JBC Invitrogen Ultrasensitive Cytokine Assays

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Originally published In Press as doi:10.1074/jbc.M100258200 on May 22, 2001

J. Biol. Chem., Vol. 276, Issue 30, 27950-27958, July 27, 2001
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Identification of Peroxisome Proliferator-responsive Human Genes by Elevated Expression of the Peroxisome Proliferator-activated Receptor alpha  in HepG2 Cells*

Mei-Hui HsuDagger, Üzen SavasDagger, Keith J. Griffin, and Eric F. Johnson§

From the Division of Biochemistry, Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, California 92037

Received for publication, January 11, 2001, and in revised form, May 1, 2001

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In mice and other sensitive species, PPARalpha mediates the induction of mitochondrial, microsomal, and peroxisomal fatty acid oxidation, peroxisome proliferation, liver enlargement, and tumors by peroxisome proliferators. In order to identify PPARalpha -responsive human genes, HepG2 cells were engineered to express PPARalpha at concentrations similar to mouse liver. This resulted in the dramatic induction of mRNAs encoding the mitochondrial HMG-CoA synthase and increases in fatty acyl-CoA synthetase (3-8-fold) and carnitine palmitoyl-CoA transferase IA (2-4-fold) mRNAs that were dependent on PPARalpha expression and enhanced by exposure to the PPARalpha agonist Wy14643. A PPAR response element was identified in the proximal promoter of the human HMG-CoA synthase gene that is functional in its native context. These data suggest that humans retain a capacity for PPARalpha regulation of mitochondrial fatty acid oxidation and ketogenesis. Human liver is refractory to peroxisome proliferation, and increased expression of mRNAs for the peroxisomal fatty acyl-CoA oxidase, bifunctional enzyme, or thiolase, which accompanies peroxisome proliferation in responsive species, was not evident following Wy14643 treatment of cells expressing elevated levels of PPARalpha . Additionally, no significant differences were seen for the expression of apolipoprotein AI, AII, or CIII; medium chain acyl-CoA dehydrogenase; or stearoyl-CoA desaturase mRNAs.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

A variety of compounds designated as peroxisome proliferators elicit pathological changes in the livers of sensitive species. The effects of exposure include the proliferation of peroxisomes, hepatomegaly, and the development of carcinomas (1-4). Peroxisome proliferation follows the extensive induction of peroxisomal and microsomal enzymes that are involved in fatty acid oxidation, and it is thought that increased production of reactive oxygen species generated by these enzymes could contribute to the carcinogenicity of peroxisome proliferators seen in rats and mice. In contrast to sensitive species, guinea pigs and primates appear to be resistant to the adverse consequences of peroxisome proliferator exposure, whereas other species exhibit intermediate effects (5, 6). Unlike isolated hepatocytes and tumor-derived liver cell lines from rats and mice, human hepatocytes do not exhibit peroxisome proliferator-dependent peroxisome proliferation or induction of the peroxisomal and microsomal enzymes that contribute to fatty acid oxidation (7-10).

In mice, the targeted disruption of the gene for the peroxisome proliferator-activated receptor alpha  (PPARalpha )1 prevents the pathological changes and carcinogenicity resulting from peroxisome proliferator exposure (11, 12). PPARalpha is a ligand-activated transcription factor of the nuclear hormone receptor superfamily that binds as a heterodimer with the retinoid X receptor to specific enhancer elements in target genes. Response elements for PPARalpha have been identified in the genes encoding the microsomal P450 omega -hydroxylases and components of the peroxisomal long chain fatty acid beta -oxidation pathway including the long chain fatty acyl-CoA oxidase (ACO1), the enoyl-CoA hydratase (ECH1), and the 3-oxoacyl-CoA thiolase (ACAA1) (reviewed in Ref. 13). These enzymes are induced >10-fold by peroxisome proliferators in rats and mice (reviewed in Ref. 14). However, it is not known if these genes are regulated by PPARalpha in humans.

Fatty acids and peroxisome proliferators are ligand agonists for PPARalpha (15, 16), and there is increasing evidence that PPARalpha plays a central role in fatty acid homeostasis by regulating the degradation of fatty acids by mitochondrial as well as by peroxisomal and microsomal fatty acid oxidation (reviewed in Ref. 13). In addition, PPARalpha contributes to the maintenance of energy balance by regulating the expression of enzymes that participate in mitochondrial fatty acid oxidation and the formation of ketone bodies from fatty acids in the fasted state (17-19). The potential role of PPARalpha in the regulation of mitochondrial capacity for fatty acid oxidation and ketogenesis in human liver has not been adequately addressed.

Several studies indicate that the expression level of PPARalpha in human liver (20, 21) is much lower than in mouse liver, and it has been suggested that this difference could contribute to the lack of peroxisome proliferation and subsequent pathologic effects. PPARalpha agonists are used therapeutically for lowering serum triglycerides, and these hypolipidemic effects observed in humans are known to be mediated by PPARalpha in other species (22), suggesting a role for PPARalpha in the regulation of at least some aspects of lipid metabolism in humans (3). The differences between rodents and humans in response to peroxisome proliferator exposure could reflect differences between species in the spectrum of target genes regulated by PPARalpha . However, the identification of human target genes has been hampered by the lack of detectable PPARalpha -mediated responses in isolated human hepatocytes or in liver-derived cell lines.

The present study was designed to test whether elevated expression of PPARalpha in the human hepatoma-derived cell line, HepG2, would unmask PPARalpha -responsive human genes. Several stable cell lines were generated by transfection of HepG2 cells with human PPARalpha expression vectors. HepG2 cells were selected because they have been studied extensively in relation to lipoprotein metabolism and fatty acid oxidation. Although peroxisomes are present in HepG2 cells and can oxidize fatty acids, treatment with peroxisome proliferators does not induce peroxisomal fatty acid oxidation in this cell line (8, 23). The level of PPARalpha mRNA expression in HepG2 cells is roughly 3-fold lower than the values seen for human liver (20), and transient transfection studies in HepG2 cells using reporter genes under the control of PPAR response elements (PPREs) indicate that significant peroxisome proliferator-dependent reporter expression is evident only when a PPARalpha expression vector is co-transfected with the reporter construct (20, 24).

