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J. Biol. Chem., Vol. 280, Issue 24, 23390-23396, June 17, 2005
Fenofibrate Induces a Novel Degradation Pathway for Scavenger Receptor B-I Independent of PDZK1*![]() From the Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, New York 10032
Received for publication, March 14, 2005 , and in revised form, April 15, 2005.
Fibrate drugs improve cardiovascular health by lowering plasma triglycerides, normalize low density lipoprotein levels, and raise high density lipoprotein (HDL) levels in patients with dyslipidemias. The HDL-raising effect of fibrates has been shown to be due in part to an increase in human apolipoprotein AI gene expression. However, it has recently been shown that fibrates can affect HDL metabolism in mouse by significantly decreasing hepatic levels of the HDL receptor scavenger receptor B-I (SR-BI) and the PDZ domain containing protein PDZK1. PDZK1 is essential for maintaining hepatic SR-BI levels. Therefore, decreased SR-BI might be secondary to decreased PDZK1, but the mechanism by which fibrates lower SR-BI has not been elucidated. Here we show that feeding PDZK1-deficient mice fenofibrate resulted in the near absence of SR-BI in liver, definitively demonstrating that the effect of fenofibrate on SR-BI is PDZK1-independent. Metabolic labeling experiments in primary hepatocytes from fenofibrate-fed mice demonstrated that fenofibrate enhanced the degradation of SR-BI in a post-endoplasmic reticulum compartment. Moreover, fenofibrate-induced degradation of SR-BI was independent of the proteasome, calpain protease, or the lysosome, and antioxidants did not inhibit fenofibrate-induced degradation of SR-BI. Using metabolic labeling coupled with cell surface biotinylation assays, fenofibrate did not inhibit SR-BI trafficking to the plasma membrane. Together, the data support a model in which fenofibrate enhances the degradation of SR-BI in a post-ER, post-plasma membrane compartment. The further elucidation of this novel degradation pathway may provide new insights into the physiological and pathophysiological regulation of hepatic SR-BI.
Multiple clinical trials have shown that activation of the nuclear hormone receptor peroxisome proliferator-activated receptor (PPAR)1 by fibrate drugs results in the lowering of plasma triglycerides, normalizing of low density lipoprotein levels, and increased HDL in patients with atherogenic dyslipidemia (16). One mechanism by which fenofibrate increases plasma HDL is by directly inducing human apoAI gene expression through activation and binding of PPAR to its promoter (7, 8). Gemfibrozil, another fibrate in use in humans, has been shown in clinical trials to increase plasma HDL to a similar extent as fenofibrate (3, 4). However, gemfibrozil, compared with fenofibrate, only weakly increased the expression of the human apoAI gene in a transgenic mouse model (8). Therefore, these findings indicate that different fibrates act by different mechanisms to raise HDL, such as through the recruitment or availability of specific co-activators to activate gene expression (8). These studies suggest that other potential mechanisms independent of enhanced apoAI gene expression by fibrates can raise HDL.
Scavenger receptor B-I is the primary HDL receptor in mouse that plays an essential role in the hepatic uptake of plasma HDL-derived cholesterol and cholesteryl ester into liver for excretion into bile (912). Targeted disruption of the SR-BI gene resulted in a significant increase in plasma HDL and increased atherosclerosis in multiple mouse models of atherosclerosis (1214). The multi-PDZ domain-containing protein PDZK1 was shown to interact with SR-BI from rat liver (15). This interaction requires the ultimate four amino acids in the C terminus of SR-BI that constitute a PDZ-interacting domain (16). Deletion of the PDZ-interacting domain in SR-BI resulted in a failure of SR-BI to accumulate at the plasma membrane in mouse hepatocytes (16). Recently, gene-targeted disruption of PDZK1 resulted in the near absence of SR-BI in mouse liver, proving that PDZK1 is essential for SR-BI expression in liver (17).
In mouse lesional macrophage and human macrophage, fenofibrate and other PPAR Mardones et al. (21) proposed a number of mechanisms by which fibrates may down-regulate both SR-BI and PDZK1, such as effects on SR-BI and PDZK1 protein synthesis, trafficking, SR-BI-PDZK1 interactions, degradation, or mechanisms acting independently on SR-BI and PDZK1 (21). Because PDZK1 was reduced by fibrates, and it has recently been shown that PDZK1 is essential for SR-BI expression in liver, SR-BI down-regulation may be secondary to a reduction in PDZK1. Here we explore further the mechanism of fibrate action on SR-BI, test whether PDZK1 is essential for mediating the effect of fibrates on down-regulating SR-BI, and determine at which post-transcriptional level fibrates down-regulate SR-BI in mouse liver.
