Statins increase peroxisome proliferator-activated receptor (PPAR) mRNA expression, but the mechanism of this increased PPAR production remains elusive. To examine the regulation of PPAR production, we examined the effect of 7 statins (atorvastatin, cerivastatin, fluvastatin, pitavastatin, pravastatin, rosuvastatin, and simvastatin) on human PPAR promoter activity, mRNA expression, nuclear protein levels, and transcriptional activity. The main results are as follows. (1) Majority of statins enhanced PPAR promoter activity in a dose-dependent manner in HepG2 cells transfected with the human PPAR promoter. This enhancement may be mediated by statin-induced HNF-4. (2) PPAR mRNA expression was increased by statin treatment. (3) The PPAR levels in nuclear fractions were increased by statin treatment. (4) Simvastatin, pravastatin, and cerivastatin markedly enhanced transcriptional activity in 293T cells cotransfected with acyl-coenzyme A oxidase promoter and PPAR/RXR expression vectors. In summary, these data demonstrate that PPAR production and activation are upregulated through the PPAR promoter activity by statin treatment.
1. Introduction
Statins, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, are the most widely used drugs to lower low-density lipoprotein (LDL) cholesterol. These mechanisms have been reported that treatment with statins results in lowering intracellular cholesterol concentration, and then increasing a proteolytic
activation of sterol responsive element-binding proteins (SREBPs) [1]. These
transcription factors increase the cholesterol homeostasis controlling genes, such as LDL receptor, lipoprotein lipase, and cholesterol -hydroxylase [2, 3].
Currently, statins are the
first choice of therapeutic agent for the treatment of hyperlipidemia. Several
mega trials and large cohort studies using statins have shown that statins
prevent coronary heart disease and decrease the incidence of cardiovascular
events [4–6]. The reasons why cardiovascular events were decreased with statins
are reported to be due to many pleiotropic effects, for example, inhibition of
the proliferation and migration of endothelial cells, smooth muscle cells, and
macrophages [7, 8]. Moreover, statins up-regulate the expression of endothelial
nitric oxide synthesis [9] and suppress oxidative stress, as seen in the
reduced formation of reactive oxygen species and expression
[10, 11].
The peroxisome
proliferator-activated receptors (PPARs) belong to the nuclear receptor
superfamily and play an important role in the regulation of lipid and glucose
metabolism and adipocyte differentiation [12, 13]. PPAR is expressed in the liver, kidney, heart, and
muscle where it regulates energy homeostasis. PPAR forms a heterodimer with retinoid X receptor (RXR), which
enhances its binding to peroxisome proliferator response elements (PPREs) and
activates target genes. PPAR activates the uptake and catabolism of fatty
acids that result in a decrease of triglyceride (TG), stimulate gluconeogenesis,
and enhance high-density lipoprotein synthesis [14, 15]. Fibrates, which are a
ligand for PPAR, have been reported to lower the serum TG
levels [16]. Some statins were also reported to decrease the serum TG levels to
same extent [17–19]. Although it is reported that several statins increase PPAR [20, 21], it is not clear how statins regulate
nuclear transcription, and PPAR mRNA expression and activity. Previously,
simvastatin activated mouse PPAR promoter and induced the transcription of PPAR gene [22], but there is no report that statins
activate the human PPAR promoter and transcription of this gene.
In the present study, we
investigated the effect of 7 statins (atorvastatin, cerivastatin, fluvastatin,
pitavastatin, pravastatin, rosuvastatin, simvastatin) on the regulation of PPAR mRNA expression and PPAR protein levels in nuclear fraction of the human hepatoblastoma cell line (HepG2
cells). We also investigated the effect of statin treatment on the promoter
activity of the human PPAR gene. In addition, we investigated whether statin
treatment could induce transcriptional activity of PPAR.
2. Materials and Methods
2.1. Reagents and Cell Culture
Seven statins were kindly
provided as follows; atorvastain (Warner-Lambert Co., Ltd.), cerivastatin
(Bayel Co., Ltd.), fluvastatin (Novartis Co., Ltd.), pitavastatin (Kowa Co.,
Ltd.), pravastatin (Sankyo Co., Ltd.), and rosuvastatin (AstraZeneca Ltd.).