Stable transformants expressing the mouse PPARalpha -E282G mutant were also generated. This mutant contains a glycine substitution for glutamate at position 282, which results in a significantly reduced ligand-independent transactivation relative to the wild type receptor (25) and a reduced affinity for a number of ligands (15, 26). However, PPARalpha -E282G exhibits similar efficacy as the wild type when activated by PPARalpha agonists such as Wy14643 (25). Therefore, this mutant provides a clearer indication of peroxisome proliferator-dependent gene regulation than may be evident using wild-type human PPARalpha .

The results presented here demonstrate that elevated expression of PPARalpha in HepG2 cells increases the expression of genes encoding several enzymes that catalyze branch points or rate-limiting steps in the utilization of fatty acids for the formation of ketone bodies. The PPARalpha -responsive human genes include the long chain fatty acyl-CoA synthetase (ACS), carnitine palmitoyl acyl-CoA transferase 1A (CPT1A), and the mitochondrial HMG-CoA synthase (HMGCS2). In contrast, the expression of the rate-limiting enzyme of the peroxisomal fatty acid beta -oxidation pathway, ACO1, and other components of this pathway do not appear to be affected by increased PPARalpha levels.

    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Generation of Stable Cell Lines Expressing PPARalpha -- HepG2 cells were obtained from the American Type Culture Collection (Manassas, VA) and maintained in Dulbecco's modified Eagle's medium (Life Technologies, Inc.) containing 10% fetal bovine serum (Summit, Ft. Collins, CO). The human PPARalpha or mouse PPARalpha -E282G cDNAs were inserted into the pcDNA3.1 vector (InVitrogen, Carlsbad, CA). The PPAR expression vectors and empty pcDNA3.1 plasmid were each transfected into HepG2 cells using a modified calcium phosphate co-precipitation method (27). Geneticin (G418) (Life Technologies) was used at a final concentration of 500 µg/ml to select and maintain positive transformants. The cells were given fresh medium containing G418 every 2-3 days to ensure that an adequate active concentration of G418 was present in the culture medium. A microplate dilution technique was performed to purify transformants. In order to simplify the clone designations throughout, the following nomenclature has been used: hPPARalpha -expressing cell lines 251 and 252 are designated as hPPARalpha 1 and hPPARalpha 2, respectively. The mouse PPARalpha -E282G-expressing transformants 15 and 16-13 are designated as mPPARalpha G1 and mPPARalpha G2. The wild type HepG2 cells (not transfected) are designated as HepG2, and cells transfected with empty pcDNA3.1 vector that are resistant to G418 are designated as pcDNA throughout.

Transient Transfections-- Upper and lower oligonucleotides that had overlapping, complementary 3'-ends and that together encompassed nucleotides 1302-1440 of the reported promoter sequence for the human HMGCS2 gene (GenBankTM accession number U81851) were annealed, extended, and amplified using Pfu DNA polymerase (Stratagene, La Jolla, CA). The resulting PCR fragment was gel-purified and inserted into the SmaI site of p19dLuc to generate the pLuc-HMGP reporter construct. For the reporter constructs containing mutations, pLuc-HMGM1 and pLuc-HMGM2, oligonucleotides containing specific mutations that disrupt either the putative PPAR A/T-rich binding site or the RXR binding site (Fig. 8A) were used as described above. The reporter construct containing the heterologous Herpes simplex thymidine kinase promoter, pLuc-TK-HMG, was generated by inserting annealed, complementary oligonucleotides corresponding to the putative human HMGCS2 PPRE (upper strand, agctCTAAAACTGGGTCAAAGGGCTCAC; lower strand, agctGTGAGCCCTTTGACCCAGTTTTAG) into the HindIII site of pLuc-TK. Lowercase letters indicate single strand overhangs used for cloning. The mutant reporter construct pLuc-TK-HMGM was generated as above using the human HMGCS2 mutant element (Fig. 8B). The authenticity of the constructs was verified by sequence analysis. The pLuc-TK-ACO-AB, pLuc-TK-Z, or pLuc-TK reporter constructs have been described previously (27). Each luciferase reporter construct was transfected (2 µg/well for 24-well plates; 5 µg/well for six-well plates) into HepG2 cells, pcDNA control, or PPAR-transformed cell lines using a modified calcium phosphate co-precipitation method (27). A beta -galactosidase reporter construct (pCMV-beta ; CLONTECH, Palo Alto, CA) was co-transfected (0.2 µg/well for 24-well plates or 0.5 µg/well for six-well plates) and used to monitor transfection efficiency. After 16-24 h of incubation with DNA, the cells were washed with Dulbecco's modified Eagle's medium and incubated with fresh medium containing 500 µg/ml G418 and either 50 µM Wy14643 or an equivalent volume of vehicle (EtOH) for another 20-24 h. Luciferase and beta -galactosidase activities were then analyzed as described (27). The luciferase activity for each well was normalized to the beta -galactosidase activity obtained from the same well. Triplicate transfections were carried out for each treatment in each independent transfection experiment, and at least three separate transfection experiments were performed for each cell line.