ReagentsMice were fed a chow diet supplemented with 0.2% fenofibrate (Sigma-Aldrich). Chow diet containing fenofibrate was produced by Bio-Serv (Frenchtown, NJ). For metabolic labeling studies using inhibitors, cells were chased in the presence of the following inhibitors: 100 µM ALLN, 50 µM chloroquine, 10 µM lactacystin, 5 µg/ml brefeldin A, and 20 µg/ml nocodazole (purchased from Sigma-Aldrich). These concentrations were previously shown to be inhibitory (23). Vitamin E succinate (150 µM) and desferrioxamine (DFX; 150 µM) were purchased from Sigma-Aldrich. Anti-PDZK1 antibody was produced in rabbit using full-length recombinant murine PDZK1 as antigen. Neutralizing anti-SR-BI antibody used for all immunoprecipitations was previously described (24).
MiceAll mice were between 8 and 12 weeks of age. Both male and female mice were utilized for all experiments, and no sex-specific effects on SR-BI levels or turnover were observed with fenofibrate. PDZK1-/- and littermates mice were of a mixed genetic background (C57BL/6J and 129Sv/Ev) produced by intercrossing PDZK1+/- mice. PPAR
Generation of PDZK1 Gene-targeted MiceA 16-kb mouse genomic DNA fragment was cloned from a mouse 129Sv/Ev Primary Hepatocyte Culture and Pulse-chase AssaysPrimary hepatocytes were isolated according to our previously reported method (25). Freshly isolated primary hepatocytes were allowed to attach to collagen-coated, 6-well plates for 1.5 h before the start of experiments. For pulse or pulse-chase experiments, hepatocytes were incubated with Dulbecco's modified Eagle's medium without cysteine or methionine (Invitrogen) for 60 min to deplete cells of methionine and cysteine. 200 µCi of 35S-labeled methionine/cysteine mix (Expres35S35S-protein labeling mix; NEG-072 from PerkinElmer Life Sciences) was added per milliliter of cell culture media (Dulbecco's modified Eagle's medium without cysteine or methionine) for the times indicated. For pulse-chase assays, cells were incubated with labeling mix for 30 min, followed by a chase period for the times indicated in Dulbecco's modified Eagle's medium containing 10% fetal bovine serum, supplemented with 1.5 mg/ml L-methionine and 0.5 mg/ml L-cysteine. Hepatocytes were washed and lysed with radioimmune precipitation assay buffer (10 mM Tris, pH 7.4, 150 mM NaCl, 1% Triton X-100, 1 mM EDTA Complete EDTA-Free Protease Inhibitor Mixture (Roche)). SR-BI was immunoprecipitated using our neutralizing polyclonal antibody described under "Reagents." Immunoprecipitates were separated on 415% Tris-glycine gels and transferred to nitrocellulose membranes. Membranes were initially analyzed by PhosphorImager analysis followed by Western blot analysis to determine total SR-BI levels in immunoprecipitates. Cell Surface BiotinylationPrimary hepatocytes were metabolically labeled for the times indicated in Fig. 7. At the end of each time period, cells were washed and incubated with 10 mg/ml EZ-Link Sulfo-NHS-SS-Biotin (Pierce) for 30 min on ice. Following quenching (Biotinylation Quenching Buffer; Pierce) and washing, cells were lysed in radioimmune precipitation assay buffer. SR-BI was first immunoprecipitated as described above, except that an antibody we generated to the last C-terminal 15 amino acids was used for immunoprecipitation because biotinylation of the extracellular loop of SR-BI would likely inhibit immunoprecipitation using our SR-BI neutralizing antibody. Immunoprecipitates were boiled in 4% SDS, and an aliquot was removed that represented total cellular SR-BI that was newly synthesized. The remaining boiled immunoprecipitate was incubated with streptavidin-agarose beads (Pierce) to pull down biotinylated SR-BI (i.e. newly synthesized SR-BI that is at the plasma membrane). Both fractions, total and cell surface SR-BI, were separated on SDS-PAGE gels and analyzed by PhosphorImager analysis, followed by Western blot analysis using either streptavidin-horseradish peroxidase (Santa Cruz Biotechnology) or anti-SR-BI antibody.
Statistical AnalysisAll experiments were repeated between two and four times. All data were analyzed by Student's t test for statistical significance and are represented as the mean ± S.D.
