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activation favors the formation of unconjugated bile acids



* Division of Clinical Chemistry, Karolinska Institutet, Karolinska University Hospital at Huddinge, SE-141 86 Stockholm, Sweden
Department of Pediatric Research, Rikshospitalet, NO-0027 Oslo, Norway
Department of Molecular Biology, AstraZeneca R&D Mölndal, SE-431 83 Mölndal, Sweden
Published, JLR Papers in Press, March 16, 2004. DOI 10.1194/jlr.M300291-JLR200
1 To whom correspondence should be addressed. e-mail: b.f.kase{at}klinmed.uio.no
| ABSTRACT |
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(PPAR
). Livers from wild-type and PPAR
-null mice either untreated or treated with the PPAR
activator WY-14,643 were analyzed for BACTE and BACAT expression. The total liver capacity of taurochenodeoxycholate and taurocholate formation was decreased in WY-14,643-treated wild-type mice by 60% and 40%, respectively, but not in PPAR
-null mice. Suppression of the peroxisomal BACAT activity was responsible for the decrease in liver capacity, whereas cytosolic BACAT activity was essentially unchanged by the treatment. In both cytosol and peroxisomes, the BACTE activities and protein levels were upregulated 5- to 10-fold by the treatment. These effects caused by WY-14,643 treatment were abolished in PPAR
-null mice.
The results from this study suggest that an increased formation of unconjugated bile acids occurs during PPAR
activation.
Abbreviations: BACAT, bile acid-CoA:amino acid N-acyltransferase; BACS, bile acid-CoA synthetase; BACTE, bile acid-CoA thioesterase; CA, cholic acid; CDCA, chenodeoxycholic acid; FXR, farnesoid X receptor; HNF-4
, hepatocyte nuclear factor 4
; LCA, lithocholic acid; PPAR
, peroxisome proliferator-activated receptor
; PTE-2, peroxisomal acyl-CoA thioesterase 2; THCA, 3
,7
,12
-trihydroxy-5ß-cholestanoic acid
Supplementary key words bile acid-coenzyme A:amino acid N-acyltransferase bile acid-coenzyme thioesterase peroxisome proliferator-activated receptor
farnesoid X receptor cholestyramine
| INTRODUCTION |
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The formation of bile salts is catalyzed by the bile acid-CoA:amino acid N-acyltransferase (BACAT) localized in the peroxisomes and the cytosol of liver cells (3). The substrate for BACAT is CoA-activated bile acids, otherwise known as bile acid-CoA thioesters. They are formed within two compartments of the hepatocyte by two different mechanisms: the ATP-dependent microsomal bile acid-CoA synthetase (ligase) (BACS), and the peroxisomal ß-oxidative cleavage of the 5ß-cholestanoic acid side chain, the final step in bile acid synthesis (46). These reactions are considered to be rate limiting in the cytosolic and peroxisomal conjugation pathways, respectively. The conjugation capacity of the liver is thought to be very high because almost all bile acids secreted into bile are conjugated, even in liver disease (7). In the gut, the bile salts are oxidized or deconjugated to varying extents by intestinal microbes. A high proportion is recirculated back to the liver via the portal vein, and deconjugated bile acids are reconjugated, probably by the microsomal-cytosolic pathway, before entering another cycle of the enterohepatic circulation.
