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Journal of Lipid Research, Vol. 43, 1035-1045, July 2002 Inhibition of phosphatidylcholine synthesis via the phosphatidylethanolamine methylation pathway impairs incorporation of bulk lipids into VLDL in cultured rat hepatocytes
* National Institute of Health Sciences, Kamiyoga 1-18-1, Setagaya-ku, Tokyo 158-8501, Japan DOI 10.1194/jlr.M100354-JLR200
1 To whom correspondence should be addressed. e-mail: mogami{at}nihs.go.jp
Inhibition of phosphatidylcholine (PC) synthesis via the phosphatidylethanolamine (PE) methylation pathway was shown to decrease the secretion of VLDL from primary rat hepatocytes (Nishimaki-Mogami et al. 1996. Biochim. Biophys. Acta. 1304: 2131). To understand further the role of PE methylation, we determined the effect of bezafibrate, an inhibitor of PE methylation, on VLDL assembly within the microsomal lumen. Bezafibrate was shown to decrease VLDL (triacylglycerol) secretion only when cellular PE methylation was active in the presence of methionine. Pulse-chase experiments showed that bezafibrate treatment did not impair the movement of [35S]apolipoprotein (apo)B-48 from microsomal membranes into the lumen. However, bezafibrate treatment resulted in reduced VLDL-[35S]apoB-48 and increased [35S]apoB-48-containing particles in the HDL density range (HDL-[35S]apoB-48) within the lumen. Inhibition of PE methylation by bezafibrate or 3-deazaadenosine after the completion of HDL-[35S]apoB-48 assembly effectively decreased VLDL-[35S]apoB-48 secretion with a concomitant increase in HDL-[35S]apoB-48 secretion. These findings suggest that inhibition of PC synthesis via the PE methylation pathway impairs the stage of bulk triacylglycerol incorporation during the assembly of VLDL.
Abbreviations: APMSF, (p-amidinophenyl) methanesulfonyl fluoride-HCl; apo, apolipoprotein; DZA, 3-deazaadenosine; ER, endoplasmic reticulum; HDL-apoB, immunoaffinity purified HDL containing apoB; MTP, microsomal triglyceride transfer protein; PC, phosphatidylcholine; PE, phosphatidylethanolamine; PEMT, PE N-methyltransferase; PMME, phosphatidylmonomethylethanolamine; PPAR, peroxisome proliferator-activated receptor; RIPA, radio-immunoprecipitation assay; TG, triacylglycerol; VLDL-apoB, immunoaffinity purified VLDL containing apoB Supplementary key words bezafibrate 3-deazaadenosine apolipoprotein B
VLDL are triacylglycerol (TG)-rich particles that are assembled from a single copy of apolipoprotein (apo)B with various lipids in the liver. The major factor that regulates hepatic VLDL assembly and secretion is the availability of lipids (1). The rate of synthesis of neutral lipids such as TG (2, 3) and cholesteryl ester (47), the major core lipid constituents of VLDL, has a profound effect on VLDL synthesis and secretion. In addition, active synthesis of phosphatidylcholine (PC), the major phospholipid component of VLDL, is also required for efficient secretion of hepatic VLDL. In hepatocytes of rats deficient in choline, decreased VLDL secretion was observed as a consequence of severely reduced PC synthesis (8). PC is synthesized via the CDP-choline pathway and also via the phosphatidylethanolamine (PE) methylation pathway (9). Since the PE methylation pathway is quantitatively important only in the liver (9), it seems very likely that this pathway plays a significant role in VLDL secretion. In a previous study, we showed that inhibition of PC synthesis via the PE methylation pathway by bezafibrate or 3-deazaadenosine (DZA) decreases VLDL secretion from primary rat hepatocytes (10). Bezafibrate is found to