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Journal of Lipid Research, Vol. 49, 1456-1465, July 2008 Inhibition of stearoyl CoA desaturase activity induces hypercholesterolemia in the cholesterol-fed hamster1
* Division of Nutritional Sciences, School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, United Kingdom, LE12 5RD
1 This work was presented in abstract form at the British Nutrition Society Summer Meeting, Norwich, UK, 2005. This work was supported in part by a studentship (C.A.M.) from the British Heart Foundation. Published, JLR Papers in Press, March 2, 2008.
2 Present address of A. L. Lock: Department of Animal Science, University of Vermont, 208 Stafford Hall, 95 Carrigan Drive, Burlington, VT 05405-0148.
3 To whom correspondence should be addressed. e-mail: Andrew.salter{at}nottingham.ac.uk
Reduction of stearoyl CoA desaturase (SCD) activity has been shown to induce resistance to diet-induced obesity in mice. In the present study, SCD was inhibited by feeding sterculic oil (SO) to male Golden Syrian Hamsters fed high-fat diets with or without added dietary cholesterol. In the absence of cholesterol, SO had little impact on adipose tissue mass or plasma lipoprotein concentrations. When cholesterol was included in the diet, inhibition of SCD resulted in reduced body weight, adipose tissue mass, and feed efficiency. These animals also exhibited a marked hypercholesterolemia, with an accumulation of free-cholesterol–rich particles within the LDL density range, and reduced hepatic cholesterol esterification. This was accompanied by a 20-fold increase in plasma alanine aminotransferase, which was suggestive of significant hepatic damage. Hepatic acetyl CoA carboxylase and fatty acid synthase mRNA concentrations were reduced by feeding cholesterol and SO, whereas lipoprotein lipase and SCD mRNA were increased. These changes were associated with decreased hepatic sterol regulatory element binding protein 1a and 1c mRNA concentrations. Thus, inhibition of SCD activity in the cholesterol-fed hamster results in a reduction in overall body weight and adipose tissue deposition. However, this also causes marked hypercholesterolemia and potential liver damage.
Supplementary key words sterculic oil lipoproteins hamsters gene expression
Stearoyl CoA desaturase (SCD, also known as 9 desaturase) catalyzes the introduction of a double bond in the 9 position, between carbons 9 and 10, of a variety of fatty acyl CoA substrates. The preferred substrate is stearic acid (C18:0), converted to oleic acid (C18:1) (1). It is, however, also responsible for the synthesis of palmitoleic acid (C16:1) from palmitic acid (C16:0) and cis9, trans11–conjugated linoleic acid from vaccenic acid (trans11 C18:1). As such, it plays a major role in regulating the fatty acid composition of tissues. The mouse expresses at least four different isoforms of the enzyme, which are the products of different genes and are differentially expressed in a tissue-specific manner (2). Of these, SCD1 is the most widely expressed and appears to be regulated in a complex fashion by a variety of endocrine, nutrient, and metabolic factors (3). Until recently, it was assumed that only one isoform is expressed in humans; however, a recent report suggests the presence of a second gene (4). Extensive studies in the mouse have shown that SCD1 is highly regulated by both hormones and nutrients (3). Insulin, high-carbohydrate diets, cholesterol, and vitamin A have all been shown to increase SCD1 gene expression. Polyunsaturated fatty acids, thyroid hormone, and leptin all reduce SCD1 gene expression. In recent years, the activity of SCD has attracted considerable interest because of a possible link in regulating adiposity. SCD–/– mice are resistant to diet-induced obesity (5). Furthermore, crossing of the leptin-deficient (ob/ob) mouse with the asebia mouse, which exhibits a specific naturally occurring mutation in SCD, protects animals from the obesity characteristic of the leptin deficiency (6). This protection from obesity is associated with reduced synthesis of triacylglycerol and cholesteryl ester in the liver (7). SCD–/– mice also exhibit lowered plasma triacylglycerol concentrations (7). The effects of reducing SCD activity have thus far been limited to studies in SCD1 knock-out mice or in mice exhibiting a specific mutation in the gene. This extreme condition is unlikely to be mirrored in humans if SCD1 activity were to be modulated as a treatment for obesity. Furthermore, SCD1 knock-out mice suffer severe abnormalities of both skin and fur. The male Golden Syrian Hamster has been used extensively as a model of dietary-induced hyperlipidemia (8–12). In the present experiment, we have investigated the effects of moderately reduced SCD activity by feeding hamsters sterculic oil (SO), which serves as a source of the cyclopropenyl fatty acid, sterculic acid, which has been shown to be a direct inhibitor of SCD activity (13). SO was incorporated into diets enriched in dairy fat. Previous studies have shown that SCD knock-out mice are resistant to the obesity induced by such diets (5). We also investigated the impact of including cholesterol (0.2% w/w) in the diets, because previous work (10, 12) has shown that hamsters respond to such diets by increasing hepatic storage of cholesteryl ester, a process that may be inhibited by reduction of SCD activity (7). The effects of these diets on body weight, fat deposition, plasma lipoproteins, hepatic lipid concentrations, and hepatic expression of lipogenic genes were examined.