The formation of unconjugated bile acids in liver may not be reflected in the bile, either because of impaired secretion into the bile canaliculi (2) or because the free bile acids may be reabsorbed in the biliary tree. Consequently, measurement of hepatic levels of unconjugated bile acids and estimation of the formation rate should be performed in liver tissue specimens. Only a few groups have performed such investigations by use of quantitative mass spectrometry (8, 9). In human liver, the levels of unconjugated bile acids and their physiological and pathological effects remain unknown. It has been shown in vitro, however, that unconjugated bile acids are formed by cleavage of the bile acid-CoA thioesters catalyzed by the bile acid-CoA thioesterases (BACTEs) (3, 10). The activities of BACAT and BACTE have been shown to be comparable in isolated peroxisomes, and these enzymes apparently compete for the bile acid-CoA thioesters slowly formed by the peroxisomal ß-oxidation. We recently demonstrated that an acyl-CoA thioesterase in mouse liver peroxisomes, named peroxisomal acyl-CoA thioesterase 2 (PTE-2), is a major BACTE (10). Recombinant PTE-2 can compete with BACAT for the bile acid-CoA substrate in vitro, indicating that the formation of unconjugated bile acids could be high under certain conditions in vivo (10). There is recent evidence for a similar competition between the cytosolic BACAT and BACTE activities for the bile acid-CoA thioesters formed by the microsomal synthetase (3, 11). In vivo factors and conditions that influence the rates of bile acid versus bile salt formation remain unknown. High intrahepatic levels of unconjugated hydrophobic bile acids probably induce or aggravate parenchymal liver disease (1216). Physiological levels of unconjugated bile acids, however, are purported to be important for cholesterol homeostasis by acting as potent ligands for the farnesoid X receptor (FXR), the bile acid-sensing nuclear receptor (1721). Unconjugated CDCA has been shown to be the most potent activator of FXR in cell systems, followed by deoxycholic acid and lithocholic acid (LCA), whereas FXR activation by amidated bile acids and CA requires the expression of bile acid transporters. Recently, BACAT mRNA and BACS mRNA were shown to be upregulated by the FXR agonists GW 4064 and CDCA in rat liver hepatocytes. Functional FXR response elements were found in the proximal promoter of the BACS gene and in the first intron of the BACAT gene, presenting evidence for an FXR-mediated regulation of bile acid amidation (22).
Recently, the peroxisome proliferator-activated receptor
(PPAR
) was shown to downregulate the expression of cholesterol 7
-hydroxylase (Cyp7A1) and bile acid secretion (23) and to change bile acid composition by regulating the expression of the sterol 12
-hydroxylase gene (Cyp8B1) (24). Here, we report a study of the regulation of the formation of unconjugated and conjugated bile acids from their common substrate, the bile acid-CoA thioesters, via PPAR
. In mouse liver, the expression and activity of the peroxisomal and cytosolic BACAT enzyme are differentially regulated by PPAR
, which may have implications for the liver content of bile acids and secretion into bile.
| MATERIALS AND METHODS |
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Animals and treatment
Ten- to 12-week-old male wild-type (+/+) and PPAR
-null (/) mice of a pure Sv/129 genetic background (derived from the original colony of mixed background mice) (26) were used throughout this study. The mice were housed in a temperature- and light-controlled environment and were maintained on a standard chow diet (R36; Lactamin, Vadstena, Sweden) before commencement of the treatment. The mice were treated with a diet containing either 0.1% (w/w) of the PPAR
agonist WY-14,643 or 4% (w/w) cholestyramine for 1 week. All mice had access to water ad libitum. At the end of the treatment, the mice were euthanized by carbon dioxide asphyxiation, followed by cervical dislocation. The liver samples were weighed immediately and either frozen at 20°C and freshly homogenized in a Potter-Elvenhjelm homogenizer for fractionation experiments or snap-frozen in liquid nitrogen and stored at 70°C until further analysis.
Preparation and characterization of mouse liver subcellular fractions
Homogenates were prepared from frozen or fresh wild-type and PPAR
-null mouse liver tissues as described (27). Fresh liver homogenates prepared from pools of eight untreated wild-type mice or three WY-14,643-treated wild-type mice were fractionated into postnuclear, nuclear, mitochondrial, "light-mitochondrial" (peroxisome-enriched), microsomal, and cytosolic fractions as described (3). Aliquots of the light-mitochondrial fractions were layered on top of 1545% (w/v) Optiprep density gradients and centrifuged for 75 min at 20,000 rpm in a Sorvall TV-850 vertical rotor. Sixteen fractions of 2 ml each were collected from the bottom of the gradient tubes.
To characterize the subcellular fractions, the following marker enzyme activities were measured: cytochrome c oxidase for mitochondria (28), the microsomal marker o-nitrophenyl acetate esterase (29), the peroxisomal marker catalase (30), and the cytosolic marker lactate dehydrogenase (31).
Protein concentration was determined by the method of Bradford (32). BACAT (3) and BACTE (10) activities were measured as previously described.
