Originally published In Press as doi:10.1074/jbc.M702871200 on May 14, 2007
J. Biol. Chem., Vol. 282, Issue 29, 21005-21014, July 20, 2007
Sequential Regulation of Diacylglycerol Acyltransferase 2 Expression by CAAT/Enhancer-binding Protein
(C/EBP
) and C/EBP
during Adipogenesis*
Victoria A. Payne
,
Wo-Shing Au
,
Sarah L. Gray
,
Edoardo Dalla Nora
,
Shaikh M. Rahman
,
Rebecca Sanders
,
Dirk Hadaschik
,
Jacob E. Friedman
,
Stephen O'Rahilly
1, and
Justin J. Rochford
12
From the
Department of Clinical Biochemistry, University of Cambridge, Box 232, Level 4, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QR, United Kingdom and the
Department of Pediatrics, University Colorado Health Sciences Center, Denver, Colorado 80262
Received for publication, April 4, 2007
, and in revised form, May 1, 2007.
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ABSTRACT
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Diacylglycerol acyltransferase 2 (DGAT2) catalyzes the final step of triacylglycerol (TG) synthesis. Despite the existence of an alternative acyltransferase (DGAT1), mice lacking DGAT2 have a severe deficiency of TG in adipose tissue, indicating a nonredundant role for this enzyme in adipocyte TG synthesis. We have studied the regulation of DGAT2 expression during adipogenesis. In both isolated murine preadipocytes and 3T3-L1 cells the temporal pattern of DGAT2 expression closely mimicked that of genes whose expression is regulated by CAAT/enhancer-binding protein
(C/EBP
). Inhibition of C/EBP
expression in differentiating preadipocytes reduced DGAT2 expression, and electrophoretic mobility shift assay and chromatin immunoprecipitation experiments identified a promoter element in the DGAT2 gene that is likely to mediate this effect. The importance of C/EBP
in adipocyte expression of DGAT2 was confirmed by the finding of reduced DGAT2 expression in the adipose tissue of C/EBP
-null animals. However, DGAT2 expression is maintained at high levels during the later stages of adipogenesis, when C/EBP
levels decline. We show that, at these later stages of differentiation, C/EBP
is capable of substituting for C/EBP
at the same promoter element. These observations provide novel insight into the transcriptional regulation of DGAT2 expression. Moreover, they further refine the complex and serial roles of the C/EBP family of transcription factors in inducing and maintaining the metabolic properties of mature adipocytes.
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INTRODUCTION
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The increased adipose tissue mass of obesity results from a combination of increased lipid storage in existing adipocytes and the generation of new adipocytes from precursors residing within the adipose tissue (1). The induction of genes responsible for the formation of triacylglycerol (TG)3 within developing or pre-existing adipocytes is therefore likely to make an important contribution to the enlargement of adipose mass. In contrast, pathologically decreased lipid accumulation or impaired adipogenesis in lipodystrophic subjects has deleterious metabolic consequences superficially like those seen in obesity, including insulin resistance and dyslipidemia, with attendant increases in cardiovascular disease. Thus good metabolic control is likely to require the body to restrain adipose tissue mass while still maintaining the capacity to respond accurately to substrate availability. In this way, when necessary, lipids can be partitioned appropriately into adipose tissue and away from other insulin-sensitive tissues where they may have detrimental effects. That mutations of AGPAT2, a key enzyme in TG synthesis, can cause near total lipodystrophy demonstrates the importance of this pathway in such diseases of adipose development and function (2, 3). Rational therapeutic strategies for both obesity and lipodystrophy will require a detailed knowledge of the regulatory pathways required for the formation of an appropriate mass of metabolically active adipocytes, capable of tightly controlling lipid synthesis and storage. The enzyme diacylglycerol acyltransferase (DGAT) catalyzes the final step of mammalian TG synthesis, and two isoforms, DGAT1 and DGAT2, exist, encoded by different genes. DGAT1 knock-out mice have been shown to be resistant to high fat diet-induced obesity due to increased metabolic rate with increased physical activity (4–6). Mice lacking DGAT2, however, show a more dramatic phenotype, with severe lipopenia and early postnatal death due to a lack of substrates for energy metabolism and defects of skin permeability (7). Thus, DGAT2 has a key role in TG synthesis and, in addition, is highly expressed in adipocytes. However, the molecular mechanisms controlling its expression in adipose tissue have not been defined to date.