Protocol of animal treatment All procedures involving hamsters were subject to UK Home Office regulations, and animals were housed as previously described (14). Hamsters were anesthetized using sodium pentabarbitone (Sagatal, 1 ml/kg), and 3–4 ml blood was collected by cardiac puncture and placed into EDTA tubes. Although animals were not fasted, they were euthanized during the light phase (when food intake would be minimal), between the times of 09.00–12.00 h. Plasma was isolated by centrifugation and stored at 4°C until lipoprotein separation, which was commenced within 48 h of collection. Livers and perirenal and epididymal fat pads were removed, weighed, and snap-frozen in liquid nitrogen.
Diet formulation and feeding
Cholesterol and triacylglycerol analysis
Plasma alanine aminotransferase activity
Fatty acid analysis
Determination of mRNA levels
Statistical analysis Data were analyzed using Genstat for Windows, release 8.1 (Lawes Agricultural Trust). Analysis was performed by two-way ANOVA with absence or presence of added dietary cholesterol as one factor and absence or presence of dietary SO as the other. Data not normally distributed was multiplied by 100 (to avoid negative numbers) and log10-transformed prior to analysis. Tables indicate standard error of differences of means (SED) and significances (P) for effect of dietary cholesterol (C), SO (S) and an interaction between the two (C x S). Differences were considered significant when P < 0.05.
Body mass, food intake, and tissue weights Groups were not significantly different in body weight at the start of the trial. As can be seen in Fig. 1A , whereas animals that were fed control, SO, or chol diets gradually increased weight by about 8 g throughout the trial, those fed chol + SO lost approximately 12 g. As a result, the final body weight of those animals in the chol + SO group was approximately 15% lower than that of those on the other three diets (Table 2 ). Animals consuming diets containing added cholesterol consumed less food than those on diets without cholesterol. Cumulative feed intake suggests that this was primarily a result of reduced intake by animals in the chol + SO group, although there was no statistically significant interaction between cholesterol and SO consumption. Overall, animals fed chol + SO consumed approximately 450 kJ less than those in the control group, over the course of the whole experiment. When weight change per gram of food consumed was calculated, it was found that although the other groups all gained approximately 40 mg of body weight per gram consumed, those in the chol + SO group actually lost 7.5 mg per gram of food intake.
For animals in the chol group, liver weight was significantly higher than control both in absolute terms and as a percentage of body weight (Table 3 ). However, when cholesterol was fed together with SO, this effect was abolished. Perirenal adipose tissue weight was significantly lower (both in absolute and percentage terms) in the animals fed chol + SO than in the other three groups. Although the absolute weight of the epididymal adipose tissue depot was significantly reduced in the chol + SO animals, this was not significant when expressed as a percentage of total body weight.
Tissue fatty acid composition Feeding cholesterol significantly increased oleic acid (C18:1) and decreased stearic acid (C18:0) content of liver but had no effect in perirenal adipose tissue (Table 4 ). As expected, SO markedly decreased both palmitoleic (C16:1) and oleic acid contents of liver and adipose tissue. This was accompanied by a significant increase in stearic acid, but no change in palmitic acid (C16:0) in both tissues. SO consumption resulted in a significant increase in the linoleic acid (C18:2) content of liver but not adipose tissue. No significant effect of diet was seen on arachadonic acid (C20:4) content of liver (this fatty acid was below the level of detection in adipose tissue), and there was no significant statistical interactions between the effects of cholesterol and SO consumption on the proportion of the fatty acids in either tissue.
