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* The Jackson Laboratory, Bar Harbor, ME 04609
Department of Medicine, Harvard Medical School, Division of Gastroenterology, Brigham and Women's Hospital and Harvard Digestive Diseases Center, Boston, MA 02115
1 This paper was presented in part at the Digestive Diseases Week 2002, San Francisco, and published in abstract form in Gastroenterology. 2002. 122: A626. ![]()
2 DNA sequences cited in this manuscript have been submitted to GenBank with the following accession numbers: Nr1h3, AY195870, CAST/Ei; AY195871, DBA/2J; Pparg, AY208183, CAST/Ei; and AY208184, DBA/2J. ![]()
Published, JLR Papers in Press, February 16, 2003. DOI 10.1194/jlr.M300002-JLR200
3 To whom correspondence should be addressed. e-mail: bjp{at}jax.org
| ABSTRACT |
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We provide molecular evidence for Abca1 as the gene underlying Hdlq10 and Ldlr as the gene underlying Chol6 that, coupled with evidence generated by other researchers using knockout and transgenic models, causes us to postulate that polymorphisms of these genes, different from the mutations leading to Tangier's disease and familial hypercholesterolemia, respectively, are likely primary genetic determinants of quantitative variation of lipoprotein levels in mice and, by orthology, in the human population.
Abbreviations: CAST, CAST/Ei; D2, DBA/2J; LOD, logarithm of the odds ratio; QTL, quantitative trait locus/loci; SNP, single nucleotide polymorphism; SSLP, simple sequence-length polymorphism
Supplementary key words Castaneus mouse nuclear receptor high density lipoprotein low density lipoprotein intercross Abca1 Ldlr Pparg
| INTRODUCTION |
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In addition to mutations in ABCA1, monogenic HDL deficiency can be caused by mutations in APOA1, LCAT, and LPL (15). To date, five disorders of LDL metabolism with monogenic inheritance have been identified as stemming from mutations in LDLR : APOB, ARH, ABCG5, and/or ABCG8 (16), and CYP7A1 (17). These disorders of lipoprotein metabolism are rare but shed light on important mechanisms of lipid metabolism. It is unclear whether it is polymorphisms of these same genes that account for the monogenic disorders of lipid metabolism or polymorphisms of different genes that are responsible for the variation of plasma cholesterol levels in the general population. Variations among individual lipoprotein concentrations in the general population are determined by a complicated genetic basis involving multiple genes and gene-gene, as well as gene-environment, interactions (18). Therefore, lipoprotein cholesterol levels are one example of a complex trait. Others include many common diseases, such as atherosclerosis, hypertension, diabetes, and asthma. Revealing the mechanisms of the common complex diseases is among our greatest challenges and will contribute greatly to health (19).
A powerful approach to localizing and identifying genes underlying complex traits is to employ quantitative trait locus/loci (QTL) analysis using murine breeding crosses (20, 21). Our laboratory has utilized QTL analysis to investigate the genetics underlying cholesterol gallstone formation, atherosclerosis, and lipoprotein metabolism (18, 2123). We report here the results of our investigation of plasma HDL, total HDL, and non-HDL cholesterol concentrations after feeding F2 progeny a lithogenic (i.e., promoting cholesterol gallstone formation)/atherogenic diet containing high amounts of cholesterol and the hydrophobic bile acid cholic acid, which promotes cholesterol absorption and "humanizes" both the bile salt pool and lipoprotein profile. Gallstone susceptibility loci detected with this intercross are reported elsewhere (24). Primarily, our aim was not only to identify novel loci but also to confirm previously identified loci, thus establishing the validity of a QTL across a variety of inbred strains. We detected five QTL in total; four were associated with HDL cholesterol, whereas the fifth encompassed total and non-HDL cholesterol levels. We provide molecular evidence for a single candidate gene (Abca1) underlying the QTL for HDL cholesterol on chromosome 4 (Hdlq10), and a single candidate gene (Ldlr) underlying the QTL for total/non-HDL cholesterol on chromosome 9 (Chol6). These data, coupled with evidence generated by other researchers using knockout and transgenic models, cause us to postulate that polymorphisms of these genes, different from the mutations leading to Tangier's disease and familial hypercholesterolemia, respectively, are likely to be primary genetic determinants of quantitative variation of lipoprotein levels in mice and, by orthology, in the human population.
