Role of the AMPK/SREBP-1 pathway in the development of orotic acid-induced fatty liver.

Orotic acid (OA), an intermediate in pyrimidine metabolism, has been used for a variety of purposes, such as dietary supplements. Although it is well documented that OA induces fatty liver in a species-specific manner, the precise molecular mechanisms remain unclear. The present study investigated the role of the adenosine monophosphate-activated protein kinase (AMPK)-sterol regulatory element-binding protein-1 (SREBP-1) pathway in the OA-induced fatty liver. Treatment with OA suppressed the phosphorylation of AMPK via proteasomal degradation of upstream kinase LKB1 and induced activation of SREBP-1 in both human hepatoma cell lines and primary rat hepatocytes. OA-induced SREBP-1 transcriptional activity was suppressed by cotreatment with aminoimidazole carboxamide ribonucleotide (AICAR) or metformin, or by overexpression of constitutively active AMPK (CA-AMPK) in the human hepatoma cell line. Importantly, in vivo data corroborated these results. Feeding 1% OA with diet decreased the phosphorylation of AMPK and increased the maturation of SREBP-1 and the expression of SREBP-responsive genes in the rat liver. OA-induced lipid accumulation was also completely inhibited by rapamycin. Mouse hepatocytes and mice were resistant to OA-induced lipogenesis because of little if any response in AMPK and downstream effectors. In conclusion, OA induces hepatic lipogenesis, mediated predominantly by the AMPK/SREBP-1 pathway in rat hepatocytes and human hepatoma cell lines.


Cell culture
SK-Hep1and HepG2 human hepatoma, H4IIEC3 rat hepatoma, and HeLa cells were cultured in Dulbecco's Minimal Essential Medium (DMEM; Gibco-BRL, Rockville, MD), supplemented with 10% fetal bovine serum, 3.7 mg/ml sodium bicarbonate, 100 units/ml penicillin, and streptomycin . Cells were incubated in a 37°C incubator in an atmosphere of 5% in air. SK-Hep1, an immortal human cell line derived from the ascetic fl uid of a patient with adenocarcinoma of the liver, is used frequently as a representative hepatoma line. Rat and mouse hepatocytes were isolated from SD rats and C57/BL6 mice by collagenase perfusion as described ( 23,24 ).

Real-time RT-PCR
Total RNA from livers and cells with or without OA were isolated using EASY BLUE total RNA extraction kit (INTRON Biotechnology, Korea), then reverse transcribed using SuperScript TM III First-Strand Synthesis System (Invitrogen, Carlsbad, CA). Expression of mRNA was quantifi ed by using SYBR Green PCR Master Mix and performed with ABI Prism 7000 Sequence Detection System (Applied Biosystems, Foster City, CA) with cDNA synthesis for FAS, LXR ␣ , SREBP-1a, SREBP-1c, ACC, SCD1, L-PK, and GAPDH. The primers used for these genes are listed in Table 1 . The data were analyzed using ABI Prism Software version 1.5 (Applied Biosystems) and were normalized with glyceraldehyde 3-phosphate dehydrogenase (GAPDH) levels.

Western blot analysis
Chemicals were dissolved in DMSO or distilled water, and cells were incubated in serum-free or 1% serum media with or without chemicals. The fi nal concentration of vehicle in media was maintained at 0.1% (v/v), and appropriate vehicle controls were used in all cases. Immunoblotting for SREBP-1, phosphor-AMPK (Thr172), AMPK, phosphor-ACC (Ser79), ACC, LKB1, phosphor-S6K1 (Thr389), S6K1, mTOR, phosphor-Raptor (Ser792), Raptor, and GAPDH were performed by established procedures. Bands were visualized using a chemiluminescence detection system (ChemiDoc TM XRS system, Bio-Rad Laboratories, Inc., Hercules, CA) according to the manufacturer's instructions. Protein contents were determined using the method for DC protein assay (Bio-Rad Laboratories) using BSA as a standard.

