Fsp27/CIDEC is a CREB target gene induced during early fasting in liver and regulated by FA oxidation rate.

FSP27 [cell death-inducing DFFA-like effector c (CIDEC) in humans] is a protein associated with lipid droplets that downregulates the fatty acid oxidation (FAO) rate when it is overexpressed. However, little is known about its physiological role in liver. Here, we show that fasting regulates liver expression of Fsp27 in a time-dependent manner. Thus, during the initial stages of fasting, a maximal induction of 800-fold was achieved, whereas during the later phase of fasting, Fsp27 expression decreased. The early response to fasting can be explained by a canonical PKA-CREB-CRTC2 signaling pathway because: i) CIDEC expression was induced by forskolin, ii) Fsp27 promoter activity was increased by CREB, and iii) Fsp27 expression was upregulated in the liver of Sirt1 knockout animals. Interestingly, pharmacological (etomoxir) or genetic (Hmgcs2 interference) inhibition of the FAO rate increases the in vivo expression of Fsp27 during fasting. Similarly, CIDEC expression was upregulated in HepG2 cells by either etomoxir or HMGCS2 interference. Our data indicate that there is a kinetic mechanism of autoregulation between short- and long-term fasting, by which free FAs delivered to the liver during early fasting are accumulated/exported by FSP27/CIDEC, whereas over longer periods of fasting, they are degraded in the mitochondria through the carnitine palmitoyl transferase system.


Animal experiments
For the fasting kinetics experiment, 10 week-old C57BL/6J male mice (supplied by Charles River) were used. Mice were either fed ad libitum (ZT12) with a standard chow diet or fasted for 6 h (ZT18), 15 h (ZT3), or 24 h (ZT12) and euthanized at the indicated Zeitgeber time (ZT).
For the etomoxir treatment experiment, 8 week-old C57BL/6J male mice were injected intraperitoneally with a single dose of etomoxir (50 mg/kg body weight) for 16 h. Control mice were injected with the vehicle (water). Mice were fasted for the last 6 h of treatment and then euthanized at ZT18.
For HMGCS2 knockdown experiments, adenoviruses encoding shRNA control or shRNA Hmgcs2 were administered to 9 week-old C57BL/6J mice by tail-vein injection (4 × 10 9 pfu/animal). Nine days after injection, mice were fasted for 15 h and euthanized at ZT3 (i.e., 3 h after the onset of the 12 h light span). Blood was collected by cardiac puncture and kept on ice until centrifugation (1,500 g , 15 min at 4°C). The serum obtained was stored at 4°C until analysis.
Sirt1 liver-specifi c knockout ( Sirt1 -LKO) mice were a kind gift from Dr. L. Guarente ( 17 ). Four month-old Sirt1 -LKO mice and their age-matched littermate Lox controls (Cre Glycemia was assessed in mice using an Ascencia Elite XL glucometer and strips (Bayer) to measure glucose in the blood sampled from the heart after isofl urane inhalation (anesthesia) and opening of the cardiac cavity.
Livers were extracted and used for mitochondrial protein extraction or immediately snap-frozen in liquid nitrogen and stored at Ϫ 80°C until analysis. All mice were housed in cages on a 12:12 h light:dark cycle at controlled temperature (25 ± 1°C). All experimental protocols with mice were performed with the approval of the animal ethics committee of the Universitat de Barcelona, Barcelona, Spain.

