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A growth hormone-releasing peptide that binds scavenger receptor CD36 and ghrelin receptor up-regulates sterol transporters and cholesterol efflux in macrophages through a peroxisome proliferator-activated receptor gamma-dependent pathway.

Abstract
Macrophages play a central role in the pathogenesis of atherosclerosis by accumulating cholesterol through increased uptake of oxidized low-density lipoproteins by scavenger receptor CD36, leading to foam cell formation. Here we demonstrate the ability of hexarelin, a GH-releasing peptide, to enhance the expression of ATP-binding cassette A1 and G1 transporters and cholesterol efflux in macrophages. These effects were associated with a transcriptional activation of nuclear receptor peroxisome proliferator-activated receptor (PPAR)gamma in response to binding of hexarelin to CD36 and GH secretagogue-receptor 1a, the receptor for ghrelin. The hormone binding domain was not required to mediate PPARgamma activation by hexarelin, and phosphorylation of PPARgamma was increased in THP-1 macrophages treated with hexarelin, suggesting that the response to hexarelin may involve PPARgamma activation function-1 activity. However, the activation of PPARgamma by hexarelin did not lead to an increase in CD36 expression, as opposed to liver X receptor (LXR)alpha, suggesting a differential regulation of PPARgamma-targeted genes in response to hexarelin. Chromatin immunoprecipitation assays showed that, in contrast to a PPARgamma agonist, the occupancy of the CD36 promoter by PPARgamma was not increased in THP-1 macrophages treated with hexarelin, whereas the LXRalpha promoter was strongly occupied by PPARgamma in the same conditions. Treatment of apolipoprotein E-null mice maintained on a lipid-rich diet with hexarelin resulted in a significant reduction in atherosclerotic lesions, concomitant with an enhanced expression of PPARgamma and LXRalpha target genes in peritoneal macrophages. The response was strongly impaired in PPARgamma(+/-) macrophages, indicating that PPARgamma was required to mediate the effect of hexarelin. These findings provide a novel mechanism by which the beneficial regulation of PPARgamma and cholesterol metabolism in macrophages could be regulated by CD36 and ghrelin receptor downstream effects.
AuthorsRoberta Avallone, Annie Demers, Amélie Rodrigue-Way, Kim Bujold, Diala Harb, Silvia Anghel, Walter Wahli, Sylvie Marleau, Huy Ong, André Tremblay
JournalMolecular endocrinology (Baltimore, Md.) (Mol Endocrinol) Vol. 20 Issue 12 Pg. 3165-78 (Dec 2006) ISSN: 0888-8809 [Print] United States
PMID16959872 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • ABCG1 protein, mouse
  • ATP Binding Cassette Transporter 1
  • ATP Binding Cassette Transporter, Subfamily G, Member 1
  • ATP-Binding Cassette Transporters
  • Apolipoproteins E
  • CD36 Antigens
  • DNA-Binding Proteins
  • Lipoproteins
  • Liver X Receptors
  • NR1H3 protein, human
  • Nr1h3 protein, mouse
  • Oligopeptides
  • Orphan Nuclear Receptors
  • PPAR gamma
  • Receptors, Cytoplasmic and Nuclear
  • Receptors, G-Protein-Coupled
  • Receptors, Ghrelin
  • gamma-aminobutyryl-2-methyltryptophyl-2-methyltryptophyl-2-methyltryptophyl-lysinamide
  • hexarelin
  • Cholesterol
Topics
  • ATP Binding Cassette Transporter 1
  • ATP Binding Cassette Transporter, Subfamily G, Member 1
  • ATP-Binding Cassette Transporters (metabolism)
  • Animals
  • Apolipoproteins E (genetics)
  • Atherosclerosis (genetics, prevention & control)
  • CD36 Antigens (genetics, metabolism)
  • Cells, Cultured
  • Cholesterol (metabolism)
  • DNA-Binding Proteins (genetics)
  • Humans
  • Lipoproteins (metabolism)
  • Liver X Receptors
  • Macrophages, Peritoneal (drug effects, metabolism)
  • Mice
  • Mice, Knockout
  • Oligopeptides (pharmacology)
  • Orphan Nuclear Receptors
  • PPAR gamma (metabolism)
  • Phosphorylation
  • Promoter Regions, Genetic
  • Receptors, Cytoplasmic and Nuclear (genetics)
  • Receptors, G-Protein-Coupled (genetics)
  • Receptors, Ghrelin
  • Transcription, Genetic
  • Up-Regulation

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