potently inhibit the microsomal PE N-methyltransferase activity (11), and DZA is an inhibitor of S-adenosylhomocysteine hydrolase that blocks methylation reactions (12). The significant function of PE methylation in vivo has also been suggested by reduced plasma TG concentrations in rats that are treated with eritadenine (13), a compound similar to DZA (12). Furthermore, studies with transgenic mice where the PE N-methyltransferase gene is inactived showed drastically decreased plasma lipid levels when the CDP-choline pathway was inactivated by feeding a choline-deficient diet (14). Combined, these experimental results strongly suggest that the PE methylation pathway in the liver may play a specific role in VLDL assembly and secretion. What remains to be determined are the mechanisms by which reduced PC synthesis via the PE methylation pathway impairs VLDL assembly and secretion. Assembly of VLDL in the liver is a complex process. To date, mechanisms by which lipids are recruited during VLDL assembly have not been fully defined. Association of apoB polypeptide with lipids may occur at the stage of apoB translation and translocation across the rough endoplasmic reticulum (ER) membrane (15), resulting in a dense, primordial particle that serves as a precursor of mature VLDL (1619). Several studies have suggested that translocation of apoB across the ER membrane is a crucial step in determining whether apoB is to be assembled into lipoproteins (when lipid supply is abundant) or to be degraded by the ubiquitin-proteasome pathway (when lipid supply is insufficient) (2023). Lipids that have been shown to affect the efficiency of apoB translocation include TG (24), phosphatidylmonomethylethanolamine (PMME) (25), and other glycerolipids (26, 27). Conversion of the dense, primordial particle into mature VLDL is achieved post-translationally (16, 17, 19, 28) and is dependent upon the availability of bulk TG (16). Pulse-chase studies have shown that immediately after translation, apoB-48 forms particles of density resembling that of HDL. Conversion of the HDL-apoB-48 into VLDL-apoB-48 occurs at a delayed stage known as the second-step lipidation (16, 19, 28). These results support the two-step assembly model that was originally proposed for hepatic VLDL assembly on the basis of immunoelectron microscopy studies with the rat liver (29). In a previous study, we observed reduced secretion of VLDL-apoB-48 and increased accumulation of HDL-apoB-48 in the medium during a 12 h treatment of cells with bezafibrate (10). To test the hypothesis that reduced PC synthesis via the PE methylation pathway disrupts the conversion of HDL-apoB-48 to VLDL-apoB-48, we determined the effect of inhibitors of PE methylation on various stages in VLDL assembly. We obtained evidence suggesting that reduced PE methylation impairs the late stage of assembly for the incorporation of bulk TG into VLDL-apoB-48.
Materials EXPRE35S35S Protein Labeling Mix (a mixture of [35S]methionine and cysteine) and [2-3H]glycerol was purchased from NEN, and [2-14C]ethanolamine, [1-3H]ethanolamine, and [methyl-14C]choline chloride were obtained from Amersham. The culture medium and serum were purchased from GIBCO. (p-Amidinophenyl)methanesulfonyl fluoride-HCl (APMSF), triglyceride, and phospholipid assay kits were obtained from Wako Pure Chemical Industries Ltd., Japan. 3-Deazaadenosine was obtained from Southern Research Institutes (Birmingham, AL). Goat anti-human apoB antibodies were purchased from Chemicon International Inc. (Temecula, CA), and protein G-agarose was obtained from Boehringer Mannheim.