Preparation of Cell Lysates for Western Blots and Enzyme Assays-- HepG2 cells and pcDNA or PPAR transformants were each seeded into T75 flasks in Dulbecco's modified Eagle's medium at a cell density that would reach ~60% confluence after overnight culture. After 24 h, the cells were treated with 50 µM Wy14643 or EtOH. The medium was replaced with fresh medium containing Wy14643 or solvent alone after another 24 h. After exposure to drug for 48 h, the cells were washed with Dulbecco's phosphate-buffered saline (Life Technologies) and trypsinized. For SDS-polyacrylamide gel electrophoresis and Western blots, the trypsinized cells were suspended in phosphate-buffered saline containing 0.1 mM EDTA and 10% glycerol. Complete protease inhibitor mixture (Roche Molecular Biochemicals) was included prior to sonication twice for 15 s each at 4 °C. The sonicated lysates were treated with 0.1% Nonidet P-40, and following a 30-min incubation, they were first centrifuged at 15,000 × g for 10 min and then centrifuged at 235,000 × g for 30 min at 4 °C. The final supernatant was used for immunoblot analysis. Protein concentrations were determined with the Pierce BCA reagent using bovine serum albumin as the standard. Cell lysates (100 µg of protein/sample) were loaded onto 8% SDS-polyacrylamide gels, electrophoresed, and transferred electrophoretically to nitrocellulose membranes. The level of PPARalpha expression was quantified by developing the transfer blot sequentially with rabbit anti-mouse PPARalpha (25) and 125I-labeled Protein A (ICN, Costa Mesa, CA) prior to analysis using a PhosphorImager SI (Molecular Dynamics, Inc., Sunnyvale, CA).

For enzyme activity assays, trypsinized cells were suspended in 10 mM Tris, pH 7.4, containing 0.25 M sucrose, 1 mM EDTA, 2 µM phenylmethylsulfonyl fluoride, and 2 µM 4-(2-aminoethyl)-benzenesulfonyl fluoride hydrochloride. Whole cell homogenate was obtained using a Radnoti glass wall tissue grinder (Radnoti, Monrovia, CA). After 20 up-down strokes, the homogenate was centrifuged at 550 × g for 5 min at 4 °C to remove unbroken cells and nuclei. The resulting supernatant represents a "crude lysate" that was aliquoted and stored at -80 °C until analysis. The peroxisomal palmitoyl-CoA oxidase activity in the crude lysate was determined by using palmitoyl coenzyme A ([1-14C]palmitoyl-labeled) (55 mCi/mmol) (American Radiolabeled Chemical, St. Louis, MO) as the substrate in the presence of 2 mM KCN as described by Lazarow (28). The mitochondrial HMG-CoA synthase activity in crude lysates was analyzed using the method described by Quant et al. (29) with minor modifications. The buffer system used was modified to 50 mM Tris, pH 8.2, and 1 mM EDTA rather than 50 mM Tris, pH 8.0, with 10 mM MgCl2 in order to minimize the contribution of cytosolic HMG-CoA synthase activity (30). The absorption coefficient of acetoacetyl-CoA is 3.6 × 103 M-1 cm-1 under these conditions.

Reverse Transcription and PCR Amplification-- HepG2 cells and the stable transformants were cultured and treated with EtOH or 50 µM Wy14643 for 48 h as described above. Total RNA was isolated from cells using the RNAgents RNA purification kit (Promega, Madison, WI), and 10 µg of total RNA were utilized for reverse transcription using a combination of random and oligo(dT) primers (200 ng each) with Moloney murine leukemia virus reverse transcriptase (Stratagene, La Jolla, CA). For PCR, specific primer sets were synthesized (Table I) and used for assessment of PPARalpha and PPARalpha target gene mRNA levels. As the predicted size of the amplified cDNAs (300-500 nucleotides) and the Tm values for the primers were similar, uniform conditions were applied for the amplification of all cDNAs. The amplification conditions were as follows: one cycle of denaturing at 94 °C for 2 min, annealing at 56 °C for 1 min 30 s, and extension at 72 °C for 1 min. This was followed by 25 cycles of denaturing at 94 °C for 30 s, annealing at 56 °C for 1 min 30 s, and extension at 72 °C for 1 min. The reaction products were analyzed on 1% agarose gels and visualized by ethidium bromide staining.

RNase Protection Assays-- PCR-amplified cDNA fragments corresponding to PPARalpha and target genes were subcloned into pBS-KS(+), sequenced to confirm their authenticity, and used to generate antisense riboprobes. The human beta -actin probe used as an internal control has been described previously (20). The region that is spanned by each riboprobe corresponds to the primer set location as listed in Table I. Transcription was carried out in the presence of [32P]CTP (20 mCi/ml, 800 Ci/mmol) using either T3 or T7 RNA polymerase (Stratagene, La Jolla, CA). Following in vitro transcription, the reaction mixture was electrophoresed through 5% acrylamide, M urea gels, and the probes were retrieved from gel slices with elution buffer (RPAII kit, Ambion, Austin, TX). For hybridization, 10 µg (target genes) or 20 µg (PPARalpha ) of total RNA were combined with 4 × 104 cpm of gel-purified specific probe and 2 × 104 cpm of beta -actin probe that was generated at a lower specific content. The samples were incubated at 42 °C for 18 h and then subjected to RNase digestion for 45 min at 37 °C using a 33-fold dilution of RNase A/RNase T1 mix (RPAII kit; Ambion). Protected fragments were separated on 5% acrylamide, 6 M urea gels and analyzed with a Molecular Dynamics PhosphorImager.

                              
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Table I
PCR primer sets for potential PPAR target genes