Adenovirus generation
For the generation of adenovirus encoding shRNA Hmgcs2 , the sequence against mouse Hmgcs2 GGCTTCTGTTCAGTCCA-GGAGGACATCAA encoded in the pGFP-V-RS-shRNA vector (Origene, GI579478) was fi rst tested in vitro (data not shown). To construct the recombinant adenovirus, a cassette containing the U6 promoter and shRNA sequence was subcloned from pG-FP-V-RS-shRNA to the pDUAL-BASIC-EGFP shuttle vector with EcoR I and Hind III restriction sites. Further adenovirus construction, purifi cation by CsCl gradient, and titration were performed by Vector Biolabs. An adenovirus encoding scrambled shRNA was used as a control. fat-specifi c protein 27 (FSP27, also known as cell deathinducing DFFA-like effector c (CIDEC in humans), which belongs to a family of proteins that play critical roles in controlling metabolic homeostasis ( 9,10 ). Fsp27 mRNA has been detected in fatty livers, where an excess of lipids accumulates and large lipid droplets are formed ( 11,12 ). More recently, FSP27 was shown to be a direct mediator of PPAR ␥ -dependent hepatic steatosis ( 12 ), which suggests that expression of FSP27 may promote lipid-droplet formation in hepatocytes. Interestingly, forced expression of FSP27 in hepatocytes signifi cantly decreased the activity of mitochondrial ␤ -oxidation ( 12 ), whereas long-term intermittent fasting induces Fsp27 in WAT ( 13 ).
In physiological conditions, FAO is mainly regulated in liver throughout the carnitine palmitoyl transferase (CPT) system ( 1 ). The mitochondrial ␤ -oxidation of FAs generates the NADH and ATP needed for gluconeogenesis, and therefore it is an important process in the establishment of considerable liver glucose output during fasting. In agreement, pharmacological treatment with etomoxir, an inhibitor of CPT1 [the key regulatory enzyme of the CPT system ( 14 )], reduces gluconeogenesis and liver glucose output ( 15 ).
We have recently shown that downregulation of HMGCS2 [the step-limiting enzyme of ketogenesis ( 16 )] by RNAi attenuates PPAR ␣ -dependent stimulation of the FAO rate in the HepG2 cell line ( 2 ). We found that expression of a specifi c shRNA in vivo reduced hepatic HMGCS2 activity by 50%, which correlates with a 20% decrease in liver FAO in fasted animals. In this condition, microarray analysis showed that Fsp27 / CIDE (D. Haro and P. Marrero, unpublished observations) was one of the genes that were most upregulated by blocking ketogenesis. Therefore, we studied the expression pattern of Fsp27 during adaptation to fasting, and noted that it was highly induced ( ‫ف‬ 250-fold and ‫ف‬ 800-fold), mainly in the early period (6 h and 15 h of fasting, respectively). Over longer periods of fasting (24 h), the expression of PPAR ␣ target genes remained high, but the expression of Fsp27 decreased 4-fold with respect to its levels after 15 h of fasting. Importantly, we showed that pharmacological inhibition of FAO also upregulated Fsp27/CIDEC in mice liver or HepG2 cells. Additionally, we have reported that this gene is sensitive to both CREB and SIRT1 activity, which could explain its induction during the early stages of fasting.

Plasmids
For the reporter assays, Fsp27 promoter ( Ϫ 2025/+18 relative to the transcription start site) was amplifi ed by PCR from mouse genomic DNA with the oligonucleotides forward (5 ′ -TTA A-CGCGT CTGCAACTCATTCTGTAGCCC) and reverse (5 ′ -TTA-CTCGAG GGCAAT ACCGCGTGGCCAG), and cloned in pGL3-basic vector (Promega) using the restriction sites Mlu I and Xho I, respectively (in bold in the primer sequence). The mutations in the CREB-identifi ed sequences in the mouse Fsp27 promoter were made by site-directed mutagenesis, carried out using Reactions were stopped by addition of 6% perchloric acid and were then centrifuged at 2,300 rpm for 5 min. The resulting pellet was suspended in water, and the product [ 3 H]palmitoylcarnitine was extracted with butanol at low pH. After centrifugation at 3,000 rpm for 3 min, an aliquot of the butanol phase was transferred to a vial for radioactive counting.

FA oxidation determination
FA oxidation was determined as previously described ( 19,20 ). Briefl y, hepatic postnuclear extracts were obtained by homogenization of ‫ف‬ 20 mg of frozen tissue in 1 ml of homogenization buffer (50 mM KH 2 PO 4 , 150 mM NaCl, 30 mM EDTA, 250 mM saccharose, 1 mM DTT) using a Dounce homogenizer. Following centrifugation at 250 g for 10 min at 4°C, the postnuclear supernatant was recovered and quantifi ed by the Bradford method.