Culture of hepatocytes and metabolic labeling
Preparation of microsomal membranes and lumenal contents
Density gradient centrifugation of lumenal content and medium
Immunoprecipitation of apoB and electrophoresis
Lipid analysis
Statistical analysis
Reduced TG secretion by bezafibrate requires methionine In a previous study, we showed that bezafibrate and DZA decrease VLDL secretion from cultured rat hepatocytes in a manner dependent on cellular PE methylation activities (10). To further ascertain that bezafibrate decreases VLDL secretion only when the cellular PE methylation pathway is active, we examined the effect of methionine depletion on bezafibrate action. When methionine, which provides methyl units for the PE methylation pathway, was depleted from the medium, treatment of cells with bezafibrate up to 12 h had no effect on TG secretion from rat hepatocytes (Fig. 1A) , whereas bezafibrate elicited a 60% reduction of TG secretion after the same period of treatment in the presence of methionine (Fig. 1B). The majority (95%) of TG secreted into the medium was associated with VLDL (d < 1.02). Two hours after preincubation in a methionine-free medium, the incorporation of [3H]ethanolamine into cellular PC (during a 3 h labeling in the same medium) was decreased to 3.41 ± 0.03 x 103 dpm/dish compared with 15.1 ± 0.01 x 103 dpm/dish in the methionine-supplemented control, while incorporation of label into cellular PE was 204 ± 2 x 103 dpm/dish and 271 ± 11 x 103 dpm/dish in methionine-depleted and supplemented cells. Addition of bezafibrate in methionine-free medium only slightly increased the reduction in [3H]ethanolamine-labeled PC (2.88 ± 0.02 x 103 dpm/dish compared with 3.41 ± 0.03 x 103 dpm/dish without bezafibrate), while label present in PE was 324 ± 7 x 103 dpm/dish. These results indicate that the PE methylation pathway was rapidly inactivated by methionine depletion. Incorporation of [3H]choline into cellular PC and aqueous metabolite during a 1 h labeling was unaffected by the a 2 h depletion of methionine. Reduced TG secretion by bezafibrate in methionine-supplemented cells was accompanied by an increase in cellular TG mass (from 107 ± 5 nmol/mg protein in the control to 131 ± 4 nmol/mg protein, n = 3, after a 12 h treatment), as reported previously (10). However, in the absence of methionine, the cell TG mass was unchanged by bezafibrate treatment (112 ± 8 nmol/mg protein compared with 110 ± 6 nmol/mg protein in the control, n = 3). Pretreatment of cells with bezafibrate for 12 h marginally affected TG synthesis as determined by the incorporation of [14C]oleate (during 2 h, 114 ± 10% of control, n = 4) or [3H]glycerol (during 2 h, 84 ± 6%, n = 3). These observations indicate that, at least within the time frame of 12 h, bezafibrate decreases VLDL secretion mainly through inhibiting PE methylation.
Reduced PE methylation by bezafibrate does not impair the movement of apoB-48 from the membrane to the lumen and medium As the first step toward understanding the role of PE methylation in VLDL assembly, we examined the effect of bezafibrate on the movement of apoB from the membrane to the lumen and medium in a pulse-chase experiment. Rat hepatocytes were pretreated with bezafibrate for 12 h and pulse-labeled for 15 min with [35S]methionine/cysteine. Incorporation of 35S-label into cell-associated apoB-100 and apoB-48 was slightly increased (7 ± 10% and 16 ± 13%, respectively; n = 3) by treatment with bezafibrate, but this was paralleled with increased 35S-label into total cellular proteins (by 17 ± 12%; n = 3). After 15 min of chase, the amount of total [35S]apoB-48 and [35S]apoB-100 reached a maximum and declined thereafter (Fig. 2) . The membranes-lumen ratio of [35S]apoB-48 was 1.95 in control cells at this point (Fig. 2A), whereas the ratio was decreased to 0.87 by bezafibrate. A decrease of [35S]apoB-48 in the membrane and the increases in lumen and medium in bezafibrate-treated cells were observed during the entire chase period, suggesting that the inhibition of PE methylation by bezafibrate does not impair, but rather accelerates, the movement of apoB-48 from the membrane to the lumen. In accordance with previous studies (10, 25, 30), the level of [35S]apoB-100 in rat hepatocytes was very low compared with that of [35S]apoB-48 (Fig. 2B). The treatment with bezafibrate exerted little effect on the distribution of [35S]apoB-100 between the membrane and the lumen (Fig. 2B).
Density gradient centrifugation of the medium after 180 min chase showed that enhanced [35S]apoB-48 secretion by bezafibrate treatment resulted from a large increase (by 138 ± 108%; n = 3) in secretion of apoB-48 in the density range of HDL (HDL-apoB-48) (Fig. 3A, B ; fractions 36). In contrast, the secretion of VLDL-[35S]apoB-48 (fraction 1) was significantly diminished by bezafibrate by 30 ± 10% (P < 0.05; n = 3). Radioactivity associated with VLDL-[35S]apoB-100 was relatively low, and a small reduction of VLDL-[35S]apoB-100 (by 19 ± 10%; n = 3) was not significant (P < 0.05).