The transcriptional control of gene expression during adipogenesis involves the complex interplay of a multitude of transcription factors whose temporal expression must be precisely coordinated (8–10). Several factors have been shown to play central roles in this transcriptional cascade. The induction of C/EBP
and C/EBP
occurs rapidly following the initiation of adipogenesis, and these factors, modulated by a plethora of cofactors, induce the expression of a second wave of genes, including the so-called "master regulators" of adipogenesis, C/EBP
and PPAR
. The targets of these transcription factors include the genes encoding many genes of the mature lipogenic and insulin-sensitive adipocyte such as aP2, PEPCK, aquaporin 7, lipoprotein lipase, adiponectin, and Glut4 (8, 11, 12). Thus the C/EBP family of transcription factors has a critical role in adipogenesis, and studies of both the loss and gain of function in vitro and in vivo have demonstrated the importance of their activity in adipocyte development and lipid accumulation. Ablation of C/EBP
in mice leads to a loss of white adipose tissue and impaired adipogenesis in culture, whereas the expression of C/EBP
in fibroblasts and preadipocytes facilitates adipogenesis (13–18). Studies examining the effects of the rapidly induced C/EBP
and C/EBP
have demonstrated that loss of function of one or both of these factors can lead to decreased adipose mass in mice and decreased adipogenesis in cellular models (19–22). Although C/EBP
and C/EBP
appear to have some compensatory, synergistic, and overlapping functions, C/EBP
appears to have the greater effect on adipocyte development and lipid accumulation (13–18). Here we examine the control of DGAT2 expression during adipogenesis and, for the first time, define a transcriptional mechanism for the regulation of its expression, demonstrating a key role for the C/EBP family of transcription factors.
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EXPERIMENTAL PROCEDURES
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Preadipocyte Isolation and Culture—Murine preadipocyte isolation, culture, and differentiation were performed as described previously (23). Human preadipocytes were grown from the stromovascular fraction of collagenase-digested abdominal subcutaneous adipose tissue as previously described (24). At various times following induction of differentiation, cells were harvested, and RNA was extracted. 3T3-L1 preadipocytes were maintained and differentiated as described in a previous study (25). 3T3-L1 preadipocytes constitutively expressing the liver inhibitory protein (LIP) isoform of C/EBP
were generated as follows: LIP cDNA was amplified by PCR using a forward primer immediately upstream of the LIP initiating ATG and using the pMT2-C/EBP
expression vector (generously provided by Drs. Q.-Q. Tang and M. D. Lane). This was subcloned into pBabe retroviral vector, which was then used to generate retrovirus in HEK293-BOSC cells and to subsequently infect 3T3-L1 preadipocytes. Mock transfected 3T3-L1 preadipocytes were generated with the same protocol using empty pBabe vector. Cells stably expressing eight-twenty one/MTG8 (ETO) were as previously described (25). Differentiating 3T3-L1 cells were assessed for lipid content by staining with oil-red O as in a previous study (25).
siRNA Knockdown—Synthetic double-stranded siRNA against C/EBP
or C/EBP
mRNAs were purchased from Ambion. 3T3-L1 preadipocytes were plated at a density 1 x 105 cells per well in 12-well plates the day before siRNA transfection. siRNA/liposome mixes containing 2 µg of Lipofectamine 2000 (Invitrogen) and 100 nM of siRNA/well were incubated with cells for 6 h in the absence of serum. Medium was replaced with serum containing 3T3-L1 growth medium for 18 h before the induction of differentiation.
RNA Isolation, cDNA Synthesis, and Real-time PCR—Total RNA was extracted from cell cultures using an RNeasy kit (Qiagen). Adipose tissue was isolated from C/EBP
-null mice or their wild-type littermates as previously described (26). All procedures were approved by the University Colorado Health Sciences Center Animal Care and Use Committee. Frozen adipose tissue samples were first minced finely with scissors, then RNA was isolated according to the RNeasy kit protocol (Qiagen). Samples were eluted in 50 µl of RNase free H2O, and RNA concentration was determined by GeneQuant (Amersham Biosciences). The quality of extracted RNA was assessed by formaldehyde gel electrophoresis. Primer Express, version 1.0 software (PerkinElmer Life Sciences, Applied Biosystems) was used to design the probes and primers for real-time quantitative PCR to determine DGAT2, DGAT1, C/EBP
, and 11
HSD1 mRNA expression. The primer/probe mix to assay C/EBP
was obtained from Applied Biosystems. RNA was reverse-transcribed using Moloney murine leukemia virus-reverse transcriptase and random hexamer primers (Promega, Madison, WI). The resulting cDNA was used in 12-µl PCR reactions, in which 300 nM of forward and reverse primers and, where applicable, 150 nM of fluorogenic probe were used in combination with ABI TaqMan or SYBR green master mix (Applied Biosystems). Reactions were carried out in duplicate for each sample on an ABI 7900 sequence detection system (PerkinElmer Life Sciences) according to the manufacturer's instructions. The relative quantities of amplified cDNAs were analyzed by using SDS software (Applied Biosystems), and target values were normalized to 18 S rRNA (tissue samples) or cyclophilin A mRNA (cell culture samples).