Plasma and lipoprotein lipids As expected, plasma total cholesterol was significantly increased in those animals consuming high-cholesterol diets (Table 5 ). However, this effect was significantly greater in those also consuming SO, such that average total cholesterol was over 50% higher in the chol + SO group than in the chol group. Although free cholesterol and esterified cholesterol were both increased in this group, proportionally, the most dramatic effect was on free cholesterol, which was approximately 135% higher than in the chol group. The overall result was reduction in the proportion of plasma cholesterol that was esterfied in animals fed chol + SO. No significant effects of feeding SO alone were seen on plasma cholesterol. Total plasma triacylglycerol was reduced by feeding SO both in the absence and the presence of dietary cholesterol. No effect of dietary cholesterol was seen on plasma triacylglycerol.
Chylomicron cholesterol was increased by cholesterol feeding but was unaffected by SO (Table 6 ). No significant effect of either cholesterol or SO was seen on chylomicron triacylglycerol. Cholesterol feeding significantly increased VLDL cholesterol, but this effect was markedly attenuated when SO was also included in the diet. SO reduced VLDL triacylglycerol, but there was no significant effect of dietary cholesterol. LDL cholesterol was markedly increased by cholesterol feeding, and this effect was dramatically enhanced by including SO in the diet. Thus, LDL cholesterol was almost 250% higher in the chol + SO group compared with the chol group. HDL cholesterol was increased by cholesterol feeding but unaffected by SO.
Liver lipids Consuming a cholesterol-enriched diet significantly increased the amount of free and esterfied cholesterol in the liver (Table 7 ). By contrast, dietary SO reduced hepatic concentration of both. As such, the amount of cholesteryl ester stored in the livers of the animals in the chol + SO group was only 42% of that in the chol group. There was a significant interaction in the effects of cholesterol and SO on hepatic triacylglycerol concentrations, with SO having no effect in animals not fed cholesterol but reducing it by 62% in those that were. The fatty acid composition of hepatic cholesteryl ester and triacylglycerol were also investigated (Table 8 ). The major fatty acid in both lipid fractions was palmitic acid (C16:0). In triacylglycerol, the relative amount of C16:0 was not influenced by diet. SO increased the relative amount of stearic acid (C18:0) and decreased the amount of oleic acid (C18:1) in hepatic triacylglycerol. The effect on the latter was greatest in cholesterol-fed animals. Palmitic acid content of cholesteryl ester was specifically reduced in the chol + SO animals. Cholesterol feeding produced a marked decrease in C18:0 and increase in C18:1 in cholesteryl ester, and this effect was at least partially reversed when SO was included in the diet.
Plasma ALT No significant difference in plasma ALT levels was seen between control and SO-fed animals (Table 7). Although a modest increase was apparent in cholesterol-fed animals, levels in those fed chol + SO were raised 20-fold.
Effects on gene expression
A variety of evidence, largely arising from work on SCD1-deficient mice, suggests that SCD may have a role in regulating adiposity (2, 5, 6, 18). It has been suggested that inhibition of SCD activity could represent a potential target for the treatment of obesity. In the present study, we investigated the impact of decreasing SCD activity in Golden Syrian Hamsters by feeding SO. SO is known to be a potent inhibitor of SCD, in vivo and in vitro, and appears to directly inhibit SCD enzyme activity without affecting either SCD1 mRNA or protein levels (19, 20). In the present study, we saw decreases in the proportion of C16:1 and C18:1 in both adipose tissue and liver. The reduction in C16:1 probably best reflects the extent of inhibition of SCD, inasmuch as this is predominantly synthesized endogenously, with very little coming from the diet. In animals fed SO (with or without cholesterol), the ratio of C16:0/C16:1 was decreased by approximately 50%. Previous work using SCD antisense RNA in mice suggested that this level of inhibition was sufficient to have significant effects on body adiposity (18). Thus, the lack of effect of SO in animals not fed cholesterol appears to be a specific difference in response between these two species. Previous studies have been inconclusive as to the effect of cyclopropenoid fatty acids on the activity of other fatty acid desaturases. Although it was originally suggested that they had no effect on 6 desaturase activity (19), subsequent studies have questioned this (21, 22). In the present study, there was a small increase in hepatic C18:2 associated with SO feeding. However, there was no evidence of a concomitant decrease in C20:4 concentrations. Furthermore, no change in adipose tissue C18:2 was observed. It is possible that the change in C18:2 in the liver was an adaptive mechanism to maintain membrane fluidity as a result of the fall in C16:1 