| MATERIALS AND METHODS |
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Phenotyping
Animals were fasted 4 h prior to collection of blood via the retro-orbital sinus. EDTA (2 µmol per tube) was used as an anticoagulant. Blood was maintained at 4°C until plasma was isolated by centrifugation (10,000 g, 5 min) and was stored at -20°C until analysis. HDL and total cholesterol were analyzed using an automated chemistry analyzer and the manufacturer's reagents (Synchron CX-5 Delta, Beckman, Palo Alto, CA) based on the cholesterol esterase and cholesterol oxidase reactions (25, 26). HDL cholesterol was measured after Mg2+-dextran sulfate proteoglycan precipitation of apolipoprotein B (apoB)-containing particles (27). Total cholesterol was generally measured diluted 2-fold with phosphate buffered saline. Because mice were fasted before blood was collected and because chylomicrons display very short half-lives (28), non-HDL was presumed to comprise predominantly VLDL and LDL. Non-HDL was calculated as the difference between total and HDL cholesterol concentrations.
Genotyping
DNA was prepared from tail samples using phenol-chloroform extraction subsequent to Proteinase K (Fisher Scientific, Medford, MA) digestion and were resuspended in water. Standard PCR amplification of simple sequence-length polymorphisms (SSLPs; n = 109; Fig. 1)
that discriminate between CAST and D2 alleles (MapPairs primers, Research Genetics, Huntsville, AL) was used to genotype F2 progeny (except Y chromosome) using both gel electrophoresis (4% agarose, NuSieve 3:1, FMC BioProducts, Rockland, ME) and capillary electrophoresis (ABI 3700 Sequence Detection System, Applied Biosystems, Foster City, CA). Reported genetic map positions were retrieved from the Mouse Genome Database (http://www.informatics.jax.org).
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mRNA expression analyses
In the parental strains of mice, CAST and D2, and in selected F2 progeny, hepatic levels of mRNA expression were determined for genes that colocalized with QTL and were known to have a direct or indirect role in lipid metabolism (positional candidate genes). To collect hepatic tissue for mRNA expression analyses, mice of the parental strains (five per strain) were fed the lithogenic diet for 4 weeks, assuming a steady state for the expression of genes induced by the diet. After that period, food was taken away from the animals at 6 AM (1 h into light cycle). Starting at 10 AM, animals were sacrificed by cervical dislocation and then subjected to transcardiac perfusion via the left ventricle with ice-cold phosphate-buffered saline. This procedure was conducted on alternate CAST and D2 mice to minimize any possible effect of diurnal variation or length of fasting. Livers of F2 animals were harvested at the time of sacrifice after fasting 4 h, but did not undergo perfusion. They were frozen in liquid nitrogen and stored at -80°C until analysis. For expression analyses, groups of F2 animals were selected based on their genotypes at the QTL peaks and the SSLPs flanking those peaks. At each of the QTL linked to D2Mit94, D4Mit110, and D9Mit58, 10 animals per genotype per locus were selected, whereas at the QTL linked to D6Mit36 and D6Mit14, 15 animals were selected per genotype.
Total RNA was isolated from liver using a commercially available kit (RNeasy Mini Kit, QIAGEN, Valencia, CA) according to the manufacturer's instructions. First-strand cDNA was reverse transcribed (2 µg RNA, 20 µl final volume per reaction) with a commercially available kit (Omniscript Reverse Transcription Kit, QIAGEN) using a combination of oligo deoxythymidine [(dT)15, 500 ng per reaction, Promega, Madison, WI] and random hexamers (250 ng per reaction, Invitrogen, Carlsbad, CA). Quantitative kinetic (real-time) PCR was performed with an ABI 7700 or 7900 Sequence Detection System using a SYBR Green PCR Mastermix (Quantitect SYBR Green PCR Mastermix, QIAGEN); expression of Gapd served as internal standard. Gene-specific oligonucleotide primers (100 nM final concentration) were designed using Primer3 software (http://www-genome.wi.mit.edu/cgi-bin/primer/primer3_www.cgi) and are defined in Table 1. A 10-fold dilution of cDNA (2 µl per reaction) was used for real-time PCR reactions. Because the internal control (Gapd) was more abundant than the target genes, it reached the critical cycle-threshold (Ct) sooner. Therefore, we calculated CtGapd-CtTarget to yield
Ct, the number of cycles in excess of Gapd fluorescence required to reach Target fluorescence (usually a negative number in these experiments). Because PCR doubles the number of target DNA molecules per cycle, 2
Ct describes the relative deficit of Target molecules compared with Gapd molecules. Hence, we normalized the resultant figures and expressed them per 106 molecules of Gapd. Statistical analyses were performed on the normalized data.