Fenofibrates Decrease SR-BI before PDZK1To determine whether we could reproduce the effect of fenofibrate on lowering SR-BI and PDZK1 in liver and whether PPAR was required, wild-type mice (C57BL6/J mice) were fed a diet of 0.2% fenofibrate for 7 days, based on the study by Mardones et al. (21). To our surprise, fenofibrate reduced the expression of SR-BI at day 2 without a decrease in PDZK1 (Fig. 1). PDZK1 was found to be reduced at day 7. These data indicate that PDZK1 may not be essential for mediating the fenofibrate effect on SR-BI. In further support of this hypothesis, wild-type mice of a different genetic background (129SvEJ), but not PPAR -deficient mice of the same genetic background, fed fenofibrate for 7 days showed the expected decrease in SR-BI, but without a decrease in PDZK1 (Fig. 2, A and B). PPAR knock-out mice had a small but significant increase in SR-BI protein levels compared with wild-type control mice (Fig. 2, A and B). No decrease in SR-BI mRNA was observed, indicating a post-transcriptional process (Fig. 2C). SR-BI is highly expressed in adrenal gland (9) but was not decreased by fenofibrate (Fig. 2D). Taken together, the data indicate that PDZK1 down-regulation by fenofibrate is dependent on the genetic background of the mouse, whereas down-regulation of SR-BI is not, pointing strongly to the possibility that PDZK1 is not essential for the effect of fenofibrate on SR-BI levels.
PDZK1 Is Not Required for Down-regulation of SR-BI by FenofibrateTo definitively prove that PDZK1 is not essential for the effect of fenofibrate on SR-BI levels, we tested the effect of fenofibrate on SR-BI levels in PDZK1 gene-targeted mice. Fig. 3, A and B, describes our gene targeting strategy to generate PDZK1-deficient mice using standard homologous recombination techniques. The targeting vector used to mutate the PDZK1 gene contained a 930-bp fragment located 1 bp upstream from the ATG start codon and a 10-kb KpnI genomic fragment starting at the beginning of intron 1 flanking the neomycin resistance gene (Neo). As a result of homologous recombination, exon 1 and part of intron 1 were replaced by the Neo gene, trapping gene transcription inside the Neo gene. In addition, the absence of an ATG would abolish translation of the mutated PDZK1 mRNA if it were to be transcribed. Two independently derived embryonic stem cell clones were identified as having a single homologous recombination event of the targeting vector with the wild-type gene. Both embryonic stem cell clones were injected into C57BL/6J blastocysts, and chimeric offspring were backcrossed to C57BL/6J mice, and germline transmission was confirmed for one of the embryonic stem cell clones. Mice heterozygous for the PDZK1 gene-targeted locus (PDZK1+/-) were intercrossed to produce mice with a homozygous disruption of the PDZK1 locus (PDZK1-/-). The frequency of wild-type (PDZK1+/+), heterozygous (PDZK1+/-), and homozygous (PDZK1-/-) mice in intercrosses of heterozygotes adhered to a Mendelian ratio, and male and female PDZK1-/- mice had normal fertility (data not shown), in agreement with an earlier report describing PDZK1-deficient mice (26).
PDZK1-deficient mice showed a significant decrease ( Fenofibrate Enhances SR-BI Degradation by a Post-ER, Post-plasma Membrane MechanismBecause our data indicate that fenofibrate decreases SR-BI levels post-transcriptionally and independently of PDZK1, we determined whether fenofibrate acted to decrease SR-BI synthesis or increase SR-BI degradation. To first determine whether SR-BI synthesis is decreased in liver of fenofibrate fed mice, we performed [35S]methionine/cysteine metabolic labeling assays using freshly isolated primary hepatocytes from fenofibrate-fed mice. Fig. 5A shows that during a time course of up to 2 h there was no significant difference in the synthetic rate of SR-BI in fenofibrate-fed mice compared with controls. The concentration of antibody used for immunoprecipitation of SR-BI was limiting, allowing equal amounts of SR-BI to be immunoprecipitated in order to more accurately quantify levels of SR-BI during its synthesis (Fig. 5A). Fig. 5B shows that steady-state levels of SR-BI in hepatocytes from fenofibrate-fed mice remained significantly lower than those in controls during the course of the experiment. PDZK1 levels did not decrease in hepatocytes from mice fed fenofibrate. Because fenofibrate does not affect SR-BI synthesis, the alternative mechanism is that fenofibrate enhances SR-BI degradation. To test this idea, we performed [35S]methionine/cysteine pulse-chase assays with hepatocytes isolated from fenofibrate-fed mice and controls. In addition, we sought to determine whether degradation of SR-BI occurred in the ER or is mediated by a post-ER process, and whether the proteasome, calpain protease, or the lysosome is required. Fig. 6A shows that fenofibrate significantly enhanced the degradation of SR-BI compared with controls. Of note is the observation that from 40% to 50% of newly synthesized SR-BI (Fig. 6, A and B) is degraded within 4 h, whereas the remainder appears stable up to 10 h in hepatocytes from fenofibrate-fed mice.
