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J. Biol. Chem., Vol. 282, Issue 12, 8557-8567, March 23, 2007
Activation of Lipoprotein Lipase by Glucose-dependent Insulinotropic Polypeptide in AdipocytesA ROLE FOR A PROTEIN KINASE B, LKB1, AND AMP-ACTIVATED PROTEIN KINASE CASCADE*
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| ABSTRACT |
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-cell proliferation and survival. Considerably less is known about the effects of GIP on fat metabolism, and the present study was directed at identifying the mechanisms underlying its stimulatory action on lipoprotein lipase (LPL). In differentiated 3T3-L1 adipocytes, GIP, in the presence of insulin, increased LPL activity and triglyceride accumulation through a pathway involving increased phosphorylation of protein kinase B (PKB) and reductions in phosphorylated LKB1 and AMP-activated protein kinase (AMPK). Knockdown of AMPK using RNA interference and application of the AMPK inhibitor, Compound C, supported this conclusion. In contrast, the other major incretin hormone, glucagon-like peptide-1, exhibited no significant effects on LPL activity or PKB, LKB1, or AMPK phosphorylation. Cultured subcutaneous human adipocytes showed similar responses to GIP but with greater sensitivity. Chronic elevation of circulating GIP levels in the Vancouver diabetic fatty Zucker rat in vivo resulted in increased LPL activity and elevated triglyceride accumulation in epidydimal fat tissue, combined with a modulation of PKB, LKB1, and AMPK phosphorylation similar to that observed in vitro. This appears to be the first demonstration of a GIP-stimulated signal transduction pathway involved in increasing fat storage in adipocytes. | INTRODUCTION |
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-cell growth, development, and survival (5, 6). A number of studies have demonstrated that GIP plays an important role in the regulation of fat metabolism (79). GIP is released in response to administration of triglycerides (TG) (1, 2), with long chain fatty acids (FAs) being responsible for stimulating secretion (1). In dogs, GIP has been shown to promote clearance of chylomicron-associated TG from blood (10), and in rats, it has been shown to promote infusion of GIP-lowered plasma TG responses to intraduodenal fat (11). GIP enhanced FA synthesis from acetate in adipose tissue explants (12) as well as potentiating insulin-stimulated FA incorporation into adipose tissue (13) and stimulating lipoprotein lipase (LPL) activity in cultured preadipocytes (14) and mature adipocytes (15). These studies pointed to a significant role for GIP in the regulation of adipogenesis, and its physiological importance was emphasized by the demonstration by Miyawaki et al. (16) that GIP receptor knock-out mice exhibited reduced adipose tissue accretion on a high fat diet.
The GIP receptor is a member of the class B seven-transmembrane G protein-coupled family to which the receptors for glucagon, GLP-1, and secretin belong (17, 18). The majority of studies on the mode of action of GIP have been performed in islets, dissociated
-cells, or
-cell lines, and these have shown that receptor activation results in the stimulation of adenylyl cyclase (17) and phospholipase A2 (19). Downstream signaling involves a number of enzyme modules, including protein kinase A/cAMP-response element-binding protein, Rap1/Raf-A/Mek/Erk1/2 (20), and phosphatidylinositol 3-kinase (PI3K)/protein kinase B (PKB)/Foxo1 (21, 22). The mechanism by which GIP acts on adipocytes is largely unknown. GIP receptor expression has been demonstrated in rat adipocytes (23) and differentiated 3T3-L1 cells (8), and, in the absence of insulin, activation results in the stimulation of adenylyl cyclase and lipolysis (8). However, since this lipolytic action is inhibited by insulin (8), it was considered likely that the lipogenic effects of GIP are mediated through alternative pathways.