and C18:1 concentrations. Overall, our data suggest that if there are any effects of SO on other desaturases, they are very modest compared with the inhibition of SCD. Previous studies have described reduced growth rates with feeding cyclopropenoid fatty acids, although these have tended to be at doses greater than 0.5% (23–25). We found no such effects in animals fed SO without added cholesterol. There was also no evidence of hepatotoxicity, as determined by plasma ALT concentrations in these animals. This was in marked contrast to the situation in which SO was fed together with cholesterol and plasma ALT was increased 20-fold. Paradoxically, Flowers et al. (26) reported similar liver damage, and raised plasma free cholesterol concentrations in SCD–/– mice fed cholesterol-free, very low fat diets. This was also associated with changes in plasma bile acids and bilirubin, which the authors attributed to cholestasis, possibly as a result of altered membrane fatty acid composition. Interestingly, supplementing the very low fat diet with oleic acid–rich oil appeared to reverse the hepatotoxic effects. In the present experiment, despite the fact that the diets were relatively rich in oleic acid, we still saw evidence of liver damage. However, unlike the findings in SCD–/– mice fed low-fat diets (27), we found no evidence that the hypercholesterolemia was a result of the accumulation of lipoprotein X (characteristic of animals/humans suffering from cholestasis). The LDL fraction from chol + SO-fed animals had mobility similar to that of "normal" LDL on agarose gel electrophoresis and was essentially all precipitated by phosphotungstate, indicating association with apolipoprotein B/E (apoB/apoE) (data not shown). It is possible that the liver damage was a result of the accumulation of potentially toxic derivatives of cholesterol such as hydroxyl- or epoxy-cholesterol or their derivatives (27). Alternatively, the sequestration of de novo-synthesized oleic acid into the expanded cholesteryl ester pool may have diverted the fatty acid from other essential functions. The changes in fatty acid composition of the tissues clearly indicate that feeding SO in the absence of added dietary cholesterol inhibited SCD activity. Despite this, there was essentially no impact on body weight or adipose tissue depot size. However, when fed in combination with dietary cholesterol, SO did reduce body weight. At least part of the effect is due to decreased food intake (the 450 kJ decrease in energy intake over the course of the experiment could theoretically account for a reduction in adipose tissue of approximately 11 g). Although a cholesterol-mediated reduction in SREBP expression, leading to reduced hepatic ACC and FAS expression, may also contribute to this effect, it is not presently known to what extent hepatic lipogenesis contributes to adipose tissue triacylglycerol in the hamster. Alternatively, impaired lipid absorption, possibly as a result of altered bile acid metabolism resulting from the observed liver damage, may also contribute to reduced feed efficiency. We were also interested in investigating the impact of inhibiting SCD activity on lipoprotein metabolism. The previously published effects of SCD deficiency on hepatic lipid metabolism led us to speculate that reduced SCD activity may impact the ability to adapt to diets high in saturated fat and cholesterol. We chose to study the effect of SO (in the presence and absence of added dietary cholesterol) in the male Golden Syrian Hamster, because we have previously demonstrated specific interactions between dietary fat and cholesterol in this species that are analogous to those seen in humans and have shown that accumulation of hepatic cholesteryl ester is characteristic of hamsters fed such diets (10, 12). On the low-cholesterol diet, there was no significant impact of SO on plasma cholesterol or its distribution between different lipoprotein fractions. It has previously been reported that SCD–/– mice fed a chow diet have significantly elevated plasma cholesterol compared with wild-type animals (7). However, a further report indicated that there was no significant difference in lipoprotein cholesterol profile between wild-type and SCD1-deficient mice (28) fed a chow diet. Feeding cholesterol to hamsters produced the expected increase in plasma cholesterol, particularly that associated with the potentially atherogenic VLDL and LDL fractions. As expected, hepatic LDLR mRNA concentrations were reduced by cholesterol feeding (12). The LDLR is known to be regulated by SREBP2, which is posttranscriptionally regulated by dietary cholesterol, through inhibition of the release of the active nuclear form of the protein from the endoplasmic reticulum by increases in intracellular sterol concentrations (29). This then results in reduction in SREBP2 gene expression, inasmuch as it is autoregulated through a sterol response element in its promoter (30). When cholesterol was fed in combination with SO, hamsters exhibited an even more dramatic hypercholesterolemia that was associated with a specific accumulation