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Volume 272, Number 43, Issue of October 24, 1997 pp. 27307-27312
©1997 by The American Society for Biochemistry and Molecular Biology, Inc.

Alterations in Lipoprotein Metabolism in Peroxisome Proliferator-activated Receptor alpha -deficient Mice*

(Received for publication, May 12, 1997, and in revised form, August 1, 1997)

Jeffrey M. Peters Dagger , Nathalie Hennuyer §, Bart Staels §, Jean-Charles Fruchart §, Catherine Fievet §par , Frank J. Gonzalez Dagger and Johan Auwerx §**

From the Dagger  Laboratory of Metabolism, NCI, National Institutes of Health, Bethesda, Maryland 20892 and § U.325 INSERM, Département d'Athérosclérose, Institut Pasteur, 59019 Lille, France

ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
FOOTNOTES
ACKNOWLEDGEMENTS
REFERENCES


ABSTRACT

The peroxisome proliferator-activated receptor-alpha (PPARalpha ) controls gene expression in response to a diverse class of compounds collectively referred to as peroxisome proliferators. Whereas most known peroxisome proliferators are of exogenous origin and include hypolipidemic drugs and other industrial chemicals, several endogenous PPARalpha activators have been identified such as fatty acids and steroids. The latter finding and the fact that PPARalpha modulates target genes encoding enzymes involved in lipid metabolism suggest a role for PPARalpha in lipid metabolism. This was investigated in the PPARalpha -deficient mouse model. Basal levels of total serum cholesterol, high density lipoprotein cholesterol, hepatic apolipoprotein A-I mRNA, and serum apolipoprotein A-I in PPARalpha -deficient mice are significantly higher compared with wild-type controls. Treatment with the fibrate Wy 14,643 decreased apoA-I serum levels and hepatic mRNA levels in wild-type mice, whereas no effect was detected in the PPARalpha -deficient mice. Administration of the fibrate Wy 14,643 to wild-type mice results in marked depression of hepatic apolipoprotein C-III mRNA and serum triglycerides compared with untreated controls. In contrast, PPARalpha -deficient mice were unaffected by Wy 14,643 treatment. These studies demonstrate that PPARalpha modulates basal levels of serum cholesterol, in particular high density lipoprotein cholesterol, and establish that fibrate-induced modulation in hepatic apolipoprotein A-I, C-III mRNA, and serum triglycerides observed in wild-type mice is mediated by PPARalpha .


INTRODUCTION

Peroxisome proliferator-activated receptors (PPARs)1 are a subfamily of the nuclear hormone receptor gene family. There are three distinct PPARs, termed alpha , delta  (also called beta , NUC-1), and gamma , each encoded by a separate gene and showing a distinct tissue distribution (for review, see Refs. 1-5). Activated PPARs heterodimerize with another nuclear receptor, RXR and alter transcription of target genes after binding to specific response elements or PPREs. PPREs consist of a direct repeat of the nuclear receptor hexameric DNA recognition motif spaced by one nucleotide. Numerous PPAR target genes have been identified (for review, see Ref. 4). Since they are activated by various fatty acid metabolites as well as several drugs used in the treatment of metabolic disorders, PPARs can be considered as key messengers that modulate nutritional, pharmacological, and metabolic stimuli into changes in gene expression. PPARs were initially considered orphan receptors, since no direct binding of the various activators to the receptors could be demonstrated. However, PPARalpha has recently been shown to bind and be activated by leukotriene B4 and fibrates (6). In addition, prostaglandin J2 derivatives and the antidiabetic thiazolidinediones have been shown to be natural and synthetic ligands for PPARgamma , respectively (7-9).

PPARalpha was the first PPAR to be identified (10), and it is expressed primarily in tissues that have a high level of fatty acid catabolism such as liver (11). In the liver, PPARalpha modulates oxidation of fatty acids and detoxification of several xenobiotic compounds. Numerous studies have demonstrated that several genes encoding enzymes involved in metabolic pathways, such as beta - and omega -oxidation, contain a PPRE in their promoter region and are under transcriptional control of PPARalpha (reviewed in Ref. 4). Consistent with this observation, PPARalpha knockout mice, which are apparently healthy under basal conditions, are not able to induce genes involved in beta - and omega -oxidation when treated with compounds that activate PPARalpha (12). Fatty acid oxidation pathways have diverse roles in physiology, extending from a role in lipid metabolism strictu sensu to a role in the metabolism of various lipid mediators and signaling factors (6).

In addition to its role in omega - and beta -oxidation pathways, PPARalpha was suggested to be important in the control of extracellular lipid metabolism (for review, see Refs. 1-5). For example, PPARalpha activators such as fibrates have an important role in the control of HDL cholesterol levels. Gene expression of apoA-I and apoA-II, the major apolipoproteins in HDL, is controlled by PPARalpha . Thus, these protagonists of reverse cholesterol transport (13), a protective pathway against coronary artery disease (14), can be modulated by PPARalpha (reviewed in Refs. 3-5). Besides the role of PPARs in HDL metabolism, they also affect metabolism of triglyceride-rich lipoprotein particles (reviewed in Refs. 3-5). In fact, activation of either PPARalpha and/or PPARgamma has pronounced triglyceride-lowering effects in animals and man due to effects on both clearance and production rates of triglyceride-rich lipoproteins.