Reduced PE methylation by bezafibrate impairs VLDL assembly within the microsomal lumen To further understand the mechanism by which reduced PE methylation decreased VLDL secretion, we performed pulse-chase experiments to analyze VLDL assembly within the microsomal lumen. As shown in Fig. 4A , in control cells the majority of [35S]apoB-48 that appeared in the lumen after 15 min of chase had a density resembling that of HDL (fractions 36). The amount of these HDL-like particles decreased with time, which was accompanied by an increase in the amount of VLDL-[35S]apoB-48 (fraction 1). The amount of VLDL-[35S]apoB-48 reached a maximum after 60 min of chase, accounting for 60% of total [35S]apoB-48 presented in the lumen. In bezafibrate-treated cells, the majority of [35S]apoB-48 was present as HDL-like particles throughout the entire chase period (Fig. 4B). At 60 min of chase, VLDL-[35S]apoB-48 accounted for only 27% of total [35S]apoB-48 in the lumen. The radioactivity in VLDL-[35S]apoB-48 was significantly reduced by 33 ± 10% (n = 3; P < 0.05) compared with the control by bezafibrate treatment. This was accompanied by a large increase in HDL-apoB-48 (170 ± 60%; n = 3). The appearance of VLDL-[35S]apoB-100 within the lumen at 60 min chase was decreased by 26 ± 8% (n = 2) (Fig. 4B). The prolonged appearance of [35S]apoB-48 associated with HDL-like particles in bezafibrate-treated cells suggested that conversion of these primordial particles into mature VLDL was impaired.
Reduced PE methylation impairs the late stage of assembly for the addition of bulk core lipids into VLDL-apoB-48 To determine if reduced PE methylation impairs the conversion of primordial HDL-apoB-48 to VLDL-apoB-48, we examined the effect of inhibitors on this late stage of assembly. Two sets of pulse-chase experiments with [35S] methionine/cysteine were performed by using cells that had been preincubated in a choline- and methionine-free medium (without inhibitors) for 16 h, and subsequently the effect of inhibitors was examined in methionine-supplemented medium. This protocol was used to obtain rapid effect elicited by reduced PE methylation. While the reduced incorporation of [3H]ethanolamine into cellular PC can be observed as early as 20 min after initiating bezafibrate treatment (11), reduction in TG secretion became evident after a 6 h treatment (Fig. 1B) in normal (choline- and methionine-supplemented) medium. We hypothesized that this lag-time resulted from the compensation of PC synthesis via the CDP-choline pathway. Since cultured rat hepatocytes have a huge pool of phosphocholine (31), we depleted this precursor pool for the CDP-choline pathway by preincubating cells in choline- and methionine-free medium as previously reported (32). Upon labeling with a tracer amount of [3H]choline (2.5 µM) for 1 h, depletion of choline and methionine for 16 h decreased incorporation of label into aqueous metabolites (mainly phosphocholine) (37 ± 12% of total cellular label compared with 89 ± 5% in normal cells) without affecting total uptake of [3H]choline, indicating partial depletion of the aqueous precursor pool. Under these conditions, TG secretion was rapidly inhibited by 49 ± 8% (P < 0.01; n = 4) by a 3 h treatment with bezafibrate [Fig. 5A (a)], but was unaltered in cells preincubated in normal medium [Fig. 5A(b) and Fig. 1B (up to 3 h)], indicating that depletion of the phosphocholine pool did effectively reduce lag time. In parallel, PC synthesis via the PE methylation pathway as determined by incorporation of [3H]ethanolamine into PC (for 3 h) was decreased by choline- and methionine-depletion (3.29 ± 0.13 x 103 dpm/dish compared with 15.1 ± 0.01 x 103 dpm/dish in methionine- and choline-supplemented control) and was not further reduced by bezafibrate (3.23 ± 0.11 x 103 dpm/dish in PC). Addition of methionine (2.5 mM) to the medium during labeling restored incorporation of label into PC (to 11.6 ± 0.4 x 103 dpm/dish) but did not in the presence of bezafibrate (3.35 ± 0.15 x 103 dpm/dish in PC).