Electrophoretic Mobility Shift Assay (EMSA)-- Escherichia coli lysates containing expressed mPPARalpha and RXR-MBP (31) were analyzed for binding to 32P-labeled double-stranded oligonucleotides by EMSA as previously described (27). When supershift assays were performed, 1 µl of anti-mPPARalpha serum or preimmune serum was added to the reaction. After a 30-min incubation at room temperature, the reactions were loaded onto a 4% polyacrylamide (37.5:1) gel containing 0.5× TBE and 1.25% glycerol, and the samples were electrophoresed at 16 mA for 100 min at room temperature. The dried gel was analyzed using a Molecular Dynamics PhosphorImager, model SI.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Expression of PPARalpha in Stable Transformants of HepG2 Cells-- HepG2 cells were transfected with either the pcDNA3.1 expression vector or with the vector harboring the cDNA for either hPPARalpha or mPPARalpha -E282G. The PPARalpha transformants were enriched by G418 selection. Several cell lines were cloned from pools of hPPARalpha transformants by dilution in microplates. Individual wells of the microplate were examined microscopically to identify those containing single cells that were then expanded to produce cloned cell lines. The level of transactivation of a luciferase reporter construct containing the PPRE from the rat acyl-CoA oxidase gene and the herpes simplex thymidine kinase promoter, pLuc-TK-ACO-AB, provided an initial assessment of increased PPARalpha expression levels in each cell line. Several stable lines that exhibited significant transactivation of the transiently transfected reporter relative to both HepG2 and pcDNA controls were selected for further analysis. The results of the transient transfection assay for two examples of human PPARalpha clones are shown in Fig. 1. Both of the hPPARalpha transformants exhibit relatively strong ligand-independent transactivation of the transiently transfected reporter construct, which is consistent with the phenotype exhibited by the human receptor in transient co-transfection assays with the reporter (20). This transactivation is enhanced by roughly 2-fold or less when Wy14643, a PPARalpha agonist, is included in the culture medium. No effect is seen for the reporter construct lacking the PPRE, pLuc-TK. A significantly lower ligand-independent transactivation of the reporter construct is evident for mPPARalpha G1 cells; however, these cells exhibit similar levels of ligand-dependent activation of reporter transcription to those seen for the hPPARalpha transformants (Fig. 1). As a result, Wy14643 treatment of the mPPARalpha G1 cells elicits a 30-fold response in the expression of the reporter compared with the roughly 2-fold or lower ligand-dependent responses seen for the hPPARalpha transformants. These differences are consistent with the results of previous comparisons between the mutant and wild-type PPAR phenotypes (25).


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Fig. 1.   Characterization of PPARalpha stable transformants of HepG2 cells by transient transfection of luciferase reporter constructs. A luciferase reporter construct containing the rat acyl-CoA oxidase PPRE (AB) or the same vector lacking the PPRE (TK) was co-transfected with the pCMV-beta -gal vector into either wild type HepG2 cells (HepG2), pcDNA control cells (pcDNA), human PPARalpha -overexpressing stable clones (hPPARalpha 1 and hPPARalpha 2), or mouse PPARalpha G1 cells. Cells were then treated with either the PPAR agonist Wy14643 (filled bars) or ethanol vehicle (open bars). The expression of beta -galactosidase activity was used to monitor the transfection efficiency as described under "Materials and Methods." The results represent triplicate determinations from three independent transfections. The error bars indicate S.D. from the mean. The average normalized luciferase data was expressed relative to the data obtained with each cell line transfected with the pLuc-TK control reporter and treated with ethanol.

PPARalpha protein is readily detected by immunoblotting in those cell lines stably expressing PPARalpha (Fig. 2). In contrast, PPARalpha was not detected under these conditions using equivalent amounts of protein lysate from the control cells or from human liver. The amount of protein detected by immunoblotting in the hPPARalpha and mPPARalpha G transformants is similar to that seen for equivalent amounts of protein lysate prepared from mouse liver.


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Fig. 2.   PPARalpha protein expression in HepG2 PPARalpha stable transformants. Cell lysates were prepared as described under "Materials and Methods" and subjected to immunoblot analysis. A, proteins were separated on an 8% SDS-polyacrylamide gel (100 µg of protein/lane) and transferred to nitrocellulose. Bound antibody against mouse PPARalpha was visualized using 125I-labeled Protein A, and the immunoblots were analyzed using a PhosphorImager. The apparent molecular weight of the immunoreactive protein corresponded with either in vitro translated or bacterially expressed mPPARalpha (not shown) included in the same blot. B, the histogram displays the amount of PPARalpha protein detected. The results are expressed relative to the value obtained from the sample designated mouse liver 1.

Elevated PPARalpha Expression Elicits Increased Transcription of Endogenous Genes-- Peroxisome proliferators have been shown to regulate the expression of HMGCS2, CPT1A, and ACS in other species (32-34). In the PPARalpha stable transformants, the most dramatic effect was seen on the expression of HMGCS2. In HepG2 and pcDNA control cells, mRNA corresponding to HMGCS2 was not observed by RT-PCR or RNase protection assays and remained undetectable following Wy14643 treatment (Fig. 3). In contrast, HMGCS2 mRNA was readily detectable in the hPPARalpha -overexpressing transformants, and the mRNA levels were further increased 2-fold by Wy14643 treatment. Increased amounts of HMGCS2 mRNA were also observed in the mPPARalpha G1 transformant following treatment with Wy14643, whereas little or no mRNA was detected in the absence of the agonist (Fig. 3), which is consistent with the phenotypic differences between wild-type PPARalpha and mPPARalpha -E282G. Increased HMGCS2 enzyme activity was also observed in hPPARalpha -overexpressing transformants relative to HepG2 and pcDNA control cells (Fig. 4). In the absence of Wy14643, the enzyme activity obtained from mPPARalpha G1 cell lysates was similar to the basal levels observed in HepG2 and pcDNA transformed cells. However, a significant induction of HMGCS2 enzyme activity was observed when the mPPARalpha G1 cells were exposed to Wy14643. These results indicate that elevations of HMGCS2 mRNA levels lead to increases in HMGCS2 enzyme activity.


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Fig. 3.   Expression of mitochondrial HMG-CoA synthase mRNA in HepG2 PPARalpha stable transformants. A, RNase protection assay. Total RNA samples (10 µg) isolated from cells treated with Wy14643 (+) or the solvent alone, ethanol (-), were hybridized to antisense riboprobes specific for human HMGCS2 and beta -actin prior to digestion with RNase. The protected fragments were separated on 5% acrylamide, 6 M urea gels and analyzed using a PhosphorImager. B, the histogram shows the average HMGCS2 to beta -actin ratios from RNase protection assays carried out on three independent preparations of RNA. The error bars indicate the S.D. from the mean. C, RT-PCR amplification of HMGCS2 cDNA from total RNA. The products correspond to the predicted size of 391 base pairs.


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Fig. 4.   Rates of HMGCS2 enzyme activity in PPARalpha transformants. HMGCS2 enzyme activity was determined from three or more independent cell lysate preparations obtained from cultures treated with Wy14643 (filled bars) or with ethanol vehicle (open bars). *, a statistically significant difference (p < 0.01) relative to pcDNA control cells treated with ethanol using a one-tailed Student's t test.