Given the effects of treatment with PPARalpha activators on lipoprotein metabolism, the goal of this study was to analyze in a more direct fashion whether PPARalpha is involved in the regulation of lipoprotein metabolism. Thus, we examined lipoprotein metabolism in PPARalpha -deficient mice. These data unequivocally demonstrate that PPARalpha has an important regulatory role in lipid metabolism.


EXPERIMENTAL PROCEDURES

Materials

(4-chloro-6-(2,3-xylidine)-pyrimidinylthio)acetic acid (Wy 14,643), a powerful PPARalpha activator and ligand (6), was purchased commercially (ChemSyn Science Laboratories, Lenexa, KS). Pelleted mouse chow was commercially prepared containing either 0.0 (control) or 0.1% Wy 14,643 (Bioserv, Frenchtown, NJ).

Animals

For all experiments, we used male mice, 10-16 weeks of age, 20-35 g, F4 C57BL/6N X Sv/129 homozygous wild-type (+/+) or knockout (-/-) for PPARalpha (12). Mice from both genotypes were fed either the control or Wy 14,643 diet ad libitum for 14 days. At the end of the experiments, animals were weighed and euthanized by overexposure to carbon dioxide. Blood was collected, and serum was separated and used within 1 week for analysis of lipids, lipoproteins, and apolipoproteins. The liver was removed immediately, weighed, and frozen in liquid nitrogen and stored at -80 °C until further analysis.

Lipid, Apolipoprotein, and Lipoprotein Measurements

Serum lipids (cholesterol and triglycerides) and HDL cholesterol were determined by enzymatic assay adapted to microtiter plates using commercially available reagents (Boehringer Mannheim). Serum HDL cholesterol content was determined after precipitation of apoB-containing lipoproteins with phosphotungstic acid/mg (Boehringer Mannheim). Serum levels of mouse apoA-I and apoA-II were measured by an immunonephelometric assay using specific polyclonal antibodies.

The distribution of lipoproteins in serum from mice was analyzed by nondenaturing discontinuous gradient polyacrylamide gel electrophoresis (Lipofilm kit, Sebia, Issy-les-Moulineaux, France) according to the manufacturer's instructions.

HDL lipoprotein fraction (d = 1.063-1.21 g/ml) was isolated by sequential ultracentrifugation as described (15). The HDL fraction was assayed for its protein (16) and lipid (cholesterol, triglyceride, and phospholipid) content. HDL size was determined on polyacrylamide gradient gels (4-20%, Novex, San Diego, CA). 10 µg of HDL protein were loaded, and the electrophoresis was performed in a Novex apparatus at 125 V for 13 h in 0.025 M Tris, 0.192 M glycine, pH 8.3. Gels were stained with Coomassie Brilliant Blue R-250. Proteins in the high molecular mass calibration mixture (Pharmacia Biotech Inc.) were used as calibrating proteins on these gels.

Lipoprotein cholesterol profiles were obtained by fast protein liquid chromatography as described (17). This system allows separation of the three major lipoprotein classes; VLDL, low density lipoproteins, and HDL. Cholesterol concentrations were determined in the eluted fractions. Accumulated data were analyzed by the Millenium 20/0 program (Waters).

RNA Analysis

RNA was isolated from liver by the acid guanidinium thiocyanate/phenol/chloroform method (18). Northern and dot blot analysis of total cellular RNA was performed as described (19). Rat apoA-I, apoA-II, apoA-IV, and apoC-III cDNAs were used as probes (20, 21). GAPDH and 36B4 (22, 23) (encoding the human acidic ribosomal phosphoprotein PO (23)) were used as control probes. All probes were labeled by random primed labeling (Boehringer Mannheim). Filters were hybridized with 1.5 × 106 cpm/ml of each probe as described (21). Autoradiograms were analyzed by quantitative scanning densitometry (Bio-Rad GS670 Densitometer) as described (21). RNA expression data of the various apolipoproteins were corrected for the expression of a control probe. An arbitrary value of 100 was assigned to the average of the wild-type (+/+) untreated animals for each experiment.


RESULTS

PPARalpha (-/-) Mice Have Elevated Levels of HDL Particles

Compared with control (+/+) mice, serum total and HDL cholesterol concentrations were significantly higher in PPARalpha (-/-) mice (Table I). Total serum cholesterol and serum HDL cholesterol levels in the PPARalpha (-/-) mice were 64 and 63% higher, respectively, than values in control PPARalpha (+/+) mice. Plasma triglyceride values were not significantly different between the two groups.

Table I. Serum lipid concentrations in PPARalpha (-/-) and (+/+) mice


n Total cholesterol Triglycerides HDL cholesterol

mg/dl
PPARalpha (+/+) 32 85  ± 15 145  ± 41 59  ± 10
PPARalpha (-/-) 24 139  ± 27a 157  ± 36 96  ± 24a

a p < 0.0001 by Mann-Whitney test.