In the first pulse-chase experiments, cells were pulse-labeled for 15 min with [35S]methionine/cysteine and treated with or without bezafibrate only during the chase period. Secretion of VLDL-[35S]apoB-48 was reduced by bezafibrate by 43 ± 2% (average ± range; n = 2) during the first 90 min chase and by 64 ± 9% (P < 0.05; n = 5) during the 90240 min chase (Fig. 5B, C; compare fraction 1 in left and middle panels). Similarly, DZA, a compound that inhibits general methylation reactions, decreased secretion of VLDL-[35S]apoB-48 by 29 ± 4% (n = 2) during the first 90 min chase and by 51 ± 11% (P < 0.05; n = 3) during the 90240 min chase (Fig. 5B, right panels). In contrast to VLDL-[35S]B-48, secretion of dense particles containing [35S]apoB-48 (d > 1.04 g/ml, fractions 36) was increased by bezafibrate by 68 ± 30% (n = 2) during the 090 min chase and by 90 ± 44% (P < 0.05; n = 5) during the 90-240 min chase. Similarly enhanced secretion of HDL-[35S]apoB-48 was observed by DZA treatment, by 116 ± 64% (n = 2) during the 090 min, and by 35 ± 14% (n = 3; P < 0.05) during the 90240 min chase. The second pulse-chase experiment introduced a variation where the addition of bezafibrate into the chase medium was delayed 0 to 90 min prior to the onset of chase (Fig. 6A) . This delay was introduced to ensure that inhibition of PE methylation was initiated after the completion of HDL-[35S]apoB-48 formation (preliminary experiments showed that the appearance of HDL-[35S]apoB-48 in the microsomal lumen peaked between 15 and 40 min of chase). In comparison to control cells (i.e., no bezafibrate treatment), secretion of VLDL-[35S]apoB-48 from cells treated with bezafibrate immediately (i.e., 0 min) or 1540 min after the pulse was decreased by 50-65% during the subsequent 2.5 h chase (chase II) (Fig. 6B, left two columns in left panel). Concomitantly, secretion of HDL-[35S]apoB-48 during chase II was increased compared with the control (Fig. 6B, left two columns in right panel). These results suggest that PE methylation indeed is required for VLDL-apoB-48 secretion after the completion of apoB-48 synthesis and HDL-B-48 formation. The inhibitory effect of bezafibrate treatment on VLDL-[35S] apoB-48 secretion was no longer observed after a 90 min delay time.
Lack of a correlation between levels of cellular PE and TG secretion Inhibition of PE methylation was shown to cause elevation in cellular PE concentration (10). Thus, consideration was given to the possibility that the impaired VLDL secretion upon bezafibrate treatment was a consequence of altered intracellular PE level. To test this possibility, we determined cell-associated PE concentration and the cells' ability to secrete TG under different treatment conditions. Incubation of hepatocytes in ethanolamine-free DMEM resulted in a 2-fold reduction in cell PE concentration compared with fresh cells (data not shown). Supplementation of cells with ethanolamine increased cellular PE (Fig. 7A , top, first and third columns) and restored it to levels comparable to those observed in vivo (10). Secretion of TG was unaltered by ethanolamine depletion (Fig. 7B; first and third columns). Treatment with bezafibrate increased cellular PE levels by 50% in ethanolamine-depleted cells (Fig. 7A; first and second columns) and also by 30% in ethanolamine supplemented cells (third and fourth columns). However, whereas bezafibrate decreased TG secretion by 60% in ethanolamine-supplemented cells (Fig. 7B; third and fourth columns), the reduction was not significant in ethanolamine-depleted cells (first and second columns). Under no circumstances were the cell PC concentrations altered (Fig. 7A; bottom). These results show that altered TG secretion is not always correlated with cellular PE levels. Thus, the impaired VLDL secretion by bezafibrate treatment is not simply attributable to an altered cellular PE concentration.