CPT1A and ACS mRNA levels are also elevated in the PPARalpha transformants. The expression of CPT1A mRNA was elevated 2-4-fold in the hPPARalpha transformants and in the mPPARalpha G1 transformant following treatment with Wy14643 as judged by RNase protection assays (Table II and Fig. 5). These results suggest that the human CPT1A gene is also PPARalpha -responsive. Human ACS mRNAs were elevated 3-8-fold (Table II) in the hPPARalpha transformants and in the mPPARalpha G1 transformant following exposure to Wy14643 (Fig. 5). These results demonstrate that human genes encoding enzymes that catalyze branch points or rate-limiting steps in the production of ketone bodies from fatty acid oxidation during starvation have retained PPARalpha responsiveness.

                              
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Table II
Relative mRNA levels of potential PPARalpha target genes in HepG2 cells stably expressing PPARalpha


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Fig. 5.   The effect of Wy14643 on the transcription of selected target genes in the mPPARalpha G1 transformant. RNase protection assays were performed on 10 µg of total RNA isolated from the mPPARalpha G1 transformant using probes specific for ACAA1, ACO1, ACS, CPT1A, ECH1, or FABP1. RNA was obtained from cultures grown in the presence (filled bars) or absence (open bars) of Wy14643. The values shown are the average of results obtained for three independent RNA preparations and are expressed relative to the values obtained for the pcDNA control treated with solvent (EtOH). The error bars indicate the S.D. from the mean. *, a statistical significance of p < 0.01 based on comparison of the value obtained in the presence of Wy14643 with that of the solvent control using a one-tailed Student's t test.

The effect of elevated PPARalpha levels on the expression of human genes encoding the liver fatty acid-binding protein (FABP1) and components of the peroxisomal and microsomal fatty acid oxidation pathways was also examined, since these pathways have been shown to be regulated by PPARalpha in other species. The rate-limiting enzyme in the peroxisomal beta -oxidation of long chain, saturated fatty acids is ACO1, one of two fatty acyl-CoA oxidases in peroxisomes. The other, ACO2, oxidizes branched chain fatty acids. The levels of the ACO1 mRNA in the human PPARalpha transformants were elevated roughly 2-fold over the control cells (Table II), and further increases were not apparent after treatment with Wy14643. In contrast, the ACO1 mRNA levels were not elevated in the mPPARalpha G1 transformant even after Wy14643 treatment (Fig. 5). These results suggest that the modest increase in ACO1 mRNA levels that are not enhanced by agonist may reflect an indirect effect of higher PPARalpha levels. When ACO2 mRNA levels were assessed, no significant differences were observed between control cells and the PPARalpha transformants (results not shown). The second enzyme in the peroxisomal long chain fatty acid oxidation pathway, ECH1, was only marginally elevated in the hPPARalpha transformants (about 2-fold; Table II), and no effect was seen in the mPPARalpha G1 transformant in the presence or absence of Wy14643 (Fig. 5). Significant elevations of mRNAs encoding the third enzyme of the peroxisomal fatty acid pathway, ACAA1, were not seen. The level of human FABP1 mRNA was elevated ~2-3-fold in the hPPARalpha transformants relative to the levels seen in HepG2 cells and the pcDNA control transformant (Table II). However, FABP1 mRNA levels were not significantly elevated in the mPPARalpha G1 transformant or increased by treatment with Wy14643 (Fig. 5).

PPARalpha has also been shown to regulate the expression of genes encoding the microsomal cytochrome P450 fatty acid omega -hydroxylases of the 4A subfamily in other species (35, 36). To date, only one human P450 4A, CYP4A11, has been characterized. RT-PCR analysis did not detect the mRNA for this enzyme in HepG2 cells or in the PPARalpha transformants in the presence or absence of Wy14643. Recently, a variant CYP4A11 gene was identified in the human genome that is thought to be a polymorphic form (37). A specific primer set for this new sequence was also tested. Messenger RNA corresponding to this putative variant was not detected. Thus, we could not assess whether CYP4A11 is regulated by PPARalpha .

The peroxisomal palmitoyl CoA oxidase activity in cell lysates prepared from the cell lines was also characterized (Fig. 6). The rate of cyanide-insensitive fatty acid oxidation was 2-3-fold higher in both hPPARalpha cell lines that exhibited elevated levels of the ACO1 mRNAs. However, no increases in enzyme activity were seen when the cells were treated with Wy14643. In addition, no increases over control cells were seen for the mPPARalpha G1 cells in the presence or absence of Wy14643.


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Fig. 6.   Rates of peroxisomal fatty acid beta -oxidation in the PPARalpha transformants. The catalytic rate of palmitoyl-CoA oxidase was determined for three independent preparations of cell lysates obtained from the indicated cell lines. *, rates that differ significantly (p < 0.01) from the rates obtained for the pcDNA control treated with solvent (EtOH) using a one-tailed Student's t test.

Although the hypolipidemic effect of PPARalpha agonists is largely thought to reflect the induction of lipoprotein lipase in extrahepatic tissues, studies using isolated, perfused rat livers indicate that the secretion of triglycerides from liver decreases when ketogenesis increases in response to clofibrate. The reciprocal relationship between ketogenesis and triglyceride secretion was attributed to a reduction in the availability of fatty acids for triglyceride synthesis resulting from increased oxidation of fatty acids (38). Thus, changes in the secretion of triglycerides from the liver could also contribute to the lipid-lowering effects of fibrates. The observation that PPARalpha regulates the expression of mitochondrial fatty acid oxidation and ketogenesis suggests that this pathway could contribute to the hypolipidemic effects of PPARalpha agonists in humans.