Simvastatin was purchased from Wako Pure Chemical Industries, Ltd. (Tokyo, Japan).
Fenofibric acid (FA) was kindly provided by Kaken Pharmaceutical Co., Ltd.
Atorvastatin, cerivastatin, fluvastatin, pitavastatin, rosuvastatin, and FA were dissolved in dimethyl sulfoxide (DMSO); simvastatin was
dissolved in ethanol, and pravastatin was dissolved in distilled water. In all
assays, the final concentrations of DMSO and ethanol were less than 0.5%. HepG2 cells was purchased from JCRB (cell
number: JCRB1054) and human kidney 293T cells (293T cells) from Dainippon
Pharmaceutical Co., Ltd. They were cultured in Dulbecco's modified Eagle's medium (DMEM) (Invitrogen) containing 10% heat-inactivated fetal bovine serum (FBS) (JRH Biosciences) and PNS antibiotic mixture (Invitrogen) at in .
2.2. Cloning of the PPAR Promoter and Plasmid Constructions
To generate human PPAR promoter-reporter plasmid, we referred to the
genomic sequence that has been reported previously [23]. Human PPAR promoter containing bp to
was obtained by polymerase chain reaction (PCR) with human genomic DNA
(Clontech) using a forward primer -CATAAGCTTACCCCACGAGATATGCAGGAT-
(including a Hind III site,
underlined) and a reverse primer -CGTAAGCTTCGCAAGAGTCCTCGGTGTGT-
(including a Hind III site,
underlined). This promoter was cloned into the Hind III site of a pGL3-Basic vector (Promega). Plasmid DNA used for
transfection was prepared using the Wizard Plus Minipreps DNA Purification System (Promega). Nucleotide sequences of this
plasmid were confirmed by sequencing using ABI PRISM 310 Genetic Analyzer
(Applied Biosystems).
2.3. Luciferase Assay of PPAR Promoter Activity
HepG2 cells were transfected
using Lipofectamine 2000 (Invitrogen) according to the manufacturer’s
protocols. The cells ( cells/well) were seeded in
24-well plates (Falcon) and incubated for 18 hours before transfection. The
cells were transfected with the use of Lipofectamine 2000 with of human PPAR promoter-reporter plasmid and of pRL-TK (Promega), a renilla luciferase reporter vector as internal control for
transfection efficiency. After 3 hours, the transfection medium was replaced by
10% FBS-DMEM plus the various amounts of statin (0, 1, 10, 25, and ) or vehicle (DMSO, ethanol, or distilled
water) and the cells were incubated for 24 hours. Luciferase activities were
quantified using a Dual-Luciferase Reporter Assay System (Promega) according to
the manufacturer’s protocols.
2.4. Real-Time Reverse Transcription (RT)-PCR Analysis
HepG2 cells ( cells/dish) were incubated with
various amounts of statin (0, 5, 10, and , pravastatin was 50, 100, and
) at for 24 hours. After treatment with statins, cells
were homogenized in 1 mL of ISOGEN (Nippongene), and then total RNA was
extracted with chloroform and precipitated with ethanol. First-strand cDNA was
generated from total RNA with random hexamers and MuLV transcriptase (Applied
Biosystems) according to the manufacturer’s protocols. PCR reactions were
performed with TaqMan Universal PCR Master Mix and TaqMan Gene Expression
Assays (Applied Biosystems). Identification numbers of the assay mixture of
target gene-specific primers and probes were as follows: human PPAR, Hs00231882_m1; 18S ribosomal RNA
(house-keeping gene), Hs99999901_s1. Real-time PCR reactions were performed
with thermal cycling conditions of 2 minutes at , 10 minutes at , and 40 cycles of 15
seconds at and 1 minute at using ABI PRISM
7900HT Sequence Detection System (Applied Biosystems). PPAR mRNA levels were normalized to 18S ribosomal
RNA levels, and are presented as fold difference of statin-treated cells
compared with untreated cells.