Separation of the different lipoprotein fractions by electrophoresis of lipostained samples from PPARalpha (-/-) and (+/+) mice confirmed a robust increase in HDL concentrations in PPARalpha (-/-) serum (data not shown). When staining intensity of 100% was arbitrarily attributed to the HDL band of the PPARalpha (+/+) animals, the relative staining intensity of the HDL from the PPARalpha (-/-) animals was 197%.

Serum Lipoproteins in PPARalpha (-/-) Mice

To analyze in more detail the distribution of lipoproteins in plasma from the PPARalpha (-/-) and (+/+) mice, aliquots from pooled serum from these animals were subjected to gel filtration chromatography. The cholesterol profiles showed a striking increase in HDL levels as depicted in Fig. 1. This increase is consistent with the increase in HDL cholesterol levels measured by the phosphotungstic acid/mg precipitation technique (Table I) and by lipofilm electrophoresis. Cholesterol concentrations from each of the lipoprotein fractions were further measured. As expected, almost all of the cholesterol was distributed in HDL in both genotypes of mice (85.9 ± 3.5% versus 88.9 ± 0.6% in PPARalpha (+/+) and (-/-), respectively). In addition, the data confirmed a large increase in HDL cholesterol concentrations in PPARalpha (-/-) mice compared with PPARalpha (+/+) mice (137.1 ± 9.7 versus 78.9 ± 10.2 mg/dl, respectively).


Fig. 1. Representative profile of the serum cholesterol distribution between lipoproteins from PPARalpha (+/+) and PPARalpha (-/-) mice after gel filtration chromatography. Serum lipoproteins were separated by gel filtration chromatography using a superose 6HR 10/30 column at a flow rate of 0.35 ml min-1. Cholesterol concentrations were measured in the eluted fractions at 490 nm.

[View Larger Version of this Image (14K GIF file)]


HDL from pooled serum samples from PPARalpha (-/-) and (+/+) mice was isolated by density equilibrium ultracentrifugation, and the composition was determined. HDL particles from PPARalpha (+/+) were not different in their composition compared with PPARalpha (-/-) mice (Table II). Since the particle size distribution of HDL was comparable and showed a homogeneous population of HDL particles in both groups of animals (Fig. 2), we can conclude that the increase in HDL cholesterol is essentially due to an increase in the amount of circulating HDL lipoproteins.

Table II. Mass composition of HDL particles isolated by equilibrium ultracentrifugation from pooled serum from PPARalpha (-/-) and (+/+) mice

Results are expressed as mass percentage of HDL. Values correspond to one HDL preparation isolated from a pooled sample of 3 mice in each group.

Cholesterol Triglycerides Phospholipids Protein

%
PPARalpha (+/+) 25.9 3.3 12.6 58.2
PPARalpha (-/-) 24.5 2.0 15.1 58.4


Fig. 2. Size distribution of HDL particles in PPARalpha (+/+) and PPARalpha (-/-) mice. HDL particles were isolated by density equilibrium ultracentrifugation and electrophoresed in a gradient polyacrylamide gel. The gel was stained for protein with Coomassie Brilliant Blue R-250. Lane 1 contains molecular weight markers. Lanes 2 and 3 represent HDL profiles from PPARalpha (-/-) and PPARalpha (+/+) mice, respectively.

[View Larger Version of this Image (57K GIF file)]


The Increase in HDL Is Due to an Increase in the HDL Apolipoprotein apoA-I

To verify whether the observed increase in HDL particle number and HDL cholesterol was associated with a concomittant increase in the major HDL apolipoproteins, we determined serum apoA-I and apoA-II concentrations in PPARalpha (-/-) and (+/+) mice by a nephelometric assay (Fig. 3, A and B). Serum apoA-I was significantly greater in the PPARalpha (-/-) mice compared with (+/+) mice (136 ± 46 versus 96 ± 19 mg/dl; p < 0.01). The increase in serum apoA-I levels was due to an increase in hepatic apoA-I mRNA levels observed in PPARalpha (-/-) mice compared with control (+/+) mice (Figs. 3A and 4). ApoA-II concentrations tended also to be higher in PPARalpha (-/-) mice relative to the (+/+) controls, but the difference was not statistically significant (64 ± 27 versus 54 ± 15 mg/dl) (Fig. 3B). Similarly, hepatic apoA-II mRNA had a tendency to be more elevated in the (-/-) animals (Figs. 3B and 4).


Fig. 3. Liver apoA-I and apoA-II mRNA levels and serum apoA-I and apoA-II concentrations before and after after Wy 14,643 treatment in PPARalpha (+/+) and (-/-) mice. Bar graphs showing apoA-I (A) and apoA-II (B) data before and after Wy 14,643 treatment in PPARalpha (+/+) and (-/-) mice. , values before treatment with Wy 14,643; black-square, values after treatment with Wy 14,463. Each value represents the mean ± S.D. of the indicated number of animals. When existent, statistically significant differences between treated and untreated animals of the same genotype, as well as between wild-type and deficient mice are indicated by asterisks (Mann-Whitney test, * p < 0.05; ** p < 0.01; *** p < 0.001).