Western blot analysis
Liver mitochondrial and whole-cell extracts were loaded in a 10-12% SDS-PAGE gel and then transferred to Immobilon-P membranes (Millipore; Bedford, MA) and probed with different antibodies. The antibodies used were mHMGCS2 (1:1,000, sc-33828) and VDAC (1:500, sc-32063) from Santa Cruz Biotechnologies, and FSP27 anti-serum [kindly provided by Dr. M. Kasuga, Japan ( 21 )] and Tubulin (Calbiochem, CP06) for mitochondrial and whole-cell extracts, respectively. Detection was carried out using an ECL chemiluminescence detection kit for HRP (Biological Industries).

Real-time PCR analysis
Total RNA was extracted from HepG2 cells or liver by Tri-Reagent (Ambion) and was further treated with DNase I (Ambion). For real-time PCR analysis, cDNA was synthesized from total RNA by murine leukemia virus reverse transcriptase (Invitrogen) with random hexamers (Roche Diagnostics). cDNA was subjected to real-time PCR analysis using TaqMan universal PCR master mix (Invitrogen) and the specifi c gene expression Taqman probes from Applied Biosystems. For HepG2 cells, the following human gene probes were used: CIDEC Hs00535723_m1, HMGCS2 Hs00985427_m1, and PEPCK Hs00159918_m1. For mice experiments, mouse probes were used: Cact Mm00451571_m1, Cpt1a Mm00550438_m1, Cpt2 Mm00487202_m1, Fsp27 Mm00617672_ m1, and Hmgcs2 Mm00550050_m1. Relative mRNA abundance was obtained by normalizing to 18S levels (Applied Biosystems).

Luciferase reporter assay
HepG2 cells were seeded at a density of 1.5 × 10 5 cells/well in 24-well plates and transfected using Lipofectamine LTX (Invitrogen), following the manufacturer's instructions. Four-hundred nanograms of reporter gene construct and 0.15-0.25 µg of the eukaryotic expression vector (pcDNA3, PPAR ␣ , PPAR ␥ , or CREB) were cotransfected. The plasmid pRL-CMV (10 ng/well) was included as an internal transfection control. Cells were harvested after 48 h posttransfection using the passive lysis method (Promega), and luciferase assays were performed using the dual luciferase reporter assay system (Promega), following the manufacturer's

Ketone body determination
The concentration of total ketone bodies in mice serum was determined using the Autokit Total Ketone Bodies (Wako; Germany), following the manufacturer's instructions, as described previously ( 2 ). They are expressed as mM of 3-hydroxybutyrate.

Mitochondria isolation
Fresh liver ( ‫ف‬ 1 g) was homogenized in 5 ml of homogenization buffer (250 mM saccharose, 0.1 mM EDTA, and 5 mM Tris-HCl, pH 7.4) using a tefl on pestle. The supernatant of the centrifugation (350 g , 10 min at 4°C) of homogenized tissue was again centrifuged at 15,000 g for 15 min at 4°C. The resulting pellet was washed in homogenization buffer, resuspended in 2 ml of resuspension buffer (0.4 mM DTT, 1.5% Triton X-100, 100 mM Tris-HCl, pH 8) and desalted by dialysis using a Dialysis sack, average width 25 mm (1.0 in), against 1:1,000 dialysis solution (20 mM KH 2 PO 4 , 12 mM EDTA). Mitochondrial protein was quantifi ed following the Bradford reaction and stored at Ϫ 80°C.