Electrophoretic Mobility Shift Assay—Post-confluent 3T3-L1 preadipocytes differentiated for various times were washed with phosphate-buffered saline containing 1 mM phenylmethylsulfonyl fluoride before being scraped and centrifuged at 1200 rpm at 4 °C. The cell pellet was subjected to crude nuclear protein preparation using a cytosolic and nuclear protein extraction kit (Pierce). An electrophoretic mobility shift assay was performed using a LightShift chemiluminescence electrophoretic mobility shift assay kit (Pierce). The probes were prepared by annealing complementary oligonucleotides with their 3'-end labeled with biotin. The oligonucleotides sequences were as follows: C/EBP
promoter C/EBP binding site, 5'-CAGTGGGCGTTGCGCCACGATCTCTCT; DGAT2 putative site 1 C/EBP site, 5'-ACACGTCTATTGGCCAATCTACCGT. The DNA-protein binding was performed at room temperature for 20 min in a final volume of 20 µl containing 1x binding buffer (10 mM Tris, pH 7.5, 50 mM KCl, 1 mM dithiothreitol), 2.5% (v/v) glycerol, 5 mM MgCl2, 1 µg of poly(dI-dC), 0.05% (v/v) Nonidet P-40, 8 pmol of double-stranded biotinylated probe, and 10 µg of nuclear extract. The DNA-protein complexes were separated by 5% PAGE in 0.5x TBE (89 mM Tris, 89 mM boric acid, 2 mM EDTA) at 200 V at 4 °C for 2 h. DNA-protein complexes in gel were transferred to Hybond N nylon membrane (Amersham Biosciences) by electroblotting with 0.5x TBE at 350 mA for 1.5 h. DNA-protein complexes were fixed to the membrane by UV cross-linker and detected by a nonradioactive nucleic acid detection kit (Pierce). For the competition assay, 20x more concentrated double-stranded DNAs were included in the binding reaction. Where appropriate, 2 µl of anti-C/EBP
(C-19) or anti-C/EBP
antibody (14AA) (Santa Cruz Biotechnology, Santa Cruz, CA) were preincubated in the binding reaction for 10 min before the probe was added.
ChIP Assay—3T3-L1 preadipocytes in 35-mm wells were differentiated for various times as indicated. The DNA and protein were cross-linked in situ with 0.5% (v/v) formaldehyde at 37 °C for 5 min. Soluble chromatin was prepared using a ChIP assay kit (Upstate%20Biotechnology">Upstate Biotechnology, Inc.). The lysate was sonicated four times for 10 s at 4 °C. The lysates were precipitated with either 5 µl of anti-C/EBP
(C-19) or anti-C/EBP
antibody (Santa Cruz Biotechnology) overnight before protein A-agarose beads were added. The proteins were removed from DNA by digesting with 10 µg/ml proteinase K at 45 °C for 30 min. The DNA was further purified by using a QIAquick PCR purification kit (Qiagen). The DNA was eluted in 50 µl of sterile water. Two microliters of eluted DNA was used to assay the presence of DNA sequences associated with the immunoprecipitated proteins using specific primers amplifying DNA sequences, including the binding sites being assayed and SYBR green master mix according to the manufacturer's instructions. Values obtained from immunoprecipitated samples were normalized to those from input samples.
Western Blotting—Protein samples were extracted by scraping in lysis buffer containing 1% Nonidet P-40, followed by sonication as described previously (25). After centrifugation for 10 min at 13,000 x g, samples of supernatant containing 30 µgof protein were denatured and analyzed by Western blotting. All antibodies were from Santa Cruz Biotechnology.
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RESULTS
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To determine the expression of DGAT1 and DGAT2 during adipogenesis, 3T3-L1 preadipocytes were induced to differentiate, and DGAT1 and DGAT2 expression was assayed by real-time PCR. Both DGAT1 and DGAT2 mRNA were induced with a similar time course, with a minor increase in expression in the first few hours following induction, and strong and sustained increase of mRNA occurring within 3 days. Of the two isoforms, DGAT2 showed a much greater increase, with an
200-fold induction within 3 days, whereas DGAT1 expression increased by <10-fold (Fig. 1A). To determine whether the induction of DGAT2 also occurred when isolated mouse preadipocytes undergo differentiation, we next examined DGAT2 expression in cells isolated from the stromovascular fraction of mouse white adipose tissue, induced to differentiate in culture. In a manner similar to differentiating 3T3-L1 preadipocytes, DGAT2 expression increased significantly 2 days following induction of differentiation with maximal induction apparent after 4–6 days (Fig. 1B). To extend these observations we next determined DGAT2 expression in differentiating human preadipocytes. Cultures of cells isolated from the stromovascular fraction of abdominal subcutaneous adipose tissue were induced to differentiate for various times, and the expression of DGAT2 mRNA was determined (Fig. 1C). Again, a strong and significant up-regulation of DGAT2 expression was observed within 3 days of the induction of differentiation. This demonstrates that the induction of DGAT2 expression in the 3T3-L1 model recapitulates not only murine, but also human adipogenesis, and that DGAT2 may be an important enzyme of adipocyte triglyceride synthesis in humans as well as mice. Given the physiological importance of DGAT2, apparent from the phenotype of DGAT2-null mice, the strong induction of this isoform during adipogenesis and yet the lack of knowledge about the regulation of its expression, we decided to investigate its regulation in developing adipocytes further.