2.5. Western Blot Analysis
HepG2 cells ( cells/dish) were seeded in 60 mm
dishes (Falcon) and incubated for 18 hours. Then, the cells were incubated with
10 and statin at for 24 hours. After
treatment with statins, cells were washed with ice-cold phosphate
buffered saline and collected. After centrifugation (15,000×g), the cytoplasmic and nuclear proteins of the
cells were extracted with NE-PER Nuclear and Cytoplasmic Extraction Reagents
(PIERCE) according to the manufacturer’s protocols and the proteins
concentration was determined with a BCA Protein Assay kit (PIERCE). Aliquots
() of cytoplasmic or nuclear proteins were
electrophoresed on 9% sodium dodecyl sulfate-polyacrylamide gels and
transferred to polyvinylidene difluoride membranes (Millipore). The membranes
were blocked with BlockingOne (Nacalai Tesque, Inc.), and incubated overnight
with goat anti-PPAR IgG antibody (sc-1985, Santa Cruz) (diluted 1:1000 with BlockingOne)
or mouse anti-hepatocyte nuclear factor-4 (HNF-4) IgG antibody (Clone no.: H1415, Perseus
Proteomics Co., Ltd.). After washing four times with Tris-buffered
saline-containing 0.5% Tween 20, signals from Western blots were obtained using
horseradish peroxidase-conjugated secondary anti-goat antibody (diluted 1:2000
with BlockingOne) and visualized with the ECL detection system (Amersham
Biosciences). The PPAR protein levels were quantified with an imaging
analyzer (Densitograph, ATTO). The data are expressed as % of control.
2.6. Luciferase Assay of PPRE Activity
Constructions of pCI-PPAR and pCI-RXR expression plasmids were described previously
[24]. Briefly, the full-length human PPAR (GenBank accession no. L_02932) and human RXR (GenBank accession no. X_52773) were prepared
by PCR. The specific DNA fragmant of human PPAR was cloned into the SalI-NotI sites of the pCI-neo mammalian expression vector
(Promega). The human RXR was also cloned into the XhoI-NotI sites of the pCI-neo. The human acyl-coenzyme A oxidase
(AOX) promoter (GenBank accession no. NT_010641) construct containing the PPREs
was previously cloned into the KpnI-NcoI sites of pGL3-Basic vector [25].
To measure the
transcriptional activation of PPRE, 293T cells ( cells/well) were seeded in
collagen type I-coated 24-well plate (Iwaki) and incubated for 18 hours before
transfection. The cells were transfected using Lipofectamine 2000 with of human AOX promoter-reporter plasmid, of pRL-TK as internal control for
transfection efficiency and either of pCI-PPAR and pCI-RXR expression vectors or of pCI-neo vector. After 3 hours, the
transfection medium was replaced by 10% FBS-DMEM plus the various amounts of
statin (0, 1, 10, 25, and ), fenofibric acid (0, 1, 10, 50, ), or vehicle (DMSO, ethanol, or distilled
water) and the cells were incubated for 24 hours. Luciferase activities were
quantified using a Dual-Luciferase Reporter Assay System (Promega) according to
the manufacturer’s protocols.
2.7. Statistical Analysis
All data are presented as
the means SEM. Statistical
analysis was performed using ANOVA followed by the Dunnett test or Scheffe test
(StatView software). Statistical significance was considered as .
3. Results
3.1. Statins Increased PPAR mRNA Expression in HepG2 Cells
We first examined the effect of simvastatin on the PPAR mRNA expression in HepG2 cells. The
time-course study for the PPAR mRNA expression in HepG2 cells treated with simvastatin is shown in Figure 1. Simvastatin
significantly increased PPAR mRNA expression by 2.0-fold (versus the
control) at 12 and 24 hours.
Figure 1: Time-course of PPAR mRNA expression in HepG2 cells after treatment
with simvastatin. The data are expressed as % of
controls at 0 hour. Values are presented as the mean SEM of three separate
experiments, significantly different from control at , .