To test whether SR-BI degradation enhanced by fenofibrate occurred through an ER-mediated pathway or is a post-ER event, [35S]methionine/cysteine-labeled hepatocytes were treated with brefeldin A (BFA) to disrupt the Golgi apparatus or with brefeldin A plus nocodazole to disrupt the Golgi apparatus and prevent retrograde transport of Golgi-derived vesicles back to the ER. Fig. 6B shows that BFA and BFA plus nocodazole both inhibited SR-BI degradation in hepatocytes from fenofibrate-fed mice, indicating that degradation occurred in a post-ER compartment. Moreover, neither of the inhibitors for the proteasome (lactacystin and ALLN), calpain protease (ALLN), nor lysosomal function (chloroquine) blocked the enhanced degradation of SR-BI in hepatocytes from fenofibratefed mice. No significant effects of these inhibitors were seen on SR-BI turnover in control hepatocytes. Fig. 6C shows that steady-state levels of SR-BI during the course of the experiment in hepatocytes from fenofibrate-fed mice remained significantly lower than those in controls, and once again, PDZK1 levels did not decrease in hepatocytes from mice fed fenofibrate. Because enhanced SR-BI degradation did not occur in the ER, we next determined whether fenofibrate enhanced the degradation of SR-BI before or after it reached the plasma membrane. To test this idea, primary hepatocytes isolated from control mice and mice fed fenofibrate were metabolically labeled with [35S]methionine/cysteine for the times indicated in Fig. 7A, followed by cell surface biotinylation to label cell surface SR-BI. If the ratio of newly synthesized SR-BI at the cell surface to total cellular newly synthesized SR-BI in hepatocytes from fenofibrate-fed mice is similar to the same ratio from control hepatocytes, then SR-BI degradation occurs in a post-plasma membrane compartment. However, if the ratio of newly synthesized SR-BI at the cell surface to total cellular newly synthesized SR-BI in hepatocytes from fenofibrate-fed mice is lower than the same ratio from control hepatocytes, then SR-BI degradation occurs before it reaches the plasma membrane. Fig. 7A shows that the rate of SR-BI synthesis was similar in hepatocytes from fenofibrate-treated mice compared with controls, as was previously demonstrated in Fig. 5A. In addition, the rate of newly synthesized SR-BI arriving at the plasma membrane (i.e. radiolabeled and biotinylated SR-BI) was similar in both groups. Fig. 7B confirms that steady-state levels of SR-BI in total cell lysates remained decreased in hepatocytes from fenofibrate-fed mice relative to controls during the course of the experiment. Taken together, the data indicate that the amount of SR-BI reaching the plasma membrane is not decreased as a result of fenofibrate and that enhanced degradation of SR-BI likely occurs in a post-ER, post-plasma membrane compartment.
Based on similarities in the pathway for degradation of SR-BI induced by fibrates with two recent reports of a novel degradation pathway for apoB that is induced by oxidant stress in a post-ER, pre-secretory proteolysis pathway (27, 28), we determined whether antioxidants could reverse fenofibrate-induced degradation of SR-BI. Fig. 8 shows that the antioxidant vitamin E succinate given to hepatocytes at a concentration shown to effectively normalize cellular lipid peroxide content (27) did not inhibit the fenofibrate-induced degradation of SR-BI. In addition, DFX, which is a specific iron chelator that inhibits intracellular iron-dependent lipid peroxidation (28), failed to inhibit SR-BI degradation.
