ChREBP is highly expressed in the liver and other metabolic tissues such as white and brown adipose tissue, pancreatic islet cells, small intestine, and kidney. It is expressed at lower levels in tissues such as skeletal muscle. They are crucial in regulating nutrient metabolism and energy homeostasis. ChREBP's activation by glucose is a key mechanism for converting excess carbohydrate into stored fat. This occurs independent of insulin signaling: while
insulin also helps to regulate glucose metabolism, the activation of ChREBP is separately triggered by glucose levels. Carbohydrate metabolites activate the canonical form of ChREBP, ChREBP-α, which stimulates production of a potent, constitutively active ChREBP isoform called ChREBP-β. ChREBP forms heterodimers with other bHLH-Zip proteins, particularly Mlx, and binds to
carbohydrate response element (ChoRE) sequences. ChoRE sequences are typically found in regions of DNA where gene expression is transcriptionally induced by glucose. ChoRE sequences serve as binding sites for transcription factors that respond to changes in glucose levels. The ChoRE-ChREBP pathway is a key mechanism through which glucose regulates the synthesis of
triglycerides, by controlling the expression of genes that encode enzymes. ChREBP's ability to bind DNA and transactivate gene expression depends upon its dimerization with MLX protein. For full functional activity, two heterodimeric ChREBP-MLX complexes (each containing one ChREBP and one MLX molecule) join together to form a heterotetramer that binds to a ChoRE DNA sequence consisting of two adjacent E-boxes. This forms the active transcriptional complex. ChREBP regulates the expression of genes involved in glucose and lipid metabolism,
glycolysis in the liver, and
de novo lipogenesis (DNL) in
adipose tissue. ChREBP is a major mediator of glucose action on glycolytic enzymes such as
Pklr, lipogenic enzymes such as
ACC and
FASN, and
G6P disposal, among others. Many factors mediate the activation or inactivation of ChREBP. ChREBP is also subject to post-translational modifications such as
phosphorylation,
acetylation, and
O-linked glycosylation, which can affect its activity. == Clinical significance ==