protein kinase C. The
domain (referred to as the MADS box) of MCM1 to medi-
DNA-binding domain of NFAT is distantly related to
ate cooperative DNA binding [26]. Indeed, the recent
that of the Rel family of transcription factors, including
crystal structure of a DNA-bound ternary complex of
the nuclear factor-KB (NF-KB) proteins. The DNA-bind-
MCM1 and MATα2 [9••] shows that part of this flexible
ing domains of AP-1 proteins consist of the basic region,
linker forms a β hairpin that binds to the outer strand of the
leucine zipper (bZIP) motif. The DNA-binding domains
central β sheet of the MCM1 MADS box (Figure 1). The
of NFAT, Fos and Jun are necessary and sufficient for
binding interactions involve parallel β-strand hydrogen
cooperative DNA binding. The recently determined
sb9103.qxd 12/16/1999 9:19 AM Page 50
Protein–nucleic acid interactions
enhances GABPα DNA binding both by displacing theC-terminal α helix from its inhibitory orientation and bydirectly stabilizing the DNA-binding residues ofGABPα. GABPβ is also thought to mediate the higher
order assembly of a GABPβ/α complex on DNA (αβ–αβ
dimer) through its C-terminal leucine zipper motif.
Complexes of transactivation domains and
their target proteins
The complex structure of a CREB activation domain (the
phosphorylated kinase-inducible domain, pKID)
bound to its target (the KIX domain) on CBP has been
determined by NMR spectroscopy [12••]. Complex inter-actions between the herpes simplex virus protein-16(VP16) activation domain and human TAF31 were alsocharacterized by an NMR study [13••]. More recently, thecrystal structure of the ligand-binding domain (LBD) of anuclear receptor, the peroxisome proliferator-activatedreceptor-γ (PPAR-γ), which contains the activation func-tion-2 (AF-2) motif, was determined in a ternary complex
with SRC-1 and the anti-diabetic ligand rosiglitazone
Current Opinion in Structural Biology
[14••,15••]. CBP, TAFs and SRC represent the major tar-gets of transcription activators bound to upstream
Complex of GABPβ (residues 1–157) and GABPα (residues
enhancers. In both the pKID–KIX and the VP16–TAF
311–430) bound to DNA [11••]. Each subunit is shaded differently
complexes, the transactivation domain presents an amphi-
(GABPβ dark and GABPα light). Note that the GABPβ ankyrin repeatsbind to the GABPα Ets domain and the C-terminal α helix using the
pathic α helix to a hydrophobic surface on their respective
extended loop tips. The ankyrin repeats of GABPβ do not contact the
target. These helices are flexible and largely unstructured
DNA in this structure.
before binding. This flexibility may be important for thebinding of the same region in different conformations toother regulatory proteins. In the pKID–KIX complex, a
crystal structure of this complex [10••] shows
phosphoserine at one end of the amphipathic helix plays
protein–protein interactions between NFAT and Fos–Jun
an important regulatory role, conveying the phosphoryla-
that involve multiple patches of surface residues on the
tion signal through a hydrogen bond interaction. In the
three proteins and that are facilitated by the bending of
ternary complex of PPAR-γ LBD, rosiglitazone and SRC-
the DNA and the Fos α helix (Figure 2). Previous bio-
1, the coactivator SRC-1 displays an amphipathic helix to
chemical studies had suggested that many of these
a surface formed by AF-2 and other structural elements
interacting residues were important for complex assem-
from the nuclear receptor LBD. SRC-1 binding is ligand
bly [29–31]. In the ternary complex, the NFAT
dependent, providing another means of conveying a signal
DNA-binding domain seems to have moved closer to
to the transcription machinery.
Fos–Jun from its orientation in the binary NFAT–DNAcomplex [32•]. The interaction surfaces are mostly
Implications for the mechanisms of eukaryotic
hydrophilic, with a small hydrophobic center.
transcription regulation
Together with biological studies on transcriptional synergy
DNA binding by a transcription factor can also be mod-
or ‘cross talk', what do the above complex structures tell us
ulated by interactions with a protein that does not bind
about the combinatorial gene regulation mechanisms in
DNA itself. One example is the GA-binding protein
eukaryotic cells?
(GABP) that binds DNA with a conserved GA sequencemotif, whose core DNA-binding complex structure was
Members of a transcription factor family may be
recently determined [11••] (Figure 3). The two subunit
differentiated in higher order transcription
GABP complex is involved in the transcriptional regula-
tion of mitochondrial protein genes and some viral
In the higher order complex structures discussed above, the
genes. GABPα belongs to the Ets family of transcription
residues of a DNA-binding domain that do not contact the
factors, which have a ‘winged helix-turn-helix' DNA-
DNA mediate protein–protein interactions. Transcription fac-
binding motif. GABPβ is a large protein that contains a
tors from the same family usually have highly homologous
leucine zipper-like motif and a number of ankyrin
DNA-binding surfaces, but different surface residues outside
repeats, but it does not bind DNA directly. GABPβ binds
the DNA-binding region. There is some biological evidence
to the GABPα Ets motif and a C-terminal α helix using
that these variable residues may be important determinants
the extended loop tips of its ankyrin repeats. GABPβ
of each family member's distinct
in vivo functions [33,34].