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750 nucleotides proximal to the transcription start site of Nr1h3, one of the key candidate genes for the chromosome 2 QTL, were sequenced to investigate putative polymorphisms that may determine mRNA expression differences and the existence of potential amino acid substitutions. Direct sequencing was performed on overlapping PCR amplification products using Big Dye Terminator Cycle Sequencing Chemistry and the ABI 3700 Sequence Detection System. Primers were designed and cDNA was reverse-transcribed as described above. Genomic DNA was obtained from DNA Resources at The Jackson Laboratory and used to amplify regions proximal to the coding region.
General statistical analyses
Plasma lipoprotein cholesterol concentration data are presented as "scattergram" plots. All other data are presented as mean ± SEM. Data were analyzed using Graphpad Prism (Windows v3.00, GraphPad Software, San Diego, CA). The lipoprotein cholesterol concentrations were analyzed using one-way ANOVA with Tukey's multiple comparison post-test. This statistical analysis was also used to confirm the allele effects at the peak QTL markers identified in the genome-wide scan for HDL, total cholesterol levels, and non-HDL cholesterol levels. P < 0.05 was considered significant. Phenotypes were associated using Pearson's correlation. Real-time PCR data were analyzed using Student's t-test.
| RESULTS |
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QTL analyses
We genotyped and performed QTL analyses on the entire group of F2 mice (n = 278), initially employing 96 SSLP markers distributed across the genome for a preliminary QTL analysis. To refine the QTL intervals, we then increased the total number of SSLP markers to 109 [final interval range 127 centimorgans (cM)] by adding markers to selected QTL regions, particularly chromosomes 2 and 6. The genome-wide scans for single QTL are presented in Fig. 3
. Significant QTL for HDL cholesterol were detected on three different chromosomes, chromosomes 2, 4, and 6 (Fig. 3A, D). One QTL was detected for total cholesterol (Fig. 3B) and one for non-HDL cholesterol (Fig. 3C); these were both linked to D9Mit58. Given the strong correlation between these two phenotypes, the data suggest the presence of a single locus. In total, the four QTL for HDL cholesterol accounted for 28.4% of the variance in the F2 population, whereas the QTL for total cholesterol accounted for 11.2% of the F2 variance (Table 3). Details of the QTL detected, including the LOD score (the traditional metric of genetic linkage), QTL peak, 95% confidence interval, variance, allele conferring, increased concentration, and candidate genes, are presented in Table 3 (the genetic positions of candidate genes are depicted in Fig. 1).
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At each QTL, we determined the allelic contribution to the given phenotype. A recessive D2 allele at the QTL linked to D2Mit94 was associated with higher HDL cholesterol (Fig. 4A) . At the QTL for HDL linked to D4Mit110, a dominant or codominant CAST allele increased HDL cholesterol (Fig. 4B). Detecting a QTL inherited from the parental strain with lower HDL concentrations, CAST, that increased HDL cholesterol compared with the D2 allele at this locus is not surprising, since this is a phenomenon encountered frequently in QTL crosses (35). It indicates that for this complex trait, both parental strains carry alleles that influence HDL cholesterol levels in both directions. At both QTL linked to D6Mit36 (Fig. 4C) and D6Mit14 (Fig. 4D), codominant D2 alleles contributed to higher HDL cholesterol levels. A CAST allele was associated with higher total and non-HDL cholesterol levels at the QTL linked to D9Mit58 (Fig. 4E). At this locus, the heterozygous animals displayed an intermediate phenotype, although they resembled the D2 parental strain more than CAST. Because high levels of non-HDL cholesterol were dominant in the F1 (Fig. 2C, Table 2) but the QTL at D9Mit58 was inherited recessively, other alleles that were not detected in this analysis are likely to contribute to the phenotype.