We next examined the effect
of atorvastatin, cerivastatin, fluvastatin, pitavastatin, pravastatin,
rosuvastatin, and simvastatin for 24 hours on PPAR mRNA expression in HepG2 cells. PPAR mRNA expression following treatment of HepG2
cells with various amounts of statin is shown in Figure 2. In Figure 2(a),
atorvastatin (), cerivastatin (5, 10, and ), fluvastatin (5, 10, and ), pitavastatin (), rosuvastatin (), and simvastatin () significantly increased PPAR mRNA expression by more than 1.5-fold (versus
the control). Pravastatin did not increase PPAR mRNA expression at these concentrations, but
the higher concentrations of pravastatin-treatment (100 and ) significantly increased PPAR mRNA expression (Figure 2(b)).
Figure 2: PPAR mRNA expression in HepG2 cells after treatment
with atorvastatin (Ator), cerivastatin (Ceri), fluvastatin (Flu), pitavastatin
(Pita), pravastatin (Pra), rosuvastatin (Rosu), and simvastatin (Sim) for 24
hours. (a) Each statin was used at concentrations of 5, 10, and
. Nontreated cells (statin concentration ) were the control. (b) Pravastatin was used
at higher concentrations of 20, 50, 100, and
. Nontreated cells (pravastatin concentration ) were the control. The data are expressed as
% of controls. Values are presented as the mean SEM of three separate experiments, significantly
different from control at , .
3.2. Statins Increased Human PPAR Promoter Activity
To investigate the mechanism
by which statins increase PPAR mRNA expression, we cloned the human PPAR promoter region ( to bp) and examined
promoter activity in HepG2 cells transfected with the human PPAR promoter-reporter plasmid. Figure 3 shows the
PPAR promoter activity following treatment of HepG2
cells with various amounts of statin for 24 hours. Except for pravastatin, 6
statins significantly increased PPAR promoter activity in a dose-dependent manner.
Atorvastatin, cerivastatin, fluvastatin, rosuvastatin, and simvastatin
increased PPAR promoter activity by more than 1.5-fold
(versus the control). However, pravastatin only slightly increased PPAR promoter activity that was significant only at
.
Figure 3: PPAR promoter activity in HepG2 cells transfected
with human PPAR promoter-reporter plasmid after treatment with
atorvastatin (Ator), cerivastatin (Ceri), fluvastatin (Flu), pitavastatin
(Pita), pravastatin (Pra), rosuvastatin (Rosu), and simvastatin (Sim) for 24
hours. Each statin was used at doses of 1, 10, 25, and . Nontreated cells (statin concentration ) were the control. The data are expressed as
% of controls. Values are presented as the mean SEM of three separate experiments, significantly
different from control at , .
3.3. Statins Increased PPAR Levels in Nuclear Fraction
We next examined the
increasing effect of statins on PPAR protein levels in nuclear fraction of HepG2
cells. Results are shown in Figure 4. In a nuclear fraction of HepG2 cells
treated with statin, PPAR protein levels were significantly increased by
treatment with rosuvastatin (Figure 4(a)). Moreover, PPAR protein levels were significantly increased by
treatment with of pitavastatin, simvastatin, and
atorvastatin, and the
other statins slightly increased PPAR protein levels (Figure 4(b)). However, in a
cytoplasmic fraction, PPAR protein levels were not changed by the
treatment with 10 and statins.
Figure 4: The Western blots represent PPAR protein levels in nuclear fractions of HepG2
cells after treatment with (a) and (b) of statin for 24 hours (Cont., control;
Ator, atorvastatin; Ceri, cerivastatin; Flu, fluvastatin; Pita, pitavastatin;
Pra, pravastatin; Rosu, rosuvastatin; Sim, simvastatin).
The PPAR protein levels were quantified with an imaging
analyzer. The data are expressed as % of control. Values are presented as the
mean SEM of three separate
experiments, significantly different from control at , .