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Combinatorial gene regulation by eukaryotic transcription factors Chen 51
A sequence comparison of NFAT (NFATs 1–4) and Fos (c-
Fos, FosB, Fra-1, Fra-2) family members indicated thatdifferent NFAT–Fos pairs should have different interaction
interfaces [10••]. A similar specificity is also seen in the
MATα2–MATa1–DNA complex, in which the MATα2 C-
terminal α helix specifically binds to the MATa1homeodomain, but not its own homeodomain [25].
The assembly of specific transcription factor complexes
contributes to the specificity of transcriptional control
For each individual transcription factor in the ternary
complexes discussed above, the homeodomain–DNA,
MADS box–DNA and Ets–DNA interactions are all simi-
lar to the interactions seen in their respective binaryprotein–DNA complexes. This is true even when thebinding site deviates significantly from the consensussequence, as does DNA binding by Fos–Jun in theNFAT–Fos–Jun complex. The recognition of nonconsen-
sus sites by a transcription factor often involves only local
changes or adjustments of DNA-binding residues. Suchapparent ‘relaxation' of specificity seems very common in
in vivo DNA binding by eukaryotic transcription factors,
especially as part of larger complexes. This may allow the
assembly of enhancer complexes on various compositesites while maintaining the specificity by cooperative pro-
tein–protein interactions.
In higher order complexes, protein–protein interactionsadd specificity to the combined DNA-binding specificityof each component. In the MATα2–MATa1–DNA andMATα2–MCM1–DNA complexes, protein–protein inter-actions are mediated by structural modules that aretethered to DNA-binding domains through a peptide link-er. These linkers, though flexible in the crystal structures
(as evident from high B factors), still seem to impose speci-ficity on complex formation by restricting the arrangementof each component's binding site [35]. In contrast, the
Current Opinion in Structural Biology
interactions between NFAT and Fos–Jun are directlymediated by residues of their respective DNA-binding
Comparison of NFAT in the
(a) NFAT–Fos–Jun–DNA complex and
(b)
domains and are continuous with the DNA-binding sur-
NF-κB p50 in the p50 dimer–DNA complex. The N-terminal DNA-
faces, similar to a nuclear receptor heterodimer–DNA
binding domains of NFAT and p50 are similarly anchored on the DNA,but their C-terminal domains are in very different orientations. The C-
complex [36]. Thus, the whole complex has a continuous
terminal domain of NFAT is similar to that of p50 (root mean square
DNA-binding groove, explaining why the spacing
deviation of 0.84 Å for 65 β strand Cα atoms, and most of the
between the NFAT and AP-1 DNA-binding sites is highly
dimerization residues at the abe sheet are conserved in NFAT).
Significant conformational changes of the protein and
region of DNA-bound bZIP proteins is usually flexible,
DNA are observed in the above higher order complexes
which may favor interactions with other proteins on
and they may play important roles in the specificity
DNA, although it is not clear if members of the Fos fam-
(‘indirect read out') and diversity of higher order complex
ily have different flexibility in this region or not. DNA
assembly. In the MATα2–MCM1–DNA complex, the
conformational changes in the NFAT–Fos–Jun complex
MATα2 linker contacting MCM1 shows flexibility by
may explain why the DNA spacer between the NFAT
being able to assume either a β strand or an α-helical con-
and AP-1 sites shows a strong preference for AT-rich
formation. Such flexibility may be important for MATα2
binding to a MCM1 dimer on both sides, with a two orthree base pair spacing on a natural a-specific operator
Another level of specificity that is achieved through higher
[9••]. The Fos α helix in the NFAT–Fos–Jun–DNA com-
order complex assembly is the specific orientation of het-
plex has a significant bend in its fork region. The fork
erodimeric DNA-binding proteins on DNA. Fos and Jun
sb9103.qxd 12/16/1999 9:19 AM Page 52
Protein–nucleic acid interactions
Minor groove contact
Current Opinion in Structural Biology
A comparison of the immunoglobulin DNA-binding domains of
(a) p53,
groove, whereas a β-strand loop is inserted in the adjacent minor
(b) NFAT,
(c) STAT,
(d) NF-κB and
(e) the T domain. The β barrel is
groove. The orientation of p53 on DNA is significantly different from
oriented similarly, with the ABE sheet shown in front. The conserved ab
that of the others. NF-κB does not contact the DNA minor groove. A
loop bound in the DNA major groove is indicated. Note that in p53,
C-terminal α helix of the T domain binds deeply in the minor groove,
NFAT and STAT, the C-terminal α helix is positioned in the major
opposite the groove contacted by p53, NFAT and STAT.