AMP-activated protein kinase (AMPK) is a serine/threonine kinase that acts as an intracellular energy sensor (24, 25) or "fuel gauge" (26). AMPK exists as a heterotrimeric protein complex consisting of a catalytic subunit (
) and two regulatory subunits (
and
) (24, 25). Two
isoforms exist, and they are both found in 3T3-L1 adipocytes (27). In keeping with its energy sensor role, starvation activates AMPK in adipose tissue (28, 29), and AMPK exerts antilipolytic effects (2830), as well as inhibiting adipocyte fatty acid synthesis, by phosphorylating acetyl-CoA-carboxylase-1 (29) and inhibiting insulin-induced glucose uptake (30). The overall effect of AMPK is to convert adipocytes into lipid oxidizing cells with suppressed lipolysis and lipogenesis (29).
LPL catalyzes the hydrolysis of TG associated with chylomicrons and very low density lipoproteins in the circulation, thus generating 2-monoacylglycerol and fatty acids, that undergo re-esterification in adipocytes (3134). The regulation of LPL expression and action is complex and involves transcriptional, post-transcriptional, and translocation events (3134). Food deprivation results in down-regulation of adipose tissue LPL, whereas insulin increases overall activity, possibly by acting at several levels (3135). Since GIP increases adipocyte LPL activity (14, 15), we postulated that it might act by suppressing AMPK levels, thus promoting fatty acid and 2-monoacylglycerol delivery to the cell and contributing to increased adipogenesis (6, 7, 13). Using differentiated 3T3-L1 cells and human subcutaneous adipocytes, we have demonstrated that GIP increases phosphorylation of PKB and decreases LKB1 and AMPK phosphorylation in the presence of insulin, resulting in activation of LPL and TG accumulation. Knockdown of AMPK using RNA interference and application of the AMPK inhibitor Compound C supported this conclusion. Chronic elevation of circulating GIP levels in the Vancouver diabetic fatty (VDF) Zucker rat in vivo resulted in activation of LPL in epidydimal fat tissue by a similar pathway. This appears to be the first description of a signaling pathway by which GIP stimulates FA storage in adipocytes.
| EXPERIMENTAL PROCEDURES |
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Cell Culture and Differentiation of Human AdipocytesSubcutaneous human preadipocytes were from Zen-Bio Inc. (Research Triangle Park, NC). They were obtained from healthy, nondiabetic women (n = 7; average body mass index, 25.17 kg/m2 (range 22.528.2); average age, 41 years (range 2751)) and differentiated into adipocytes according to the supplier's protocol. Institutional review board approval and informed consent for use of the adipose tissue were obtained from the patients by Zen-Bio Inc.
Western Blot AnalysisFor studies on the effect of GIP on PKB, LKB1, and AMPK phosphorylation, 3T3-L1 adipocytes or human adipocytes were incubated with GIP in the presence of 1 nM insulin, as indicated in the figure legends. Where appropriate, the AMPK inhibitor, Compound C (6-[4-(2-piperidin-1-yl-ethoxy)-phenyl)]-3-pyridin-4-yl-pyrrazolo[1,5-a]-pyrimidine) (Calbiochem), was added at a final concentration of 40 µM. Total cellular extracts from each sample were separated on a 13% SDS-polyacrylamide gel and transferred onto nitrocellulose membranes (Bio-Rad). Probing of the membranes was performed with phospho-PKB (serine 473), PKB, phospho-LKB1 (serine 428), phospho-AMPK (threonine 172), AMPK (Cell Signaling Technology, Beverly, MA), and
-tubulin antibodies (Santa Cruz Biotechnology, Inc., Santa Cruz, CA). Immunoreactive bands were visualized by enhanced chemiluminescence (Amersham Biosciences) using horseradish peroxidase-conjugated IgG secondary antibodies.