Transient transfection and reporter gene assay
The luciferase reporter constructs, SRE-TK-Luc, were kind gifts from Dr. M. O. Lee (Seoul National University, Korea). The expression constructs constitutively active AMPK (CA-AMPK) and dominant-negative AMPK (DN-AMPK; T172A), which were provided by Dr. S. G. Kim (Seoul National University, Korea), were originally from Dr. J. Ha (Kyung Hee University, Korea) and Dr. Y. Kanno (Toho University, Japan), respectively. The plasmids of pCMV-RL were purchased from Promega Co. (Madison, WI). The expression plasmids of pEGFP-LKB1 were obtained from Dr. J. Ha. Cells were transfected with appropriate plasmid constructs (SRE-TK-Luc, CA-AMPK, DN-AMPK, and pEGFP-LKB1) by using the LipofectAMINE 2000 (Invitrogen) as recommended by the manufacturer, and they were incubated in 1% serum media with or without OA. pCMV-RL plasmids were other cellular energy and metabolic states, such as glycogen, lipid, and NAD/NADH redox potential (9)(10)(11). However, recent studies have suggested that other unidentifi ed pathways can regulate AMPK, regardless of cellular energy status. Metformin and rosiglitazone phosphorylate AMPK without any change in cellular energy state ( 12 ). Leptin has been found to stimulate AMPK through both AMPdependent and AMP-independent mechanisms ( 13 ). AMPK is phosphorylated by upstream kinases, among which serine/threonine kinase 11 (LKB1) has been identifi ed as a major AMPK kinase in the liver ( 14 ). LKB1 is considered to be constitutively active; however, in some cases, altered expression or activity of LKB1 is associated with the phosphorylation of AMPK ( 15 ). It is well documented that AMPK phosphorylation inhibits sterol regulatory element-binding protein-1 (SREBP-1), the key transcription factor responsible for fatty acid synthesis, through mammalian target of rapamycin (mTOR) and liver X receptor-␣ (LXR ␣ ) ( 16 ). Conversely, inhibition of AMPK has been suggested as a central event causing the development of chemical-induced fatty liver. Repressed AMPK activates anabolic pathways, such as fatty acid synthesis, and inhibits catabolic pathways, such as fatty acid oxidation. In studies performed with hepatocytes and in the livers of ethanolfed mice, You et al. demonstrated that inhibition of AMPK leads to the activation of lipogenesis mediated by SREBP-1 ( 17 ). Similar results were obtained in studies with cigarette smoking and the saturated fatty acid palmitate ( 18,19 ). AMPK positively regulated fatty acid oxidation by activating peroxisome proliferator-activated receptor-␣ (PPAR ␣ ) and PPAR ␥ coactivator (PGC)-1 ( 20 ). Thus, inhibition of AMPK by chemicals or physiological state may contribute to the intracellular accumulation of lipids.
The fi rst step in OA metabolism is the reaction with phosphoribosyl pyrophosphate (PRPP) to form orotidine-5 ′ -monophosphate. Depletion of PRPP by an OA dose is followed by a reduction in purine biosynthesis, including ATP, and defects in lipid transport from the liver ( 21 ). Recent studies have suggested an alternative mechanism of OA toxicity in which altered transcription of genes involved in fatty acid metabolism contribute to fatty liver; however, the exact mechanism of the gene expression changes remains to be elucidated ( 22 ). To understand the molecular mechanism of OA-induced fatty liver, we tested the effects of OA on the AMPK/SREBP-1 pathway in human hepatoma cell lines and rat or mouse hepatocytes as well as in rats and mice in vivo. Here, we report that OA activates SREBP-1 by AMPK inhibition in rat hepatocytes and human hepatoma cell lines in vitro and in rats in vivo.

Oil Red O staining
For Oil Red O staining, frozen liver tissues were cut into 7 µm with Probe-On-Plus Slides (Thermo Fisher Scientifi c) and affi xed to microscope slides. Sections were reacted with Oil Red O solution buffer for 7 min at 60°C, and then incubated with 85% propylene glycol for 3 min. After rinsing with water, sections were stained with Harris hematoxylin for counterstaining.