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FIGURE 1. DGAT2 expression is strongly induced during adipocyte differentiation. A, 3T3-L1 preadipocytes were induced to differentiate for various times up to 6 days (D6), RNA was isolated, and DGAT1 (white bars) or DGAT2 (black bars) expression was determined by real-time PCR. Data shown are normalized to cyclophilin ±S.E., n = 4. B, DGAT2 expression was determined in RNA isolated from confluent isolated murine preadipocytes before or after induction of differentiation for various times between 4 h (4h) and 8 days (D8). Data shown are normalized to cyclophilin ±S.D. from two independent experiments performed with cells isolated and pooled from the adipose tissue of four mice in each case. C, confluent cultures of human isolated preadipocytes were induced to differentiate for various times, RNA was isolated and reverse transcribed, and DGAT2 expression was determined by real-time PCR. Data shown are normalized to cyclophilin ±S.E., n = 5. In all cases the asterisk indicates statistically significant difference from expression at day 0 (p < 0.05).
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To identify potential transcriptional mechanisms by which DGAT2 is regulated during adipogenesis we first examined published microarray data of gene expression over an extended time course of 3T3-L1 preadipocyte differentiation. This revealed that the temporal regulation of DGAT2 very closely mimicked that of C/EBP
and 11
HSD1 (27), both well characterized targets of C/EBP
(28, 29). Despite the rapid induction of C/EBP
during adipogenesis, the appearance of C/EBP
is characteristically delayed. Initially C/EBP
is unable to bind the C/EBP
promoter due, at least in part, to the inhibitory actions of CHOP10 and/or ETO (25, 30). Subsequently C/EBP
binds promoter sequences in a repressed complex containing HDAC1 and Sin3a, before finally becoming an active complex 48–72 h following induction (31, 32). Because the characteristically delayed time course of C/EBP
expression was shared by DGAT2 mRNA, this led us to speculate that C/EBP
may also have a key role in the regulation of its expression. This is also consistent with the observation that inhibition of C/EBP
in 3T3-L1 adipogenesis significantly inhibits lipid accumulation in these cells. To test this hypothesis we generated 3T3-L1 preadipocytes constitutively expressing the naturally occurring inhibitory form of C/EBP
, LIP. LIP lacks the transactivating domain of the transcriptionally active LAP (liver activating protein) forms of C/EBP
but contains the leucine zipper and DNA binding motifs, allowing it to bind to C/EBP
target sites and prevent binding by active forms of C/EBP
(Fig. 2A) (33). Expression of C/EBP
was assessed in mock or LIP-transfected 3T3-L1 preadipocytes during differentiation by Western blotting. In the LIP-transfected cells, LIP expression was increased prior to the induction of differentiation to levels similar to the maximum level observed in mock transfected cells once differentiation had been induced (Fig. 2B). Consistent with this, following induction of differentiation, LIP expression in LIP-overexpressing cells rose to levels approximately twice those in mock transfected cells.

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FIGURE 2. Inhibition of C/EBP activity by LIP expression inhibits the induction of DGAT2 during adipogenesis. A, the inhibitory LIP isoform of C/EBP contains the DNA binding (DBD) and leucine zipper (LZ) domains but lacks the transactivation domain (TAD) present in the activating liver activating protein isoform (LAP), and acts as a dominant negative. B, 3T3-L1 preadipocytes were stably transfected with LIP or empty vector (mock), and confluent cells were induced to differentiate for the times shown. Protein lysates were analyzed for C/EBP expression by Western blotting. C, lipid accumulation was assessed in mock or LIP-transfected cells following differentiation for 8 days in the absence (MDI) or presence (MDI-BRL) of the PPAR agonist BRL49653. Mock (black bars) or LIP (white bars)-transfected cells were also differentiated for various times, and RNA was isolated and assayed for the expression of PPAR 1 (D), PPAR 2 (E) C/EBP (F), 11- HSD1 (G), or DGAT2 (H) by real-time PCR. Data shown are normalized to cyclophilin ±S.E., n = 4. The asterisk indicates statistically significant difference in expression compared with mock-transfected cells at the same time point (p < 0.05).