Generation of Stable Cell Lines3T3-L1 preadipocytes were grown in DMEM (Invitrogen), supplemented with 10% fetal bovine serum (Sigma) and penicillin/streptomycin (50 IU/ml, 50 µg/ml; Invitrogen) and transfected with constitutively active AMPK (CA-AMPK) and dominant negative AMPK (DN-AMPK) cDNAs, expressing the constitutively active and dominant negative forms of AMPK, respectively. For CA-AMPK, the cDNA encoded residues 1312 of AMPK subunit
1, containing a mutation resulting in a change of threonine 172 to aspartic acid. A cDNA encoding subunit
1 containing a mutation altering an aspartic acid residue 157 to alanine was used. CA- and DN-AMPK constructs were kindly provided by Dr. David Carling (Imperial College School of Medicine, London, UK). Transfections were performed using Lipofectamine 2000TM transfection reagent (Invitrogen) for 4 h according to the manufacturer's instructions. Stably transfected cells were selected with G418 (Invitrogen), and cell clones were combined, differentiated into adipocytes, and analyzed by Western blotting to confirm AMPK protein expression levels.
Knockdown of AMPK
by RNA InterferenceTo reduce levels of endogenous AMPK
, 3T3-L1 adipocytes were transfected with a pool of three siRNAs for AMPK
(sc-45313; Santa Cruz Biotechnology) using Lipofectamine 2000TM transfection reagent and incubated for 72 h. The specific interference of AMPK protein expression was confirmed by Western blot hybridization using antibody against phospho-AMPK, phospho-LKB1, and phospho-PKB.
LPL Enzyme Activity AssaysThe LPL activity assay kit (Roar Biomedical Inc.) was used to measure enzyme activity, according to the manufacturer's protocol. Enzyme activity is presented as relative activity normalized to protein concentration.
GIP InfusionObese VDF rats and their lean littermate controls (12 weeks old) were subjected to a 2-week continuous infusion of GIP (10 pmol/kg·min). The infusion was performed using an Alzet miniosmotic pump (Alzet Corp., Minneapolis, MN) implanted in the intraperitoneal region under pentobarbital (40 mg/kg) anesthesia. Rats were sacrificed at the end of the infusion, and epidydimal fat tissues were harvested for Western blotting. Experiments were conducted in accordance with guidelines of the University of British Columbia Animal Care Committee and Canadian Council on Animal Care.
Oral Glucose Tolerance Tests (OGTTs) and Measurements of Blood Glucose and Plasma Insulin LevelsBlood glucose levels were measured using a SureStep Glucose analyzer (LifeScan Canada, Burnaby, Canada). Following an approximate 16-h overnight fast, OGTTs (2 g/kg) were performed, with blood glucose levels following the glucose challenge measured at the time points indicated in Fig. 8E. Plasma insulin levels were determined using a radioimmunoassay kit (Linco Research Inc., St. Charles, MO).
Oil Red O StainingAfter overnight serum starvation, human adipocytes were treated for 24 h with GIP (100 nM) or GLP-1 (100 nM) in the presence of insulin (1 nM). Cells were then fixed and stained for 2 h by complete immersion in a working solution of Oil Red O. The method of Ramirez-Zacarias et al. (36) was used to determine the level of staining. Isopropyl alcohol was added to the stained culture dish and dye-extracted by gentle pipetting, and the absorbance at 490 nm was measured spectrophotometically.
Determination of Intracellular TG ContentA TG assay kit (Zen-Bio Inc.) was used to measure intracellular TG content of human adipocytes and epididymal fat tissues, according to the manufacturer's protocol.
Statistical AnalysisData are expressed as means ± S.E. with the number of individual experiments presented in the figure legend. Data were analyzed using the nonlinear regression analysis program PRISM (GraphPad, San Diego, CA), and significance was tested using analysis of variance (ANOVA) with Newman-Keuls post hoc test (p < 0.05) as indicated in the figure legends.