Antibody production and affinity purification
Based on the mouse BACAT amino acid sequence (33), a peptide with the sequence NH2-CAAQEHSWKEIQKFLK-COOH (with a cysteine added at the NH2-terminal end for coupling of the peptide) was synthesized and used to raise antisera in rabbits (Sigma Genosys, Suffolk, UK). The reactivity of this antibody with BACAT was verified by Western blotting using recombinant His-tagged human BACAT protein expressed and purified from Escherichia coli. An antibody was also generated in rabbits against a peptide corresponding to the sequence NH2-CNPSMIPIEKAKGPI-COOH of the PTE-Ib (34) by Sigma Genosys. Both antibodies were purified from rabbit sera using peptide affinity column chromatography before Western blotting.
Western blot analysis
Western blot analysis was performed in principal as described previously (35) on 538 µg of protein separated by electrophoresis using 10% sodium dodecylsulfate polyacrylamide gels followed by electrotransfer to nitrocellulose membranes. The membranes were blocked in 50 mM Tris-Base, 0.15 M NaCl, and 0.5% Tween 20 (TST) containing 1% BSA, incubated for 1 h with the BACAT antibody (diluted 1:300 in TST buffer containing 0.1% BSA), washed 3 x 10 min in TST-0.1%BSA, and then incubated for 1 h with horseradish peroxidase-conjugated anti-rabbit IgG secondary antibody (diluted 1:10,000 in TST-0.1% BSA). After washing the membranes 3 x 5 min with TST buffer, the signal was detected using ECL (Amersham Life Science, Arlington Heights, IL). The filters were exposed to X-ray film, and quantitation was carried out using Image Master VDS Software (Amersham Pharmacia Biotech, Uppsala, Sweden). The membrane was stripped according to standard procedures (Bio-Rad Laboratories) and reprobed with the PTE-Ib antibody as described above.
Northern blot analysis
Total RNA was prepared from mouse livers using the QuickPrepR total RNA extraction kit (Amersham Pharmacia Biotech, Uppsala, Sweden), and Northern blot analysis was carried out as described previously (35). The filters were probed with a 32P-labeled full-length cDNA probe for mouse BACAT (33) and a 32P-labeled cDNA probe for ß-actin. The blots were exposed to X-ray film at 70°C, and signals were quantified using the Image Master VDS Software.
FXR coactivator recruitment assay
The ligand binding domain of human FXR (amino acids 222472 based on GenBank accession number U68233) was expressed in E. coli as an NH2-terminal His-tagged protein using the pET28a vector (Novagen), and the protein was purified by affinity chromatography. The activity of recombinant human FXR was determined in an FXR coactivator recruitment assay. Eu3+-coupled anti-His antibody (anti-His-Eu3+) and allophycocyanin-coupled streptavidin were obtained from Perkin-Elmer Life Sciences. An N-terminally biotinylated peptide (NH2-CPSSHSSLTERHKILHRLLQEGSPS-COOH) (Innovagen AB) derived from steroid receptor coactivator 1 was used as coactivator. A 15 µl reaction volume contained 20 mM Tris (pH 7.5), 0.125% CHAPS, 2 mM dithiothreitol, 0.05% BSA, 0.11 µg/ml anti-His-Eu3+, 2.3 µg/ml allophycocyanin-coupled streptavidin, 60 nM human FXR-ligand binding domain, 120 nM biotinylated steroid receptor coactivator 1 peptide, and the appropriate ligand. Antagonist activity was measured in the presence of 80 µM CDCA in the reaction mixture. After the addition of all reagents, plates were incubated for 1.5 h at room temperature and time resolved fluorescence was measured in a Victor2 (Perkin-Elmer Life Sciences). Excitation was at 340 nm, and fluorescence was measured at 615 and 665 nm. Specific signals were calculated by dividing the 665 nm signal by the 615 nm signal and multiplying the fraction by 10,000.
Statistical analysis
Statistical differences between groups were tested by Student's t-test. All results are considered significant at P < 0.05.
| RESULTS |
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activation represses peroxisomal BACAT activity and protein level in mouse liver
could regulate the final reaction in bile salt biosynthesis, the bile acid amidation step, we measured BACAT activity in liver homogenates from untreated and WY-14,643-treated wild-type and PPAR
-null mice. The specific activity of taurine conjugation with CA-CoA was decreased to
20% in the WY-14,643-treated wild-type mouse liver homogenates compared with untreated wild-type mice (P < 0.05) (Fig. 1)
. Similar results were obtained for taurine conjugation with CDCA-CoA (data not shown). In untreated PPAR
-null mice, the BACAT activity was significantly higher than that in untreated wild-type mice (P < 0.05) but was unaffected by treatment with WY-14,643 (P = 0.23) (Fig. 1).