[View Larger Version of this Image (45K GIF file)]



Fig. 4. Liver apoA-I and apoA-II mRNA levels before and after after Wy 14,643 treatment in PPARalpha (+/+) and (-/-) mice. Representative Northern blot showing the differences in apoA-I and apoA-II mRNA levels in PPARalpha (+/+) and (-/-) mice. As a control for loading efficiency, the Northern blots were rehybridized with a GAPDH probe.

[View Larger Version of this Image (102K GIF file)]


ApoA-I Levels Are Not Controlled by Fibrates in PPARalpha (-/-) mice

Previous work from our laboratories and others has shown that rodent serum apoA-I and hepatic mRNA levels are down-regulated by treatment with fibrate hypolipidemic drugs. Since fibrates are potent activators and ligands of PPARalpha , we examined this regulation in PPARalpha (-/-) mice. A significant decrease in both hepatic apoA-I mRNA levels (p < 0.05) and serum apoA-I (p < 0.01) was observed in (+/+) mice after treatment with Wy 14,643. However, administration of Wy 14,643 to PPARalpha (-/-) animals resulted in no significant change in hepatic apolipoprotein A-I mRNA and serum apoA-I levels (Figs. 3A and 4). Absence of a regulatory effect of fibrates on apoA-I protein and mRNA levels in Wy 14,643 fed PPARalpha (-/-) mice suggests and implies PPARalpha unequivocally as a major determinant of HDL metabolism. ApoA-II serum levels increased after fibrate treatment in PPARalpha (+/+) mice (p < 0.01) whereas they decreased in PPARalpha (-/-) mice (p < 0.01) (Fig. 3B). The increase in apoA-II levels was accompanied by an increase in hepatic apoA-II mRNA levels in PPARalpha (+/+) mice (Figs. 3B and 4). No change in hepatic apoA-II mRNA levels was present in PPARalpha (-/-) mice (Figs. 3B and 4).

Fibrate Treatment Reveals Abnormalities in Triglyceride and apoC-III Metabolism in PPARalpha (-/-) Mice

Although no major difference in basal serum triglyceride levels between PPARalpha (+/+) and (-/-) mice was detected (Table I), previous studies have shown that administration of fibrates to both rodents and humans results in lower triglyceride concentrations and lower hepatic apoC-III mRNA (21, 24, 25). In addition, the apoC-III gene has a PPRE and plays a critical role in the control of triglyceride metabolism. Combined, these observations suggest that fibrate regulation of triglyceride metabolism occurs through a PPARalpha -dependent pathway. Consistent with this idea, PPARalpha (+/+) mice fed the Wy 14,643 diet had significantly lower serum triglyceride concentration compared with untreated control (+/+) mice (p < 0.001) (Fig. 5A). In contrast, the characteristic lowering of triglyceride levels in response to fibrate administration was not observed in the PPARalpha (-/-) mice fed the Wy 14,643 diet compared with controls (Fig. 5A).


Fig. 5. Triglycerides and apolipoprotein C-III mRNA levels after Wy 14,643 treatment in PPARalpha (+/+) and (-/-) mice. A, bar graph showing serum triglyceride concentrations and apoC-III mRNA levels before () and after (black-square) Wy 14,643 treatment in PPARalpha (+/+) and (-/-) mice. Each value represents the mean ± S.D. of the indicated number of animals. When existent, statistically significant differences between treated and untreated animals of the same genotype, as well as between wild-type and deficient mice are indicated by asterisks (Mann-Whitney test, * p < 0.05; ** p < 0.01; *** p < 0.001). B, representative Northern blot showing the differences in apoC-III and acyl-CoA oxidase mRNA levels in PPARalpha (+/+) and (-/-) mice. As a control for loading efficiency, the Northern blots were rehybridized with a GAPDH probe.

[View Larger Version of this Image (54K GIF file)]


Consistent with the hypothesis that PPARalpha has a major role in regulating apoC-III levels accompanying major changes in triglyceride metabolism, we observed a decrease in liver apoC-III mRNA levels in PPARalpha (+/+) mice fed the Wy 14,643 diet (p < 0.001) (Fig. 5, A and B). In contrast, liver apoC-III mRNA levels were not affected in the PPARalpha (-/-) mice fed the Wy 14,643 diet compared with untreated controls (Fig. 5, A and B).


DISCUSSION

Since peroxisome proliferators induce altered expression of genes encoding peroxisomal beta -oxidation enzymes, microsomal omega -oxidation enzymes, and apolipoproteins, a role in lipid homeostasis for these compounds can be hypothesized. This idea is further supported by the known triglyceride-lowering effects of fibrates, a commonly used class of hypolipidemic agents. Recently it was shown that several peroxisome proliferators including fibrates and a fatty acid derivative are capable of activating PPARalpha . To better delineate a role for PPARalpha in lipid homeostasis, we examined lipid and lipoprotein metabolism in PPARalpha -deficient mice.