| RESULTS |
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2.6-fold increases in LPL activity, compared with basal. In contrast, treatment of 3T3-L1 adipocytes with GLP-1 (100 nM) under identical conditions resulted in only small increases in mean LPL activity that did not reach significance (Fig. 1A). Concentration-dependent effects of GIP on LPL activity were observed with EC50 values of 15.3 ± 0.1 nM (Fig. 1B). GIP Treatment of 3T3-L1 Adipocytes Results in Increased PKB Phosphorylation and Decreased Phosphorylation of AMPK and LKB1The mechanisms involved in the activation of LPL by GIP treatment were next studied. Phosphorylation of AMPK at Thr172 by upstream kinase AMPK kinases is essential for its activation (24, 25), resulting in increases in activity of at least 50-fold. The major upstream kinase for activation of AMPK in most tissues, including adipose (25), has recently been identified as LKB1 (37, 38). Treatment of 3T3-L1 adipocytes with GIP (100 nM) in the presence of insulin (1 nM) resulted in profound decreases in phosphorylation of AMPK at Thr172 (Fig. 2A) and LKB1 at Ser428 (Fig. 2C). GIP-induced responses were concentration-dependent, with EC50 values of 34.7 ± 0.2 nM for AMPK (Fig. 2B) and 25.5 ± 0.2 nM for LKB1 (Fig. 2D). In parallel experiments, GIP stimulated phosphorylation of PKB at Ser473 (Fig. 2E) with an EC50 of 35.6 ± 0.2 nM (Fig. 2F). Decreased phosphorylation of both AMPK and LKB1 (Fig. 2, A and C) and increased phosphorylation of PKB (Fig. 2E) were evident by 6 h following GIP treatment and sustained for 24 h. Treatment of 3T3-L1 adipocytes with GLP-1 (100 nM) in the presence of 1 nM insulin resulted in no significant changes in phosphorylation of PKB, LKB1, or AMPK (Fig. 3). These results correlated well with the lack of effect of GLP-1 on LPL (Fig. 1).
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resulted in similar results: a substantial decrease in phospho-AMPK levels (Fig. 6E), no changes in PKB and LKB1 phosphorylation (Fig. 6, F and G), and increased LPL activity that was not responsive to GIP (Fig. 6H). Following treatment with scrambled (control) siRNA, GIP increased LPL activity. Together, these results strongly support a role for AMPK in GIP-mediated LPL activation, with PKB/LKB1 as an upstream signaling module.
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3.7-fold increase in LPL activity, compared with basal. Concentration-dependent effects of GIP on LPL activity were observed with EC50 values of 115.3 ± 0.1 pM, whereas GLP-1 did not exert any significant effect on LPL activity (Fig. 7A). In parallel experiments, suppression of AMPK and LKB1 phosphorylation and increases in PKB phosphorylation occurred with GIP concentrations as low as 10100 pM (Fig. 7, BD). Conversely, GLP-1 exerted no significant effect on PKB/LKB1/AMPK phosphorylation. To examine whether GIP-induced LPL activation was associated with increased lipogenesis, intracellular TG content was determined. As shown in Fig. 7E, treatment with GIP (100 nM) in the presence of insulin (1 nM) for 24 h resulted in a
1.5-fold increase in TG accumulation compared with control. GLP-1 exerted no significant effect (Fig. 7E). When cells were stained with Oil Red O, levels of extracted dye in the GIP-treated group were increased compared with the control or GLP-1-treated group (Fig. 7F), providing further support for GIP-enhanced lipogenesis. Taken together, these results indicate that GIP modulation of the PI3K/PKB/LKB1/AMPK signaling module results in increased LPL activity and lipogenesis. Effect of GIP on Epididymal Fat in VivoTo determine whether GIP can regulate LPL in vivo, GIP was systemically administrated to lean (Fa/?) or obese (fa/fa) VDF Zucker rats, the latter being an animal model of mild Type 2 diabetes (40). As shown in Table 1, fasting blood glucose levels in VDF fatty rats were slightly increased compared with lean littermates, and they demonstrated clear glucose intolerance (Fig. 8E). GIP administration had no significant effects on body weight, fasting or nonfasting glucose levels, or fasting insulin in either lean or obese animals. However, glucose intolerance in obese VDF rats showed a small improvement with the GIP infusion (Fig. 8E) when compared with controls, and this was associated with slightly increased mean peak insulin in the OGTTs, although not reaching significance. There were no such GIP-induced changes in the lean rats.