The second stage of the QTL analysis was used to detect gene-gene interactions (epistasis). Using our criteria for significance (30), no interacting QTL were detected in this intercross. Therefore, only single QTL are presented. We named the significant loci for HDL cholesterol HDL QTL (Hdlq) followed by a number. The significant locus for total cholesterol was named Chol followed by a number. Therefore, the novel QTL for HDL cholesterol on chromosome 4 was named Hdlq10. Similarly the novel QTL on chromosome 6 were named Hdlq11 (proximal) and Hdlq12 (distal). The novel QTL for total cholesterol (and non-HDL) was named Chol6. The QTL for HDL cholesterol on chromosome 2 confirmed a locus identified earlier using a breeding cross employing different inbred mouse strains [previously named Hdl1 (36)]. Hdlq10 colocalized with a locus identified recently for the same trait using a mutagenesis approach; this locus was named Lch (37) (Table 3). A QTL found in a human study (38) was orthologous with Hdlq10, and both mouse and human regions harbored the Abca1/ABCA1 locus. Furthermore, a QTL for LDL was detected on human chromosome 19 (39), a portion of which is orthologous with mouse chromosome 9, and contains LDLR.
Candidate gene expression analyses
To identify genes that colocalized with the QTL and that were involved in lipid metabolism (candidate genes), we scrutinized the public genome databases (Table 3, Fig. 1). Because overall HDL levels are determined by the liver (8), the candidate genes were tested for differential hepatic mRNA expression between the parental strains, CAST and D2, and selected mice from the F2 population possessing either homozygous CAST or homozygous D2 alleles in the regions of interest (Fig. 5)
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Intercross progeny inherit unique combinations of alleles derived from both parental strains. Therefore, when differential expression of a candidate gene is demonstrated for animals that are homozygous for one parental strain versus the other only in the region harboring the candidate gene, it provides strong support for cis-acting elements rather than trans-acting elements remote from the gene of interest. Hence, we proceeded to investigate further the QTL for lipoprotein cholesterol in the F2 population. We selected individual samples that were either homozygous CAST or homozygous D2 over the loci on chromosomes 2, 4, 6, and 9. We determined the mRNA expression levels for Lrp2, Nr1h3, Abca1, A2m, Apobec1, Lrp6, Pparg, and Ldlr. Nr1h3 expression was significantly increased, albeit modestly, in F2 animals possessing homozygous CAST alleles compared with D2 alleles (Fig. 5B). We confirmed that Lrp2 was not differentially expressed between animals possessing homozygous CAST compared with D2 alleles (Fig. 5B). Likewise, it was established that A2m, Apobec1, and Lrp6 did not display differential expression in the F2 population (Fig. 5B). Conversely, Pparg demonstrated marked differential expression in the F2 animals amounting to a 12.5-fold increase in strain D2 (Fig. 5B). Abca1 was expressed 2.4-fold higher in F2 mice bearing CAST alleles compared with those with D2 alleles, whereas the converse was true for Ldlr, which was expressed 6.1-fold higher by mice with D2 alleles versus CAST alleles (Fig. 5B). In summary, we find that three candidate genes displayed differential expression both between the parental strains, CAST and D2, and between animals possessing either homozygous CAST or homozygous D2 alleles derived from the F2 population. These data indicate likely cis-acting elements that determine Hdlq10 (Abca1), Hdlq11 (Pparg), and Chol6 (Ldlr).