Serum lipid and lipoprotein parameters were markedly altered in PPARalpha (-/-) mice compared with PPARalpha (+/+) mice. Most striking was the consistent increase in total and HDL cholesterol levels in the PPARalpha (-/-) mice. This increase in HDL cholesterol levels was associated with a parallel elevation in serum apoA-I levels, which was associated with higher levels of hepatic apoA-I mRNA levels. Despite the higher level of serum HDL cholesterol, the composition and the size distribution of HDL particles was not different between the two genotypes. This suggests that the increase in serum HDL cholesterol in the PPARalpha (-/-) mice was essentially due to an increase in the amount of circulating HDL lipoproteins. Another strong argument supporting an active role of PPARalpha in the control of HDL metabolism was provided by the absence of a similar regulatory effect of fibrate lipid-lowering drugs on liver apoA-I and apoA-II mRNA and serum apoA-I and apoA-II levels in PPARalpha (-/-) animals. In fact, apoA-I mRNA levels were, as reported previously (20, 26), decreased after fibrate treatment in PPARalpha (+/+) animals, whereas no regulation was observed in the (-/-) mice. Similar to previous work in humans (27), apoA-II mRNA and serum levels were only increased by fibrates in PPARalpha (+/+), but not in (-/-) mice. Combined, these observations clearly establish PPARalpha as a key regulatory factor in HDL metabolism.

The pathways through which PPARalpha and its activators/ligands alter apolipoprotein expression and HDL metabolism is an active area of research. There is some confusion in this area that stems from differences between human and rodent apoA-I gene regulation by fibrates. In rats, serum HDL cholesterol and hepatic apoA-I mRNA levels are typically down-regulated by fibrates (20, 26, 28), whereas these parameters increase to a variable extent in humans (26, 29, 30). The mechanisms by which fibrates exert an overall negative effect on the minimal promoter of the mouse apoA-I gene are as of yet not defined.The present results, which demonstrate an increase in liver apoA-I mRNA levels under basal conditions in PPARalpha (-/-) mice and show no regulatory effect of fibrates in these mice, are consistent with a negative regulatory effect of PPAR activators on rodent apoA-I expression (20, 26). This indicates that PPARalpha is one of the key players in determining liver apoA-I expression.

Human liver apoA-II expression is stimulated by PPARalpha . In fact, PPAR induces apoA-II expression through interaction with a PPRE located in the apoA-II J site (27). The absence in PPARalpha (-/-) mice of increased apoA-II mRNA and serum levels, typically observed in PPARalpha (+/+) mice after fibrate treatment, indicates that regulatory mechanisms similar to those for the human apoA-II gene must exist in mice. The regulatory function of PPARalpha on gene expression of these two major HDL apolipoproteins may have important clinical implications in man. Since apoA-I and apoA-II are major determinants of HDL metabolism, alterations in their gene expression could significantly affect reverse cholesterol transport pathway, which seems to protect against coronary atherosclerosis.

PPARalpha (+/+) mice fed the 0.1% Wy 14,643 diet have significantly lower hepatic apoC-III mRNA levels and triglyceride concentration compared with control untreated (+/+) mice. This is consistent with previous reports showing a similar reduction in apoC-III levels in rats after treatment with hypolipidemic fibrates (21, 24, 25). In contrast, PPARalpha (-/-) mice fed Wy 14,643 did not exhibit the prototypical response to a peroxisome proliferator since hepatic apoC-III mRNA and triglyceride levels were not different compared with control (+/+) mice. These observations demonstrate that Wy 14,643-induced reductions in hepatic apoC-III mRNA and triglyceride metabolism are mediated by PPARalpha and hence establish a role for PPARalpha in the control of VLDL and triglyceride metabolism in addition to its role in HDL metabolism described above.

Our observations are also consistent with previous studies, which suggested that activation of PPARalpha results in lower serum triglyceride levels in animals and man. Steady state triglyceride levels are dependent on two pathways, endogenous synthesis and tissue clearance. Production of triglycerides in the liver is controlled in large part by substrate (fatty acids) availability, whereas tissue clearance of triglycerides is dependent on lipoprotein lipase activity and apolipoprotein C-III. Fibrates can affect both of these processes (reviewed in Ref. 4). For example, fibrates have been shown to stimulate lipolysis and clearance of triglycerides due to decreased transcription and production of apoC-III (21, 24, 25), an apolipoprotein that limits tissue clearance of triglyceride. The effect of peroxisome proliferators on apoC-III expression may involve competition by PPAR for binding to a cis-acting sequence on the apoC-III promoter as well as a direct repression of hepatic nuclear factor-4 expression (25). In addition to apoC-III-mediated effects on the clearance of triglyceride-rich lipoproteins induced by PPARalpha , this receptor also influences production rates of these particles. Fibrate activation of PPARalpha in the liver stimulates fatty acid uptake and conversion to acyl-CoA derivatives by the induction of the genes coding for the fatty acid transporter protein2 and acyl-CoA synthase (31-33). The resulting acyl-CoA derivatives in hepatocytes are then more efficiently oxidized by induction of fatty acid beta -oxidation pathways in peroxisomes and mitochondria (see above). Besides modulating beta -oxidation of fatty acids, PPARalpha activation can also inhibit de novo fatty acid synthesis that contributes to decreased triglyceride synthesis and VLDL production (reviewed in Ref. 4). Hence, both enhanced catabolism of triglyceride-rich particles as well as reduced secretion of VLDL particles are mechanisms that contribute to the hypolipidemic effect of PPARalpha activation.