Enzymatic activity assay
The HMGCS activity determination was carried out as described previously ( 16 ). Briefl y, HMGCS activity was measured as the incorporation of [1-14 C]acetyl-CoA into HMG-CoA at 30°C for 10 min. The reaction was initiated by adding 30 µg of dialyzed mitochondrial protein extract to the reaction mixture (100 mM Tris-HCl, 1 mM EDTA, 20 µM acetoacetyl-CoA, 200 µM and 4,000 cpm/nmol [ 14 C]acetyl-CoA) in a fi nal volume of 200 µl. After 10 min, the enzymatic reaction was stopped by adding 300 µl of 6 N hydrochloric acid, and the mixture was incubated for 2 h at 100°C. To determine the amount of [ 14 C]HMG-CoA formed, nonvolatile radioactivity was recovered from the vials with water, diluted in Ecolite scintillation liquid, and counted in an automatic analyzer. HMGCS-specifi c activity is expressed as nmol of produced HMG-CoA per min per mg of protein assayed.
The CPT1A activity was measured in liver extracts by subtraction of CPT2 activity from total CPT activity as previously described ( 18 ). CPT total activity determination was carried out by the forward exchange method using l-[ 3 H]carnitine. In a total volume of 0.5 ml, the standard enzyme assay mixture contained 0.2 mM of l-[ 3 H]carnitine ( ‫ف‬ 5,000 dpm/nmol), 80 M palmitoyl-CoA, 20 mM HEPES (pH 7.0), 1% FA-free albumin, and 60 mM KCl, with (CPT2 activity) or without (total CPT activity) 50 M malonyl-CoA (Sigma-Aldrich), the physiological inhibitor of CPT1A activity ( 14 ). Reactions were initiated by addition of 0.1 mg liver postnuclear extracts (see below). The reaction was linear up to 4 min, and all incubations were done at 30°C for 3 min.

Downregulation of FAO increases Fsp27/CIDEC expression
Next, we studied whether the FAO rate affected Fsp27/ CIDEC expression. Figure 2A shows that 10 M etomoxir, a CPT1 inhibitor that blocks FAO ( 14 ), induces CIDEC mRNA levels in HepG2 cells. Figure 2B shows that CPT1A activity was inhibited in the liver of short-term ( 6 h )-starved animals that were intraperitoneally injected with etomoxir. Consistently, the etomoxir-treated animals were hypoglycemic ( Fig. 2C ). In addition, the etomoxir treatment induced FSP27 expression more than 50-fold ( Fig. 2D ). This induction correlates with an increase (more than 150-fold) of the Fsp27 mRNA ( Fig. 2E ). As expected, Fig. 2F shows that the pharmacological treatment induced, to a lesser extent, the hepatic expression of Cpt1a and Hmgcs2 , which control FAO and ketogenesis, respectively ( 22 ).
Recently, we have shown that HMGCS2 also regulates the FAO rate in HepG2 cells ( 2 ). Therefore, we used the interference of HMGCS2 to downregulate FAO in HepG2 cells and mouse liver. Figure 3A (left) shows that CIDEC mRNA expression was induced by siRNA-mediated downregulation of HMGCS2 (right). The induction of Fsp27 was also observed in a mouse model. Figure 3B shows that a 50% reduction in HMGCS2 activity was achieved by tailvein injection of an adenovirus that expresses a specifi c recommendations. Firefl y and Renilla luciferase activities were determined in a Berthold Sirius Luminometer.

Statistical analysis
All results are expressed as mean ±SEM. Signifi cant differences were assessed using the two-tailed Student's t -test. P < 0.05 was considered statistically signifi cant.