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| DISCUSSION |
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LPL is regulated by hormones and nutrients in a tissue-specific manner (31, 34). In adipose tissue, the main storage site for TG, LPL activity is induced by feeding and suppressed by fasting, whereas in muscle, which utilizes fatty acids for energy production in the postabsorptive state, LPL activity is induced by fasting and suppressed by feeding (31, 34). Insulin increases LPL activity in 3T3-L1 adipocytes (41) and adipose tissue (31) but reduces its activity in the heart (42). In the current study, GIP was shown to increase LPL activity in the presence of insulin in differentiated 3T3-L1 cells and human adipocytes through modulation of a PKB/LKB1/AMPK signaling module. The most parsimonious explanation of the results is outlined in Fig. 9 and includes GIP-mediated activation of PKB through increased phosphorylation of Ser473, decreased LKB1/AMPK phosphorylation, and increased activity of LPL. LKB1, TAK1, and Ca2+/calmodulin-dependent protein kinase kinases have all been implicated in the phosphorylation and regulation of AMPK (38), but current evidence suggests that LKB1 is predominantly responsible in adipose tissue (29). In the heart, it has been demonstrated that there is cross-talk between PKB and AMPK pathways, with PKB activation leading to decreased AMPK activity (43). A similar pattern was seen in the adipocyte in response to GIP. The decrease in LKB1 phosphorylation in response to GIP treatment demonstrated a temporal pattern similar to that of AMPK (Fig. 2, AD). Expression of a CA form of AMPK increased basal phospho-Thr172-AMPK levels and decreased LPL activity below control values (Fig. 5, A and D). Unexpectedly, LPL activity of 3T3-L1 adipocytes expressing CA-AMPK was still responsive to GIP stimulation. There are several potential explanations for this observation. The activity of the CA form of AMPK utilized has been shown to be much lower than that of the endogenous heterotrimeric complexes (44). Relatively low CA-AMPK expression and the presence of cells that only weakly expressed or failed to express CA-AMPK cDNA could also have contributed to a lower total activity. The suppression of LPL activity therefore may have been mainly a result of the increased levels of endogenous phospho-Thr172-AMPK. Upon GIP stimulation, suppression of the endogenous activity would be the predominant effect, thus resulting in increased LPL activity. The responsiveness of CA-AMPK cells to insulin (Fig. 5A) supports this possibility. Expression of a DN form of AMPK reduced phospho-Thr172-AMPK, and this was associated with increases in LPL activity to levels identical to those observed following GIP stimulation in control cells (Fig. 5, A and D). The addition of GIP to DN-AMPK-expressing cells produced a further increase in LPL activity. This may be explained by the fact that, although phospho-Thr172-AMPK levels were very low (Fig. 5A), there may have been residual AMPK activity appropriately situated intracellularly for stimulating LPL activity. Previous studies with this DN form have shown that even adenoviral expression does not produce protein levels sufficient to completely sequester the
and
subunits that are necessary for expression of activity of the endogenous enzyme (45). Since the DN-AMPK cells were still responsive to insulin (Fig. 5A), incomplete removal of activity is a distinct possibility. The involvement of AMPK in the regulation of GIP-mediated LPL activation was further assessed using pretreatment with an AMPK inhibitor and AMPK
siRNA knockdown. Both treatments resulted in reduced levels of phospho-AMPK, increased basal LPL activity, and ablated responsiveness to GIP (Fig. 6, D and H). Compound C acts as a competitive inhibitor at the ATP binding site of AMPK (46), and the associated reduction in phospho-AMPK levels is in agreement with studies on a neuroblastoma cell line (47), skeletal muscle cells (48), and pancreatic
-cell line (49).
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-cell line that agents capable of increasing intracellular cAMP levels, such as GIP, can also reduce AMPK activity via inhibition of Ca2+/calmodulin-dependent protein kinase kinase through activation of protein kinase A (51). It will clearly be of interest to establish whether this also occurs in adipose tissue.