Our results clearly show that PPARalpha modulates lipid metabolism in a homeostatic mechanism since mice lacking functional PPARalpha have higher levels of serum HDL. In addition, PPARalpha has an important role in mediating the effects of fibrates on apolipoprotein, HDL, and triglyceride metabolism. Our observations in the PPARalpha -deficient mouse warrant further studies to delineate the role of normal and abnormal PPAR activity in man. It may be especially interesting to evaluate genetic linkage in the PPARalpha gene from patients with abnormalities in lipid metabolism such as hypoalphalipoproteinemia, hypertriglyceridemia, or combined hyperlipidemia.


FOOTNOTES

*   This work was supported by grants from Association pour la Recherche contre le Cancer (ARC), North Atlantic Treaty Organization (NATO), Fondation pour la Recherche Medicale (FRM), and INSERM.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
   Research associate from CNRS.
par    Research director from INSERM.
**   Research director from CNRS. To whom correspondence should be addressed: U.325 INSERM, Institut Pasteur, 1 Rue Calmette, 59019 Lille Cédex, France. Fax: 33-3-2087-7360; E-mail: Johan.Auwerx{at}pasteur-lille.fr.
1   The abbreviations used are: PPAR, peroxisome proliferator-activated receptor; PPRE, peroxisome proliferator-response element; HDL, high density lipoprotein; VLDL, very low density lipoprotein.
2   Martin, G., Schoonjans, K., Lefebvre, A., Staels, B., and Auwerx, J. (1997) J. Biol. Chem., manuscript in press.

ACKNOWLEDGEMENTS

Excellent technical help from Delphine Cayet, Bruno Derudas, and Odille Vidal are acknowledged.


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Impaired adipogenesis and lipolysis in the mouse upon selective ablation of the retinoid X receptor alpha mediated by a tamoxifen-inducible chimeric Cre recombinase (Cre-ERT2) in adipocytes
PNAS, December 22, 2000; (2000) 11528898.
[Abstract] [Full Text]