Newly made PC is secreted as VLDL rather than HDL-apoB-48 particles Studies have shown that PC derived from PS decarboxylation and PE methylation is preferentially used for lipoproteins rather than cellular PC (33, 34). We examined the distribution of newly synthesized PC among apoB-containing lipoprotein particles secreted into the medium. Cells were metabolically labeled with [14C]ethanolamine for 4 h (Fig. 8) . The specific radioactivity of [14C]ethanolamine-labeled PC associated with VLDL (d < 1.02) was higher (by 100%) than that of high-density apoB particles (HDL-apoB; d > 1.04, fractions 3-7) (Fig. 8A). Elevated specific activity of PC associated with VLDL compared with HDL-apoB (by 130%) was also observed when cells were labeled with [14C]choline for 4 h (Fig. 8B). Inhibition of PE methylation by bezafibrate for 4 h resulted in a decrease (65%) in the specific activity of cellular [14C]ethanolamine-labeled PC and an increase (29%) in that of [14C]choline-labeled PC. Still, the specific radioactivity of PC associated with VLDL was higher than that of HDL-apoB particles regardless of [14C]ethanolamine or [14C] choline label (270% and 80%, respectively). These results show that newly synthesized PC derived either from ethanolamine or choline was secreted as mature VLDL rather than HDL-apoB particles. During a 4 h treatment with bezafibrate, PC mass associated with VLDL was not significantly reduced (1.64 ± 0.93 nmol/mg cell protein in bezafibrate-treated cells vs. 1.91 ± 0.61 nmol/mg protein in the control). Within this time frame, specific radioactivities of [14C]choline-labeled PC associated with VLDL and HDL-apoB, in parallel to the cellular value, were elevated by inhibiting PE methylation (Fig. 8B), indicating the compensation of reduced PC synthesis via PE methylation by the CDP-choline pathway.
Decreased VLDL secretion by bezafibrate is dependent on cellular PE methylation activities In the previous study, we demonstrated that impaired VLDL secretion by bezafibrate or DZA is dependent on cellular PE methylation activities (10). Inhibition of PE methylation by these agents efficiently decreases VLDL secretion in the presence of ethanolamine but not in the absence of ethanolamine. Ethanolamine maintains cellular PE levels and PE methylation activities at levels comparable to those in vivo, whereas depletion of ethanolamine (culture of hepatocytes in conventional medium) adversely affects results in impaired PE methylation pathway (10). In the present study, we further confirmed the PE methylation-dependent action of bezafibrate by depleting methionine from the medium. We showed that depletion of methionine rapidly decreased incorporation of [3H] ethanolamine into PC and, in parallel, abolished the reduction in TG secretion elicited by bezafibrate (Fig. 1). Furthermore, both PE methylation activity and the inhibitory effect of bezafibrate on TG secretion were restored by the addition of methionine to the medium (Fig. 5A). These results clearly indicate that reduced TG secretion by bezafibrate requires PC synthesis via the PE methylation pathway. The possibility exists that the lack of inhibitory effect of bezafibrate upon methionine depletion is due to impaired protein synthesis. However, this is unlikely because a study shows that decreased VLDL secretion by 3 days depletion of choline and methionine can be restored by the supplementation with choline even without methionine (8).
