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Acta Pharmacologica Sinica 2006 February; 27 (2): 223-228

C333H, a novel PPARa/g dual agonist, has beneficial effects on insulin resistance and lipid metabolism1

Cheng XU3, Li-li WANG2,4, Hong-ying LIU2, Xing-bo ZHOU3, Ying-lin CAO3, Song LI2

2Institute of Pharmacology and Toxicology, Beijing 100850, China; 3Pharmaceutical University of Shenyang, Shenyang 110016, China

1 Project supported by the National High Technology Research and Development Program of China (863 Program, No 2003AA235010) and the Beijing Techno-logical Program (No H030230070110).
4 Correspondence to Prof Li-li WANG.
Phn 86-10-6687-4603.
Fax 86-10-6824-0321.
E-mail wangll63@yahoo.com.cn
Received 2005-07-20
Accepted 2005-10-10
doi: 10.1111/j.1745-7254.2006.00263.x




  Abstract

Aim: To examine the effects of novel peroxisome proliferator-activated receptor (PPAR) a/g dual agonist C333H on insulin resistance and lipid metabolism. Methods: An established dual-luciferase reporter gene assay system was used in vitro to test the activity of C333H with respect to the transcription of human PPARa and PPARg. A preadipocyte differentiation assay and reverse transcription-polymerase chain reaction were used to detect the functional activities of C333H. In db/db mice, the effects of C333H were investigated with respect to lowering of blood glucose and lipid levels. Results: C333H was determined to be a novel PPARa/g dual agonist because it strongly induced luciferase activity on human PPARa and PPARg, promoting the differentiation of preadipocytes to adipocytes, and functioning in upregulating the expression of some glucose and lipid metabolic target genes of the PPAR. In addition, C333H efficiently reduced blood lipid and glucose concentrations in db/db diabetic mice. Conclusion: C333H has dual action on both PPARa and PPARg, and might be of interest for the amelioration of lipid metabolic disorders and insulin resistance associated with type 2 diabetes.

Key words

C333H; peroxisome proliferator-activated receptor; insulin resistance; lipid metabolism; diabetes

  Extract

Note: Please read the complete full text with Figures and Tables at 

differentiation medium (DMEM supplemented with 2% horse serum).

For drug assays, LO2 cells were treated with 10 µmol/L C333H for 24 h, and 3T3-L1 cells were treated with 10 µmol/L C333H in the presence of 10 mg/mL insulin for 72 h. C2C12 cells were differentiated into myotubes for 4 d, and the medium was replaced with phenol red-free differentiation medium supplemented with 10 µmol/L C333H for 24 h.

RT-PCR Total RNA from cells was isolated using Trizol reagent following the manufacturer¡¯s instructions. The RNA content was quantified by using an ultraviolet spectrophotometer at 260 nm. For RT-PCR analysis of hACO, mLPL, maP2 and mGluT4 expression, total RNA was reverse transcribed and subsequently amplified by PCR using the BcaBEST RNA PCR kit (version 1.1; TaKaRa Biotechnology, Dalian, China). The primers for hACO (362 bp product; sense 5¡¯-gggcatggctattctcattgc-3¡¯, antisense 5¡¯-cgaa-caaggtcaacagaagttaggttc-3¡¯); mLPL (403 bp product; sense 5¡¯-CTTTG AGAAAGGGCTCTGCC-3¡¯, anti-sense 5¡¯-CCTCTCGATGACGAAGCTGG-3¡¯); maP2 (160 bp product; sense 5¡¯-AAGACAGCTCCTCCTCGAAGGTT-3¡¯, antisense 5¡¯-TGACCAAATCCCCATTTACGC-3¡¯); mGluT4 (504 bp product; sense 5¡¯-AACGAGCTGGACGACGGACA-3¡¯, antisense 5¡¯-TTGCCCCTC AGTCATTCTCA-3¡¯) and the internal control hGAPDH (176 bp product; sense 5¡¯-ACCCA-CTCCTCCACCTTT G-3¡¯, antisense 5¡¯-CTCTTGTGCTCTT-GCTGGG-3¡¯); mGAPDH (505 bp product; sense 5¡¯-CCCTGGCC AAGGTCATCCAT-3¡¯, antisense 5¡¯- AGGTCCACCACCCTG-TTGCT-3¡¯). The PCR conditions were as follows: 25 (mLPL, mGAPDH, and hGAPDH), 28 (maP2), or 30 (mGluT4 and hACO) cycles of 94 °C for 20 s, 52 °C (mGluT4) or 56 °C (mLPL, maP2, mGAPDH, hGAPDH, and hACO) for 30 s, and 72 °C for 1 min. Following amplification, 5 µL of each PCR product was separated on a 1% agarose gel, stained with ethidium bromide and visualized under ultraviolet light with a MultiImage light cabinet (AlphaImager 2200, USA).

Animal assays Eight-week-old male homozygous db/db mice were treated once daily with 10 mg/kg C333H or 0.5% sodium carboxymethylcellulose (control) by intragastric gavage. C333H was suspended in 0.5% sodium carboxy-methylcellulose. Blood was taken from the retroorbital sinuses at d 0 and d 14 from fasting mice. The various serum parameters were determined by using commercial kits (Rongsheng Biotech, Shanghai, China).