In this study we have shown that fenofibrate fed to mice causes enhanced hepatic SR-BI degradation in a post-ER, post-plasma membrane compartment independent of PDZK1. Initial studies using transgenic mice overexpressing a small PDZK1-associated protein, MAP17, in liver led to the enhanced turnover of PDZK1, resulting in the complete absence of PDZK1 and an 8590% reduction in SR-BI (29). In addition, mutation of the PDZK1-interacting domain of SR-BI that abolished SR-BI binding to PDZK1 blocked the localization of SR-BI to the cell surface of hepatocytes (16). However, in non-polarized hepatocytes isolated from MAP17 transgenic mice, the degradation of PDZK1, but not of SR-BI, was enhanced, indicating that PDZK1 plays an essential role in cell surface expression of SR-BI only in polarized hepatocytes (29). Indeed, it has long been reported that in other non-polarized cell models such as COS or HEK293 cells, the PDZK1-interacting domain of SR-BI does not play a role in SR-BI cell surface expression (3032), further supporting our conclusions that PDZK1 plays a role in SR-BI expression in polarized hepatocytes. Definitive evidence that PDZK1 plays an essential role in SR-BI expression in liver was shown in gene-targeted mice lacking PDZK1 (17). In the study by Kocher et al. (17), it was shown that SR-BI levels were reduced by 85% compared with control levels in PDZK1-deficient mice. However, the SR-BI levels in PDZK1 heterozygous mice were not shown in that study. Here we show that in our PDZK1-deficient mice, SR-BI levels are similarly reduced to levels previously reported by Kocher et al. (17). However, mice heterozygous for PDZK1 showed no decrease in SR-BI, indicating that PDZK1 is essential but not limiting in the liver for SR-BI expression. This finding is relevant to the observation that in C57BL/6J mice fed fenofibrate, PDZK1 levels were reduced by 50% compared with controls, whereas SR-BI was reduced by 85% compared with controls. Moreover, we showed that in PDZK1-deficient mice still exhibiting 515% of SR-BI found in controls, fenofibrate feeding further reduced SR-BI to almost undetectable levels. Mice with a 129 genetic background fed fenofibrate showed no decrease in PDZK1 but showed an 85% decrease in SR-BI. Taken together, these results indicate that fenofibrate acts to reduce SR-BI independently of PDZK1 by a mechanism that likely acts directly on SR-BI in a PPAR -dependent fashion. In addition, we can conclude that decreased PDZK1 by fenofibrate is dependent on genetic background. Of note is the decrease in PDZK1 that Mardones et al. (21) reported was greater than the 50% decrease in PDZK1 that we consistently observed, a difference likely related to the method of fenofibrate delivery and effective dose given to mice.
Using isolated hepatocytes from fenofibrate-fed mice, we found that SR-BI degradation was consistently and significantly enhanced relative to control cells, despite variations in the absolute levels of degradation between experiments (Figs. 6 and 8). Because these experiments utilized freshly isolated primary hepatocytes, such variation was likely due to inherent differences between mice. These findings are consistent with a model in which fenofibrate acts to directly up-regulate a degradation pathway for SR-BI independent of PDZK1. The degradation pathway enhanced by fenofibrate occurred in a post-ER, post-plasma membrane compartment because brefeldin A blocked degradation, and the amount of newly synthesized SR-BI reaching the plasma membrane was unchanged compared with controls. The machinery that mediates fenofibrate-enhanced degradation of SR-BI does not appear to involve the proteasome because lactacystin or ALLN failed to inhibit the degradation of SR-BI. Therefore, we can rule out the ER/proteasome-associated degradation pathway that involves the proteasome and is a major pathway for the quality control of proteins that enter the ER during translation (33, 34). Moreover, we found that neither ALLN, an inhibitor of both the proteasome and calpain protease, nor chloroquine, an inhibitor of lysosomal function, blocked SR-BI degradation. Interestingly, PPAR
Interestingly, some parallels between the results presented here and recent findings showing that the degradation of apoB in hepatocytes is highly sensitive to oxidant stress and occurs via a novel pathway involving post-ER, pre-secretory proteolysis (27, 28). We tested the idea that fenofibrate induces the degradation of SR-BI as a result of increased reactive oxygen species produced as a product of
The physiological function of decreased SR-BI by fenofibrate may be related to the observation that fibrates significantly down-regulate the activity of cholesterol 7 Additional studies into the pathway leading to enhanced degradation of SR-BI by fenofibrate may reveal important mechanisms that control the hepatic turnover of SR-BI. Given the wide use of fibrate drugs in treating humans with atherosclerosis and dyslipidemia, it will be important to determine whether this pathway regulating SR-BI turnover occurs in human liver.
* The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 The abbreviations used are: PPAR, peroxisome proliferator-activated receptor; HDL, high density lipoprotein; SR-BI, scavenger receptor B-I; ER, endoplasmic reticulum; apo, apolipoprotein; DFX, desferrioxamine; ALLN, N-acetyl-Leu-Leu-norleucinal; BFA, brefeldin A.
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