have almost identical DNA-binding surfaces. Their bZIP
without binding to DNA. As seen in the crystal structures,
heterodimer was found to bind DNA in two orientations in
the protein–protein interaction interfaces observed in
the binary (Fos–Jun)–DNA complexes [37,38], but adopted
these complexes are either limited or highly hydrophilic.
a unique orientation in the ternary NFAT–Fos–Jun–DNA
This feature is also observed in other complexes, including
complex [37]. As seen in the ternary crystal structure [10••],
those of the signal transducer and activator of transcription
the NFAT–Fos and NFAT–Jun interaction interfaces are
(STAT) proteins. Crystal structures of two STAT DNA-
different, leading to orientation specificity on the DNA.
binding complexes and a STAT N-terminal domain have
Such a specific orientation of heterodimeric transcription
been determined recently [39••,40••,41•]. DNA-bound
factors on DNA, either through their own asymmetric DNA
STAT dimers are suggested to form higher order complex-
binding or through interactions with partner proteins, may
es through the conserved N-terminal protein interaction
have functional importance.
domain that probably only dimerizes after DNA binding.
The potential dimer interface of this STAT N-terminal
Higher order complexes form upon DNA binding
domain is highly hydrophilic, as seen in the crystallograph-
Unlike many tightly associated transcription factor dimers,
ic dimer [41•]. Complex formation between NFAT and
most of the ternary complexes discussed above do not form
Fos–Jun, and between MATα2 and MATa1 is also DNA-
sb9103.qxd 12/16/1999 9:19 AM Page 53
Combinatorial gene regulation by eukaryotic transcription factors Chen 53
binding-dependent. This DNA-dependent complex for-
recent structure determinations of NFAT, STATs and the
mation may enable the combinatorial use of transcription
T-domain [47•] reveal that these proteins, together with
factors [25].
p53 [48] and NF-κB [43,44], form a superfamily that usesthe Ig module as a scaffold for presenting various sec-
Combinatorial diversity is achieved at multiple levels
ondary structural elements for DNA recognition
In addition to complex formation between distinct and
(Figure 5). Whether the above proteins are evolutionarily
related transcription factors, the same DNA-binding
related or not, however, is unclear at present. The recent
domain of a given transcription factor may adopt different
structure determination of a DNA-binding complex of
conformations in different promoter contexts, while
Skn-1 illustrated another way of generating diverse DNA-
maintaining its specific DNA-binding interactions [42].
binding functions, combining various DNA-binding
NFAT may be one example. On composite NFAT and
motifs and scaffolds to form a novel DNA-binding domain
AP-1 DNA-binding sites, such as those found in the IL-2
[49•]. This combination of DNA-binding modules is relat-
promoter-enhancer, NFAT binds the DNA cooperatively
ed to but is different from those seen in other
in complex with AP-1 transcription factors. On some
DNA-binding proteins, including zinc-finger proteins and
other DNA sites that have two NFAT DNA-binding sites
the POU domain proteins.
arranged with dyad symmetry and appropriate spacing,NFAT binds the DNA cooperatively as a dimer. The lat-
Transcriptional coactivators play important roles in the
ter mode of DNA binding by NFAT may be similar to
combinatorial control of transcription
that of the Rel NF-KB transcription factors, which are
Considering the complexes between transactivation
involved in a wide range of transcription regulation in the
domains and coactivators discussed above and similar
immune system and in viral gene expression. The DNA-
studies on p53 [50], it seems that the binding of transacti-
binding sites of the NFAT dimer resemble that of the
vation domains to their target proteins generally involves
NF-KB proteins (the Kb DNA site), raising the possibili-
an induced amphipathic helix. This mode of protein–pro-
ty that NFAT may regulate gene transcription through
tein interaction is also seen in the MATα2–MATa1–DNA
DNA sites (KB or KB-like DNA sites) that are also respon-
complex. Amphipathic helices have one or more φxxφφ
sive towards NF-KB regulation. The structures of the
motifs, where φ represents a hydrophobic residue. In the
DNA-binding domains of NFAT and NF-KB are also
case of pKID, VP16 and other transactivation domains
remarkably similar, both consisting of two Ig modules. In
(p53 and p65), the motif shows a preference for pheny-
the NFAT–Fos–Jun-DNA complex, each of NFAT's two
lalanine and tyrosine at the first φ, imposing some
Ig modules, Rel homology regions (RHRs) N and C,
specificity on coactivator selection. In SRC-1 and other
resembles the corresponding parts of Rel NF-κB p50, but
nuclear receptor coactivators, the motif is more restricted
the relative orientation of the two Ig modules in NFAT is
to LXXLL (L represents leucine) [51]. The specificity of
significantly different from that seen in p50–DNA com-
coactivator binding also involves hydrogen bonding and
plexes [43,44]. The C-terminal Ig module in p50
electrostatic interactions.