Liver triglyceride content analysis
Liver TG content was determined by a modifi ed Folch method described previously ( 27 ). Briefl y, 50 mg liver tissue was homogenized in chloroform/methanol (2/1; v/v). After extraction at room temperature overnight, the organic phase was used for the determination of hepatic TG content using the serum triglyceride determination kit (Sigma-Aldrich).

Electrophoretic mobility shift assay
The labeled probe for the SRE of the FAS genes (5 ′ -CATCCG-GCATCACCCCACCGACGGCG-3 ′ ) were incubated with nuclear extract obtained from OA-treated cells. Electrophoretic mobility shift assay (EMSA) was carried out using Liteshift Chemiluminescent EMSA kit (Thermo Fisher Scientifi c, Inc., Rockford, IL) as recommended by the manufacturer. Reaction complexes were visualized using a chemiluminescence detection system (Chemi-Doc TM XRS system, Bio-Rad Laboratories).

Statistical analysis
All values are presented as the means ± SE of at least three independent experiments. Signifi cant differences were obtained using Student's t -test. A difference was considered signifi cant at P < 0.05.

OA activates SREBP-1 in rat hepatocytes and human hepatoma cell lines
SREBP-1 is a membrane-bound transcription factor that regulates lipid homeostasis by controlling the expression of genes for lipid metabolism. Increased hepatic lipogenesis by activation of SREBP-1 may contribute to the development of chemical-induced fatty liver ( 28 ). We fi rst examined the effects of OA on SREBP-1 activation in various hepatic cotransfected as an internal control. Luciferase activities were measured by using the Dual-Luciferase assay detection kit according to manufacturer's instructions (Promega). Luciferase activity was detected using a Centro LB960 luminometer (Berthold Technologies, Oak Ridge, TN). Transfection of siRNAs specifi c to LKB1 into SK-Hep1 cells was performed with LipofectAMINE 2000 (Invitrogen) according to the manufacturer's instructions. The cells were further incubated for 24 h prior to treatment with OA for 24 h.

Determination of adenine nucleotides
Frozen liver tissues of rat or mice and SK-Hep1, HepG2, primary rat, or mouse hepatocytes were washed with PBS and homogenized with perchloric acid (PCA). The samples were subjected to HPLC analysis for AMP and ATP as described previously ( 25 ).

Nile-red analysis
For Nile-red assay, SK-Hep1 cells were seeded in fl uorescence plates. On the following day, the cells were incubated with or without OA. Cells were washed with PBS and stained with 100 ng/ml Nile-red fl uorescent dye (Sigma-Aldrich, St. Louis, MO) in PBS. The stained cells were washed twice with PBS and then analyzed by fl uorescence detection system (Molecular Devices, Sunnyvale, CA).

Animal experiments
Male Sprague-Dawley rats and C57BL/6 mice ages 4-5 weeks were purchased from Orient Bio, Korea, and housed in an airconditioned room (24°C) with a 12 h light/dark cycle. After one week adaption period, animals were divided to three groups. Animals were given normal purifi ed rodent diet (AIN-93G) or OA diet prepared by supplementation of 0.5% and 1% OA to the normal diet for seven days. They were euthanized after being fasted for 18 h. Livers were removed quickly and frozen at Ϫ 70°C until subsequent protein analysis. In the separate study of mTOR effects on OA-fed rats, rats were divided into three groups. The rapamycin groups were given daily by gavage 2 mg/kg rapamycin dissolved in vehicle (DMSO/polyethylene glycol 400) with 1% OA mixed in diet as described above for seven days. The experiments using animals were carried out in accordance with animal experiment guidelines with approval of the Animal Care and Use Committee of Seoul National University.