of free cholesterol and was predominantly a result of an increase in LDL cholesterol. This could not be attributed to a further downregulation of LDLR gene expression, because hepatic LDLR mRNA was not affected by the addition of SO. It is possible that LDLR activity was regulated posttranslationally. It has recently been shown that overexpression of the protease PCSK9 induces degradation of LDLR (31) and that it is regulated by SREBP1c (32). In the present study, however, there was no significant effect of cholesterol and/or SO on hepatic PCSK9 mRNA concentrations. It is of note that VLDL cholesterol and triacylglycerol were reduced in animals fed cholesterol and SO. Similar findings have been reported in SCD-deficient mice (7, 24). MTP is known to be essential for the assembly of VLDL and is involved in the lipidation of apoB (33). However, MTP mRNA levels were not significantly different between animals fed cholesterol with or without SO, suggesting that changes in expression of MTP could not explain these findings. LDL is normally viewed as a product of VLDL metabolism, and this suggests either enhanced conversion of VLDL to LDL or, perhaps more likely, the direct secretion of lipoproteins from the liver within the LDL density range. Hepatic cholesteryl ester was reduced by inhibition of SCD activity, particularly when animals were fed additional cholesterol. Hepatic triacylglycerol concentration was not affected in animals on the low-cholesterol diet, but was reduced in those animals fed additional cholesterol. This supports previous findings that fatty acid incorporation into hepatic lipids is inhibited when SCD activity is reduced (7, 34) even, as in the present study, when there is a significant amount of oleic acid in the diet. We also demonstrated a reduction in the proportion of oleic acid associated with these hepatic lipid pools. Thus, our results support the suggestion that there is an absolute requirement for de novo synthesis of oleic acid to sustain cholesteryl ester and triacylglycerol synthesis. The reduced capacity to store cholesterol within the liver appears to be the most likely cause of the hypercholesterolemia seen in the hamsters fed cholesterol and SO. Without the ability to convert cholesterol to this relatively inert form, the liver may respond by incorporating free cholesterol into VLDL particles (perhaps of increased density) and secreting it back into the plasma.
We also investigated the effect of inhibiting SCD activity on the expression of a number of genes in the liver that code for proteins involved in lipid metabolism. Previous work indicates that knockout of the SDC1 gene in mice results in downregulation of a range of hepatic lipogenic genes and that this is associated with a decrease in hepatic SREBP1c expression (5). More recently Jiang et al. (18) treated mice with antisense oligonucleotide inhibitors of SCD1 and demonstrated a downregulation of lipogenic genes in both liver and adipose tissue. In the present study, SO alone had little effect on hepatic mRNA concentrations for any of the genes. However, when cholesterol was added to the diet, ACC and FAS mRNA were decreased. This was associated with a decrease in mRNA for both SREBP1a and -1c. These transcription factors are known regulators of lipogenic gene expression (35, 36). Hepatic concentrations of LPL and SCD mRNA were actually increased by dietary cholesterol, and this effect was further potentiated by inhibiting SCD activity. Both of these genes have been shown to contain sterol-regulatory elements within their promoters and therefore might have been expected to be reduced by the change in SREBP expression. However, dietary cholesterol has previously been shown to increase hepatic SCD gene expression in rats (37) and mice (38), and it has been suggested that this is dependent on expression of liver X receptor In conclusion, inhibition of SCD by SO in the hamster has little impact on body weight or lipoprotein metabolism despite clearly reducing tissue accumulation of oleic acid. However, when diets are enriched with cholesterol, there are profound effects, with a reduction in overall body weight and adipose tissue deposition marked by hypercholesterolemia and evidence of liver damage. It remains unclear why the effects on body weight and adiposity are only seen in animals fed cholesterol. Although these data lend some support to a possible role of SCD in regulating adiposity, they also raise the possibility that, at least in some circumstances, reduced SCD activity can be associated with disordered lipoprotein metabolism and accumulation of potentially atherogenic lipoproteins in the plasma. This study also highlights the potential role of SCD in producing oleic acid that is specifically channelled into hepatic cholesteryl ester, thereby perhaps protecting the liver from potentially toxic effects of free cholesterol and/or its derivatives.
The authors thank Richard Plant and David Bozon of the University of Nottingham for their technical assistance.
Submitted on
July 5, 2007
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