RESULTS
Fsp27 expression is induced in liver during the early steps of fasting Figure 1A shows that Fsp27 is induced more than 800fold in early fasting (15 h), but its expression is reduced during longer periods of starvation (24 h). A similar kinetic of FSP27 expression levels is observed for the protein in liver ( Fig. 1B ). This induction is not observed during the corresponding periods of time in mice fed ad libitum (data not shown). These results suggest that Fsp27 is specifi cally responsive to the signals that control the early fasting response, and that its expression could be attenuated when expression of genes that control FAO (CPT system [ Cpt1a , Cact, Cpt2 ]) ketogenesis ( Hmgcs2 ) is maintained ( Fig. 1C ), and FAO is fi rmly active ( Fig. 1D ). through the activation of the cAMP pathway, leading to the upregulation of gluconeogenic genes. Figure 5A (left) shows that forskolin, an adenylate cyclase activator, induced CIDEC mRNA in HepG2 cells. This induction was abolished by a PKA inhibitor (H89). Figure 5A (right) shows the expected effect of this cAMP stimulator on PEPCK expression. Figure 5B (left) shows that a plasmid expressing KCREB (a dominant repressor of CREB activity) could also blunt forskolin induction of the CIDEC endogenous gene. To understand the molecular mechanism underlying Fsp27/CIDEC early fastingmediated expression in liver, we analyzed the sequence of the 5 ′ fl anking region of the mouse Fsp27 gene, and found two putative CREB response elements (CRE) starting at positions Ϫ 1,787 (CRE2) and Ϫ 366 (CRE1) upstream of the transcription start site. The upstream site (CRE2) is a conserved half-site motif (CGTCA), whereas the downstream site (CRE1) is an eight-base-pair element (TGAC T TCA), partially conserved from the canonical palindrome (TGACGTCA). To test whether the Fsp27 gene transcription was induced by CREB, we made several constructs with the luciferase gene as a reporter ( Fig. 5C , insert). We transfected HepG2 cells with these constructs and an expression vector for CREB. Figure 5C shows that CREB overexpression induced the wild-type reporter, and this induction was diminished when either of the single CREs was mutated (mut 1 or mut 2), or totally abolished when both elements were simultaneously mutated (mut ×2). These results identify the CRE1 and CRE2 sequences as CREB-responsive elements in the Fsp27 mouse gene.
shRNA for HMGCS2 (see insert in Fig. 3B ). As expected, the low enzymatic activity correlated with a 25% reduction in plasma ketone bodies ( Fig. 3C ). Consistently, the interference of HMGCS2 in vivo produced both a 20% reduction of FAO ( Fig. 3D ) and an increase of Fsp27 mRNA and protein levels ( Fig. 3E ).
Taken together, these results indicate that Fsp27/CIDEC expression is regulated by the FAO rate.

Fsp27 is not a PPAR ␣ target gene in HepG2 cells
To investigate whether PPAR ␣ was responsible for Fsp27 induction during fasting, we used an Fsp27 promoter luciferase assay, and also studied the effect of a PPAR ␣ synthetic ligand (Wy14643) on CIDEC mRNA levels in HepG2 cells. Figure 4A shows that, as expected ( 12 ), Fsp27 is a PPAR ␥ target gene, although it is not activated by PPAR ␣ in a reporter assay in which HMGCS2 promoter [a bona fi de PPAR ␣ target gene ( 2 )] was used as a control. Additionally, Fig. 4B shows that a PPAR ␣ synthetic ligand (Wy14643) was unable to induce CIDEC expression. To further study whether PPAR ␥ was involved in Fsp27 / CIDEC expression changes affected by the FAO rate, we used a specifi c PPAR ␥ antagonist (GW9662). Figure 4C shows that although the antagonist could blunt the etomoxir effect on PEPCK expression, it was unable to attenuate the CIDEC induction mediated by etomoxir.

Fsp27 is activated by CREB, and its early induction by fasting is repressed by SIRT1
During short-term fasting, the increase in circulating pancreatic glucagon stimulates the gluconeogenic program Taken together, these data indicate that Fsp27 is under the control of the early-fasting induction program. Indeed, during late fasting, SIRT1 expression could be involved in FSP27 downregulation during this period and could also be mediating the effect of FAO rate on its expression ( Fig. 6C ).