3.4. Statins Increased PPAR Activity
We next examined the effect
of statins on the transcriptional activity of PPAR in 293T cells transfected with human AOX
promoter-reporter plasmid containing PPREs region, human PPAR, and
RXR expression plasmids. In Figure 5(a), fenofibric
acid that was used as a positive control increased PPAR activity in a dose-dependent manner. In Figure
5(b), the treatment with cerivastatin () and simvastatin () significantly increased transcriptional
activity of PPAR by more than 1.5-fold (versus the control).
Fluvastatin, pitavastatin, pravastatin, and rosuvastatin tended to increase
transcriptional activity of PPAR by 1.2- to 1.4-fold (versus the control).
However, atorvastatin did not increase the transcriptional activity of PPAR.
Figure 5: The transcriptional activity of PPAR in HepG2 cells transfected with human acyl-CoA oxidase (AOX) promoter-reporter plasmid after treatment with fenofibric acid (FA) and statins
for 24 hours. (a) FA was used at doses of 1, 10, 50, and . Nontreated cells (FA concentration ) were the control. (b) Atorvastatin (Ator),
cerivastatin (Ceri), fluvastatin (Flu), pitavastatin (Pita), pravastatin (Pra),
rosuvastatin (Rosu), and simvastatin (Sim) for 24 hours. Each statin was used
at doses of 1, 10, 25, and . Nontreated cells (statin concentration ) were the control. The data are expressed as
% of control. Values are presented as the mean SEM of three separate experiments, significantly
different from control at , .
3.5. Statins Increased HNF-4 Levels in Nuclear Fraction
Next, to elucidate the
downstream effects of statins on transcriptional activation by PPAR, we detected HNF-4 levels in nuclear fraction of HepG2 cells
treated with statins by the use of Western blot analysis. Results are shown in
Figure 6. At statin treatment, fluvastatin, pravastatin,
and rosuvastatin significantly increased HNF-4 levels in nuclear fraction (Figure 6(a)).
Moreover, at statin treatment, except for cerivastatin, 6 statins significantly increased HNF-4 levels in nuclear fraction (Figure 6(b)).
Figure 6: The Western blots represent HNF-4 levels in nuclear fractions of HepG2 cells
after treatment with atorvastatin (Ator), cerivastatin (Ceri), fluvastatin
(Flu), pitavastatin (Pita), pravastatin (Pra), rosuvastatin (Rosu), and
simvastatin (Sim) for 24 hours. Each statin was used at doses of 10 (a) or 25
(b) . Nontreated cells (statin concentration ) were the control. HNF-4 protein levels were quantified with an imaging
analyzer. The data are expressed as % of control. Values are presented as the
mean SEM of three separate
experiments, significantly different from control at , .
4. Discussion
The main findings of the
present study were (1) most statins increased PPAR mRNA expression, which might be caused via PPAR promoter activation, (2) atorvastatin,
pitavastatin, and simvastatin significantly increased PPAR protein levels in nuclear fraction, (3) some,
not but all, statins interacted with AOX promoter containing PPRE and increased
PPAR activity, and (4) the PPAR promoter activity could be regulated by the
increase of statin-induced HNF-4.
Statin therapy has been
reported to reduce the incidence of cardiovascular disease risk in patients
with the metabolic syndrome and hyperlipidemia [26], and these benefits have
been regarded to mainly derive from their lipid-lowering effect. However,
recent studies have suggested that there are additional, beneficial
anti-inflammatory effects of stains, which are independent of their
cholesterol-lowering effect [27, 28]. There are many reports that the
anti-inflammatory effects of statins are induced via PPARs signaling-pathway
[11, 29].
Our present results show
that most statins increased PPAR mRNA expression in HepG2 cells after 24 hours
treatment, especially atorvastatin, cerivastatin, fluvastatin, pitavastatin,
rosuvastatin, and simvastatin (more than 1.5-fold versus control). Statins are
classified into hydrophilic compounds and lipophilic compounds. In this study,
the majority of the statins are lipophilic compounds, but pravastatin and
rosuvastatin are hydrophilic compounds. Our results of PPAR mRNA expression in HepG2 cells treated with
statins show that higher concentrations of pravastatin (100 and ) significantly increased PPAR mRNA expression. Therefore, in hydrophilic
statin (pravastatin), the higher concentrations compared with other statins
would be required for increase PPAR mRNA expression.