mediates dimer formation, whereas NFAT is a monomerin solution [37,45] (Figure 4). Strikingly, residues
Thus, interactions between transactivation domains and coac-
involved in p50 dimerization are largely conserved in the
tivators are mediated by small, relatively independent
NFAT C-terminal Ig module, suggesting that NFAT can
structural modules, each making limited but specific contacts.
probably dimerize upon binding to DNA using the same
There are three LXXLL motifs in SRC-1, two of which can
surface. There is evidence that NFAT may bind κB-like
interact with a nuclear receptor dimer. The presence of a
DNA sites as a dimer under certain physiological situa-
third LXXLL may imply that these motifs can be used
tions [28], probably by adopting a conformation that is
either combinatorially with different nuclear receptor dimers
very much like a typical NF-κB dimer (Figure 4).
or simultaneously in forming higher order complexes.
Crystals of a NFAT dimer bound cooperatively to a κB
Similarly, coactivators such as CBP and p300 also contain
DNA fragment have been obtained and the structure
separated binding sites for the transactivation domains of var-
determination is underway (L Chen, A Breier, B Tasic,
ious transcription factors. These general features of
SC Harrison, unpublished data). Alternatively, the
transactivation domain–coactivator interactions are consistent
exposed NFAT C-terminal dimer interface can mediate
with the combinatorial gene regulation mechanism.
higher order complex formation between multiple copiesof DNA-bound NFAT–Fos–Jun complexes on an
enhancer [46], similar to the higher order assembly of
In the past year, we have seen more structural characteri-
DNA-bound GABPβ/α and STAT dimers (see above).
zations of the protein–protein interactions involved in thefunction of eukaryotic transcription factors. These include
The Ig DNA-binding domain is also found in a novel class
the interactions between DNA-bound transcription fac-
of transcription regulators, referred to as the T-domain
tors and interactions between transactivation domains and
proteins. The T-domain proteins are the products of the
their respective targets. These structural studies support
so-called T-box gene, which plays important roles in tran-
the combinatorial transcription regulation mechanism in
scription regulation in embryonic development. The
eukaryotic cells.
sb9103.qxd 12/16/1999 9:20 AM Page 54
Protein–nucleic acid interactions
Structural studies of eukaryotic transcription factors with
12. Radhakrishnan I, Perez AG, Parker D, Dyson HJ, Montminy MR,
Wright PE:
Solution structure of the KIX domain of CBP bound to
higher and higher complexity continue. These structures
the transactivation domain of CREB: a model for
will allow the analysis of the molecular details of
activator–coactivator interactions. Cell 1997,
91:741-752.
enhancer complexes (enhanceosome), the core promoter
The first detailed structural characterization of the interactions between anactivation domain (CREB) and a coactivator (CBP).
complex and the interactions between them. These mol-
13. Uesugi M, Nyanguile O, Lu H, Levine AJ, Verdine GL:
Induced α
helix
ecular pictures will provide an important framework for
in the VP16 activation domain upon binding to a human TAF.
studying and understanding the
in vivo mechanisms of
Science 1997,
277:1310-1313.
The first structural characterization of the interactions between VP16 and
eukaryotic gene regulation.
TAF31, using NMR spectroscopy and biochemical methods.
14. Westin S, Kurokawa R, Nolte RT, Wisely GB, McInerney EM,
Rose DW, Milburn MV, Rosenfeld MG, Glass CK:
Interactions
controlling the assembly of nuclear-receptor heterodimers and
The author is grateful to Ernest Fraenkel, Rachelle Gaudet, Susanne
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395:199-202.
Swalley and Marc Jacobs for critically reading this review and for their many
See annotation to [15••].
helpful comments. The author would like to thank Stephen C Harrison fora wonderful postdoctoral experience in his laboratory. A postdoctoral
15. Nolte RT, Wisely GB, Westin S, Cobb JE, Lambert MH, Kurokawa R,
fellowship from the Medical Foundation is acknowledged.
Rosenfeld MG, Willson TM, Glass CK, Milburn MV:
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04 de mayo de 2012 Alteraciones en la biodistribución de los radiofármacoscausadas por interacciones medicamentosas Ana Agudo Martínez1, Jesús Luis Gómez Perales 2, Juan Luis Tirado 3. 1 - Servicio de Medicina Nuclear, Hos pital Univers itario Virgen Macarena (Sevilla, Es paña). 2 - Servicio de Medicina Nuclear, Hos pital Puerta del Mar (Cádiz, Es paña).