Candidate gene sequence analysis
Because nuclear transcription factors, i.e., Nr1h3 and Pparg, hold great potential to influence the transcription of a wide array of lipoprotein metabolic proteins, we sequenced the coding region of Pparg and both the coding region and
750 nucleotides proximal to the transcription start site of Nr1h3 (GenBank accession AY195870, CAST; AY195871, D2). Six single-nucleotide polymorphisms (SNPs) were detected between CAST and D2 in the coding region of Nr1h3, but all were silent mutations bearing no effect on the amino acid sequence (Table 4). Fifteen SNPs were identified upstream of the transcription start site. One SNP was detected at position +126 of the 5' untranslated region of Exon 1. In addition, based on the aligned sequences, CAST displayed a 7-nucleotide deletion relative to D2 (GTGGGGG, position -319 to -325 relative to transcription start site), whereas D2 exhibited a 12-nucleotide deletion comprising three repeats of a TTTG motif (position -541 to -552). CAST also displayed a single adenosine deletion at position -731. We identified no sequence differences leading to altered amino acid residues in the Pparg transcript (Table 4; GenBank accession AY208183, CAST; AY208184, D2). Therefore, functional differences of NR1H3 and PPAR
were excluded because the amino acid sequence was conserved. However, Nr1h3 expression differences may be accounted for by the polymorphisms proximal to the transcription start site and in the 5' untranslated region. Other investigators reported differences between CAST and C57BL/6 mice in the promoter region of Pparg (36). It remains to be determined if such differences or other unique variations exist between CAST and D2.
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| DISCUSSION |
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We fed a high-cholesterol cholic acid diet to our experimental animals. Cholic acid is known to decrease HDL levels in some strains of mice (3234), primarily via a putative bile acid response element that mediates transcriptional repression of apoA-I (34). However, despite this observation, most QTL for HDL phenotypes tend to colocalize irrespective of the experimental diet (18). Therefore, we believe that the loci described in the present study make valid contributions to our understanding of the genetic control of lipoprotein metabolism.
Using an intercross between the wild-derived inbred strain CAST and the inbred strain D2, we have detected four QTL for HDL cholesterol concentration (chromosomes 2, 4, and two on 6), and one QTL that was detected for both total and non-HDL cholesterol levels (chromosome 9) (Fig. 3). Lipoprotein phenotypes constitute a physiological continuum or distribution. Thus far, animal models describe the genetic extremes of null expression (knockout) and overexpression (transgenic). The HDL cholesterol QTL linked to D4Mit110 (peak 21.9 cM; Hdlq10) and the total and non-HDL cholesterol QTL linked to D9Mit58 (peak 5.0 cM; Chol6) comprise compelling genetic evidence for the existence of alleles that contribute to that distribution but fall between those two extremes. The candidate gene for Hdlq10 is Abca1 (23.1 cM), encoding the ATP binding cassette cholesterol-phospholipid transporter ABCA1, and for Chol6 is Ldlr (5.0 cM), encoding LDL receptor (Ldlr), each of which profoundly influences lipoprotein homeostasis in both humans (10, 11, 16) and mice (4047). We confirmed with an independent cross a QTL for HDL cholesterol reported previously on chromosome 2 (Hdl1). In addition, this locus colocalized with another QTL for obesity (Mob6) that was also associated with HDL (36, 48), but may not be an HDL locus because many obesity mutations in mice affect HDL concentrations (49). Furthermore, we report two novel QTL for HDL in close proximity on distal chromosome 6 (Hdlq11 and Hdlq12). Preliminary evaluations of candidate genes for the novel QTL are reported. In addition, we assessed candidate genes according to literature describing their effects on HDL, total cholesterol, or non-HDL cholesterol levels with regard to decreased (knockout mice) and increased (transgenic mice) gene expression. These results are summarized in Table 5.
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In a manner similar to the genetics of Ldlr and familial hypercholesterolemia patients, nonfunctional ABCA1 in human Tangier's disease patients results in extremely low HDL cholesterol levels and premature atherosclerosis (10, 11). Abca1 knockout mice (4345) also display dramatically decreased HDL cholesterol, whereas Abca1 transgenic mice (46, 47) display increased HDL cholesterol levels. Their effects on HDL cholesterol were consistent with Abca1 being the polymorphic gene underlying Hdlq10 (Table 5). A similar QTL for HDL cholesterol was detected using an intercross between strains C57BL/6J (B6) and C3H/HeJ (peak 21.9 cM) (33), and a polymorphism causing decreased HDL levels was identified in a mutagenesis experiment involving strains Balb/c and C3H/HeH (Lch, peak 26.7 cM) (37). Linkage studies performed in an Hispanic population indicate that HDL cholesterol levels are influenced by a QTL harboring the ABCA1 locus (38), and polymorphisms in the promoter of ABCA1 were associated with HDL cholesterol levels in a second human population (50). We showed that CAST contributed the allele associated with increased HDL cholesterol levels at this locus (Fig. 4B), and confirmed that the expression of Abca1 was greater in that strain compared with D2, the strain contributing the allele for low HDL cholesterol (Fig. 5A). The evidence indicates that at least one polymorphism exists in the murine Abca1 gene or its regulatory regions that affects HDL cholesterol concentrations. We postulate that ABCA1 exists in polymorphic forms and contributes to the variability of the HDL phenotype in humans.