Statistical analysis Data are shown as mean±SD. Differences between individual groups were analyzed by using the t-test for adipocyte differentiation or ANOVA for the animal assay.

Results

Activation effect of C333H on human PPARa and PPARg We tested the activation effects of rosiglitazone, fenofibrate, and C333H on human PPARa and PPARg by using a transient transfection assay. To minimize background noise caused by endogenous PPAR ligands, an established chimera system was used, which contained the yeast GAL4 DBD linked to the LBD of PPARa or PPARg[9]. Interestingly, rosiglitazone was the only strong activator of PPARg, and fenofibrate did not have a significant effect on PPARa. C333H was a potent activator of both PPARa and PPARg. The addition of 10 µmol/L C333H strongly upregulated luciferase activity 22.2-fold for pM-PPARa, whereas 10 µmol/L rosiglitazone (PPARg agonist) and 100 µmol/L fenofibrate (PPARa agonist) produced only a 3.6-fold (data not shown) and a 8.5-fold increase, respectively. For pM-PPARg, C333H and rosiglitazone upregulated luciferase activity 8.3- and 8.4-fold, respectively (Figure 2).

Effect of C333H on adipocyte differentiation It has previously been shown that PPARg agonists are dominant regulators of adipocyte development[10]. In the present study we found that C333H and rosiglitazone could promote the adipocyte differentiation of 3T3-L1 cells. At the same concentration (10 µmol/L), C333H was a markedly more potent and efficacious inducer of adipogenesis than rosiglitazone (Figure 3).

Effect of C333H on gene expression in several cell lines We investigated the regulation of ACO, LPL, aP2, and GluT4 gene expression by C333H in hepatocytes, adipocytes, and skeletal muscle cells. We found that C333H increased the expression levels of ACO mRNA in human LO2 normal hepatocytes, GluT4 in C2C12 skeletal muscle cells, and LPL and aP2 in 3T3-L1 preadipocytes (Figure 4).

Effect of C333H on circulating lipid and glucose levels in db/db mice We investigated the pharmacological effect of C333H in db/db mice. The triglyceride (TG), total cholesterol (T-CHO), free fatty acid (FFA) and glucose serum con centrations were measured at d 0 and d 14 . After 14-d treat-ment with C333H, serum TG, T-CHO, FFA, and glucose were markedly reduced (Table 1).

Discussion

It is known that PPARg activation improves insulin resistance, and that PPARa activation induces a decrease in circulating lipid levels[11_13]. Rosiglitazone is a potent agonist of PPARg, whereas its activity with respect to PPARa is weak (data not shown). In vitro reporter gene assays established that C333H was an effective activator of both PPARa and PPARg. C333H was a more potent agonist of PPARa than fenofibrate, and it was found to have a similar PPARg activation effect to rosiglitazone. In vivo, we found that C333H significantly reduced the circulating levels of TG, T-CHO, FFA, and glucose in db/db mice, indicating that it might enhance insulin sensitivity and improve lipid metabolic disorders by activating both PPARa and PPARg.

In an adipocyte differentiation assay, C333H had the highest lipogenic activity of the compounds tested, which indicates that C333H could improve insulin resistance by PPARg activation. Because PPARg plays an important role in the regulation of adipocyte differentiation[14], PPARg agonists can promote preadipocyte differentiation to adipocytes. However, activation of PPARg can increase the number of small adipocytes and reduce the number of large adipocytes in white adipose tissues. Because small adipocytes are more sensitive to insulin, an increased number of small adipocytes and a decreased number of large adipocytes in white adipose tissues can alleviate insulin resistance[15]. Furthermore, adipocyte differentiation leads to the expression of adipocyte-specific genes, such as aP2[16], LPL[17], and GluT4[18], which indicates that PPARg agonists have good antihyperglycemic and antihyperlipidemic activity.

Liver, adipose tissue, and skeletal muscle are major sites of glucose and lipid metabolism. PPARa is predominantly expressed in the liver, whereas PPARg is most abundant in adipose tissue, and is also expressed in small amounts in skeletal muscle[19,20]. In the present study, the ability of C333H to regulate ACO, LPL, aP2, and GluT4 gene expression was investigated in various cell lines. Hepatic PPARa-dependent ACO mainly regulates fatty acid b-oxidation. LPL and aP2 are regulated by PPARg, and mainly function in triglyceride and fatty acid metabolism[21]. Moreover, the insulin-dependent glucose transporter GluT4 functions to regulate glucose uptake into adipose tissue and skeletal muscle in response to elevated levels of insulin in the circulation. Our results showed that C333H upregulated the expression lev els of these genes, indicating that it could lower blood glucose and lipid concentrations in type 2 diabetic patients.

In summary, we demonstrated that C333H was a dual activator of PPARa and PPARg. It not only controlled glucose and lipid metabolism, but also promoted preadipocyte differentiation and improved insulin resistance. These results suggest that further studies should be carried out to develop C333H as a novel therapy for metabolic disease such as obesity, hyperlipidemia and type 2 diabetes.

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