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EndocrinologyHome page
R. A. Memon, L. H. Tecott, K. Nonogaki, A. Beigneux, A. H. Moser, C. Grunfeld, and K. R. Feingold
Up-Regulation of Peroxisome Proliferator-Activated Receptors (PPAR-{alpha}) and PPAR-{gamma} Messenger Ribonucleic Acid Expression in the Liver in Murine Obesity: Troglitazone Induces Expression of PPAR-{gamma}-Responsive Adipose Tissue-Specific Genes in the Liver of Obese Diabetic Mice
Endocrinology, November 1, 2000; 141(11): 4021 - 4031.
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Arterioscler. Thromb. Vasc. Bio.Home page
A. Tailleux, M. Bouly, G. Luc, G. Castro, J.-M. Caillaud, N. Hennuyer, P. Poulain, J.-C. Fruchart, N. Duverger, and C. Fievet
Decreased Susceptibility to Diet-Induced Atherosclerosis in Human Apolipoprotein A-II Transgenic Mice
Arterioscler. Thromb. Vasc. Biol., November 1, 2000; 20(11): 2453 - 2458.
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J. G. DeLuca, T. W. Doebber, L. J. Kelly, R. K. Kemp, S. Molon-Noblot, S. P. Sahoo, J. Ventre, M. S. Wu, J. M. Peters, F. J. Gonzalez, et al.
Evidence for Peroxisome Proliferator-Activated Receptor (PPAR)alpha -Independent Peroxisome Proliferation: Effects of PPARgamma /delta -Specific Agonists in PPARalpha -Null Mice
Mol. Pharmacol., September 1, 2000; 58(3): 470 - 476.
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Clin. Cancer Res.Home page
G. P. Collett, A. M. Betts, M. I. Johnson, A. B. Pulimood, S. Cook, D. E. Neal, and C. N. Robson
Peroxisome Proliferator-activated Receptor {{alpha}} Is an Androgen-responsive Gene in Human Prostate and Is Highly Expressed in Prostatic Adenocarcinoma
Clin. Cancer Res., August 1, 2000; 6(8): 3241 - 3248.
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Mol. Cell. Biol.Home page
J. M. Peters, S. S. T. Lee, W. Li, J. M. Ward, O. Gavrilova, C. Everett, M. L. Reitman, L. D. Hudson, and F. J. Gonzalez
Growth, Adipose, Brain, and Skin Alterations Resulting from Targeted Disruption of the Mouse Peroxisome Proliferator-Activated Receptor beta (delta )
Mol. Cell. Biol., July 15, 2000; 20(14): 5119 - 5128.
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Differences in the Formation of PPARalpha -RXR/acoPPRE Complexes between Responsive and Nonresponsive Species upon Fibrate Administration
Mol. Pharmacol., July 1, 2000; 58(1): 185 - 193.
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Hepatocyte-Specific Mutation Establishes Retinoid X Receptor alpha as a Heterodimeric Integrator of Multiple Physiological Processes in the Liver
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M.-C. Vohl, P. Lepage, D. Gaudet, C. G. Brewer, C. Bétard, P. Perron, G. Houde, C. Cellier, J. M. Faith, J.-P. Després, et al.
Molecular scanning of the human PPARa gene: association of the L162V mutation with hyperapobetalipoproteinemia
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M. Marrapodi and J. Y. L. Chiang
Peroxisome proliferator-activated receptor {alpha} (PPAR{alpha}) and agonist inhibit cholesterol 7{alpha}-hydroxylase gene (CYP7A1) transcription
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M. Marrapodi and J. Y. L. Chiang
Peroxisome proliferator-activated receptor {alpha} (PPAR{alpha}) and agonist inhibit cholesterol 7{alpha}-hydroxylase gene (CYP7A1) transcription
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The Nuclear Receptor PPAR{gamma} and Immunoregulation: PPAR{gamma} Mediates Inhibition of Helper T Cell Responses
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Peroxisome Proliferator-induced Long Chain Acyl-CoA Thioesterases Comprise a Highly Conserved Novel Multi-gene Family Involved in Lipid Metabolism
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E. Raspé, L. Madsen, A-M. Lefebvre, I. Leitersdorf, L. Gelman, J. Peinado-Onsurbe, J. Dallongeville, J-C. Fruchart, R. Berge, and B. Staels
Modulation of rat liver apolipoprotein gene expression and serum lipid levels by tetradecylthioacetic acid (TTA) via PPAR{alpha} activation
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B. Desvergne and W. Wahli
Peroxisome Proliferator-Activated Receptors: Nuclear Control of Metabolism
Endocr. Rev., October 1, 1999; 20(5): 649 - 688.
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A Truncated Human Peroxisome Proliferator-Activated Receptor {alpha} Splice Variant with Dominant Negative Activity
Mol. Endocrinol., September 1, 1999; 13(9): 1535 - 1549.
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J. Pharmacol. Exp. Ther.Home page
T. B. Barclay, J. M. Peters, M. B. Sewer, L. Ferrari, F. J. Gonzalez, and E. T. Morgan
Modulation of Cytochrome P-450 Gene Expression in Endotoxemic Mice Is Tissue Specific and Peroxisome Proliferator-Activated Receptor-alpha Dependent
J. Pharmacol. Exp. Ther., September 1, 1999; 290(3): 1250 - 1257.
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P. R. Devchand, A. K. Hihi, M. Perroud, W.-D. D. Schleuning, B. M. Spiegelman, and W. Wahli
Chemical Probes That Differentially Modulate Peroxisome Proliferator-activated Receptor alpha and BLTR, Nuclear and Cell Surface Receptors for Leukotriene B4
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H. M. Guardiola-Diaz, S. Rehnmark, N. Usuda, T. Albrektsen, D. Feltkamp, J.-A. Gustafsson, and S. E. H. Alexson
Rat Peroxisome Proliferator-activated Receptors and Brown Adipose Tissue Function during Cold Acclimatization
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Infect. Immun.Home page
M. R. Hill, S. Clarke, K. Rodgers, B. Thornhill, J. M. Peters, F. J. Gonzalez, and J. M. Gimble
Effect of Peroxisome Proliferator-Activated Receptor Alpha Activators on Tumor Necrosis Factor Expression in Mice during Endotoxemia
Infect. Immun., July 1, 1999; 67(7): 3488 - 3493.
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BloodHome page