In addition to Hdlq10 and Chol6, we identified one QTL for HDL cholesterol on chromosome 2 (D2Mit94, Hdl1). Positional candidate genes include Lrp2 (Megalin, Gp330 ; 40.0 cM) and Nr1h3 (Lxra; 40.4 cM), although both lie outside the 95% confidence interval. LRP2 was reported to interact with CUBN (Cubn, 9.0 cM) to mediate HDL uptake in vitro, but neither transcript was expressed in the liver (51). To date, little evidence is available indicating that hepatic expression is substantial (52). Although we were able to amplify the transcript (Fig. 5A) from liver tissue, we failed to detect any differential expression of Lrp2 between the two parental strains or in the F2 population (Fig. 5A, B). Furthermore, we consider it unlikely that other tissues expressing LRP2 would remove enough HDL from the circulation to affect overall levels. Lrp2 knockout mice (53) demonstrated embryonic lethality with predominant renal and very low hepatic expression (Table 5). No report was made regarding plasma lipoprotein status (53). It cannot be excluded that polymorphisms in the coding sequence led to analtered amino acid sequence and therefore altered function that affected HDL cholesterol levels. Given the tissue distribution data (52) and inferred low capacity to modulate HDL cholesterol levels, however, such a hypothesis is not considered a strong possibility.
The second candidate gene we identified for Hdl1 was Nr1h3 (Lxra, 40.4 cM) encoding the ligand-activated nuclear transcription factor NR1H3/LXR
. Nr1h3 is an attractive candidate, especially because its target genes include Abca1, Apoe, Lpl, and CETP (in humans) encoding ABCA1, apoE, lipoprotein lipase, and cholesteryl ester transfer protein, respectively (54). We envisaged Nr1h3 upregulation to increase HDL cholesterol accordingly. In our present study, both CAST mice and F2 animals with CAST alleles across the locus exhibited greater hepatic expression of Nr1h3 (Fig. 5) and decreased levels of HDL cholesterol (Fig. 2A and Table 2). However, D2 contributed the high allele for this QTL (Fig. 4A). We eliminated the possibility that a functional polymorphism (i.e., coding sequence variant causing amino acid change) was responsible for the QTL. The sequencing data may explain the differential mRNA expression, however, because a variety of polymorphisms were identified in the proximal noncoding region that likely harbors regulatory elements. Independently generated Nr1h3 knockout mice displayed mild but consistent decreases in HDL cholesterol levels (55, 56). No report has yet appeared on a transgenic Nr1h3 mouse. Therefore, both expression and sequence data are inconsistent with both the allele effect and the description of the murine knockout model (Table 5). The fine-mapping that indicates Nr1h3 lies outside of the 95% confidence interval (Table 3) adds further validity to the conclusion that Nr1h3 is not responsible for Hdl1.
