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Originally published In Press as doi:10.1074/jbc.M704213200 on May 27, 2007

J. Biol. Chem., Vol. 282, Issue 31, 22678-22688, August 3, 2007
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Suppression of Diacylglycerol Acyltransferase-2 (DGAT2), but Not DGAT1, with Antisense Oligonucleotides Reverses Diet-induced Hepatic Steatosis and Insulin Resistance*Formula

Cheol Soo Choi{ddagger}1, David B. Savage{ddagger}12, Ameya Kulkarni{ddagger}1, Xing Xian Yu§3, Zhen-Xiang Liu{ddagger}, Katsutaro Morino{ddagger}, Sheene Kim{ddagger}, Alberto Distefano{ddagger}, Varman T. Samuel{ddagger}, Susanne Neschen{ddagger}, Dongyan Zhang{ddagger}, Amy Wang{ddagger}, Xian-Man Zhang{ddagger}, Mario Kahn{ddagger}, Gary W. Cline{ddagger}, Sanjay K. Pandey§, John G. Geisler§, Sanjay Bhanot§3, Brett P. Monia§3, and Gerald I. Shulman, Investigator of the Howard Hughes Medical Institute{ddagger}||4

From the Departments of {ddagger}Internal Medicine and Cellular and Molecular Physiology, ||Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut 06510 and §Isis Pharmaceuticals, Carlsbad, California 92008

Nonalcoholic fatty liver disease (NAFLD) is a major contributing factor to hepatic insulin resistance in type 2 diabetes. Diacylglycerol acyltransferase (Dgat), of which there are two isoforms (Dgat1 and Dgat2), catalyzes the final step in triglyceride synthesis. We evaluated the metabolic impact of pharmacological reduction of DGAT1 and -2 expression in liver and fat using antisense oligonucleotides (ASOs) in rats with diet-induced NAFLD. Dgat1 and Dgat2 ASO treatment selectively reduced DGAT1 and DGAT2 mRNA levels in liver and fat, but only Dgat2 ASO treatment significantly reduced hepatic lipids (diacylglycerol and triglyceride but not long chain acyl CoAs) and improved hepatic insulin sensitivity. Because Dgat catalyzes triglyceride synthesis from diacylglycerol, and because we have hypothesized that diacylglycerol accumulation triggers fat-induced hepatic insulin resistance through protein kinase C{epsilon} activation, we next sought to understand the paradoxical reduction in diacylglycerol in Dgat2 ASO-treated rats. Within 3 days of starting Dgat2 ASO therapy in high fat-fed rats, plasma fatty acids increased, whereas hepatic lysophosphatidic acid and diacylglycerol levels were similar to those of control rats. These changes were associated with reduced expression of lipogenic genes (SREBP1c, ACC1, SCD1, and mtGPAT) and increased expression of oxidative/thermogenic genes (CPT1 and UCP2). Taken together, these data suggest that knocking down Dgat2 protects against fat-induced hepatic insulin resistance by paradoxically lowering hepatic diacylglycerol content and protein kinase C{epsilon} activation through decreased SREBP1c-mediated lipogenesis and increased hepatic fatty acid oxidation.


Received for publication, May 22, 2007

* This work was supported in part by United States Public Health Service Grants R01 DK-40936 (to G. I. S.) and P30 DK-45735 (to G. I. S.) and a Distinguished Clinical Scientist Award from the American Diabetes Association. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Formula The on-line version of this article (available at http://www.jbc.org) contains supplemental Table 1.

1 These authors contributed equally to this work.

2 Supported by the Wellcome Trust.

3 Employee of and owns stock and/or holds stock options in Isis Pharmaceuticals.

4 To whom correspondence should be addressed: TAC S269 P. O. Box 9812, Yale University School of Medicine, New Haven, CT 06536-9812. Tel.: 203-785-5447; Fax: 203-737-4059; E-mail: gerald.shulman{at}yale.edu.


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