DISCUSSION
In this article, we show that Fsp27 is highly induced during early fasting (6-15 h) ( Fig. 1A, B ). It is noteworthy that Fsp27 expression was diminished in late fasting ( 24 h ), Once gene expression is activated, hepatic SIRT1 activity reaches maximal levels after 18 h of fasting, which promotes a switch between early and late fasting signaling programs ( 5 ). To further understand the expression of Fsp27 during fasting, we analyzed its expression in Sirt1 liver-specifi c knockout mice ( Sirt1 -LKO) ( 17 ). Figure 6A shows that after 15 h fasting, Fsp27 was induced to a higher level in the liver of Sirt1 -LKO mice than in the wild-type animals. Figure 6B shows that SIRT1 interference in HepG2 cells ( 2 ) also induced the expression of the orthologous CIDEC gene. These data suggest that SIRT1 activity could repress the expression of Fsp27 during late fasting.  ( 2 ). C57BL/6J mice were injected through the tail vein with adenoviruses expressing either a control (shRNA control) or a specifi c shRNA ( Hmgcs2 ). B: Enzymatic activity in mitochondria from liver of 15 h-fasted animals. The insert shows a Western blot analysis from mitochondrial protein extract for HMGCS2 and the mitochondrial marker VDAC. C: Total ketone bodies, expressed as 3-HB, detected in serum. D: Palmitate oxidation from mice liver extracts measured by acid-soluble metabolites. E: Fsp27 expression in liver. The insert shows a representative Western blot from liver extracts for FSP27 and tubulin. Results are means of ± SEM for each group (n = 5 mice). *P < 0.05, **P < 0.01, ***P < 0.001 relative to siRNA or shRNA control.
there is a competition for free FAs in the liver between the systems that accumulate and store them (FSP27), and those that oxidize them [the CPT system and ketogenesis (HMGCS2)]. Therefore, we propose a kinetic mechanism of auto-regulation between short-and long-term fasting, by which free FAs delivered to the liver during early fasting are accumulated/exported (FSP27/CIDEC), whereas over longer periods of fasting, FAs are oxidized through the CPT system in the mitochondria.
We investigated whether PPAR ␣ , a master regulator of fasting in liver, could be one of the signals that trigger the induction of Fsp27 in fasting. However, the fasting expression pattern of Fsp27 appears not to be related to PPAR ␣ signaling, inasmuch as the liver expression pattern of Fsp27 is different from that of bona fi de ( Cpt1a , Cact , Cpt2 , Hmgcs2 ) PPAR ␣ target genes ( Fig. 1A, C ). In addition, CIDEC endogenous expression is not stimulated by the PPAR ␣ ligand in HepG2 cells ( Fig. 4B ), and the Fsp27 promoter is sensitive to PPAR ␥ , but not to PPAR ␣ expression in both HEK293 ( 12 ) and HepG2 ( Fig. 4A ) cell lines. Interestingly, a PPAR ␥ antagonist does not impair the stimulation by etomoxir of CIDEC expression ( Fig. 4C ). Therefore, our data suggest that inhibition of FAO in liver could alter gene expression through a mechanism different from that of whereas the expression of the CPT system ( Cpt1a , Cpt2 , and Cact ) and Hmgcs2 , which, respectively, regulate FAO and ketogenesis, remained unchanged ( Fig. 1C ). Therefore, we speculate that Fsp27 is expressed shortly after food removal, whereas the program for FAO adaptation is still in progress ( Fig. 1D ).
FSP27/CIDEC is a lipid droplet-associated protein that is expressed in WAT or in steatotic liver. Therefore, our fi nding of hepatic fasting induction of Fsp27 was unexpected. However, a futile cycle of triglyceride/FA has been proposed in fasting ( 23,24 ). In humans, more than 60% of the FAs that reach the liver during fasting are reesterifi ed ( 25,26 ). Indeed, fasting in mice also leads to triglyceride accumulation in the liver. Furthermore, another member of the CIDE family, CIDEB, may be involved in the maturation of VLDL by interacting with apoB-100/-48 ( 27 ). Our data suggest that FSP27/CIDEC protein could play a role in the accumulation/export of the newly synthesized triglyceride in the early steps of the fasting adaptation process.