Because Pparg is strongly expressed in the liver parenchymal cells (57) and encodes a nuclear transcription factor involved in lipid homeostasis, we deemed it an attractive candidate gene for the QTL on proximal chromosome 6 that controls HDL cholesterol. However, genetic modification of the Pparg gene did not yield the instructive findings that were anticipated. Knockout mice were generated but found to be embryonic lethal (58), and hence yielded no data with regard to phenotypes such as the model's lipoprotein profile and transgenic mice have not been produced. In other studies, synthetic PPAR
ligands were shown to decrease HDL cholesterol in female mice but not male mice with the B6-Ldlr knockout background (59). The authors of the Pparg knockout study suggested, with supporting pharmacological and genetic data, that PPAR
might be a transcriptional activator when a ligand is bound, but in the absence of a ligand may act as a sequence-specific transcriptional repressor (60). If we disregard the potential confounders of gender and genetic background, one plausible explanation is that, due to its greater Pparg expression, D2 may possess a greater propensity to ameliorate the reduction in HDL, given equal availability of an appropriate ligand in both strains. Such an interpretation would account for both the increased mRNA expression (Fig. 5) and the allele associated with increased HDL levels (Fig. 4C) attributed to strain D2. These data support a role for PPAR
in HDL metabolism but are far from conclusive. Furthermore, the available data render it apparent that PPAR
possesses myriad roles in lipid metabolism (61) apart from its putative effect upon HDL.
A second gene we evaluated for Hdlq11 was Apobec1, because the protein it encodes is involved in lipoprotein assembly (62). In a previous study, Pparg and Apobec1 were evaluated as candidate genes in a B6.CAST congenic that was constructed to investigate an atherosclerosis QTL (Artles, peak 61.0 cM) (63) that overlapped Hdlq11 and Hdlq12. Whereas Apobec1 displayed no differential expression between B6 and CAST, Pparg expression was determined by cis-acting elements, and CAST alleles determined decreased expression (63). These data are consistent with our findings between CAST and D2 (Fig. 5), and therefore Apobec1 was considered a poor candidate in both studies. A six-nucleotide deletion was detected 456 nucleotides upstream from the CAST Pparg2 translation start site, potentially explaining the difference in transcription (63). We confirmed the existence of such a deletion between strains CAST and D2 in addition to a number of SNPs (24). Two independent investigations (62, 64) reported that Apobec1 knockout mice display no change in HDL cholesterol concentrations when on the chow diet (Table 5). A third study indicated that the knockout mice displayed decreased HDL cholesterol, but the mixed genetic background of these mice may have influenced the data (65). One published report indicated that Apobec1 knockout mice fed a high-fat diet do not display altered HDL cholesterol levels either (66). Results from studies of Apobec1 transgenic mice are inconsistent. The first study indicated that total cholesterol did not change but apoE and apoA-I (both protein constituents of HDL) increased (67). A second study did not report the effect of transgene insertion in mice but reported that HDL increased in one transgenic rabbit (68). A third study of Apobec1 on an Ldlr knockout background indicated no change in HDL cholesterol (69), whereas a fourth study using a mixed genetic background indicated a decrease in HDL cholesterol (70). On balance, it appears that Apobec1 has little effect on HDL cholesterol levels, at least when mice are fed chow.
Recently, a transcriptional cascade was described in macrophages whereby PPAR
activation mediated Nr1h3 transcription that, in turn, increased Abca1 transcription (71). It is tempting to speculate that we observed such a pathway because HDL cholesterol QTL were detected in the region of each gene (chromosomes 2, 4, and 6; Fig. 3A, Table 3). However, there are a number of factors that argue against this possibility: 1) macrophage-derived HDL cholesterol contributes very little to overall levels (8, 72), although we did not measure cell-type-specific expression and therefore cannot rule out the possibility that hepatocytic expression of Pparg drives this pathway in the liver; 2) the allelic effect and mRNA expression were not consistent at each of the loci; 3) we detected no epistasis; and 4) the F2 mice that were tested for expression of Nr1h3 and Pparg were selected only for one of the two respective regions and otherwise possessed unique combinations of alleles making it unlikely that such a pathway was functional. We tested the final point empirically and found that F2 mice selected for their genotype at the Pparg locus did not differentially express Nr1h3 or Abca1 (data not shown). We interpret the findings to indicate that we detected three independent loci that influence HDL cholesterol levels but are not involved in a transcriptional cascade, specifically, a cascade involving Pparg, Nr1h3, and Abca1. It should be noted, however, that we cannot exclude the possibility that increased hepatocytic expression of Pparg may drive Abca1 expression and thus increased HDL levels, but that the effect was masked by the presence of an independent QTL at the Abca1 locus.