Histological analysis and immunohistochemistry
The tissues were fi xed with 4% paraformaldehyde in PBS and then transferred in paraffi n. The tissues were embedded in paraffi n blocks, cut into 5 µm sections with Probe-On-Plus Slides (Thermo Fisher Scientifi c, Inc., Waltham, MA), and stained with hematoxylin and eosin (H and E). Immunohistochemistry assay  and inhibition of ACC. We found that ACC phosphorylation was suppressed by OA treatment. The decreased phosphorylation of AMPK and ACC by OA was largely prevented by addition of metformin or AICAR ( Fig. 1D ). Whereas rats are susceptible to OA-induced fatty liver, mice are known to be resistant ( 6 ). To understand the molecular mechanisms responsible for the species difference in OA effects, we examined the effects of OA on AMPK and SREBP-1 proteins in primary cultured mouse hepatocytes. Neither the maturation of SREBP-1 protein nor the phosphorylation of AMPK was affected by OA in these cells (supplementary Fig. I).

Activation of AMPK attenuates OA-induced expression of lipogenic genes
Phosphorylation of AMPK suppresses expression of SREBP-1 in vitro and in vivo ( 30,31 ), whereas inhibition of AMPK augments expression of SREBP-1 and thus induces fatty liver. To identify the role of AMPK in the activation of SREBP-1 by OA, we transfected SK-Hep1 cells with a eukaryotic expression vector expressing constitutively active AMPK protein tagged with Myc epitope, and then the level of mature SREBP-1 was determined following OA treatment. Results are summarized in Fig. 2A . Basal and OA-induced expression of mature SREBP-1 protein was completely antagonized by CA-AMPK. Transfection with DN-AMPK tagged with Flag signifi cantly increased the basal mature SREBP-1 expression, whereas no effect was shown in OA-treated cells ( Fig.2A ). We next examined whether OA increased the expression of SREBP-1 target genes that are involved in fatty acid synthesis. When the levels of Fas, Srebp-1a, Srebp-1c, Acc , Scd-1 , and L-Pk gene transcripts were measured by quantitative real-time PCR using gene-specifi c primers, we found that their mRNA expression was increased dose dependently in OA-treated cells. Combination treatment with AICAR prevented the OA-associated increase in the mRNA levels ( Fig. 2B ). Consequently, AICAR completely abrogated the effects of OA on intracellular lipid accumulation measured using Nile-red staining ( Fig. 2C ).
We next performed reporter gene analysis using a reporter gene containing SRE sequences and a gel-shift assay in SK-Hep1 and HepG2 cells. Treatment of cells with OA resulted in a dose-dependent increase in luciferase activity ( Fig. 3A ). OA-induced luciferase activity was considerably diminished by cotreatment with metformin or AICAR or by cotransfection of CA-AMPK. Conversely, introduction of DN-AMPK to cells markedly augmented the OA effect on SRE luciferase activity ( Fig. 3A ). We also observed an increase in the nuclear SREBP-1-dependent gel-shift activity. Supershift analysis confi rmed the DNA binding of SREBP-1 ( Fig. 3B ). Together, these data suggested that OA induces the maturation and transcriptional activity of SREBP-1 through AMPK inhibition in human and rat hepatocytes.

OA induces proteasomal degradation of LKB1
Control of protein stability via the proteasomal degradation pathway plays an important role in regulating many cellular processes. We asked whether the inhibition of AMPK phosphorylation by OA might be associated with cells by Western blot analysis. Treatment with OA resulted in a substantial and dose-dependent increase in the amount of mature SREBP-1 protein in both human hepatoma SK-Hep1 and HepG2 cell lines. Similar results were obtained in primary rat hepatocytes in which the expression of mature SREBP-1 was increased, although a decrease in the precursor form was observed ( Fig. 1A ). A dose-dependent increase in the mRNA for Srebp-1c was observed in the SK-Hep1, HepG2, and primary rat hepatocytes ( Fig. 1B ).