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Two characteristics of the in vitro responses to GIP in differentiated 3T3-L1 adipocytes need further comment. All responses were studied in the presence of insulin, because in its absence GIP acts mainly as a lipolytic hormone (8, 9), and its stimulatory action on PKB is also insulin-dependent. The responses to GIP under these conditions are relatively slow. The reason for this is unclear, and the basic model presented (Fig. 9) does not exclude the involvement of factors upstream of PI3K that require an extended time of action (e.g. growth factors, gene expression). At present, we have no evidence for the involvement of such factors. Additionally, with differentiated 3T3-L1 cells, the concentrations of GIP utilized were supraphysiological, with EC50 values in the range of 1535 nM. Two possible explanations for this low sensitivity were considered. First, since it was earlier speculated that GIP may function on adipocytes mainly via competitive binding to glucagon receptors (53), we examined the effect on GIP-mediated actions of the specific glucagon receptor antagonist des-His1-[Glu9]glucagon amide (54) at concentrations up to 1 µM but found no significant effects (data not shown). Second, we considered that it might be due to low expression of receptor or intracellular signaling molecules in 3T3-L1 adipocytes, due to the passage number, since lipolytic responses to GIP were found earlier to occur with lower concentrations of GIP (8), and it has been shown that cell phenotype can change with passage number (55). We therefore examined the responsiveness of human subcutaneous adipocytes and found that they were exquisitely responsive to GIP at concentrations as low as 10 pM, well within the physiological range (Fig. 7). Furthermore, a 2-week continuous infusion of low concentrations of GIP (10 pmol/kg·min) in the obese VDF Zucker rat led to a modulation of PKB, LKB1, AMPK, and LPL similar to that observed in 3T3-L1 adipocytes (Fig. 8). These in vivo studies are complicated by the fact that GIP stimulates insulin secretion, and long term administration could therefore potentially induce indirect effects. As seen from their metabolic profiles, with the low dose infusion utilized, the rats demonstrated no major changes in circulating glucose or insulin levels when compared with controls (Table 1). The obese animals showed a small but significant improvement in glucose tolerance, whereas there was no change in the lean animals. However, both groups of animals showed increased epididymal fat TG content and changes in enzyme profiles similar to those observed with the in vitro studies (Fig. 8), suggesting that the responses observed were due to GIP rather than insulin or blood glucose levels.
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In summary, GIP is likely to play an important role in fat storage, by increasing LPL activity in adipocytes, and a PKB/LKB1/AMPK signaling module is involved in this process. This appears to be the first report describing the mechanisms underlying the action of GIP on adipocyte fat storage. GIP probably acts on adipose tissue synergistically with insulin in vivo, and, since circulating GIP levels may be increased by hypernutrition, its effects would be more evident in obesity, with its accompanying hyperinsulinemia. Such an action supports the search for GIP receptor antagonists, potentially with an adipocyte specificity.
| FOOTNOTES |
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The on-line version of this article (available at http://www.jbc.org) contains supplemental Fig. 1. ![]()
1 To whom correspondence and reprint requests should be addressed: Dept. of Cellular and Physiological Sciences, Diabetes Research Group, Life Sciences Institute, University of British Columbia, 2350 Health Sciences Mall, Vancouver, British Columbia V6T 1Z3, Canada. Tel.: 822-3088; Fax: 822-6048; E-mail: mcintoch{at}interchange.ubc.ca.
2 The abbreviations used are: GIP, glucose-dependent insulinotropic polypeptide; LPL, lipoprotein lipase; PKB, protein kinase B; AMPK, AMP-activated protein kinase; GLP-1, glucagon-like peptide-1; FA, fatty acid; VDF, Vancouver diabetic fatty; PI3K, phosphatidylinositol 3-kinase; CA, constitutively active; DN, dominant negative; TG, triglyceride(s); DMEM, Dulbecco's modified Eagle's medium; OGTT, oral glucose tolerance test; ANOVA, analysis of variance; siRNA, small interfering RNA. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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