For the QTL linked to HDL on distal chromosome 6, Hdlq12, we considered A2m (62.0 cM) a candidate gene.
2-Macroglobulin was shown to interact with LCAT, inhibiting its activity and leading to its clearance from the circulation (73), thereby providing a potential mechanism to affect HDL maturation and concentration. Investigation of CAST and B6 mice revealed a functional LCAT deficiency in strain CAST that was not due to genetic differences in Lcat, thereby explaining the absence of a QTL in that region (36). We report that A2m expression was not likely dictated by cis-acting elements (Fig. 5B) and in this sense, A2m is not considered a strong candidate. However, we did not investigate the possibility that A2m exists as a functional isozyme due to altered amino acid sequences. A2m transgenic mice are not reported thus far, whereas knockout mice were generated but no report was made on plasma lipoprotein profiles (74). Lrp6 (the second candidate gene for Hdlq12) knockout mice exhibited embryonic lethality, and the data indicate a role for LRP6 in development and signal transduction (75). Transgenic animals have not been described. Combined with the mRNA expression data (Table 5), Lrp6 seems unlikely to be a candidate gene influencing lipoprotein cholesterol concentrations.
Previous studies using CAST x B6 intercrosses reported a QTL for multigenic obesity (Mob6/D2Mit14, 49.6 cM) that was also linked to HDL cholesterol (36, 48) and colocalized with the chromosome 2 QTL reported herein. Mob6 was strongly linked to HDL levels after feeding a high-fat diet, and in further agreement with our data (Fig. 4A), CAST contributed the low HDL cholesterol allele (36, 48). The two QTL determining HDL cholesterol concentrations detected on distal chromosome 6 (Hdlq11, 48.0 cM and Hdlq12, 68.0 cM) overlapped QTL for atherosclerosis [Athsq2, 62.0 cM (76), Artles 61.0 cM (63)] and bone density [Bdt3, 67.0 cM (77)]. Potentially, the atherosclerosis loci may be associated with HDL, whereas Bdt3 was pleitropic with a QTL for HDL cholesterol level (77). The Artles QTL also coincided with a QTL controlling insulin concentrations (63), perhaps alluding to the involvement of PPAR
. Using our CAST x D2 intercross, we observed colocalizing QTL for cholesterol gallstones and HDL cholesterol on chromosomes 2 and 6 (24). These findings are reminiscent of QTL for HDL that were coincident with loci for Cyp7a1 mRNA levels (33). Taken together, these data suggest that alleles exist on both chromosomes 2 and 6 that affect a variety of lipid-related traits and are coupled via the common HDL phenotype.
In this study, we have described four QTL for HDL cholesterol levels that localized to chromosomes 2, 4, and 6 (two loci). We also described colocalizing QTL for total and non-HDL cholesterol levels on chromosome 9 that we believe are determined by the same locus (Chol6). We evaluated four candidate genes for Hdlq11 and Hdlq12; Apobec1, Lrp6, and A2m seem unlikely candidates in light of our and others' genetic data (Table 5). Conclusions are difficult to make with our current knowledge of PPAR
activity, but Pparg remains an appealing candidate gene for Hdlq11. Compelling candidates for the distal QTL remain to be evaluated but may include genes such as Olr1 (76) (mapped to distal chromosome 6 by orthology and ENSEMBL database) or perhaps Slc21a1 (24), considering the suggested link between bile acid metabolism and lipoprotein metabolism. We provide evidence suggesting that neither the nuclear oxysterol receptor NR1H3 (LXR
) nor LRP2 are determinants of HDL cholesterol. Candidates for Hdl1 remain to be determined. Finally, excellent candidate genes were identified and evaluated for the loci on chromosomes 4 (Abca1, Hdlq10) and 9 (Ldlr, Chol6). In combination with previously reported data, we conclude that Abca1 and Ldlr are likely primary genetic determinants of HDL cholesterol and total/non-HDL cholesterol, respectively. Moreover, we predict that these genes are present in the human population as a wide repertoire of polymorphic alleles that contribute to the continuum of plasma lipoprotein cholesterol phenotypes.
| ACKNOWLEDGMENTS |
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Manuscript received January 2, 2003 and in revised form February 10, 2003.
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