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J. Lipid Res.
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Originally published In Press as doi:10.1194/jlr.M400400-JLR200 on December 16, 2004

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Journal of Lipid Research, Vol. 46, 526-534, March 2005
Copyright © 2005 by American Society for Biochemistry and Molecular Biology

Reduced cholesterol absorption upon PPAR{delta} activation coincides with decreased intestinal expression of NPC1L1

Jelske N. van der Veen1,2,*, Janine K. Kruit2,*, Rick Havinga*, Julius F. W. Baller*, Giovanna Chimini{dagger}, Sophie Lestavel§, Bart Staels§, Pieter H. E. Groot**, Albert K. Groen{dagger}{dagger} and Folkert Kuipers*

* Department of Pediatrics, Center for Liver, Digestive, and Metabolic Diseases, University Hospital Groningen, Groningen, The Netherlands
{dagger} Centre de Immunology, Marseille, France
§ Unité de Recherche 545, Institut National de la Santé et de la Recherche Médicale, Departement d'Atherosclerose, Institut Pasteur de Lille, Lille, France
** Atherosclerosis Department, GlaxoSmithKline Pharmaceuticals, Stevenage, United Kingdom
{dagger}{dagger} Department of Experimental Hepatology, Academic Medical Center, Amsterdam, The Netherlands

1 To whom correspondence should be addressed. e-mail: j.n.van.der.veen{at}med.rug.nl

Peroxisome proliferator-activated receptors (PPARs) control the transcription of genes involved in lipid metabolism. Activation of PPAR{delta} may have antiatherogenic effects through the increase of plasma HDL, theoretically promoting reverse cholesterol transport from peripheral tissues toward the liver for removal via bile and feces. Effects of PPAR{delta} activation by GW610742 were evaluated in wild-type and Abca1-deficient (Abca1–/–) mice that lack HDL. Treatment with GW610742 resulted in an ~50% increase of plasma HDL-cholesterol in wild-type mice, whereas plasma cholesterol levels remained extremely low in Abca1–/– mice. Yet, biliary cholesterol secretion rates were similar in untreated wild-type and Abca1–/– mice and unaltered upon treatment. Unexpectedly, PPAR{delta} activation led to enhanced fecal neutral sterol loss in both groups without any changes in intestinal Abca1, Abcg5, Abcg8, and 3-hydroxy-3-methylglutaryl-coenzyme A reductase expression. Moreover, GW610742 treatment resulted in a 43% reduction of fractional cholesterol absorption in wild-type mice, coinciding with a significantly reduced expression of the cholesterol absorption protein Niemann-Pick C1-like 1 (Npc1l1) in the intestine. PPAR{delta} activation is associated with increased plasma HDL and reduced intestinal cholesterol absorption efficiency that may be related to decreased intestinal Npc1l1 expression.

Thus, PPAR{delta} is a promising target for drugs aimed to treat or prevent atherosclerosis.

Abbreviations: Abca1–/–, Abca1-deficient; FPLC, fast-protein liquid chromatography; Hmgr, 3-hydroxy-3-methylglutaryl-coenzyme A reductase; Mdr2, multidrug resistance P-glycoprotein 2; NPC1L1, Niemann-Pick C1-like 1; Pdk4, pyruvate dehydrogenase kinase isoenzyme 4; PPAR, peroxisome proliferator-activated receptor; RCT, reverse cholesterol transport; Sr-b1, scavenger receptor B1

Supplementary key words Niemann-Pick C1-like 1 • peroxisome proliferator-activated receptor {delta} • nuclear receptors • high density lipoprotein-cholesterol


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