OA inhibits AMPK phosphorylation in rat hepatocytes and human hepatoma cell lines
AMPK is a key energy sensor in the cells that ultimately control the lipid metabolism machinery. Although AMPK is classically regulated by the cellular energy status, it has been reported that chemicals or chemical mixtures can also regulate the activity of AMPK. To understand the potential mechanisms by which OA induces SREBP-1 activation, we examined the effects of OA on the phosphorylation of AMPK, because phosphorylation on the Thr172 residue is essential for its activation ( 29 ). Incubation of human and rat hepatoma cell lines with OA for 24 h resulted in the dose-dependent reduction in phosphorylation of AMPK despite increased expression of AMPK, resulting in the decrease in the pAMPK/AMPK ratio. Similar results were obtained when primary rat hepatocytes were treated with OA ( Fig. 1C ). Activation of AMPK leads to the phosphorylation bility of LKB1 is decreased by the hsp90 inhibitor radicicol and that cotreatment with the proteasomal inhibitor lactacystin prevents its degradation ( Fig. 4D , left panel) ( 32 ). We next treated OA to HeLa cells expressing wild-type LKB1 in the absence or presence of lactacystin, and then examined intracellular levels of LKB1 by immunoblotting. These experiments revealed that the decrease in expression of LKB1 by OA was completely recovered by combination treatment with lactacystin ( Fig. 4D ). These data suggested that OA inhibits AMPK phosphorylation at least partly by proteasomal degradation of the upstream kinase LKB1.

OA activates SREBP-1 in rats in vivo
To test whether the data from our in vitro experiments could be reproduced in vivo, rats and mice were fed OA in the diet for seven days. Consistent with a previous study ( 33 ), rats fed OA showed increased hepatic TG levels and hepatic steatosis. Hematoxylin-eosin (HE) and Oil Red O staining of liver sections obtained from OA-treated rats clearly showed that rats were susceptible to OA-induced fatty liver ( Fig. 5A ). OA treatment signifi cantly and dose-dependently increased the hepatic TG level by 2-to the proteasomal degradation of AMPK kinase. We examined the effects of OA on the expression levels of various AMPK kinases. Treatment of SK-Hep1 cells with OA decreased the expression of LKB1, one of the major AMPK kinases expressed in the liver ( Fig. 4A ). Other AMPK kinases, such as CaMKK ␣ or CaMKK ␤ , were unaffected by OA (data not shown). To determine whether LKB1 could mediate the OA effects on AMPK phosphorylation, we compared the results of LKB1-defi cient cells with that of LKB1-expressing cells in their response to OA. To that end, we compared AMPK phosphorylation and SREBP-1 activation in HeLa cells defi cient or reconstituted with LKB1 as well as in SK-Hep1 cells wild-type or silenced with LKB1 siRNA. Western blot analysis of AMPK is shown in Fig. 4B . AMPK phosphorylation was not affected by OA in either LKB1-defi cient HeLa cells or LKB-silenced SK-Hep1 cells, whereas overexpression of LKB1 to HeLa cells restored the effect. Similar results were observed in SK-Hep1 cells. OA induced expression and activation of SREBP-1 and its target genes in SK-Hep1 cells. However, knockdown of LKB1 abolished the effects of OA ( Fig. 4C ).
The stability of LKB1 is regulated by the interaction with hsp90, which prevents its degradation by the proteasome. Our results and those of other groups suggest that the sta- Fig. 2. Activation of AMPK attenuates OA-induced expression of lipogenic genes. SK-Hep1 cells were transfected with mock, CA-AMPK, or DN-AMPK for 18 h, and treated with OA for 24 h. Western blot analysis using a specifi c antibody was used to examine the expression of the proteins in the whole cell lysates. Band densities were determined using an image analysis system, normalized to that of GAPDH, and expressed as fold changes over vehicle control. One representative blot of at least three independent experiments with similar results is shown (A). Cells were treated with OA (0, 1, 10, 100 M) in the absence or presence of 500 M AICAR for 24 h. Total RNA was extracted, and the mRNA for each gene was analyzed by real-time PCR using gene-specifi c primers. Results are expressed as fold changes over vehicle control (B). Cells were treated with OA, and Nile-red fl uorescence was observed after 48 h using a Molecular Device Gemini EM fl uorometer (excitation 485 nm/emission 580 nm). The relative fl uorescence intensity ratio for each sample was calculated by using a value of 1 for the vehicle control (C). Each bar represents the mean ± SE of three independent experiments. * P < 0.01, ** P < 0.01, *** P < 0.001 compared with vehicle control. signal transduction pathway, and its kinase activity regulates LXR ␣ activation and subsequent lipogenic gene expression by SREBP-1 ( 34,35 ). Inhibition of mTORC1 with rapamycin or knockdown of Raptor, an active component of mTORC1, blocks Akt-induced SREBP-1 activation and lipogenesis, indicating a close relationship between AMPK, mTORC1, and SREBP-1 activation ( 16 ). We asked whether activation of the mTOR/S6K1 pathway was linked to SREBP-1 activity, which then contributed to fat accumulation in the OA-fed rats. As expected, OA increased the phosphorylation of S6K1 and decreased the phosphorylation of Raptor ( Fig. 5C ). To determine the effect of rapamycin, an mTOR inhibitor, in the OA-induced fatty liver, rats were fed 1% OA and administered rapamycin for seven days. OA-induced lipid accumulation was completely inhibited by the treatment with rapamycin ( Fig.  6A ). HE and Oil Red O staining of liver sections clearly confi rmed the results ( Fig. 6B ). Immunohistochemistry analyses showed signifi cantly repressed SREBP-1 in the rapamycin-cotreatment liver ( Fig. 6B ). All the downstream effectors of SREBP-1, such as Lxr-␣ , Acc, Scd-1 and Fas, were consistently suppressed by rapamycin ( Fig. 6C ). These results support OA-induced fatty liver via mTOR-dependent SREBP-1 activation.