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We next assessed the effect of LIP expression on lipid accumulation by staining cells with oil-red O 8 days following induction of differentiation in the presence or absence of the PPAR
agonist BRL49653 (Invitrogen). Consistent with previous studies, LIP expression almost completely inhibited the accumulation of lipid (Fig. 2C). Indeed, even BRL49653-treatment, which enhanced lipid accumulation in mock transfected cells, was only able to induce very slight lipid accumulation in LIP cells. The expression of PPAR
1 and PPAR
2 was reduced by 57 and 60%, respectively, on day 3 of differentiation in these cells (Fig. 2, D and E). Thus even pharmacological activation of the significant residual PPAR
expressed was unable to overcome the inhibitory effects of LIP expression.
We next assessed the expression of C/EBP
and 11
HSD1 in LIP cells. The induction of both these genes was significantly impaired in the LIP cells when compared with the mock transfected cells (Fig. 2, F and G). Subsequent analysis of DGAT2 expression in these cells demonstrated that this was particularly strongly inhibited by LIP expression, which caused a reduction in DGAT2 mRNA of 87% at day 3 and 77% at day 6 (Fig. 2F) (compared with reductions of 52 and 63% in C/EBP
expression at these time points). We also determined the expression levels of several other genes regulated during adipogenesis. At day 3 of differentiation, LIP expression led to reductions of 56% in aP2, and 56% in fatty acid synthase, only 14% in carnitine palmitoyltransferase 2, and no inhibition of the induction of the adiponectin receptor 2 (data not shown). The differences in the magnitude of inhibition observed for each of these genes probably reflects the complex cross-regulated nature of the adipogenic transcription cascade. However, the data also strongly suggest that C/EBP
has an important role in the regulation of DGAT2 in addition to its more general effects on adipogenesis per se.
We have previously demonstrated that the transcriptional corepressor ETO functions as an inhibitor of C/EBP
(25). Thus, we next examined the effect of ETO expression on DGAT2 expression. As with the inhibition of C/EBP
activity by LIP expression, constitutive ETO expression significantly inhibits lipid accumulation during 3T3-L1 adipogenesis (Fig. 3A). However, the expression of ETO does not affect the expression of C/EBP
in these cells (Fig. 3B). Predictably, due to its inhibition of C/EBP
activity, ETO expression inhibited both C/EBP
(Fig. 3C) and 11
HSD1 (Fig. 3D) mRNA expression. Moreover, the induction of DGAT2 mRNA was significantly impaired by ETO expression, again suggesting a role for C/EBP
in DGAT2 expression (Fig. 3E).
The LIP isoform of C/EBP
is known to affect the expression of genes regulated by other C/EBP isoforms by binding to DNA sequences that are also capable of binding C/EBP
. In addition, although we have demonstrated that ETO affects C/EBP
activity, the specificity of ETO is not yet completely defined. Thus we next sought to specifically interfere with C/EBP
by using siRNA to inhibit its expression. Transfection of preadipocytes with C/EBP
siRNA resulted in a significant and sustained inhibition of C/EBP
, reducing expression levels at day 1 post-induction by >60% and at day 3 by >50% (Fig. 4A). Analysis of C/EBP
protein showed that this translated to a dramatic reduction of C/EBP
protein in cells transfected with C/EBP
siRNA (Fig. 4B). We next assessed the effect of C/EBP
knockdown on lipid accumulation. Oil-red O staining demonstrated that specific loss of C/EBP
significantly impairs the accumulation of lipid in a similar manner to LIP or ETO expression (Fig. 4C). Analysis of C/EBP
(Fig. 4D), 11
HSD1 (Fig. 4E), and DGAT2 (Fig. 4F) mRNA demonstrated that all showed significantly reduced induction in cells transfected with C/EBP
siRNA.
Like DGAT2 both AGPAT2 and lipin have critical roles in triglyceride synthesis. However, in addition to their enzymatic activity, AGPAT2 and lipin also have roles in adipogenic gene expression (34, 35). The two splice variants of lipin, lipin-
and lipin-
, have been shown to selectively enhance the expression of proteins of adipogenesis or lipogenesis, respectively. To assess the involvement of these enzymes in the observed reduction of lipid accumulation we measured their expression in C/EBP
knockdown cells. Inhibition of C/EBP
expression resulted in a reduction of
50% in both AGPAT2 (Fig. 4G) and lipin-
(Fig. 4H) expression after 3 days of differentiation. However, no significant inhibition of these genes was observed after 5 days of differentiation, nor in the expression of more "lipogenic" lipin-
isoform at any of the time points tested (Fig. 4I). The reductions in DGAT2 expression were larger (70 and 45% at day 3 and day 5 of differentiation, respectively) (Fig. 4F). This suggests that the inhibition of DGAT2 expression probably makes a more significant contribution to the impaired lipid accumulation in these cells than reductions in AGPAT2, lipin-
or lipin-
. However, it is possible that the concerted decrease in these enzymes compounds the effect of DGAT2 inhibition at the earlier stages of differentiation, either affecting lipogenesis directly or via effects on adipogenesis itself.
To determine whether our observations in cellular models of adipogenesis extended to adipocyte development in vivo, we examined gene expression in white adipose tissue isolated from C/EBP
knock-out mice. As expected C/EBP
mRNA was undetectable in these samples (Fig. 5A). As predicted from previous studies the expression of C/EBP
was also significantly reduced (Fig. 5B), as was the expression of 11
HSD1 (Fig. 5C). In addition, we also found that the expression of DGAT2 was significantly decreased in the white adipose tissue of these mice (Fig. 5D), consistent with an important role for C/EBP
in the expression of DGAT2 in adipocytes in vivo.
We next sought to determine whether C/EBP
could directly regulate DGAT2 through binding to its promoter. Examination of the putative promoter of DGAT2 revealed four potential C/EBP
consensus binding sites within 3 kb upstream of the transcriptional start site. These were designated sites 1–4 and are schematically represented in Fig. 6A. To assess binding to these putative sites we performed ChIP analysis, immunoprecipitating C/EBP
and using real-time PCR to quantify binding to specific DNA sequences. As a positive control we first assayed binding of C/EBP
to its well characterized target site in the C/EBP
promoter (Fig. 6B). Consistent with our previous findings and gel shift analyses by others (25, 31), we detected increased binding of C/EBP
to this site over the first 24 h of differentiation. Subsequent analysis of binding to the four putative sites that we had identified demonstrated that significantly increased binding was only observed for site 1 (Fig. 6c), the most distal site identified. In contrast, we observed little change or consistent binding of C/EBP
to the other putative sites (Fig. 6, D–F).
To examine this further, we used gel shift assays with nuclear extracts from 3T3-L1 preadipocytes, differentiated for 0, 4, 8, or 24 h. Once again, the well characterized C/EBP
binding site in the C/EBP
promoter was used as a positive control. A biotinylated DNA probe containing this site showed increased complex formation when incubated with nuclear extracts from differentiating cells (Fig. 7A). These complexes were capable of being supershifted with an antibody to C/EBP
but only from cells that had been induced to differentiate for 4–48 h. Similarly, nuclear extracts from differentiating preadipocytes formed complexes with probe containing site 1 of the DGAT2 promoter (Fig. 7B). Again, these showed increased binding as differentiation progressed and could be supershifted with C/EBP
antibody. These data demonstrate that C/EBP
can directly bind to site 1 of the DGAT2 promoter both in vitro and in vivo.
DGAT2 expression persists in the later stages of adipogenesis while C/EBP
expression subsides in differentiating 3T3-L1 cells
3–6 days after the induction of differentiation. Thus we investigated whether C/EBP
might take over the regulation of DGAT2 expression in the later stages of differentiation. We therefore used siRNAs to C/EBP
to inhibit its expression. Transfection of 3T3-L1 preadipocytes with C/EBP
siRNA led to a significant reduction in its induction at days 3 and 6 of differentiation. However, as the transfections were performed prior to differentiation, the knockdown of C/EBP
was only 29% (Fig. 8A). Despite this, assay of DGAT2 mRNA expression revealed that this was sufficient to significantly impair DGAT2 expression in these cells (Fig. 8B). Given that C/EBP binding sites are often promiscuous for different C/EBP isoforms, we examined whether the regulation of DGAT2 by C/EBP
might occur through the same site in its promoter bound by C/EBP
. We therefore performed ChIP assays, immunoprecipitating C/EBP
from differentiating 3T3-L1 preadipocytes and assaying association with the proposed site 1 of the DGAT2 promoter. These assays revealed an increase in binding of C/EBP
to this site as differentiation progressed, with binding apparent after day 3 of differentiation when C/EBP
first appears (Fig. 8C). To further examine this we performed gel shift assays using a labeled DNA probe corresponding to site 1 and nuclear extracts from differentiating preadipocytes. In agreement with the ChIP assay data, complex formation involving proteins from the nuclear extracts and the DNA probe increased as differentiation progressed (Fig. 8D). Moreover, as differentiation progressed to later time points, some complexes could be supershifted with an antibody to C/EBP
demonstrating binding of this transcription factor to site 1 of the DGAT2 promoter. These data indicate that, during the later stages of adipogenesis, C/EBP
substitutes for C/EBP
in the control of DGAT2 expression and that this occurs through the same regulatory element in the DGAT2 promoter.
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DISCUSSION
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Dysregulation of TG synthesis is likely to play an important role in the development of disorders of adipose tissue mass. In obesity the occurrence of hypertrophic adipocytes correlates with features of the metabolic syndrome, consistent with the suggestion that excessive cellular lipid loading is part of a detrimental cellular phenotype of metabolic inflexibility and decreased insulin sensitivity (36). Evidently, inappropriately high TG synthesis may in principal cause or exacerbate this situation. Conversely, the development of lipodystrophy due to mutations of AGPAT2, an upstream enzyme in the same pathway of lipid synthesis, demonstrates the potential for loss of function in the TG synthesis pathway to cause metabolic disease in humans (2, 3). Thus, good metabolic control probably requires finely balanced control of the capacity of adipose tissue to store and metabolize lipids, responsive to the types and quantity of substrates available. Such a balance would allow an appropriate flow of fatty acids to tissues such as liver and skeletal muscle proportionate to their ability to use these as fuels for oxidation. However, when substrates are present in excess, the adipocytes must respond to prevent detrimental accumulation of lipids and resulting insulin resistance, in these other tissues. At a molecular level, the ability of the adipocyte to take-up lipid substrates, and their fate once within the adipocyte, is likely to involve tight regulation of the expression of key enzymes of TG synthesis.
The DGAT enzymes catalyze the critical final step of TG synthesis, are expressed in adipocytes, and thus are well placed to function as a control point for lipid accumulation in these cells. Despite this little is known about how their expression is regulated, in this or any other tissue. In this study we chose to examine the regulation of DGAT2, because its expression is more highly induced than that of DGAT1 in differentiating preadipocytes and because studies in knock-out animals demonstrate that loss of DGAT2 leads to a profound lack of lipid synthesis in the whole animal (4, 7).
Using several means to inhibit C/EBP
expression or activity we demonstrated that C/EBP
plays a key role in the induction of DGAT2 during adipogenesis. The inhibition of C/EBP
activity by LIP, CHOP10, or ETO, or the loss of synergistic factors such as KLF5 and Krox20 all significantly inhibit lipid accumulation (19, 21, 25, 37–39). The reduced expression of downstream adipogenic factors such as PPAR
and C/EBP
, and subsequent impairment of the induction of the genes they control, will clearly make an important contribution to the lack of lipogenesis in these models. Similarly, it must be acknowledged that inhibition of many factors in the complex network of adipogenic gene expression downstream of C/EBP
may have a role in the reduced induction of DGAT2 in our experiments. This complexity is aptly illustrated by the recent demonstration that PPAR
, which classically lies downstream of C/EBP
in the adipogenic cascade, is also required to activate C/EBP
at the C/EBP
promoter by counteracting histone deacetylase 1 (40). Thus reduced PPAR
, when C/EBP
is suppressed, is likely to feed back to reduced C/EBP
-dependent DGAT2 expression through this mechanism. In addition, we cannot rule out that PPAR
makes a direct contribution to DGAT2 expression by binding to its promoter. However, our finding that DGAT2 is more strongly inhibited than PPAR
when C/EBP
function is impaired argues against an important direct role for PPAR
. Importantly, the demonstration that C/EBP
and C/EBP
physically bind the DGAT2 promoter in intact cells strongly supports the notion that direct regulation by these factors is also likely to make a significant contribution to its expression during adipogenesis.

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FIGURE 8. Analysis DGAT2 regulation by C/EBP during adipogenesis. A, 3T3-L1 preadipocytes were transfected with control siRNA (black bars) or siRNA targeting C/EBP (white bars) and subsequently induced to differentiate for various times. C/EBP mRNA expression was assayed by real-time PCR. Data are ±S.E., normalized to cyclophilin, n = 4. B, cells transfected with control (black bars) or C/EBP (white bars) siRNA were also assayed for DGAT2 mRNA expression by real-time PCR. Data are ±S.E. normalized to cyclophilin, n = 4. The asterisk indicates statistically significant difference in expression compared with control siRNA-transfected cells at the same time point (p < 0.05). C, 3T3-L1 preadipocytes were induced to differentiate for various times and subjected to ChIP analysis to assess binding of C/EBP to the putative site 1 in the DGAT2 promoter. C/EBP -bound DNA in immunoprecipitates was quantified by real-time PCR. Data are the average of four independent experiments ±S.E., and the asterisk indicates statistically significant difference from binding at time 0 (p < 0.05). D, nuclear extracts were prepared from 3T3-L1 preadipocytes before or after differentiation for various times as indicated and incubated with biotinylated DNA probe corresponding to site 1 identified in the DGAT2 promoter. Nuclear extracts were incubated with probe alone (–) or with probe in the presence of either anti-C/EBP antibody (a), or antibody and a 100-fold excess of unlabeled DNA probe (c). Control lanes were included containing probe alone (p) or 24-h nuclear extract in the absence of probe (n). S indicates nuclear protein complexes binding probe, and SS indicates antibody-supershifted complexes containing C/EBP . Data are representative of three independent experiments.