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-dependent downregulation of BACAT specific activity was confirmed (data not shown). In wild-type mice, the liver weights increased after WY-14,643 treatment from 0.74 ± 0.04 g to 1.96 ± 0.26 g, and a slight increase was seen in PPAR
-null mice, from 0.99 ± 0.01 g to 1.12 ± 0.24 g. In untreated wild-type mice, the total liver activity of taurochenodeoxycholate formation was 3.02 µmol/min/liver compared with a total activity of 1.20 µmol/min/liver for the WY-14,643-treated mice. Thus, in spite of the hepatomegaly (
2.5-fold) caused by PPAR
activation, the total capacity to amidate CDCA was decreased by 60%. The corresponding figures for total taurocholate formation were 3.01 µmol/min/liver in untreated mice and 1.96 µmol/min/liver for the WY-14,643-treated mice.
The liver homogenates were fractionated into postnuclear supernatants, which were further fractionated into mitochondrial, light-mitochondrial" (enriched in peroxisomes), microsomal, and cytosolic fractions, and each of these fractions was characterized by the measurement of marker enzyme activities, BACAT and BACTE activities. Treatment with WY-14,643 resulted in a decrease in the specific activity of taurochenodeoxycholate formation in all particulate fractions, whereas the specific activity remained essentially unchanged in the cytosolic fraction (Fig. 2A)
. In contrast, catalase activity was increased in the light-mitochondrial fraction (as a consequence of peroxisome proliferation) and in the cytosolic fraction (Fig. 2B). Approximately 70% of the total BACAT activity was recovered in the particulate fraction (peroxisomal activity), and
30% was recovered in the cytosolic fraction. Treatment of mice with WY-14,643 changed the distribution, so that 20% was recovered in the particulate fraction and 80% was recovered in the cytosolic fraction. Previous subcellular fractionation studies have shown that the BACAT activity is also detected in the peroxisomal fraction of rat and human liver (3, 36). As peroxisomes are present in all particulate fractions, the repression of BACAT activity in these fractions by WY-14,643 treatment is apparently attributable to repression of the peroxisomal BACAT expression. The light-mitochondrial fractions, being enriched in peroxisomes, were therefore fractionated on 1545% (w/v) Optiprep density gradients to obtain purified peroxisomes. BACAT activity and protein concentration were measured in all gradient fractions, which showed that the BACAT activity was localized to the peroxisomal fractions. The specific BACAT activity decreased by more than 90% in the peroxisomal fraction upon WY-14,643 treatment (Fig. 3A)
, whereas catalase activity was only decreased by
50% (Fig. 3B). The difference in the enrichment of catalase activity from light-mitochondrial fractions to purified peroxisomes from control and WY-14,643 treated mice (Figs. 2B, 3B) is attributable to a very large increase in the amount of peroxisomes in the light-mitochondrial fraction after treatment with WY-14,643 compared with the amount of peroxisomes in the light-mitochondrial fraction from untreated mice. To test whether the decrease in BACAT activity in the peroxisomal fractions was attributable to a decrease in BACAT protein, the fractions were analyzed by Western blotting using a peptide antibody that recognizes recombinant BACAT (Fig. 3C). The BACAT protein was detected as an
46 kDa protein in the light-mitochondrial, cytosolic, and peroxisomal fractions. In agreement with the activity data, a 10-fold decrease in BACAT protein was observed in the peroxisomal fraction after treatment with WY-14,643 (Fig. 3C), whereas cytosolic liver BACAT protein remained unchanged by the treatment. As a control, the membrane was stripped and hybridized with a peptide antibody directed against PTE-Ib, the expression of which has previously been shown to be upregulated by clofibrate treatment (34). In contrast to BACAT, the expression of PTE-Ib was clearly increased in the light-mitochondrial, cytosolic, and peroxisomal fractions in response to WY-14,643 treatment (Fig. 3C). Thus, changes in BACAT protein levels recognized by the BACAT antibody correlated well with changes in the specific activities of BACAT in the subcellular fractions.
