Adenylate cyclase-coupled vasopressin receptor activates AQP2 promoter via a dual effect on CRE and API elements

-Vasopressin plays an essential role for the regulation of water balance by activating the collecting duct-specific water channel, aquaporin-2 (AQP2). Here we present evidence that vasopressin may also act as a longterm, transcriptional regulator of AQP2. The studies were performed on LLC-PK₁ cells, which normally express V₂ receptor (V₂R) and which were transfected with a fragment of the human AQP2 promoter. Activation of the adenylate cyclase-coupled V₂R in LLC-PK₁ cells induced phosphorylation of adenosine 3′,5′-cyclic monophosphate (cAMP) responsive element binding protein (CREB) and expression of c-Fos. Binding of these factors to the CRE and API site did, in combination, lead to AQP2 promoter activation. These results establish the role of vasopressin as a regulator of transcription and are the first example of how a message from a highly specific receptor is, via a dual effect of the cAMP signal on CREB and immediate early gene expression, transduced to the transcription of a final target protein with known biological effects.