Hepatocyte-specific IKK-β activation enhances VLDL-triglyceride production in APOE*3-Leiden mice.

Low-grade inflammation in different tissues, including activation of the nuclear factor κB pathway in liver, is involved in metabolic disorders such as type 2 diabetes and cardiovascular diseases (CVDs). In this study, we investigated the relation between chronic hepatocyte-specific overexpression of IkB kinase (IKK)-β and hypertriglyceridemia, an important risk factor for CVD, by evaluating whether activation of IKK-β only in the hepatocyte affects VLDL-triglyceride (TG) metabolism directly. Transgenic overexpression of constitutively active human IKK-β specifically in hepatocytes of hyperlipidemic APOE*3-Leiden mice clearly induced hypertriglyceridemia. Mechanistic in vivo studies revealed that the hypertriglyceridemia was caused by increased hepatic VLDL-TG production rather than a change in plasma VLDL-TG clearance. Studies in primary hepatocytes showed that IKK-β overexpression also enhances TG secretion in vitro, indicating a direct relation between IKK-β activation and TG production within the hepatocyte. Hepatic lipid analysis and hepatic gene expression analysis of pathways involved in lipid metabolism suggested that hepatocyte-specific IKK-β overexpression increases VLDL production not by increased steatosis or decreased FA oxidation, but most likely by carbohydrate-responsive element binding protein-mediated upregulation of Fas expression. These findings implicate that specific activation of inflammatory pathways exclusively within hepatocytes induces hypertriglyceridemia. Furthermore, we identify the hepatocytic IKK-β pathway as a possible target to treat hypertriglyceridemia.


Plasma lipids and lipoprotein profi les
Blood was collected from the tail vein into chilled paraoxon (Sigma, St Louis, MO)-coated capillaries to prevent ongoing lipolysis ( 8 ). Capillaries were placed on ice, centrifuged, and plasma was assayed for TG, total cholesterol (TC), and phospholipids (PLs) using commercially available enzymatic kits from Roche Molecular Biochemicals (Indianapolis, IN). FFAs were measured using NEFA-C kit from Wako Diagnostics (Instruchemie, Delfzijl, The Netherlands). For the determination of lipid distribution over plasma lipoproteins, Fifty microliters of pooled plasma was used for fast performance liquid chromatography (FPLC). Plasma was injected onto a Superose 6 column (Äkta System; Amersham Pharmacia Biotech, Piscataway, NJ), and eluted at a constant fl ow rate of 50 µl/min with PBS pH 7.4. TG and TC were measured as described above in collected fractions of 50 µl.

Liver lipids
Lipids were extracted from livers according to a modifi ed protocol from Bligh and Dyer ( 9 ). Briefl y, a small piece of liver was homogenized in ice-cold methanol. After centrifugation, lipids were extracted by addition of 1,800 µl CH 3 OH:CHCl 3 (3:1 v/v) to 45 µl homogenate. The CHCl 3 phase was dried and dissolved in 2% Triton X-100. Hepatic TG and TC concentrations were measured using commercial kits as described earlier. Liver lipids were expressed per mg protein, which was determined using the BCA protein assay kit.