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involvement in the regulation of BACAT mRNA expression was examined by Northern blot analysis. Using a full-length mouse BACAT cDNA probe, two mRNAs of 2.2 and 4 kb were detected, and quantitation of the major transcript of 2.2 kb showed a significant reduction after treatment of wild-type mice with WY-14,643 (P < 0.05) (Fig. 4A)
. In untreated PPAR
-null mice, BACAT mRNA levels were lower than those in wild-type mice (P < 0.05), and the mRNA level remained unchanged after WY-14,643 treatment (P = 0.5).
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-null mice (P < 0.05) (Fig. 4B).
BACTE activity is regulated by WY-14,643 treatment
We have previously shown that the specific activity of BACTE was increased 3.5 times in liver homogenates by WY-14,643 treatment of wild-type mice, but the activity remained unchanged by treatment of the PPAR
-null mice (10). To further investigate the effect of WY-14,643 treatment on BACTE activity in various subcellular compartments, the same subcellular liver fractions used for the BACAT activity measurements were used for the BACTE activity measurements. The specific activity of BACTE was found to be increased by WY-14,643 treatment in the cytosolic, light-mitochondrial, and microsomal fractions. However, no increase was evident in the mitochondrial fraction (Fig. 5)
. In the cytosolic fraction, the chenodeoxycholoyl-CoA thioesterase activity was 3 times higher (Fig. 5) and the choloyl-CoA thioesterase activity was increased 4.6 times (data not shown) in WY-14,643-treated compared with untreated wild-type mice. In the light-mitochondrial fraction, the corresponding increases were 2- and 1.7-fold, respectively. As alluded to above, WY-14,643 treatment of mice results in hepatomegaly and increases total liver protein. Total protein in the light-mitochondrial and cytosolic fractions were 3-fold higher compared with the fractions from livers of untreated mice, leading to an
10-fold increase in the total liver activity of cytosolic BACTE and an
6-fold increase the total activity in the light-mitochondrial fraction. The increase in the light-mitochondrial fraction was mainly attributable to a 5- to 6-fold increase of the BACTE activity in the peroxisomal fraction. Thus, although PPAR
activation downregulates the expression of peroxisomal BACAT protein (leaving the expression of the cytosolic BACAT essentially unchanged), BACTE activity is increased in both peroxisomes and cytosol, which together may promote decreased bile acid amidation and increased formation of unconjugated bile acids in the liver.
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(39, 40), whereas the corresponding CoA thioesters act as antagonists (41). Both bile acids and bile salts have been shown to be agonists for FXR (1721). Therefore, we tested the possibility that bile acid-CoA thioesters may act as antagonists for FXR, using a FXR coactivator recruitment assay. CDCA-CoA, CA-CoA, and LCA-CoA were all found to antagonize the CDCA-induced FXR/steroid receptor coactivator 1 complex by direct binding to FXR (Fig. 6)
. The rank order of potency was CDCA-CoA > LCA-CoA > CA-CoA. In this experimental system, free CDCA acted as an agonist, with an EC50 value of
50 µM, whereas the corresponding CoA thioester (CDCA-CoA) was the most potent antagonist, with an IC50 of
100 µM. LCA-CoA acted as a weak antagonist (IC50
200 µM), whereas CA-CoA was not titrated to a high enough concentration to allow an estimation of IC50 value. None of the tested bile acid-CoA thioesters could induce the recruitment of the coactivator peptide of steroid receptor coactivator 1 to FXR, suggesting that they are not agonists for the FXR. Free CoA had no effect on FXR activation in this assay.