There are many reports that
statins increase PPAR mRNA expression [11, 21]; however, there are
no reports about the effect of statins on human PPAR promoter activity. We, therefore, cloned the
human PPAR promoter region ( to ) and
measured the promoter activity in HepG2 cells treated with statins. Our present
results show that 6 statins (except for pravastatin) significantly increased
PPAR promoter activity in a dose-dependent manner.
Although the effect of statins on mouse PPAR promoter activity has been reported previously
[22], our present study is the first to report the effect of statins on human
PPAR promoter activity.
PPAR promoter region includes many transcription
factor binding domains, such as HNF-4, PPRE, E-Box, early growth response factor
(Egr-1), and transcription factor Sp1. HNF-4 is a nuclear receptor that plays a key role in
liver-specific gene expression. Previously, it was reported that human PPAR promoter region contains HNF-4 response element ( to ), and
HNF-4 induces human PPAR promoter activity [23]. Therefore, we detected
HNF-4 levels in nuclear fraction of statin-treated
HepG2 cells. In our present studies, all statins () significantly increased HNF-4 in nuclear fractions. This result shows that
statins may regulate PPAR gene transcription mediated by downstream
transcriptional factors (e.g., HNF-4). Further studies will be necessary to
elucidate molecular mechanisms of statins to regulate the other transcriptional
factors related to PPAR gene transcription.
Previously, we reported that
cerivastatin, fluvastatin, and simvastatin increased nuclear translocation of
PPAR protein [11]. Our present results show that
the 7 statins utilized in the present studies increased nuclear translocation
of PPAR protein in HepG2 cells compared with
nontreated control cells. We next examined the effect of statins on
transcriptional analysis of human AOX promoter in 293T cells cotransfected with
human PPAR and RXR expression vector. 293T cells were used for
these studies expressed very low levels of endogenous PPAR production when treated with statins (data not
shown). Our present results show that simvastatin increased human AOX
promoter-transcriptional activity via PPAR/RXR heterodimer. In fact, we identified the upregulation of human AOX mRNA on HepG2 cells and 293T cells
treated with statins (data not shown). PPAR is a ligand-activated transcription factor and
is activated by fatty acid, arachidonic acid [30], and several fibric acids
[31]. PPAR-dependent transcriptional activation of many
genes is well documented, and direct, ligand-enhanced interactions between PPAR and the coactivators, p300/cAMP-response element-binding protein (CREB-) binding protein (p300/CBP), steroid receptor coactivator-1 (SRC-1), PPAR-binding protein (PBP), and PPAR coactivator-1 (PGC-1) are thought to play a role in PPAR activation [32–34]. The recruitment of specific
coactivators and the release of corepressors (e.g., nuclear receptor
corepressor, NCoR) that associate with the liganded PPAR/RXR heterodimer allow further fine control of gene
transcription. PPAR/RXR heterodimer can also bind to PPRE in the unliganded
state [35]. The molecular structures of the PPAR/RXR heterodimeric complex and coactivators
remain to be elucidated. Further studies will be necessary to be undertaken of
the molecular mechanisms of statin regulation of the gene transcription by binding
to PPREs in the promoter region of target genes.
In conclusion, statins
activate PPAR promoter and then up-regulate PPAR mRNA expression in HepG2 cells. The effect on
PPAR transcription is likely regulated by various
downstream transcriptional factors (e.g., HNF-4). Statins increase PPAR protein levels in nuclear fraction, and
moreover, some statins, such as cerivastatin, fluvastatin, and simvastatin,
significantly activate the transcription of the PPAR target genes.
Acknowledgment
The authors would like to
greatly appreciate the experimental assistance to Ms. Sawako Satoh, Ayako Go,
and Noriko Fukushima.