Inhibition of PE methylation is associated with impaired bulk TG incorporation into VLDL-apoB-48 In the present study, we showed that the inhibition of PC synthesis via the PE methylation pathway results in a diminished formation of mature VLDL-apoB-48 in microsomal lumen whereas the appearance of HDL-like apoB-48 containing particles was elevated. Furthermore, we showed that an acute inhibition of PE methylation by either bezafibrate or DZA after the completion of HDL-apoB-48 assembly efficiently decreases VLDL-apoB-48 secretion. These findings clearly indicate that the defects reside in the conversion of primordial particles to VLDL-apoB-48, and are consistent with a two-step model of VLDL assembly (16, 19, 28). Our present study thus highlights the importance of the PE methylation pathway in the late stage of TG recruitment during VLDL assembly. Quantitative analysis, however, showed that an increase in HDL-apoB-48 by inhibiting PE methylation was far more than a decrease in VLDL-apoB-48. A small reduction (by 30-60%) in VLDL-apoB-48 was accompanied by a large increase (70-170%) in HDL-apoB-48, eventually leading to enhanced secretion of total apoB-48 and an elevated ratio of HDL-apoB-48-VLDL-apoB-48 (Figs. 36). A possible explanation for this is that secretion of primordial HDL-apoB-48 is accelerated by reduced PE methylation. The resulting depletion in the precursor pool may cause a reduction in VLDL assembly. We found that reduced PE methylation resulted in a decrease in membrane-associated apoB-48 and an increase in lumenal apoB-48 (Fig. 2). Several reports have suggested that apoB polypeptides associated with microsomal membranes may serve as a precursor of lumenal apoB-containing lipoproteins (17, 39). Remarkably, membrane-associated apoB-100 was suggested to be the precursor of VLDL-apoB-100 in hepatoma cells (17).
The requirement of PE methylation is similar to that of the CDP-choline pathway for VLDL assembly However, our previous (10) and present results have shown that inhibition of PE methylation diminishes the secretion of TG-rich VLDL even when the CDP-choline pathway is functional. A question therefore arises as to why the functional CDP-choline pathway cannot compensate the inhibited PE methylation under the current experimental conditions. Our explanation for this is that compensation by the CDP-choline pathway could be sustained only when the supply of substrates (e.g., choline or diacylglycerol) is abundant. Inhibition of PE methylation does not immediately cause reduced TG secretion. There is a 3 h lag before the reduction becomes significant [Figs. 1B and 5A(b)]. In contrast, when cellular phosphocholine pool that serves as precursor pool for the CDP-choline pathway is depleted by incubating cells in the choline- and methionine-free medium for 16 h, the effect of inhibition of PE methylation on VLDL-TG secretion becomes rapidly manifest (i.e., within 3 h after bezafibrate treatment) [Fig. 5A(a)]. This treatment modestly depletes phosphocholine pool but does not affect PC levels in cells, in contrast to the hepatocytes prepared from rats maintained on choline-deficient diet for 3 days (i.e., choline-deficient rats), where phosphocholine pool is severely depleted (only 4% of total label is present in aqueous metabolite upon 30 min pulse labeling with tracer amount of [3H]choline) and PC levels decreased by 40% compared with normal cells (44). It is noteworthy that both inhibition of PE methylation (10) and depletion of choline and methionine (conditions used in Figs. 5 and 6) decrease VLDL secretion without affecting cellular PC levels. This probably makes teleological sense because the cells would preserve adequate cellular PC levels at the expense of secretion thus the secretion of VLDL is more susceptible than the cellular PC contents to the inhibition of PE methylation.
New mechanism for hypolipidemic effect of bezafibrate In summary, we have shown that PE-derived PC is preferentially utilized for VLDL assembly and secretion in rat primary hepatocytes. Inhibition of PE methylation impairs the incorporation of bulk TG into VLDL after the primordial precursor lipoprotein is synthesized. Our studies have provided new evidence that hepatic phospholipid metabolism is closely associated with VLDL assembly/secretion.
The authors thank Khai Tran, Ross Milne, Dennis Vance, and Anna Noga for a critical reading of the manuscript, and thank Yoji Sato for advice in statistical analysis. This work was supported by a grant from the Japan Health Science Foundation, a Grant-in-Aid from the Ministry of Education, Science and Culture of Japan (T.N-M.), and an operating grant from the Canadian Institute of Health Research (Z.Y.). Manuscript received October 2, 2001 and in revised form March 6, 2002 .
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