Chronic HBV infection is one of the risk factors associated with HCC (
9,
18,
19). HBV-encoding proteins, such as HBx protein, play an important role in the development of HCC (
5). HBx also plays a key role in HBV transcription and replication (
1). Many studies have suggested that HBx functions through interaction with various transfactor’s, such as NF-κB, AP-2 and CREB, binding sites (
6-
8). AKR1C1 was one of the genes whose expression levels were altered in HBx transgenic cells identified by cDNA microarray analysis. AKR1C1 is a member of the aldo-keto reductase (AKR) supergene family, belonging to evolutionarily conserved NAD(P)H-dependent oxidoreductase class. Increased expression of AKR1C1 gene was observed in various cancer cells including lung (
12), liver (
14,
15) and ovarian (
20). AKR1C1 is also involved in the development of drug resistance in various tumors (
10,
14,
15,
21,
22). Although HBx-induced activation of AKR1C1 gene has been reported previously, the exact mechanism remains unclear. In this study, we aim to delineate the interaction between HBx and AKR1C1 to better understand how HBx activated AKR1C1. We found that HBx activated AKR1C1 gene expression through affecting its promoter activity, and the critical promoter region essential for this activation was identified. Furthermore, data from our study indicated that NF-Y was involved in this HBx-induced AKR1C1 activation. Our data indicate that HBV could up-regulate the expression of AKR1C1 (
Figure 1A), and a similar result was observed between normal liver tissues and HBV-positive HCC cell lines (
20). HBx has long been considered as the most important determinant in the virus-mediated pathogensis (
5). In our study, we demonstrated that HBx induces the AKR1C1 expression through activating its promoter activity (
Figure 2A,
B,
C and
D). Suppression of the HBx expression in HepG2.2.15 cells by siRNA significantly reduces the AKR1C1 expression through suppressing its promoter activity (
Figure 3A and
B). To investigate the molecular mechanism of increased AKR1C1 expression induced by HBx, a series of deletion mutations of the 5’flanking region of the AKR1C1 gene promoter were created. Our results showed that the promoter region between -128 and -88 was critical for the transcriptional activation of AKR1C1 promoter by the HBx protein in HepG2.2.15 cells (
Figure 4A,
B,
C and
D). Pallai et al. (2010) identified that the transcription factor NF-Y binds to the inverted CCAAT box of the AKR1C1 using chromatin immunoprecipitation (CHIP) analysis and electrophoretic mobility shift (EMSA) assay. Their results showed that NF-Y regulated the basal transcription of AKR1C1 in HepG2 cells. Our data showed that -128/-88 promoter region is not only the minimal proximal promoter region (
14,
15), but also the critical section for AKR1C1 expression regulated by HBx. NF-Y is a CCAAT-specific binding site, well-conserved transcriptional factor composed of three distinct subunits: NF-YA, NF-YB and NF-YC, all required for DNA-binding (
23). It has been observed that the CCAAT box is a single element in the forward or reverse orientation between -60 and -100 of the major start site (
24). Several promoters regulated by NF-Y have been identified, and all these promoters contain a CCAAT sequence close to the transcriptional start site. The CCAAT-box was essential for the basal expression of human phospholipid hydroperoxide glutathione peroxidase (PHGPx) gene in epidermoid carcinoma A431 cells (
25), and the basal transcription of osteoclast differentiation factor (ODF) gene (
26). NF-Y binding to CCAAT is considered to provide specificity in the mammalian unfolded protein response (UPR) (
27). A previous study has indicated that NF-Y was identified in the basal regulation of the AKR1C1 gene in HepG2 cells (
14), but the increased expression of AKR1C1 gene in HCC cells was not investigated. In our study, sequential deletion of a proximal AKR1C1 promoter assay was performed. Our results showed that the promoter region between -128 and -88 was critical for the up-regulation of AKR1C1 in HepG2.2.15 cells (
Figure 4C). Analysis of AKR1C1 promoter by the TRANSFAC database and the ALIBABA 2.0 software revealed that transcription factor binding sites SP-1, NF-Y, C/EBP, P40X, and USF are in this region (
Figure 5A). Site-directed mutagenesis demonstrated that NF-Y was responsible for the transcriptional activation of AKR1C1 gene in HepG2.2.15 cells (
Figure 5C). HBx increased the activity of pAKR1C1-180/+59 significantly, but the activity of NF-Ymut2 (the mutate construct of NF-Y transcription factor binding site) was similar between the HBx group and the control group in HepG2 cells (
Figure 5D). These data clearly demonstrated that HBx protein increased the basal transcription of AKR1C1 gene, and the CCAAT-box binding protein, NF-Y plays an important role in this regulation. Our data support previous studies demonstrating that HBx stimulate the AKR1C1 gene transcription at the promoter by enhancing the binding or activity of transcription factors (
28,
29). Kabe’s report described that NF-Y is essential for the recruitment of RNAPⅡ onto the CCAAT box-containing promoters. Thus, the role of NF-Y in the formation of the transcription initiation complex warrants further studies. Some reports suggested that the c-Myc might interact with NF-Y (
30) to regulate the cell cycle-dependent expression of the hsp70 gene (
31). In line with this, interaction between NF-Y and other genes in HepG2.2.15 cells need further clarification. In conclusion, our results suggest that HBx activates the basal transcription of AKR1C1 gene by promoting its promoter activity in HepG2.2.15 cells and NF-Y play a critical role in this process. The involvement of HBx in up-regulation of AKR1C1 gene provides a new understanding and therapeutic target for HBV-induced HCC.