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| DISCUSSION |
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dependent. The most intriguing finding was that the decreased liver bile acid amidation activity was attributable to a selective decrease in peroxisomal BACAT, whereas the activity remained essentially unchanged in the cytosolic fraction. This conclusion is based on the following findings: subcellular fractionation experiments showed that both activities are present in peroxisomes and cytosol of mouse liver, similar to the distribution in rat and human liver (3, 11, 36). Characterization of the subcellular fractions demonstrated that both BACAT activity and protein were decreased more than 10-fold in the peroxisomes by WY-14,643 treatment, whereas activity and protein remained essentially unchanged in the cytosolic fractions. The explanation for the apparent discrepancy between changes in BACAT mRNA levels and activity is not yet clear. However, using Green Fluorescent Protein localization experiments, we recently showed that the "classic" BACAT is mainly localized in the cytosol (42). Therefore, the existence of a second, yet unidentified, BACAT is predicted (at least in the mouse) that is mainly peroxisomal. Further support for this idea was recently presented by Gonzalez and colleagues (43), who showed that the BACAT gene is under strong regulation of the hepatocyte nuclear factor 4
(HNF-4
). They demonstrated that in spite of essentially undetectable levels of BACAT expression in HNF-4
-null mice, most of the bile acids in gallbladder bile were conjugated, with an increase in glycine conjugation.
In contrast to BACAT, BACTE activity was upregulated in both cytosol and peroxisomes by WY-14,643 treatment. The regulation of the enzyme activity was essentially the same for both bile acid-CoA substrates in vitro. The assay conditions used in this study to measure BACAT activity allow us to conclude that the observed decrease in BACAT activity would not be attributable to competition for substrate by BACTE in vitro. However, in vivo, it is likely that BACTE and BACAT compete for the common bile acid-CoA substrate. BACAT apparently plays different roles in cytosol and peroxisomes, as illustrated in Fig. 7
. Recently, a human BACS was identified that is localized in the endoplasmic reticulum and mainly activates bile acids (CDCA, DCA, and LCA) to the corresponding CoA thioesters, whereas the human peroxisomal very long-chain acyl-CoA synthetase mainly activates 3
,7
,12
-trihydroxy-5ß-cholestanoic acid (THCA) to THCA-CoA (5). It is likely that the peroxisomal THCA-CoA synthetase initiates peroxisomal ß-oxidative side chain cleavage of THCA-CoA and 3
,7
-dihydroxy-5ß-cholestanoyl-CoA to form de novo synthesized bile acid-CoAs, which has been shown to occur mainly in peroxisomes (44). CA-CoA and CDCA-CoA formed by peroxisomal ß-oxidation are the substrates for peroxisomal BACAT before excretion into bile (36). Therefore, the very strong downregulation of peroxisomal BACAT in combination with an upregulation of BACTE likely influences the rate of amidation of de novo synthesized bile acids so that newly formed CA-CoA and CDCA-CoA thioesters from peroxisomal ß-oxidation are efficiently converted to unconjugated bile acids at the expense of bile salt formation by PPAR
activation, as illustrated in Fig. 7. A compensatory increase of amidation by the microsomal BACS and cytosolic BACAT of de novo synthesized bile acids is less likely. BACS is the rate-limiting enzyme in the microsomal-cytosolic pathway. Consequently, CoA activation of both deconjugated bile acids returning from the gut and newly formed bile acids from the peroxisomes probably exceeds its capacity, resulting in the accumulation of unconjugated bile acids in liver tissue.
|
. The mechanism by which the expression of the peroxisomal BACAT is downregulated is not clear, but it may involve competition by PPAR
and some other transcription factor for binding to the same response element. Such a mechanism has been demonstrated to downregulate several other genes. Several extraperoxisomal enzymes involved in bile acid synthesis are also regulated via PPAR
. Cholesterol 7
-hydroxylase gene expression and activity are reduced in humans and mice by treatment with fibrates and WY-14,643, leading to reduced bile acid excretion (23, 4547). PPAR
has also been shown to upregulate the expression of sterol 12
-hydroxylase and thereby regulate bile acid composition (24). The human apical sodium-dependent bile salt transporter gene, which is mainly expressed in cholangiocytes, kidney, ileum, and cecum, was recently shown to be positively regulated via PPAR
in cholangiocytes, which may contribute to the decreased bile salt excretion during PPAR
activation (48). The physiological consequences of decreased bile acid amidation are not yet clear. However, our present finding that PPAR
apparently mediates decreased bile acid amidation in response to WY-14,643 treatment is in agreement with an overall decrease in bile acid synthesis and excretion. Together with our finding of increased expression of BACTE in cytosol and peroxisomes, it is likely that PPAR
will promote decreased amidation of de novo synthesized bile acids, and possibly also of recycled bile acids, leading to an increase in free bile acids in mouse liver. Whether PPAR
activation leads to the accumulation of free bile acids in liver could be assessed by measuring hepatic levels of bile acids and bile salts. Detection of biliary bile acids may not reflect intrahepatic levels of unconjugated bile acids because of impaired secretion into the bile canaliculi. In five patients with biliary atresia, the accumulation of unconjugated bile acids (from 2.9% to 4.6% of total bile acids/salts) was observed in liver tissue, whereas only trace amounts were detected in their sera (9). Similar studies should be performed on patients with other liver disorders to address the possibility that unconjugated hydrophobic bile acids may be pathogenic to the liver parenchyma.