M. Kockx, P. P. Gervois, P. Poulain, B. Derudas, J. M. Peters, F. J. Gonzalez, H. M.G. Princen, T. Kooistra, and B. Staels
Fibrates Suppress Fibrinogen Gene Expression in Rodents Via Activation of the Peroxisome Proliferator-Activated Receptor-alpha
Blood, May 1, 1999; 93(9): 2991 - 2998.
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ScienceHome page
S. A. Kliewer, J. M. Lehmann, and T. M. Willson
Orphan Nuclear Receptors: Shifting Endocrinology into Reverse
Science, April 30, 1999; 284(5415): 757 - 760.
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Fibrates Increase Human REV-ERB{alpha} Expression in Liver via a Novel Peroxisome Proliferator-Activated Receptor Response Element
Mol. Endocrinol., March 1, 1999; 13(3): 400 - 409.
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J. P. Vanden Heuvel
Peroxisome Proliferator–Activated Receptors: A Critical Link among Fatty Acids, Gene Expression and Carcinogenesis
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CirculationHome page
B. Staels, J. Dallongeville, J. Auwerx, K. Schoonjans, E. Leitersdorf, and J.-C. Fruchart
Mechanism of Action of Fibrates on Lipid and Lipoprotein Metabolism
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P. Costet, C. Legendre, J. More, A. Edgar, P. Galtier, and T. Pineau
Peroxisome Proliferator-activated Receptor alpha -Isoform Deficiency Leads to Progressive Dyslipidemia with Sexually Dimorphic Obesity and Steatosis
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N. Vu-Dac, S. Chopin-Delannoy, P. Gervois, E. Bonnelye, G. Martin, J.-C. Fruchart, V. Laudet, and B. Staels
The Nuclear Receptors Peroxisome Proliferator-activated Receptor alpha  and Rev-erbalpha Mediate the Species-specific Regulation of Apolipoprotein A-I Expression by Fibrates
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K. Motojima, P. Passilly, J. M. Peters, F. J. Gonzalez, and N. Latruffe
Expression of Putative Fatty Acid Transporter Genes Are Regulated by Peroxisome Proliferator-activated Receptor alpha  and gamma  Activators in a Tissue- and Inducer-specific Manner
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J. Biol. Chem.Home page
T. Aoyama, J. M. Peters, N. Iritani, T. Nakajima, K. Furihata, T. Hashimoto, and F. J. Gonzalez
Altered Constitutive Expression of Fatty Acid-metabolizing Enzymes in Mice Lacking the Peroxisome Proliferator-activated Receptor alpha  (PPARalpha )
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Y.-J. Y. Wan, Y. Cai, W. Lungo, P. Fu, J. Locker, S. French, and H. M. Sucov
Peroxisome Proliferator-activated Receptor alpha -mediated Pathways Are Altered in Hepatocyte-specific Retinoid X Receptor alpha -deficient Mice
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S. Kersten, S. Mandard, N. S. Tan, P. Escher, D. Metzger, P. Chambon, F. J. Gonzalez, B. Desvergne, and W. Wahli
Characterization of the Fasting-induced Adipose Factor FIAF, a Novel Peroxisome Proliferator-activated Receptor Target Gene
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J. Dallongeville, E. Bauge, A. Tailleux, J. M. Peters, F. J. Gonzalez, J.-C. Fruchart, and B. Staels
Peroxisome Proliferator-activated Receptor alpha Is Not Rate-limiting for the Lipoprotein-lowering Action of Fish Oil
J. Biol. Chem., February 9, 2001; 276(7): 4634 - 4639.
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M. Bouly, D. Masson, B. Gross, X.-c. Jiang, C. Fievet, G. Castro, A. R. Tall, J.-C. Fruchart, B. Staels, L. Lagrost, et al.
Induction of the Phospholipid Transfer Protein Gene Accounts for the High Density Lipoprotein Enlargement in Mice Treated with Fenofibrate
J. Biol. Chem., July 6, 2001; 276(28): 25841 - 25847.
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J. Biol. Chem.Home page
N. M. Morton, M. C. Holmes, C. Fievet, B. Staels, A. Tailleux, J. J. Mullins, and J. R. Seckl
Improved Lipid and Lipoprotein Profile, Hepatic Insulin Sensitivity, and Glucose Tolerance in 11beta -Hydroxysteroid Dehydrogenase Type 1 Null Mice
J. Biol. Chem., October 26, 2001; 276(44): 41293 - 41300.
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M. Guerre-Millo, P. Gervois, E. Raspe, L. Madsen, P. Poulain, B. Derudas, J.-M. Herbert, D. A. Winegar, T. M. Willson, J.-C. Fruchart, et al.
Peroxisome Proliferator-activated Receptor alpha Activators Improve Insulin Sensitivity and Reduce Adiposity
J. Biol. Chem., May 26, 2000; 275(22): 16638 - 16642.
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Proc. Natl. Acad. Sci. USAHome page
T. Imai, M. Jiang, P. Chambon, and D. Metzger
Impaired adipogenesis and lipolysis in the mouse upon selective ablation of the retinoid X receptor alpha mediated by a tamoxifen-inducible chimeric Cre recombinase (Cre-ERT2) in adipocytes
PNAS, January 2, 2001; 98(1): 224 - 228.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
T. Claudel, M. D. Leibowitz, C. Fievet, A. Tailleux, B. Wagner, J. J. Repa, G. Torpier, J.-M. Lobaccaro, J. R. Paterniti, D. J. Mangelsdorf, et al.
Reduction of atherosclerosis in apolipoprotein E knockout mice by activation of the retinoid X receptor
PNAS, February 27, 2001; 98(5): 2610 - 2615.
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Proc. Natl. Acad. Sci. USAHome page
T. Imai, M. Jiang, P. Kastner, P. Chambon, and D. Metzger
Selective ablation of retinoid X receptor alpha in hepatocytes impairs their lifespan and regenerative capacity
PNAS, April 10, 2001; 98(8): 4581 - 4586.
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Am. J. Physiol. Endocrinol. Metab.Home page
F. M. Gregoire, Q. Zhang, S. J. Smith, C. Tong, D. Ross, H. Lopez, and D. B. West
Diet-induced obesity and hepatic gene expression alterations in C57BL/6J and ICAM-1-deficient mice
Am J Physiol Endocrinol Metab, March 1, 2002; 282(3): E703 - E713.
[Abstract] [Full Text] [PDF]


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