FSP27 expression in liver represses FAO and decreases triglyceride turnover ( 12,28 ). Here we show that in HepG2 cells and mouse liver, pharmacological (etomoxir, Fig. 2 ) or genetic (RNAi for HMGCS2, Fig. 3 ) inhibition of FAO induces Fsp27/CIDEC expression. These data suggest that promoter constructs cloned in pGL3-basic and cotransfected with pcDNA3, PPAR ␥ , or PPAR ␣ expression vectors, represented by fold activation to pcDNA3. Twenty-four hours before harvesting, cells were treated with 10 µM of PPAR ␥ and PPAR ␣ ligands, rosiglitazone, and Wy14643, respectively (closed bars). Human HMGCS2 promoter cotransfected with PPAR ␣ and treated or not with its ligand was used as a positive control. The mean of two independent experiments performed in duplicate are shown. B: CIDEC and HMGCS2 mRNA levels in HepG2 cells treated with the PPAR ␣ synthetic ligand Wy14643 (10 µM) for 24 h. C: CIDEC and PEPCK mRNA levels in HepG2 cells treated with etomoxir and a PPAR ␥ antagonist (GW9662) (10 µM each) for 6 h. Results are means of ± SEM (n = 3-4 independent experiments). **P < 0.01, ***P < 0.001 relative to control (DMSO-treated cells); ##P < 0.01 relative to etomoxir-treated cells. NAD + . SIRT1 has emerged as a protein that can interconnect both intracellular signals, inasmuch as it is a NAD +consuming deacetylase that was recently shown to be able to deacetylate and attenuate CREB activity ( 29 ). Interestingly, CIDEC gene expression was upregulated by forskolin in a hepatoma cell line ( Fig. 5A ), and this effect was mediated by PKA and CREB ( Fig. 5A, B ). Consistently, mouse increased levels of free FAs. However, in addition to the PPAR family already studied ( 12 ), other transcription factors could be modulated by FAs, and we cannot completely rule out the possibility that lipid accumulation is also responsible for the Fsp27/CIDEC induction.
The two main intracellular signals that regulate the fasting-associated program of gene expression are cAMP and Results are means of ± SEM (n = 3 independent experiments). **P < 0.01, ***P < 0.001 relative to control, #P < 0.05, relative to FSK-treated cells transfected with empty vector; ##P < 0.01 and ###P < 0.001 relative to FSK-treated cells. C: HepG2 cells transfected for 48 h with pGL3b (control) or mouse Fsp27 promoter constructs cloned in pGL3-basic and cotransfected with either pcDNA3 or pcDNA3-CREB expression vectors, represented by fold activation to pcDNA3 (WT promoter construct). A scheme of the mouse Fsp27 promoter-luciferase reporter construct is shown (shadow box indicates CRE elements, crossed shadow box indicates the construct in which CRE elements were mutated). pGL3-basic activation was subtracted from each condition. Results are means of four independent experiments performed in duplicate ( *P < 0.05, **P < 0.01, ***P < 0.001 relative to pcDNA3; #P < 0.05, ##P < 0.01 relative to CREB activation of WT promoter ).
In conclusion, here we show that a lipid droplet-associated protein, Fsp27/CIDEC , was expressed in liver in a physiological situation like the early stages of fasting. We also describe that Fsp27 is a CREB target gene that is upregulated when FAO/ketogenesis is impaired, thus providing new insight into the regulation of fasting metabolism.
Fsp27 promoter was activated by CREB ( Fig. 5B ) and upregulated in the liver of Sirt1 -LKO mice ( Fig. 6A ). Recently, it has been suggested that a switch from early gene activation via CRTC2 to late action of FOXO1 is critical for transcriptional regulation in fasting ( 5 ). CRTC2 is a coactivator that is responsible for CREB-mediated transcriptional activation of the hepatic gluconeogenic program ( 30 ). During prolonged fasting, CRTC2 is deacetylated by the NAD + -dependent enzyme SIRT1, which allows its ubiquitination and degradation in the proteosome to suppress CREB-CRTC2 signaling ( 5 ). Therefore, we propose that expression of Fsp27 during early fasting fi ts the model in which CREB-mediated expression is attenuated in long fasting periods ( Fig. 6C ). SIRT1 regulation could also explain why Fsp27/CIDEC expression is induced when FAO is attenuated ( Figs. 2  and 3 ). Recently, SIRT1 has been proposed as a link between protein acetylation and metabolism ( 31 ). Thus, during fasting, oxidative metabolism (FAO and ketogenesis) may be expected to pull forward, through the NADH and ATP supply, an anabolic process like gluconeogenesis. In addition to glucose, this will, in turn, generate NAD + and stimulate SIRT1 (an NAD + -consuming enzyme) activity ( 2 ). Therefore, Fsp27/CIDEC , a gene that is repressed by SIRT1, will be upregulated by a blunted FAO ( Fig. 6C ).