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Papers In Press, published online ahead of print January 19, 2008
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Division of Biopharmaceutics, Gorlaeus Laboratories, Leiden/Amsterdam Center for Drug Research, Leiden, Zuid-Holland 2300 RA
Corresponding Author: hoekstra{at}lacdr.leidenuniv.nl
Receptor-mediated cholesterol uptake has been suggested to play a role in maintaining the adrenal intracellular free cholesterol pool and the ability to produce hormones. Therefore, in the current study, we evaluated the importance of SR-BI-mediated cholesterol ester uptake from HDL for adrenal glucocorticoid hormone synthesis in vivo. No difference was observed in the plasma level of corticosterone between SR-BI deficient and wild-type mice under ad libitum feeding conditions. Overnight fasting (~16 hours) stimulated the plasma level of corticosterone 2-fold in wild-type mice. In contrast, no effect of fasting on plasma corticosterone levels was observed in SR-BI deficient mice, leading to a 44% lower plasma corticosterone level as compared to their wild-type littermate controls. In parallel, an almost complete depletion of lipid stores in the adrenal cortex of fasted SR-BI deficient mice was observed. Plasma ACTH levels were 5-fold increased in fasted SR-BI deficient mice. SR-BI deficiency induced marked changes in the hepatic expression of the glucocorticoid-responsive genes CYP7A1, HMGCS, ApoA-IV, CBG, IL-6, and TNFalpha, which coincided with a 42% lowered plasma glucose levels under fasting conditions. In conclusion, we show that the absence of adrenal HDL cholesterol ester uptake in SR-BI deficient mice impairs the adrenal glucocorticoid-mediated stress response to fasting due to adrenal glucocorticoid insufficiency, and attenuated liver glucocorticoid receptor signalling leading to hypoglycaemia under fasting conditions.
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