DISCUSSION
OA is an intermediate in pyrimidine metabolism that is readily synthesized in mammals and is also found in large quantities in cow's milk ( 36 ). Owing to the benefi cial effects on the absorption of essential nutrients as well as on heart function ( 37 ), OA has been used as a dietary supplement and in vitamin and mineral complexes. OA has also been used worldwide as a tonic and for anabolic purposes. However, administration of large amounts of OA has been reported to induce fatty liver in the rat ( 1 ). The reported mechanisms of OA-induced fatty liver include impairment of fatty acid oxidation, stimulation of lipogenesis, and reduction in lipid transport from the liver ( 4,5 ). Although liver fatty change by OA is evident and severe, the precise molecular mechanisms remain poorly understood. Additionally, the effects of OA are species specifi c; thus, the possible human health effects of OA have not been clearly identifi ed ( 38 ).
Here, we describe the novel fi nding that the AMPK/ mTOR/SREBP-1 pathway is involved in the OA-induced fatty liver. Our study demonstrated that OA inhibited the phosphorylation of AMPK and increased the activation of SREBP-1 in rat hepatocytes and human hepatoma cell lines. Activation of SREBP-1 and SREBP-regulated promoter by OA was mediated through AMPK inhibition, as verifi ed by cotreatment with AMPK activators metformin and AICAR or by cotransfection of the constitutively active form of AMPK mutant in a SRE-luciferase assay. The decrease in the AMPK phosphorylation by OA can be ascribed, at least in part, to the proteasomal degradation of LKB1. Primary cultured mouse hepatocytes were resistant to OA treatment, as shown by the unchanged expression 4-fold compared with the control ( Fig. 5B ). Next we determined the expression and phosphorylation of the protein levels in the liver tissue. In line with the in vitro data shown above, the expression of AMPK and ACC were increased and the phosphorylation of the proteins were decreased, resulting in the signifi cant decrease in the pAMPK/AMPK ratio and the pACC/ACC ratio ( Fig. 5D ). Similar results were obtained when we analyzed the expression and phosphorylation of Raptor in which we observed a net decrease in the pRaptor/Raptor ratio. The expression and phosphorylation of S6K1 were increased by OA treatment, leading to an increase in the pS6K1/S6K1 ratio. The level of mature SREBP-1 was increased in rat liver ( Fig. 5D ). Increases in protein expression, such as AMPK, ACC, and S6K, by OA in vitro and in vivo can be ascribed to the activation of mTOR, which remains to be explained in later experiments. However, little if any change was observed in mice in terms of fatty liver and phosphorylation of AMPK. Moreover, expression of mature SREBP-1 was even decreased in mouse liver (supplementary Fig. II). The AMP/ATP ratio was not changed in vitro or in vivo (supplementary Table  I). To confi rm that nuclear SREBP-1 is functional in vivo, we examined the mRNA levels of Lxr-␣ , SREBP-1, Acc, Scd-1 , and Fas using real-time PCR. Increased expression of the genes was observed in the OA-fed group ( Fig. 5C ).