After submission of this article, a paper was published online showing that clofibrate treatment of rats induced BACAT mRNA and cytosolic BACAT protein and activity by
3-fold (49). The reason for the different regulation in rat and mouse is not yet clear, but it could be related to the fact that rats lack a gallbladder and therefore may show different regulation of expression of BACAT. Interestingly, BACAT expression is upregulated via the FXR in rat but not in mouse (22), demonstrating a further species difference between rat and mouse in the regulation of the BACAT gene.
Bile acid feeding reduces the expression of Cyp7A1 and bile acid synthesis. Conversely, treatment with cholestyramine, a nonabsorbable drug that increases fecal loss of bile acids, upregulates Cyp7A1 expression and bile acid synthesis. These effects are mediated via FXR, for which free bile acids and bile salts are more or less potent activators, respectively (17, 19, 21). In an attempt to test the impact of increased synthesis of bile acids on BACAT expression, we treated mice with cholestyramine. A 2- to 3-fold increase in BACAT mRNA levels was found as a result of cholestyramine treatment in both wild-type and PPAR
-null mice. In contrast, treatment of mice with CDCA had no effect on BACAT mRNA expression (data not shown), in accordance with recent findings by others (22, 43). These data on cholesterylamine and bile acid treatment suggest that bile acids do not regulate BACAT gene expression via FXR but possibly via some other mechanism in mice.
In view of previous findings that CoA thioesters of fatty acids may act as antagonists for PPAR
(41) whereas free fatty acids are ligands for PPAR
(39, 40), we tested the possibility that bile acid-CoA thioesters act as antagonists for FXR. By using an FXR coactivator recruitment assay, bile acid-CoA thioesters were shown to antagonize CDCA-mediated activation of the receptor. Interestingly, CDCA-CoA was the most potent antagonist, followed by LCA-CoA, whereas CA-CoA was found to be a very weak (if at all) antagonist. The physiological relevance of our findings that CoA thioesters of bile acids may act as antagonists for FXR is not yet clear. However, in light of the PPAR
-mediated downregulation of the bile acid amidation activity and upregulation of BACTE activity, which together may change the cellular contents of free and amidated bile acids as well as levels of bile acid-CoAs, PPAR
activation may mediate cross-talk to FXR signaling. Complex cross-talk between PPAR
and FXR is further substantiated by recent findings showing that bile acids can antagonize the action of PPAR
(50) and that bile acids can induce the expression of the human PPAR
gene via FXR (51).
In conclusion, this study has shown that PPAR
activation in mice decreased the peroxisomal capacity to amidate bile acids and upregulated both peroxisomal and cytosolic BACTE activity. These effects are likely to decrease bile acid amidation in vivo, probably mediating metabolic cross-talk between PPAR
and FXR. Under certain conditions, PPAR
activation may cause an accumulation of toxic unconjugated bile acids in liver tissue and induce or exacerbate liver disease.
| ACKNOWLEDGMENTS |
|---|
-null mice. Large-scale production and purification of the recombinant human FXR-ligand binding domain was carried out by the AstraZeneca Biotech Lab in Södertälje, Sweden. The authors thank James O'Byrne for the Western blot analysis of recombinant BACAT protein. This work was supported by grants from the Sigurd K. Thoresen Foundation, Heje's Foundation, Valborg Aschehoug's Foundation, EWS Stiftelsen, the Swedish Research Council, and the Swedish Heart and Lung Foundation. Manuscript received July 1, 2003 and in revised form December 23, 2003. and in re-revised form March 5, 2004.
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