FA composition of liver TG
Liver samples (100 mg) were homogenized with 0.5 ml saline. Subsequently, 5 ml of chloroform-methanol (2:1 by volume) was added containing butylated hydroxytoluene (BHT). In addition, an internal TG standard was added before extraction. Liver lipids were extracted according to the method of Folch et al. ( 10 ). Total TG were separated by spotting lipid extracts onto silica gel 60 (Merk) TLC plates and running in hexane-diethyl ether-acetic acid (85:15:1, v/v/v). Lipid bands were visualized under ultraviolet light after spraying with 0.1% ANS (8-anilino-1-naphthalene sulfonic acid), and identifi ed using commercial standards. TG bands were scraped into glass tubes and methylated at 80°C with 1.5% H 2 SO 4 in methanol for 2 h. TG-derived FAs were eluted into hexane. Separation and quantifi cation of the FA methyl esters (FAMEs) from liver TG was achieved using gas chromatogra-white adipose tissue. In liver, fat accumulation increases the activity of the pro-infl ammatory nuclear factor B (NF-B), and liver-specifi c activation of NF-B induces metabolic disturbances ( 1,2 ).
Hypertriglyceridemia is caused by accumulation of VLDL particles in the plasma as a consequence of changes in lipid metabolism that are associated with obesity. Proinfl ammatory cytokines can cause hypertriglyceridemia ( 3 ) and, conversely, suppression of infl ammation may reduce hypertriglyceridemia ( 4 ) suggesting a direct causal role for infl ammatory pathways in the development of hypertriglyceridemia. In fact, administration of lipopolysaccharide (LPS), an infl ammatory component of the outer membrane of Gram-negative bacteria, increases plasma triglyceride (TG) levels ( 5 ). However, many infl ammatory mediators affect multiple tissues, such as muscle, adipose tissue, and liver and, moreover, they can act on multiple cell types including macrophages. The specifi c contribution of hepatocytes in the relation between infl ammation and TG metabolism has never been studied.
In the current study, therefore, we aimed to investigate whether activation of the infl ammatory NF-B pathway exclusively in hepatocytes affects VLDL-TG metabolism and, as a consequence, causes hypertriglyceridemia. To this end, we used hepatocyte-specifi c transgenic IKK-␤ (LIKK) mice, which have been described before ( 1 ). LIKK mice have an albumin promoter to drive expression of constitutively active human I B kinase ␤ (IKK-␤ ), which activates the NF-B pathway selectively in hepatocytes. To study the effects of the hepatocyte-specifi c infl ammation on VLDL-TG metabolism, we crossbred the LIKK mouse with the transgenic APOE*3-Leiden (E3L) mouse that expresses human APOE*3-Leiden (a mutant form of APOE3) and human APOC1 ( 6 ), both of which attenuate the clearance of apolipoprotein (apo)E-containing TG-rich lipoproteins. Therefore, the E3L mouse shows increased plasma TG and cholesterol levels and is a well-established model of human-like lipoprotein metabolism ( 7 ). By using the E3L.LIKK mouse, we were able to study the effects of the infl ammatory NF-B pathway in the hepatocyte on TGrich lipoprotein metabolism directly. Our results show that activation of NF-B in hepatocytes of E3L mice induces hypertriglyceridemia by enhancing VLDL-TG production directly within hepatocytes.

Animals
LIKK mice, which express constitutively active human IKK-␤ selectively in hepatocytes under control of the albumin promoter ( 1 ), were crossbred with E3L mice ( 6 ), expressing both human APOE*3-Leiden and human APOC1, in our animal facility to obtain heterozygous E3L.LIKK mice on a C57Bl/6J background. Male E3L.LIKK and E3L littermates were housed under standard conditions with a 12 h light-dark cycle and were fed a standard mouse chow diet with free access to water. Experiments were performed on 14-week-old animals after an overnight fast. All experiments were approved by the institutional ethical committee on animal care and experimentation. ciation was observed. Cells were gently released and centrifuged four times at 50 g for 1 min at 4°C to remove nonparenchymal cells from pelleted hepatocytes. Isolated hepatocytes were washed and suspended in complete Williams' E medium containing insulin (Actrapid), fetal calf serum, dexamethasone, and penicillin/ streptomycin. Hepatocytes were isolated with similar yields from livers of E3L.LIKK and E3L mice, 70-80% viable, as assessed by trypan blue dye exclusion, and 99% free of nonparenchymal cells by visual inspection. No differences with respect to viability were observed between cells isolated from E3L.LIKK and E3L mice. Cells were seeded into 12-well dishes precoated with collagen at a density of 1.0 × 10 6 viable cells/well in 2 ml complete Williams' E medium. After a 2 h adherence period, nonattached cells were removed from the cultures by careful washing.

In vitro measurement of TG secretion by hepatocytes
TG secretion in vitro was measured as described previously ( 17 ). After an overnight incubation, cells were washed two times and incubated 4 h in fetal calf serum-free and hormone-free Williams' E medium. To measure rates of secretion of TG, cells were subsequently incubated in serum-free and hormone-free medium containing 4.4 µCi of [ 3 H]glycerol (Amersham; UK) with or without 0.75 mM oleate (C18:1) complexed with BSA to stimulate lipogenesis. After 1, 2, 4, or 20 h incubation, medium was collected and cells were washed three times and harvested in 2 ml PBS. Lipids were extracted from medium according to a modifi ed protocol from Bligh and Dyer ( 9,17 ). The lipids were dried under nitrogen, dissolved into chloroform with 2 mM tripalmitin added as a carrier and subjected to TLC (Silica gel 60, Merck, Belgium) using hexane-diethylether-acetic acid (80:20:1; v/v/v) as mobile phase. Lipid spots were visualized using iodine vapor and tripalmitin-positive spots were scraped off, dissolved in 0.5 M acetic acid, and assayed for radioactivity by scintillation counting. Protein content of the cells was determined using the BCA protein assay kit as described earlier. Data are expressed as dpm/mg protein.

Hepatic gene expression analysis
Total RNA was extracted from liver tissues using the Nucleospin RNA II kit (Macherey-Nagel, Düren, Germany) according to manufacturer's instructions. RNA quality of each sample was examined by lab-on-a-chip technology using Experion Std Sens analysis kit (Biorad, Hercules, CA). One microgram of total RNA was reverse-transcribed with iScript cDNA synthesis kit (Bio-Rad) and the obtained cDNA was purifi ed with Nucleospin Extract II kit (Macherey-Nagel). Real-time PCR was carried out on the IQ5 PCR machine (Biorad) using the Sensimix SYBR Green RT-PCR mix (Quantace, London, UK). mRNA levels were normalized to mRNA levels of cyclophilin ( Cyclo ) and glyceraldehyde-3-phosphate dehydrogenase ( Gapdh ). Primer sequences are listed in supplementary Table I.

Statistical analysis
Data are presented as means ± SD. Statistical differences were calculated using the Mann-Whitney test for two independent samples with SPSS 16.0 (SPSS Inc., Chicago, IL). P < 0.05 was regarded as statistically signifi cant.

LIKK increases liver NF-kB signaling in E3L mice
To verify that LIKK expression in E3L mice increases hepatic NF-B signaling, livers from E3L and E3L.LIKK mice were assayed for the presence of phosphorylated over total NF-B and I B ␣ using Western blot ( Fig. 1 ). Indeed, phy on an Agilent 6890 GC (Agilent Technologies, UK) fi tted with a 30 m × 0.53 mm (fi lm thickness 1 µm) capillary column (RTX-Wax). Individual FA peaks were identifi ed by a reference containing known FAMEs. FA compositions (mol%) were then determined.

In vivo clearance of VLDL-like emulsion particles
To study the in vivo clearance of the VLDL-like emulsion particles, overnight-fasted mice were anesthetized by intraperitoneal injection of acepromazine (6.25 mg/kg Neurotranq, Alfasan International BV, Weesp, The Netherlands), midazolam (6.25 mg/ kg Dormicum, Roche Diagnostics, Mijdrecht, The Netherlands), and fentanyl (0.31 mg/kg Janssen Pharmaceuticals, Tilburg, The Netherlands). Mice were injected (t = 0) via the tail vein with 200 µl of [ 3 H]TO-labeled emulsion particles at a dose of 100 µg of TG per mouse. Blood samples were taken from the tail vein at 1, 2, 5, 10, and 15 min after injection and plasma 3 H-activity was counted. Plasma volumes were calculated as 0.04706 × body weight (g) as determined from 125 I-BSA clearance studies as described previously ( 13 ). After taking the last blood sample, the liver, heart, spleen, muscle, and white adipose tissue (WAT, i.e., gonadal, subcutaneous, and visceral) were collected. Organs were dissolved overnight at 60°C in Tissue Solubilizer (Amersham Biosciences, Rosendaal, The Netherlands) and 3 H-activity was counted. Uptake of [

In vivo hepatic VLDL-TG and VLDL-apoB production
To measure VLDL production in vivo, mice were fasted overnight and anesthetized as described above. Mice were injected intravenously with Tran 35 S label (150 µCi/mouse; MP Biomedicals, Eindhoven, The Netherlands) to label newly produced apoB. After 30 min at t = 0 min, Triton WR-1339 (Sigma-Aldrich) was injected intravenously (0.5 mg/g body weight, 10% solution in PBS) to block serum VLDL clearance. Blood samples were drawn before (t = 0) and 15, 30, 60, and 90 min after injection and used for determination of plasma TG concentration as described above. After 120 min, mice were exsanguinated via the retro-orbital plexus and euthanized by cervical dislocation. VLDL was isolated from serum after density gradient ultracentrifugation at d<1.006 g/ml by aspiration ( 14 ) and counted for incorporated 35 S-activity.

Isolation of primary mouse hepatocytes
Primary hepatocytes were isolated from mouse livers according to the method of Berry and Friend ( 15 ) modifi ed by Groen et al. ( 16 ). Briefl y, the portal vein was cannulated and liver was fi rst perfused with a calcium-free Krebs/bicarbonate buffer saturated with 95% O 2 and 5% CO 2 at a fl ow rate of 5 ml/min. Subsequently, perfusion of the liver was continued with calcium-containing Krebs/bicarbonate buffer with 0.0125% collagenase (Roche, Penzberg, Germany) for 10-15 min until cellular disso-the various organs ( Fig. 3B ), indicating that LIKK does not increase plasma TG levels by decreasing TG clearance.

LIKK increases VLDL-TG production in E3L mice
As no difference was observed in TG clearance between E3L.LIKK and E3L mice, it is likely that the LIKK-induced increase in plasma TG levels can be explained by an increase of VLDL-TG production. The rate of hepatic VLDL-TG production was measured by determining plasma TG levels after intravenous Triton WR1339 injection ( Fig. 4 ). Indeed, LIKK strongly increased the accumulation of plasma TG at all time points ( Fig. 4A ). The VLDL-TG production rate, as determined from the slope of the curve from all individual mice, was increased by +48% (3.90 ± 1.01 vs. 2.64 ± 0.82 mM/h, P < 0.05) ( Fig. 4B ), whereas the rate of VLDL-apoB production did not change significantly ( P = 0.52) ( Fig. 4C ). Because each VLDL particle contains a single apoB molecule, LIKK apparently increases plasma TG levels by enhancing VLDL-TG production without affecting VLDL particle production.

LIKK does not affect liver lipid levels
To investigate whether the increase in hepatic VLDL-TG production was the result of increased lipid substrate availability in the liver, the effect of LIKK on the hepatic lipid content was investigated ( Fig. 5 ). However, E3L and E3L.LIKK mice did not differ with respect to liver TG levels ( Fig. 5A ) and TC levels ( Fig. 5B ). LIKK did not infl uence the FA composition of hepatic TG apart from a mild increase in the relative abundance of linoleic acid (18:2 n-6) by +19% ( P < 0.05) (supplementary Fig. I).

LIKK directly increases TG secretion in hepatocytes from E3L mice
To evaluate whether IKK-␤ overexpression in hepatocytes directly increases VLDL-TG production, we next studied TG secretion from isolated hepatocytes of E3L expression of LIKK increased the ratio of pNF-B Ser 536 over NF-B (1.6 ± 0.4-fold; P < 0.05) ( Fig. 1A, B ) as well as that of pI B ␣ Ser 32/36 over I B ␣ (1.9 ± 0.6-fold; P < 0.05) ( Fig. 1C, D ). The increased ratio of pI B ␣ Ser 32/36 over I B ␣ was mainly caused by a decrease of total I B ␣ (0.8 ± 0.1-fold; P < 0.05), indicating increased I B ␣ ubiquitination and degradation by the proteasome, which refl ects activation of the NF-B pathway. These data are in line with the increased NF-B signaling previously observed in LIKK mice as compared with wild-type (WT) mice ( 1 ).

LIKK does not affect clearance of VLDL-like emulsion particle-TG in E3L mice
Hypertriglyceridemia is caused by a decrease in VLDL-TG clearance and/or an increase in hepatic VLDL-TG production. To investigate whether LIKK inhibits the clearance of VLDL-TG, the plasma clearance and organ distribution of [ 3 H]TO-labeled TG-rich VLDL-like emulsion particles was evaluated in E3L.LIKK versus E3L mice ( Fig. 3 ). LIKK did not affect the plasma half-life of [ 3 H] TO ( Fig. 3A ), nor the uptake of [ 3 H]TO-derived FAs by cholesterol metabolism, bile acid metabolism, lipid droplets, and nuclear receptors in livers of E3L and E3L.LIKK mice ( Table 1 ). Even though LIKK induced an increase of VLDL-TG production in vivo and in vitro, LIKK did not affect hepatic gene expression or protein level (supplementary Fig. II A, B) of microsomal TG transfer protein ( Mttp ), which is involved in the assembly and secretion of VLDL. In addition, LIKK did not affect apoB ( Apob ) expression, in line with the observation that LIKK did not increase VLDL-apoB secretion in vivo. Also, LIKK did not affect expression of sterol regulatory element binding protein 1c ( Srebp-1c ), which regulates genes required for de novo lipogenesis, nor did it affect expression or protein levels (supplementary Fig. II A, C) of acyl:diacylglycerol transferase 1 ( Dgat1 ), which catalyzes the fi nal and only committed step in TG synthesis.

LIKK increases hepatic expression of FAS but does not affect protein levels or expression of genes involved in VLDL production
To obtain further insight into the mechanism underlying the effects of IKK-␤ overexpression on VLDL-TG production, we evaluated the hepatic expression of genes involved in VLDL secretion, lipogenesis, FA oxidation,

DISCUSSION
Obesity leads to an increase in infl ammatory processes in numerous organs including the liver ( 18 ). In the current study, we questioned whether increased activation of infl ammatory pathways in the liver, specifi cally in hepatocytes, induces hypertriglyceridemia. Indeed, we show that chronic activation of the infl ammatory NF-B pathway specifi cally in hepatocytes increases plasma TG, which was caused by an increased VLDL-TG production rather than a decreased clearance of VLDL-TG. Furthermore, we provide evidence that the increased TG production induced by hepatocyte-specifi c IKK-␤ overexpression is a direct effect of the transgene expression in the hepatocyte.
The strong relation between infl ammation and hypertriglyceridemia has largely been derived from the observed increase in plasma TG during acute infection, which is believed to contribute to the host defense ( 19 ). However, although similar infl ammatory pathways are involved, metabolic infl ammation is clearly different from acute infl ammation with respect to its cause, intensity, and duration. The infl ammation that is observed in obesity is a chronic and low-grade infl ammation that is caused by a metabolic overload rather than a pathogen ( 20 ). The NF-B activity in the liver of E3L.LIKK mice in this study is about 1.5-fold higher compared with control E3L mice, which is similar to hepatic NF-B activation levels seen after high-fat diet feeding and in obesity ( 1 ). The present study shows that this low-grade activation of hepatocyte-specifi c IKK-␤ in-rol 12 ␣ -hydrolase ( Cyp8b1 )], apart from a 1.9-fold increase in cholesterol 27 hydroxylase ( Cyp27a ) expression. Additionally, LIKK did not affect clusters of genes involved in lipid droplet formation [perilipin 2 ( Plin2 ), fat-specifi c protein FSP27 ( Cidec ), and cell death activator CIDE-A ( Cidea )] or expression of nuclear receptors [peroxisome proliferator-activated receptor ␣ ( Ppara ), PPAR-␥ coactivator 1-␤ ( Ppargc1 ), and liver X receptor ␣ ( Nr1 h3 )], apart from a 1.6-fold increase in expression of perilipin 5 ( Plin5 ) and farnesoid X-activated receptor ( Nr1 h4 ), respectively.
However, LIKK did increase expression of Fas , which plays a key role in FA synthesis, by 2.4-fold, and of livertype pyruvate kinase ( Pklr ) by 1.7-fold, both of which are target genes of carbohydrate-responsive element binding protein (ChREBP). Taken together, these data suggest that LIKK increases VLDL-TG production by ChREBP- Fig. 4. LIKK increases VLDL-TG production in E3L mice. E3L and E3L.LIKK mice were fasted overnight and injected with Trans 35 S (t = -30 min) and Triton WR1339 (t = 0) and blood samples were drawn at the indicated time points. TG concentrations were determined in plasma of E3L mice (open circles) and E3L. LIKK mice (closed circles), and plotted as the increase in plasma TG relative to t = 0 (A). The rate of TG production was calculated from the slopes of the curves from the individual mice (B). After 120 min, VLDL was isolated by ultracentrifugation, 35 S-activity was counted, and the production rate of newly synthesized VLDL- 35 S-apoB was determined (C). Values are means ± SD (n = 5-8). * P < 0.05. ance ( 5 ). However, LPS associates with macrophages rather than with hepatocytes ( 21 ), which hampers the interpretation of which cell type is primarily responsible for the increase in VLDL-TG secretion. In addition to LPS, individual cytokines that activate various cell types increase VLDL-TG production ( 3,22 ). Because both LPS and cytokines can activate NF-B signaling, our fi ndings could suggest that the increase in VLDL secretion caused by LPS and cytokines in these earlier studies has been mediated, duces an increase in plasma TG levels in E3L mice, a model for human-like lipoprotein metabolism, which was due to an increase in plasma VLDL-TG levels. Additional investigation of VLDL-TG metabolism revealed that the increased VLDL-TG levels were not caused by decreased clearance of TG from VLDL-like particles, but rather by increased hepatic production of VLDL-TG. These fi ndings are in line with a study showing that injection of a low dose of LPS increases secretion of VLDL-TG, without affecting its clear- cyte-specifi c NF-B increases VLDL-TG secretion. Acute infl ammation has been shown to increase hepatic lipogenesis as measured by incorporation of 3 H 2 O into FA in vivo ( 5,30,31 ). In our study, we measured expression of genes involved in hepatic FA oxidation and de novo lipogenesis. Despite the fact that LIKK did not decrease the expression of genes involved in FA oxidation, LIKK clearly increased expression of Fas , which is a key enzyme in the regulation of FA synthesis. Although upregulation of Fas could be mediated by the transcription factors LXR, Srebp-1c, and ChREBP ( 32,33 ), the observed upregulation of Pklr as a main ChREBP target gene suggests that LIKK most likely activates ChREBP, thereby increasing Fas expression. The fact that activation of NF-B has been linked to local disturbances in glucose metabolism that could activate ChREBP would underscore this observation ( 1,34,35 ). It is thus conceivable that increased ChREBP-mediated Fas expression increases hepatic lipogenesis and thereby increases lipid availability for VLDL-TG production ( 36 ). In fact, activation of lipogenesis results in large, but not more, VLDL particles, which is consistent with our fi ndings ( 37 ). The fact that we did not observe an increase in the hepatic TG content or FA oxidation that could have been expected by increased Fas expression ( 38 ) can be explained by effi cient incorporation of newly synthesized TG into nascent VLDL resulting in the increased hepatic VLDL-TG secretion.
In conclusion, we show that activation of hepatocytespecifi c NF-B through overexpression of IKK-␤ increases TG levels in E3L mice by stimulation of VLDL-TG secretion directly within the hepatocyte without effects on VLDL-TG clearance. The stimulation of VLDL-TG secretion is not driven by increased steatosis or decreased FA oxidation, but most likely by ChREBP-mediated upregulation of Fas expression. at least in part, via direct or indirect activation of NF-B in the hepatocytes. In the present study, even though LIKK clearly increased VLDL-TG secretion, there were no signifi cant effects of LIKK on apoB production or hepatic Apob gene expression. This suggests that NF-B activation increases the intracellular lipidation of apoB but not the number of VLDL-particles secreted. This is in contrast with a study by Tsai et al. ( 23 ) showing that adenoviralmediated overexpression of IKK did increase apoB secretion in HepG2 cells. This discrepancy could possibly be explained by the level of IKK overexpression, which was higher with adenoviral-mediated IKK overexpression in their in vitro HepG2 model than with transgenic overexpression in our in vivo study. It is thus reasonable to postulate that low-grade NF-B activity mainly increases lipidation of the VLDL particles, whereas a higher degree of NF-B activation could, in addition, increase the number of secreted VLDL-particles.
It is interesting to speculate about the mechanism whereby hepatocyte-specifi c NF-B activation increases VLDL-TG secretion, as many different factors could theoretically be involved. For example, IKK-␤ overexpression can cause insulin resistance ( 1 ), which could result in an inability of insulin to suppress VLDL-TG production ( 24 ). Furthermore, Kupffer cells have been suggested to play an important role in hepatic lipid metabolism ( 25 ). Additionally, Kupffer cell products could possibly suppress lipid oxidation in hepatocytes via NF-B-mediated suppression of PPAR ␣ activity ( 26 ). Furthermore, although plasma FFA levels were unaltered by LIKK, liver-directed FA fl ux may have been infl uenced, resulting in altered substrate availability for VLDL-TG production. Therefore, to evaluate the effect of IKK-␤ overexpression in hepatocytes on VLDL-TG production in absence of these potentially confounding factors, we studied the effect of IKK-␤ in hepatocytes on TG production in vitro. In fact, IKK-␤ expression in hepatocytes per se appeared to directly increase VLDL-TG production. Although additional factors may contribute to the effect of LIKK on VLDL-TG production in vivo, a direct effect of IKK-␤ overexpression in hepatocytes thus at least contributes to this phenomenon.
PPAR-␣ , LXR, and FXR have shown to be activated during infl ammation and interact with infl ammatory processes ( 27,28 ) and could possibly underlie the mechanism by which hepatocyte-specifi c NF-B activation increases VLDL-TG secretion directly within the hepatocyte. However, no change was observed in expression of hepatic PPAR-␣ and LXR or expression of their target genes. NF-B activation did increase FXR expression, but FXR activation has been linked to a lower VLDL-TG secretion ( 29 ), making a causal relationship between FXR activation and the increase in VLDL-TG secretion unlikely. Apparently, chronic hepatocyte-specifi c activation of NF-B by IKK-␤ overexpression does not induce identical changes in lipogenic pathways that are seen in acute infl ammation; however, it clearly increases VLDL-TG production and induces hypertriglyceridemia. Increased hepatic lipid availability, by increased lipogenesis and/or decreased lipid oxidation, could also underlie the mechanism by which hepato-