Rapamycin inhibits OA-induced fatty liver
S6K1, a member of the serine/threonine protein kinase family, is a downstream effector of the PI3K/Akt/mTOR  (A, B, C). HeLa cells transfected with pEGFP-LKB1 expression vector were treated with OA in the absence or presence of 3 h pretreatment with 5 M lactacystin, a proteasomal degradation inhibitor. The radicicol and lactacystin treatment served as a control for proteasomal degradation and inhibition (D). Western blot analysis using a specifi c antibody was used to examine the expression of the proteins in the whole cell lysates. Band densities were determined using an image analysis system, normalized to that of GAPDH, and expressed as a percentage of the vehicle-treated control. Total RNA was extracted, and the mRNA for each gene was analyzed by real-time PCR using gene-specifi c primers. Results are expressed as fold changes over vehicle control. Each bar represents the mean ± SE of three independent experiments. ** P < 0.01, *** P < 0.001 compared with vehicle control. of pAMPK and mature SREBP-1. However, the OA responses in rat hepatocytes and human hepatoma cell lines were almost identical, indicating the possibility that humans might also be susceptible. Further experiments using the primary cultured human hepatocytes are needed to more clearly predict human health effects. Consistent with these in vitro fi ndings, rats fed OA for seven days exhibited severe fatty liver with signifi cantly reduced phosphorylation of hepatic AMPK and increased activation of SREBP-1. In contrast, cotreatment with rapamycin inhibited OA responses in the liver in terms of nuclear SREBP-1 activation and consequent hepatic TG accumulation. Figs. 1D and 5D show the increased expression of protein levels (including AMPK, ACC, Raptor, S6K1, and SREBP-1) which is supposed to be ascribed to mTOR activation by OA. mTOR regulates protein synthesis and cell growth by phosphorylating S6K1 and eukaryotic initiation factor 4Ebinding protein 1 (4EBP1). Phosphorylation of S6K1 facilitates the recruitment and translation of a specifi c mRNA subset that contains a 5 ′ polypyrimidine tract ( 39 ). Phosphorylation of 4EBP1 releases eIF4E, which initiates translation ( 40 ).
The present study highlights the involvement of the AMPK/mTOR/SREBP-1 axis in OA-induced fatty liver. AMPK negatively regulates mTOR complex 1 (mTORC1), a central controller of cell growth, protein synthesis, mitochondrial biogenesis, and lipogenesis. Phosphorylation of AMPK by upstream kinase induces fatty acid oxidation and inhibits lipogenesis in the liver through suppression of SREBP-1 ( 30 ). Inhibition of mTORC1 with rapamycin or knockdown of Raptor, an active component of mTORC1, blocks Akt-induced SREBP-1 activation and lipogenesis, indicating a close relationship between AMPK, mTORC1, and SREBP-1 activation ( 16 ). The AMPK/mTOR/SREBP-1 axis has recently been shown to be a key molecular target in chemical-and diet-induced fatty liver. You et al. demonstrated that inhibition of AMPK plays a key role in ethanolinduced fatty liver by activating hepatic lipogenesis controlled by SREBP-1 and by suppressing hepatic free fatty acid oxidation ( 17 ). Vinciguerra et al. reported that high circulating free fatty acids, such as oleic acid, activates mTOR that is responsible for downregulation of PTEN, activation of Akt, and steatosis ( 41 ). Palmitate activates the mTOR/S6K pathway and induces insulin resistance in primary cultured rat hepatocytes ( 42 ). Impairment of lipid metabolism through the modulation of AMPK activity was also reported when hepatocytes were treated with side-stream cigarette smoke ( 18 ). They showed that second-hand cigarette smoke stimulates lipid accumulation in the liver and that this effect is mediated by AMPK and SREBP-1. Furthermore, they showed that inactivation of AMPK stimulates activation of SREBP-1 and leads to an increase in lipid accumulation. In a separate experiment, Syed et al. found that exposure of cigarette smoke condensate to human bronchial epithelial cells resulted in increased phosphorylation of mTOR, which is required for the insulin-stimulated