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It is particularly difficult to discriminate the relative importance of C/EBP
activity directly from the effects of reduced expression of C/EBP
in the control of adipocyte DGAT2 expression in our experiments. Existing evidence implicating C/EBP
in lipogenesis includes data from fibroblasts from C/EBP
-null mice that can be induced to differentiate by transfection with PPAR
in combination with thiazolidinedione treatment. Despite appropriate induction of adipocyte genes such as aP2, Glut4, adiponectin, and fatty acid synthase (41, 42), these cells accumulate significantly less lipid than those from wild-type mice. Our data suggest that loss of C/EBP
-driven DGAT2 expression may contribute to this phenomenon. Expression of C/EBP
-LIP in our cells leads to a very dramatic reduction of DGAT2 and lipid accumulation, consistent with its ability to inhibit the activity of all C/EBP isoforms. The inhibition of DGAT2 expression by selective C/EBP
knockdown was less dramatic, probably because the expression but not the activity of C/EBP
would be affected. The specificity of ETO for C/EBPs, or indeed other lipogenic factors, is not clear and may in part explain the intermediate effects on DGAT2 expression and lipid accumulation in ETO expressing cells. However, a caveat to these observations is that our data were obtained in independently derived cell populations each with respective control populations, and thus one should be cautious about directly comparing the effects of inhibiting C/EBP
by each method.
Given the key role of DGAT2 in lipogenesis, the therapeutic potential of altering its expression has been investigated in vivo. Antisense knockdown of DGAT2 in mice led to significant improvement of hepatic steatosis, serum lipids, and hyperinsulinemia in ob/ob or diet-induced obese mice (43). Although body weight and epididymal or perirenal fat mass were not decreased in these mice, unlike controls DGAT2 knockdown mice failed to gain additional weight on a high fat diet during the study. This is consistent with DGAT2 playing an important role in promoting lipid accumulation in newly forming or expanding adipocytes. Recently, deletion of C/EBP
has been shown to decrease adipocyte size and hepatic steatosis in db/db mice (44). It will be interesting to determine whether inhibition of DGAT2 expression contributes to these effects, and whether DGAT2 expression is also regulated by C/EBP
in the liver.
In summary, we believe that this is the first study to address the regulation of DGAT2 transcription at the molecular level. We have shown that C/EBP
and C/EBP
sequentially activate the expression of DGAT2 in developing adipocytes, for the first time demonstrating a means whereby C/EBP
may directly affect the expression of genes controlling lipid accumulation, as well as through its already defined role in inducing other adipogenic transcription factors. In vivo knockdown of DGAT2 has demonstrated the potential therapeutic value of modulating DGAT2 activity. Thus, a greater understanding of the transcriptional mechanisms controlling DGAT2 expression is important in identifying further potential points of intervention, in addition to providing more general insight into the processes controlling lipid accumulation in adipose and other tissues.
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FOOTNOTES
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* This work was supported in part by the British Heart Foundation (to J. J. R.), the Wellcome Trust (to V. A. P., D. H., and S. O. R.), The Dorothy Hodgkin Postgraduate Award Scheme (to W.-S. A.), the Natural Sciences and Engineering Research Council of Canada (to S. L. G.), the O. Arlotti Trust, Italy (to E. D. N.), and through National Institutes of Health Grant DK059767 (to J. E. F. and S. M. H.). 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 Members of the EUGENE2 Consortium. 
2 To whom correspondence should be addressed. Tel.: 44-1223-767-188; Fax: 44-1223-330-598; E-mail: jjr30{at}cam.ac.uk.
3 The abbreviations used are: TG, triacylglycerol; DGAT, diacylglycerol acyltransferase; C/EBP, CAAT/enhancer-binding protein; PPAR, peroxisome proliferator-activated receptor; PEPCK, phosphoenolpyruvate carboxykinase; LIP, liver inhibitory protein; ETO, eight-twenty one/MTG8; siRNA, small interference RNA; ChIP, chromatin immunoprecipitation. 
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