The changes in liver secretion of triglyceride elicited by clofibrate could also reflect direct regulation of triglyceride and lipoprotein secretion by PPARalpha in the liver. PPARalpha agonists are reported to modestly induce apolipoprotein A-I and A-II mRNAs and suppress apolipoprotein C-III mRNAs in human hepatocytes (39-41). Resulting changes in the composition of lipoprotein particles are also likely to increase the catabolism of triglycerides in extrahepatic tissues (42, 43). RT-PCR analysis using a range of conditions did not detect significant differences in the mRNA levels for these apolipoproteins between the HepG2 or pcDNA controls and the hPPARalpha or mPPARalpha G transformants. Also, the addition of Wy14643 to the cultures did not have a significant impact on mRNA levels (data not shown). RNase protection assays confirmed the results of the RT-PCR study for apolipoprotein CIII (Table II). The suppression of apolipoprotein C-III mRNA levels by fibrates in HepG2 cells was reported to be dependent on the serum used in the culture medium (44), and it is possible that different culture conditions might confer a Wy14643 dependence to the suppression of the apolipoprotein CIII RNAs.

Additionally, RT-PCR assays (data not shown) did not demonstrate noticeable differences for mRNAs encoding the mitochondrial medium chain acyl-CoA dehydrogenase or the stearoyl-CoA desaturase 1, which have been reported to be regulated by PPARalpha in other species (45, 46). The lipogenic malic enzyme gene is regulated by PPARalpha in rats (47). Similar to the results obtained for CYP4A11, mRNA encoding the cytosolic malic enzyme could not be detected in HepG2 cells or the PPARalpha transformants by RT-PCR, precluding an assessment of the responsiveness of this gene to PPARalpha regulation in humans.

Identification of a PPRE in the Proximal Promoter of the Human HMGCS2 Gene-- The proximal promoter of the rat HMGCS2 gene contains a functional PPRE (33). Examination of the corresponding region of the human HMGCS2 gene indicated that the essential features of this element were likely to be conserved (Fig. 7). EMSA experiments performed with this putative human PPRE demonstrated PPARalpha /RXRalpha binding. Inclusion of anti-PPARalpha antiserum in the EMSA resulted in nearly complete supershifting of the complexes. Double-stranded oligonucleotides corresponding to the human HMGCS2 PPRE that contained mutations were also synthesized. Based on previous studies (27, 31), disruption of the A/T-rich region in the 5'-end of the extended PPRE abrogates PPAR binding and transcriptional activation. As expected, these mutations to the human HMGCS2 PPRE abolished PPAR/RXR heterodimer binding (Fig. 7). Mutations introduced into the second half site of hHMGCS2 PPRE also interfered with PPARalpha /RXRalpha binding (data not shown). These results suggest that a functional PPRE may be present in the human HMGCS2 gene.


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Fig. 7.   Rat and human mitochondrial HMG-CoA synthase genes exhibit a conserved PPRE in the proximal promoter region. A, a putative PPAR binding site located between nucleotides 1323 and 1340 based on the numbering given in the GenBankTM sequence, accession number U81851, of the human HMG-CoA synthase gene (-170 to -153 nucleotides relative to the start site of translation) was identified by comparison with the sequence of the PPRE in the promotor of the rat HMGCS2 gene (rHMGCS2) (33). The oligonucleotides used in the EMSA experiments are aligned for comparison. Lowercase letters indicate mutations introduced in the hHMGCS2m PPRE. A PPRE consensus sequence and the CYP4A6 PPRE are shown for comparison. B, EMSA. Lysates were prepared from Escherichia coli expressing either mPPARalpha or an hRXRalpha -maltose-binding fusion protein. The lysates containing PPAR and RXR were mixed and incubated with 10 fmol of 32P-labeled, double-stranded oligonucleotide either with (+) or without (-) preimmune serum (preimmune) or anti-PPARalpha antibody (immune) at room temperature for 30 min before loading onto a 4% acrylamide gel as described under "Materials and Methods." The mobility of PPAR/RXR-DNA complexes is indicated at the left. PPAR/RXR heterodimers clearly bind to the hHMGCS2 PPRE and can be supershifted by antibody against PPARalpha . Mutations in the 5' extended binding site immediately 5' of the two half-sites (hHMGCS2m) abolishes binding.

A reporter construct containing a portion of the human HMGCS2 proximal promoter region that encompassed the putative PPRE and included the transcription start site was constructed based on the deletion analysis that identified a PPRE in the rat HMGCS2 gene (33). This study indicated that a portion of the rat promoter from -116 to +28 exhibited extensive transactivation by PPARalpha . The corresponding region of the human HMGCS2 promoter, nucleotides -130 to +8, was inserted into the p19dLuc vector. When this reporter construct was transiently transfected into hPPARalpha -overexpressing cells, significant transactivation was observed (Fig. 8A). This transactivation was further enhanced when Wy14643 was included in the culture medium. A clear ligand-dependent response was also observed for the mPPARalpha G transformant. As expected, the mutations introduced into the A/T-rich region of HMGCS2 PPRE or the RXR binding site, as described above in the EMSA binding experiments, abolished PPARalpha -mediated transactivation when introduced into the HMGCS2 promoter (Fig. 8A). When the putative HMGCS2 PPRE was inserted upstream of the herpes simplex thymidine kinase promoter and luciferase reporter gene (pLuc-TK-HMG) and transiently transfected into cells overexpressing hPPARalpha or mPPARalpha G, the PPRE conferred PPARalpha - and Wy14643-dependent transactivation to the heterologous promoter (Fig. 8B). As expected, the mutations introduced into the A/T-rich region of HMGCS2 PPRE (pLuc-TK-HMGM) abolished PPARalpha -mediated transactivation (Fig. 8B). These results indicate that the human HMGCS2 gene contains a functional PPRE in the proximal promoter region.


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Fig. 8.   The putative hHMGCS2 PPRE confers PPARalpha responsiveness to the HMGCS2 promoter and to the heterologous thymidine kinase promoter. A, the luciferase vector control (pLuc) or reporter constructs containing the human HMGCS2 promoter with or without mutations in the putative hHMGCS2 PPRE site (pLuc-HMGPM1, pLuc-HMGPM2, pLuc-HMGP) were each co-transfected with the pCMV-beta -Gal vector into pcDNA, hPPARalpha 1, and mPPARalpha G2 cells. beta -Galactosidase activity was used to monitor transfection efficiencies and to normalize luciferase activities as described under "Materials and Methods." Lysates were obtained from cultures treated with Wy14643 (+Wy) or with vehicle only (-Wy). The normalized luciferase activity is expressed relative to the data obtained from the pcDNA cell line transfected with pLuc-HMGP and treated with ethanol. B, a single copy of the putative hHMGCS2 PPRE with or without mutations (pLuc-TK-HMGM1, pLuc-TK-HMG) was inserted into the luciferase reporter construct containing the heterologous promoter from the herpes simplex thymidine kinase gene (pLuc-TK). Each of the reporter constructs was co-transfected with the pCMV-beta -Gal vector into pcDNA, hPPARalpha 1, and mPPARalpha G2 cells. The normalized luciferase activity is expressed relative to the data obtained from the pcDNA cell line transfected with pLuc-TK and treated with ethanol. The results in A and B represent triplicate determinations from a representative experiment and are expressed as the mean ± S.D. Similar results were obtained in four other independent transfections. The nucleotide sequence of the region between -111 and -89 that contains the PPRE is shown. The arrows over the sequences indicate the DR1 motif. An X under the sequence indicates the position of mutations that are delineated by lowercase letters.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

The present study was designed to examine whether human genes encoding enzymes and proteins that control the rate of fatty acid oxidation by mitochondrial, peroxisomal, and microsomal pathways exhibit a capacity for regulation by PPARalpha . Elevated hPPARalpha levels in HepG2 cells elicited increased expression of three of the genes examined, HMGCS2, CPT1A, and ACS. In each case, the mPPARalpha G1 cells exhibited strong ligand-dependent responses. However, ligand-specific increases for CPT1A and ACS were not as readily apparent in the hPPARalpha cell lines. This is concordant with the phenotypic differences seen between hPPARalpha and mPPARalpha -E282G when PPARalpha expression plasmids and reporter constructs were used in transient co-transfection assays (20).

The largest increase mediated by hPPARalpha was seen for the mitochondrial form of HMG-CoA synthase, which is the rate-limiting enzyme in ketone body formation from fatty acids (48). HMGCS2 mRNA could not be detected in control cells but was abundantly expressed in stably transformed cells overexpressing hPPARalpha . An increase in PPARalpha -regulated transcriptional activity in response to fatty acid and fibrate agonists has been demonstrated for the rat HMGCS2 gene (33). In mice, this enzyme is elevated in response to starvation, and this effect is blocked in PPARalpha null mice. Fed PPARalpha -deficient mice also exhibit reduced levels of HMGCS2 in liver (49). Taken together, these results indicate that the expression of HMGCS2 in mice is highly dependent on the expression of PPARalpha . Our results suggest that human HMGCS2 is also responsive to regulation by PPARalpha . In contrast, the abundance of mRNAs encoding the cytosolic enzyme, HMGCS1, was not affected by increased expression of PPARalpha or by treatment with Wy14643 (results not shown).

The rat HMGCS2 gene exhibits a PPRE in the proximal promoter that binds PPARalpha /RXR heterodimers (33). As shown here, the sequence of the corresponding response element in the human gene is highly similar to the rat PPRE, and the human element exhibits strong PPARalpha /RXR binding. The putative human PPRE confers transactivation by PPARalpha to a luciferase reporter gene that is under the control of the heterologous TK promoter, indicating that this response element is functional. In addition, this PPRE is active in the context of the natural human HMGCS2 proximal promoter, and mutations that disrupt binding of PPARalpha /RXR to the PPRE block transactivation of both the TK and native promoter reporters by PPARalpha . Taken together, the data suggest that this element could contribute to the dramatic elevation of human HMGCS2 mRNA levels in the hPPARalpha cell lines.

During periods of fasting, the substrates of HMGCS2, acetyl-CoA and acetoacetyl-CoA, are produced from the oxidation of fatty acids in liver mitochondria, leading to increased production of ketone bodies for distribution to other tissues. In mice nullizygous for PPARalpha , fasting results in hypoglycemia and liver steatosis, reflecting diminished fatty acid oxidation and ketogenesis in liver (19). Several aspects of fatty acid oxidation are disrupted in PPARalpha null mice that include a diminished, constitutive expression of several components of the mitochondrial fatty acid oxidation pathway (17, 50). These results suggest that, in mice, PPARalpha is a significant regulator of the mitochondrial capacity for fatty acid beta -oxidation. The flux of long chain fatty acids through the mitochondrial beta -oxidation pathway is regulated by CPT1, a component of the long chain fatty acylcarnitine translocases (51). The activity of CPT1 is modulated by the concentration of malonyl-CoA, a potent inhibitor of the enzyme that is formed in the first committed step of fatty acid synthesis (52). In addition, CPT1 is induced by peroxisome proliferators in rat liver (32). The predominant liver enzyme, CPT1A, is one of two variants of CPT1 that have been identified. The other, CPT1B, is found predominantly in muscle and adipose tissue. Although a PPRE has been characterized for the human CPT1B gene (53-55), RT-PCR experiments indicated that CPT1B mRNAs were present at low levels in HepG2 cells and were not affected by elevated expression of PPARalpha in the presence or absence of Wy14643 (results not shown). In contrast, the abundance of CPT1A mRNA was elevated 2-4-fold in the hPPARalpha transformants and following the treatment of the mPPARalpha G1 cells with Wy14643, suggesting that the human CPT1A gene is also PPARalpha -responsive.

The fatty acyl-CoA substrates for CPT1 are formed by the esterification of free fatty acids to CoA by ACS. ACS is induced by peroxisome proliferators in rat liver, and a PPRE has been identified in the promoter of the rat gene (34). The expression of human ACS mRNAs was elevated in the hPPARalpha cell lines and could be augmented further by treatment with Wy14643. These changes are commensurate with an increased capacity for mitochondrial fatty acid oxidation. Given the importance of adaptive changes in the expression of ACS, CPT1, and HMGCS2 to the maintenance of energy homeostasis during fasting, it is not surprising that the corresponding human genes are also capable of being regulated by PPARalpha .

In contrast, consistent and significant effects of elevated PPARalpha levels on the expression of genes encoding components of the peroxisomal long chain fatty acid beta -oxidation pathway, ACO1, ECH1, and ACAA1, were not clearly evident. Effects of 2-fold or less were seen for the two hPPARalpha cell lines shown in Table II. Examination of a larger panel of cell lines that exhibit elevated expression of human PPARalpha indicated that the modest elevation of these mRNAs was not consistently seen in other transformants. In addition, a ligand-dependent increase was not seen with the mPPARalpha G1 cells or with either of the two hPPARalpha cell lines, suggesting that the small differences observed might not be directly attributable to PPAR regulation of these genes in the hPPARalpha cell lines.

We and others have noted that the expression level of PPARalpha in human liver is much lower than in mouse liver, and it has been suggested that this difference could contribute to the lack of peroxisome proliferation and subsequent pathologic effects (20, 21). Like humans, guinea pigs are refractory to peroxisome proliferation and also exhibit lower hepatic expression of PPARalpha (5). However, transient transfection of primary cultures of guinea pig hepatocytes with expression vectors for either mouse, guinea pig, or human PPARalpha conferred increases in the expression of rat acyl-CoA oxidase gene reporter constructs and also in the enzymatic activity of endogenous acyl-CoA oxidase in response to peroxisome proliferators (56). These results contrast with our data for the human ACO1 gene in the PPARalpha HepG2 transformants. Other evidence for the functional impact of lower PPARalpha levels is apparent in data from mice indicating that the induction of the peroxisomal fatty acid oxidation pathway is lower in extrahepatic tissues that also express lower levels of PPARalpha (57). Moreover, the expression of the murine ACO1 gene is elevated in PPARalpha null mice in response to agonists that are relatively specific for PPARdelta and PPARgamma . The observed response is lower than that seen for PPARalpha agonists in wild-type mice and is likely to reflect the relatively low levels of PPARdelta and PPARgamma when compared with the level of PPARalpha in mouse liver (58, 59). These findings suggest that quantitative differences in PPARalpha expression alter the extent of enzyme induction and that the relatively high expression of PPARalpha in mouse liver could contribute to the pathogenicity of peroxisome proliferators in this species.

Our results indicate that increasing the expression of PPARalpha in HepG2 cells to levels found in mouse liver is not sufficient to confer peroxisome proliferator-responsiveness to the ACO1 gene or the human genes encoding other components of peroxisomal fatty acid oxidation in HepG2 cells. The absence of an effect on this pathway could reflect either of two likely possibilities. First, functional PPREs may not have been conserved in the orthologous human genes during evolution of the species. In this regard, the human ACO1 gene was reported to contain a functional PPRE (60). However, the functionality of this PPRE has been questioned (61). Alternatively, differences between HepG2 cells and normal liver in the expression of critical transcription factors or necessary auxiliary proteins could limit the capacity of PPARalpha to regulate the expression of the genes encoding the peroxisomal fatty acid oxidation pathway. The lack of detectable expression of mRNAs for CYP4A11 or the malic enzyme is clearly indicative of differences in gene expression between HepG2 cells and normal liver. In this respect, the positive effects of PPARalpha overexpression on the expression of HMGCS2, CPT1A, and ACS can be more readily interpreted than the absence of an effect on peroxisomal fatty acid oxidation.

During fasting or starvation, activation of mitochondrial ketogenic capacity represents an important physiologic regulatory pathway for utilization of existing energy stores through mobilization and catabolism of free fatty acids. The results presented here indicate that human genes encoding key enzymes for mitochondrial fatty acid oxidation and ketogenesis can be regulated by human PPARalpha .

    FOOTNOTES

* This work is supported by United States Public Health Service Grant HD 04445. Facilities for computer-assisted sequence analysis, DNA sequencing, and the synthesis of oligonucleotides are supported in part by General Clinical Research Center Grant M01 RR00833 and by the Sam and Rose Stein Charitable Trust.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.

Dagger These authors contributed equally to this work.

§ To whom correspondence should be addressed: Biochemistry, MEM-255, The Scripps Research Institute, 10550 N. Torrey Pines Rd., La Jolla, CA 92037. Tel.: 858-784-7918; Fax: 858-784-7978; E-mail: johnson@scripps.edu.

Published, JBC Papers in Press, May 22, 2001, DOI 10.1074/jbc.M100258200

    ABBREVIATIONS

The abbreviations used are: PPARalpha , peroxisomal proliferator-activated receptor alpha ; ACAA1, peroxisomal 3-oxoacyl-CoA thiolase; ACO1, peroxisomal long chain fatty acyl-CoA oxidase; ACO2, peroxisomal branched chain fatty acyl-CoA oxidase; ACS, long chain fatty acyl-CoA synthetase; ApoAI, ApoAII, and ApoCIII, apolipoprotein AI, AII, and CIII, respectively; CPT1A, liver-predominant mitochondrial carnitine palmitoyl acyl-CoA transferase 1; CPT1B, muscle-predominant mitochondrial carnitine palmitoyl acyl-CoA transferase 1; ECH1, peroxisomal enoyl-CoA hydratase; EMSA, electrophoretic mobility shift assay; FABP1, cytosolic fatty acid-binding protein; HMGCS2, mitochondrial 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) synthase; hPPARalpha , human PPARalpha ; mPPARalpha G, mouse PPARalpha -E282G, a mutant form of mouse PPARalpha (glycine replaces glutamate at amino acid 282); P450, a generic term for a cytochrome P-450 monooxygenase (individual P450s are designated according to a uniform system of nomenclature (62), and the gene designations are preceded by the letters CYP); PCR, polymerase chain reaction; PPRE, peroxisome proliferator response element; Wy14643, pirinixic acid ([4-chloro-6-(2,3-xylindino)-2-pyrimidinylthiol]acetic acid); RT-PCR, reverse transcriptase-PCR; RXRalpha , retinoid X receptor alpha ; TK, thymidine kinase.

    REFERENCES
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ABSTRACT
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DISCUSSION
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