induction of SREBP-1 expression ( 43 ). Note that the in vitro effects of cigarette smoking were recently verifi ed in a cross-sectional study of 8,442 . LXR-a , SREBP-1, Acc, Scd-1 , and Fas transcript levels were analyzed using real-time PCR (C). Western blot analysis using a specifi c antibody was used to examine the expression of the proteins in the rat liver homogenates. Band densities were determined using an image analysis system, normalized to that of GAPDH, and expressed as a percentage of the vehicle-treated control (D). Each bar represents the mean ± SE of the results obtained from fi ve rats. * P < 0.05, ** P < 0.01, *** P < 0.001 compared with vehicle control. pharmacokinetic studies will be needed to defi ne human health effects. The effects of OA could be even greater in obese and insulin-resistant diabetic patients if we consider the poor sensitivity of these patients to insulin-induced downstream effectors, including AMPK and SREBP-1. Regular ethanol consumption and cigarette smoke may also synergistically affect OA-induced fatty liver.
In summary, we demonstrated that OA induces the SREBP-1-induced lipogenesis pathway through mTOR-p70S6K1 activation and that reduced AMPK phosphorylation contributed to the activation of S6K1 phosphorylation. Moreover, we discovered that phosphorylation of AMPK is partially decreased by OA-induced LKB1 proteasomal degradation ( Fig. 7 ). Our study provides some critical information needed for an understanding of the molecular mechanisms of OA-induced fatty liver and of species differences in susceptibility. OA induces lipogenesis, mediated predominantly by the AMPK/mTOR/SREBP-1 pathway in rat hepatocytes and human hepatoma cell lines.
subjects. The prevalence rate of nonalcoholic fatty liver disease was signifi cantly higher among cigarette smokers versus nonsmokers. Moreover, the prevalence ratio increases with the amount of cigarettes smoked per day ( 44 ). Although the precise effects of OA in humans are unknown, we must not exclude the possibility that OA consumption by diet and dietary supplements can induce fatty liver in humans. A quantitative risk assessment is needed to address the issue.
One of the novel fi ndings in the present study is the identifi cation of a molecular target that responds differently between the rat and mouse. Previously, the likely cause of the interspecies differences in OA hepatotoxicity has been thought to be metabolic differences. Mice accumulated less of the OA dose in the liver and excreted much more in the urine than did rats, thereby rendering them resistant to OA toxicity ( 6 ). Feeding an arginine-defi cient diet to rats leads to a marked fatty liver by an elevated plasma concentration of OA. Additionally, mice, hamsters, and rabbits were resistant to fatty liver largely because of their high urinary excretion rate of OA ( 45 ). Apart from this pharmacokinetic issue, no other information has been available concerning species-specifi c mechanisms of OA hepatotoxicity. Our results showed that the most striking difference between the rat and mouse hepatocytes in primary culture is AMPK phosphorylation and SREBP-1 activation in response to OA exposure. Whereas decreased phosphorylation of AMPK and modulation of a series of downstream events leading to fatty acid synthesis and lipogenesis were observed in rat hepatocytes and human hepatoma cell lines, mouse hepatocytes were resistant to OA with regard to the AMPK/SREBP-1-dependent lipogenic pathway. Similar results were observed in animal studies using SD rats and C57BL/6 mice. These two species showed completely different responses to OA in terms of AMPK/ SREBP-1 signaling and development of steatosis, indicating that not only pharmacokinetic but also pharmacodynamic factors participate in determining interspecies differences. Considering the very similar responses of human hepatoma cell lines and rat hepatocytes to the AMPK/SREBP-1 pathway, humans could be a species that may be sensitive to OAinduced fatty liver. Further experiments using primary cultured human hepatocytes and comprehensive human Supplemental Material can be found at: