Abstract
Despite advances into our understanding of how nutrient oversupply and triacylglycerol (TAG) anabolism contribute to hepatic steatosis, little is known about the lipases responsible for regulating hepatic TAG turnover. Recent studies have identified adipose triglyceride lipase (ATGL) as a major lipase in adipose tissue although its role in the liver is largely unknown. Thus, we tested the contribution of ATGL to hepatic lipid metabolism and signaling. Adenoviral-mediated knockdown of hepatic ATGL resulted in steatosis in mice and decreased hydrolysis of TAG in primary hepatocyte cultures and in vitro assays. In addition to altering TAG hydrolysis, ATGL is shown to play a significant role in partitioning hydrolyzed fatty acids between metabolic pathways. Whereas ATGL gain- and loss-of-function did not alter hepatic TAG secretion, fatty acid oxidation was increased by ATGL overexpression and decreased by ATGL knockdown. The effects on fatty acid oxidation coincided with decreased expression of PPAR-α and its target genes in mice with suppressed hepatic ATGL expression. However, PPAR-α agonism was unable to normalize the effects of ATGL knockdown on PPAR-α target gene expression suggesting that ATGL influences PPAR-α activity independent of ligand-induced activation. Taken together, these data show that ATGL is a major hepatic TAG lipase that plays an integral role in fatty acid partitioning and signaling to control energy metabolism.
Keywords: ATGL, β-oxidation, PPAR-α, TAG
Introduction
Hepatic steatosis represents the most common form of liver disease in both adults and children in the US (1-3). In addition to being a precursor to fibrosis, cirrhosis and cancer, hepatic steatosis is also tightly linked to Type 2 Diabetes, obesity and cardiovascular disease (4). Because TAG content defines steatosis, the regulation of hepatic lipid metabolism is an integral part of disease etiology. To date, most studies on hepatic steatosis have focused upon enzymes involved in TAG synthesis or how energy oversupply leads to TAG accumulation. However, little is known about lipases responsible for controlling hepatic TAG hydrolysis and how this process contributes to the development of steatosis.
Hormone-sensitive lipase has received the most research attention for its role in regulating lipolysis especially in adipose tissue. However, in 2004, several groups indentified a novel TAG lipase that is highly expressed in adipose tissue (5-7). This lipase, which is commonly known as ATGL (aliases include desnutrin, phospholipase A2-ζ and pigment epithelium-derived factor receptor), is a member of the patatin domain-containing family. Characterization of this lipase revealed that it has high substrate specificity for TAG [10 fold over diacylglycerol (DAG)] especially compared to hormone-sensitive lipase, which preferentially hydrolyzes DAG (6). ATGL null mice have impaired rates of lipolysis and, consequently, have increased adipose tissue mass (6, 8). Because of its high expression and prominent role in white adipose tissue, most research has focused upon ATGL in the context of this tissue. However, ATGL is expressed at lower levels in non-adipose tissues such as heart, muscle and liver (6, 9). Its importance outside of adipose tissue is evidenced by the ectopic lipid accumulation in most tissues of ATGL null mice including increased TAG in cardiac muscle (21-fold), skeletal muscle (3-fold) and liver (2.3-fold) (6, 8). Despite these changes it is difficult to determine if the effects of global ATGL ablation on hepatic metabolism are direct or due to the broad effects of ATGL on other tissues. In this report, we show that ATGL is an important hepatic lipase that governs TAG turnover and lipid partitioning and signaling to influence the development of steatosis.
Materials and Methods
Animals, Diets and Adenoviral Administration
All animal protocols were approved by the University of Minnesota Institutional Animal Care and Use Committee. Eight week old C57/Bl6 male mice were purchased from Jackson Laboratory and housed under controlled temperature and lighting (20-22°C; 12:12-h light-dark cycle). Mice were allowed to acclimate for 1 wk prior to adenoviral injections. Adenoviruses that encode mouse ATGL shRNA and control shRNA that targets a non-specific mRNA sequence were generated as described previously (10). Mice were injected with 1 × 109 plaque forming units of adenovirus containing ATGL shRNA or non-targeting shRNA control via the tail vein. Mice had free access to water and were fed with either chow (TD.94045) or a 45% fat diet (TD.09404) from Harlan Teklad Premier Laboratory Diets following adenovirus administration. The chow diet contained 19% protein, 64% carbohydrate and 17% fat as a % of total calories and the fat source was soybean oil (70g/kg). The high fat diet contained 19% protein, 35% carbohydrates and 45% fat with lard (195 g/kg) and soybean oil (30 g/kg) comprising the fat sources. Exactly one week following adenovirus injection, mice were sacrificed for tissue and serum collection after an overnight fast. For studies involving administration of fenofibrate, starting one day after adenovirus injection, mice were gavaged daily with fenofibrate (125 mg/kg body weight) suspended in 0.5% carboxymethylcellulose. This dosage of fenofibrate is within the range of doses used to affect PPAR-α and hepatic energy metabolism in mice (11-13).
Primary Hepatocyte Isolation and Culture
Mouse primary hepatocytes were isolated by the collagenase perfusion method from 10-12 wk old C57/Bl6 male mice with free access to water and chow diet. Hepatocytes were isolated and cultured exactly as we have described previously (14).
Cell Adenoviral Transduction, Radiolabeling, and Lipid Analysis
Adenovirusus expressing either ATGL or green fluorescent protein (GFP), which serves as a control virus, were generated as described previously (10). After 4 h of plating, cells were exposed to either adenovirus expressing GFP or ATGL at 10 MOI for 24 h. For knockdown studies, cells were treated with adenovirus containing ATGL shRNA and control shRNA and were cultured in maintenance media for 66 h unless otherwise noted. After 24 h for overexpression studies and 66 h for knockdown studies, cells were pulsed with 500 μM [1-14C]oleate bound to fatty acid-free BSA in a 3:1 molar ratio for 1.5 h. Some cells were harvested to measure radiolabel incorporation into cellular lipid fractions. Parallel incubations were washed with PBS and the wells were replaced with fresh media lacking labeled fatty acids for an additional 6 h of chase period followed by collection of cells for lipid extraction. Lipid extracts were further fractionated and radioisotopes quantified (14). Fatty acid oxidation to acid-soluble metabolites (ASM) and CO2 was measured as described previously (15).
Statistical Analysis
Results are expressed as mean ± standard error of the mean. Statistical analysis was performed using unpaired Student t-test. Values of P<0.05 were considered statistically significant.
See Supporting Information for additional descriptions of Materials and Methods.
Results
Adenovirus delivery of ATGL shRNA efficiently suppresses ATGL expression and TAG hydrolase activity
To determine the effects of hepatic ATGL, we injected mice via the tail vein with adenoviruses expressing scrambled shRNA (cont shRNA) or shRNA targeted against ATGL (ATGL shRNA). After 7 d, hepatic ATGL mRNA in ATGL shRNA treated mice was reduced ∼70% (Fig. 1A) and ATGL protein was suppressed ∼80% (Fig. 1B) compared to mice treated with cont shRNA. We next measured hepatic TAG hydrolase activity from the different treatment groups using [3H]trioleate as the substrate. Consistent with a robust knockdown of ATGL, the ATGL shRNA decreased TAG hydrolase activity ∼40% relative to controls (Fig. 1C). ATGL knockdown did not influence body weight in mice fed chow or high fat diets for 7 d following transduction (Fig. 1D); a negative control group injected with saline showed similar ATGL expression and body weight as those receiving cont shRNA (data not shown). High fat feeding for 7 d following administration of adenoviruses resulted in a significant increase in gonadal fat pad weight in control mice, however, this increase was completely abrogated in mice treated with ATGL shRNA (Fig. 1E) suggesting that manipulating hepatic ATGL impacted adipose metabolism.
Hepatic ATGL knockdown causes steatosis
Despite its relatively low expression in the liver, ATGL null mice have hepatic steatosis although it is unclear if this is a direct effect of loss of hepatic ATGL or due to changes in extrahepatic metabolism (6, 9). Thus, we evaluated the liver-specific effects of ATGL knockdown on the development of steatosis. After 7 d following adenoviral treatments, ATGL knockdown resulted in a ∼30% increase in liver weight (Fig. 2A) regardless of diet. Histological analysis of liver specimens revealed abundant lipid droplet accumulation following ATGL knockdown in chow and high fat diets (Fig. 2B). Further analysis revealed that hepatic TAG content was more than doubled in mice treated with ATGL shRNA confirming that suppression of ATGL leads to steatosis (Fig. 2C). Additionally, the role of ATGL on influencing TAG composition is not known. Therefore, we quantified the composition of fatty acids in TAG from mice treated with cont or ATGL shRNA. Knockdown of ATGL caused a significant reduction in C16:0, C18:0 and C18:3, but increased C18:1 content in TAG by ∼40% (Fig. 2D). Thus, ATGL is an important hepatic lipase that regulates both TAG content and composition.
Hepatic ATGL alters TAG turnover
Given the increase in hepatic TAG content and reduced TAG hydrolase activity in mice with suppressed hepatic ATGL expression, we next sought to characterize the effects of ATGL on TAG turnover. To do so, we performed pulse-chase experiments with [1-14C]oleate in primary mouse hepatocytes treated with ATGL knockdown or overexpression adenoviruses. ATGL knockdown did not influence the amount of oleate incorporated into TAG during the 1.5 h pulse period, but blunted the loss of [14C]TAG during the chase period by ∼80% compared to cells transduced with control shRNA (Fig. 3A). Similar effects of ATGL on hepatic TAG turnover were also observed with a second siRNA (data not shown). ATGL knockdown did not influence cholesterol ester metabolism, but increased oleate incorporation into PL and DAG during the pulse, and enhanced radiolabled PL and DAG loss during the chase period (Fig. 3B-D). Consistent with the above data, pulse-chase experiments in hepatocytes overexpressing ATGL showed that ATGL decreased incorporation of [14C]oleate during the pulse period and increased the rate of [14C]TAG loss during the chase period (Fig. 3E). Longer term (8 h) labeling, which more closely reflects the effects of ATGL on lipid turnover revealed that ATGL knockdown increased [14C]TAG by approximately 30% without affecting PL and CE (Fig. 3F). To further characterize the role of ATGL in mediating fatty acid-induced lipid accumulation, hepatocytes were treated with overexpression or knockdown adenoviruses and then exposed to 500 μM oleate for 30 h. As shown in Fig. 3G, overexpression of ATGL almost completely prevented lipid droplet accumulation as evidenced by Oil Red O staining, whereas, ATGL knockdown resulted in increased lipid droplet formation as expected. ATGL also promoted smaller lipid droplets, which has been reported previously (16).
Hepatic ATGL does not influence TAG secretion
To gain insight into the effects of hepatic ATGL knockdown on whole-body fatty acid metabolism, we quantified serum FFA and TAG. Regardless of diet, the concentrations of these serum metabolites were unaltered following hepatic ATGL knockdown (Fig. 4A,B). Previous studies have shown that cytosolic TAG undergoes hydrolysis to DAG or monoacylglycerol prior to resterification and incorporation into VLDL (17). Thus, it was surprising that mice treated with ATGL shRNA had unaltered fasting serum TAG levels despite having attenuated hepatic TAG hydrolysis. Based upon these findings, we next questioned if ATGL regulates the rate of hepatic TAG secretion. To quantify rates of hepatic TAG secretion, fasted mice were injected with Tyloxapol, an inhibitor of lipoprotein lipase. In agreement with the similar fasting TAG values between treatment groups, rates of hepatic TAG secretion were unchanged in response to ATGL knockdown (Fig. 4C).
We next extended these studies to primary hepatocyte cultures. Cells were pulsed with 500 μM [1-14C]oleate for 1.5 h, at which time media was changed and appearance of [14C]TAG in the media was measured after 6 h to quantify the contribution of ATGL and TAG hydrolysis to hepatic TAG secretion. In support of the in vivo data, ATGL knockdown did not alter TAG secretion in primary hepatocytes (Fig. 4D). Similar results were obtained when cells were labeled with [1-14C]oleate for 8 h (Fig. 4E). We also overexpressed ATGL and found that despite enhanced TAG hydrolysis (Fig. 3E) ATGL overexpression did not alter TAG secretion (Fig. 4F). Thus, despite potent effects on intracellular TAG hydrolysis, ATGL does not appear to be involved in channeling hydrolyzed fatty acids to VLDL synthesis.
Hepatic ATGL promotes fatty acid oxidation
Intracellular fatty acids have two predominant routes of disposal in the liver, export via VLDL and β-oxidation. Given the pronounced effects of ATGL on hepatic TAG turnover, we next explored if ATGL influenced fatty acid oxidation. Serum β-hydroxybuytrate concentrations were similar in mice treated with control or ATGL shRNA suggesting that perhaps hepatic β-oxidation was not influenced by hepatic ATGL (Fig 5A). However, ATGL knockdown in primary hepatocytes resulted in a 30% decrease in ASM production when cells were pulsed with 500 μM [1-14C]oleate (Fig. 5B). However, these data reflect primarily oxidation of fatty acids derived from exogenous uptake. Thus, we also quantified fatty acid oxidation during the chase period, which reflects oxidation of fatty acids derived primarily from intracellular TAG hydrolysis. Under these conditions, ATGL shRNA resulted in a ∼70% decrease in fatty acid oxidation to both ASM and CO2 compared with cells treated with control shRNA (Fig. 5B,C). Similarly, we also measured fatty acid oxidation during pulse and chase periods following ATGL overexpression. In support of the above experiments, ATGL overexpression increased fatty acid oxidation to ASM 40% during the pulse period and caused an even more robust increase in fatty acid oxidation to both ASM and CO2 during the chase period (Fig. 5D,E). Previously, we have shown that overexpression of ATGL in rat hepatocytes increases PPAR-α activity (18). Moreover, gene array studies show that ATGL null mice have decreased expression of genes involved in fatty acid β-oxidation in numerous tissues (19). Since ATGL knockdown decreased fatty acid oxidation, a principal target pathway of PPAR-α, we examined the effects of ATGL knockdown in vivo on the expression of PPAR-α and its target genes. After 7 d following transduction, the mRNA abundance of PPAR-α and its target genes involved in fatty acid oxidation and utilization (CPT-1, ACOT1, LCAD, ACSL1) and gluconeogenesis (PEPCK, PC) were decreased ∼40-70% (Fig. 6A). Taken together, these data show that hepatic ATGL promotes fatty acid oxidation through altered channeling of hydrolyzed fatty acids and through changes in oxidative gene expression.
ATGL regulates fatty acid oxidation independent of PPAR-α agonism
PPAR-α is activated by numerous endogenous ligands including free fatty acids (20). Given that ATGL promotes production of fatty acids from TAG hydrolysis, it is logical to speculate that ATGL mediates PPAR-α by supplying fatty acid ligands. Thus, to test this hypothesis, mice treated with the control or ATGL shRNA adenoviruses were given daily oral gavages of carboxymethycellulose (vehicle) or 125 mg/kg fenofibrate, a PPAR-α agonist. Fenofibrate administration had no effect on food intake or body weight (data not shown), but increased liver weight 30% (Figure 7A) as previously reported by others (21). Fenofibrate was unable to normalize liver weight or liver TAG content in ATGL shRNA treated mice compared to those treated with control shRNA (Fig. 7A,B). Fenofibrate caused a similar fold increase in PPAR-α target gene expression in both treatment groups, but was unable to overcome the decreased expression of PPAR-α target genes in mice treated with ATGL shRNA (Fig. 7C) suggesting that ATGL regulates PPAR-α through a ligand-independent mechanism.
Discussion
Despite the importance of hepatic TAG in local and systemic energy metabolism and disease etiology, the major lipases responsible for TAG mobilization in the liver are largely unknown. Herein, we show ATGL to be a principal TAG lipase in the liver consistent with its crucial role in TAG hydrolysis in other tissues such as adipose, heart and muscle. Interestingly, pulse-chase experiments in hepatocytes revealed that ATGL knockdown almost completely blocked TAG hydrolysis. However, livers from mice treated with ATGL shRNA still possessed ∼60% of TAG hydrolase activity suggesting that other lipases also contribute to hepatic TAG hydrolysis. Although these studies clearly show that ATGL impacts TAG hydrolysis, the discrepancies between TAG hydrolase activity assays and TAG turnover in cells also suggest that there are many additional factors that contribute to TAG hydrolysis that are not reflected by in vitro assays. For example, several proteins such as comparative gene identification-58, pigment epithelium-derived factor, G0/G1 switch gene 2 and numerous lipid droplet proteins have potent effects on ATGL-mediated TAG hydrolysis and are not present on synthetic lipid droplets used for in vitro assays (22-24). Thus, it is likely that the contribution of ATGL to hepatic TAG turnover likely varies depending upon the presence of the various inhibitors and activators and may in fact represent more than in vitro assays indicate.
The current studies provide evidence that ATGL acts as a branch point in partitioning hydrolyzed fatty acids between oxidative and VLDL synthetic pathways. As the complexity of the lipid droplet and control of TAG turnover is unraveled, it is becoming apparent that specific lipid droplet proteins and lipases differentially partition fatty acids to distinct metabolic fates. Recent studies have shown that ablation of triacylglycerol hydrolase, which is located exclusively on the ER, suppresses hepatic TAG turnover and TAG export, but increases oxidation (25). Coinciding with the increased fatty acid oxidation in mice lacking triacylglycerol hydrolase is an increase in oxidative gene expression. Overexpression of arylacetamide deacetylase, which posses TAG hydrolase activity, increases hepatic TAG turnover and fatty acid oxidation, but decreases TAG secretion (26). Taken together with the current findings, these data suggest that distinct lipases differentially channel fatty acids between β-oxidation and VLDL synthesis. Additionally, it is unclear how reducing TAG hydrolysis by both ATGL and triacylglycerol hydrolase result in opposing effects on oxidative gene expression. In addition to lipases, several lipid droplet proteins may also contribute to differential partitioning of hydrolyzed fatty acids. Overexpression of fat specific protein-27, a recently identified lipid droplet protein, decreases TAG turnover and fatty acid oxidation without altering TAG export from hepatocytes (27). Despite promoting TAG accumulation, perilipin 5 (also known as OXPAT) also promotes fatty acid oxidation consistent with its high expression levels in oxidative tissues (28). Thus, there appears to be a coordinated regulation of TAG metabolism by lipid droplet proteins and lipases that determines the metabolic fate of hydrolyzed fatty acids (Table 1). Defining the mechanism through which specific pools of TAG are hydrolyzed and channeled between oxidative and anabolic pathways will provide valuable insight into the regulation of hepatic energy metabolism.
The effects of ATGL on fatty acid channeling highlight the importance of TAG hydrolysis in supplying substrates for β-oxidation. Although intracellular fatty acids can be derived from numerous sources including TAG hydrolysis and exogenous uptake, the partitioning of these fatty acids between metabolic pathways appears to be dissimilar. Recently, using stable isotope infusions in humans, Kanaley et al. showed that resting muscle preferentially oxidizes fatty acids derived from TAG hydrolysis compared to those derived from exogenous uptake (29). In support, previous work in rat hepatocytes has suggested that fatty acids derived from TAG hydrolysis are more readily oxidized compared to those supplied as fatty acids in the media (30). Given the importance of intracellular TAG in supplying fatty acids for oxidation, our data would suggest that ATGL plays a critical role in controlling substrate oxidation. Additionally, although this study only focused upon male mice, effects of estrogen on ATGL have been reported (31). Thus, it remains to be determined if the effects of ATGL observed in the current study would be similar in female mice.
In addition to its direct effects on TAG hydrolysis, ATGL also appears to influence hepatic energy metabolism through changes in gene expression. The current study shows that ATGL knockdown reduces the expression of genes involved in fatty acid oxidation and gluconeogenesis. Microarray analysis of tissues from global ATGL knockout mice reveals decreased expression of oxidative genes in numerous tissues (19). Additionally, we have previously shown that ATGL overexpression increases PPAR-α activity in rat hepatocytes (18). Thus, these data suggest that ATGL may modulate fatty acid channeling at least in part through changes in oxidative gene expression. In an attempt to recover oxidative gene expression, mice were gavaged with fenofibrate following administration of adenoviruses. Fenofibrate treatment resulted in a robust induction of oxidative gene expression between both treatment groups, but was unable to normalize gene expression in ATGL shRNA treated groups to those of control animals. Thus, these data suggest that the effects of ATGL on gene expression are independent of PPAR-α ligand binding. Although the mechanism explaining the effects of ATGL on gene expression remain to be elucidated, it is likely that the alterations in gene expression contribute to the metabolic effects of ATGL knockdown. Additionally, it could be postulated that changes in PPAR-α activity could influence fatty acid partitioning through alterations in hepatic TAG export. However, the role of PPAR-α in hepatic TAG secretion is unclear. Studies in mice and hepatocytes show that PPAR-α decreases hepatic TAG secretion (32-34) although not all data are consistent (35). Fibrate administration in humans lowers serum TAG through increased VLDL clearance, but rates of hepatic TAG secretion are unaltered (36, 37). Although the direct effects of PPAR-α on hepatic TAG secretion are not resolved, perhaps changes in metabolic enzymes, such as ATGL, may mediate the effects of PPAR-α. Previous studies have shown that hepatic ATGL is activated in response to fasting and that ATGL contains a PPAR-γ responsive peroxisome proliferator response element (38, 39). Ongoing studies will further characterize the transcriptional and post-transcriptional regulation of hepatic ATGL.
The present studies shows that ATGL knockdown results in increased C18:1 and lower C16:0, C18:0 and C18:3 in hepatic TAG. Although we cannot rule out a role for ATGL in selective hepatic fatty acid uptake and esterification or in altering de novo fatty acid synthesis, the effects of ATGL knockdown on hepatic TAG fatty acid composition suggest that ATGL may show substrate specificity towards different fatty acids. Given the potent effects of ATGL on fatty acid partitioning and signaling, it is plausible that some of these effects could be due to changes in hydrolysis and metabolism of specific fatty acids rather than ATGL itself.
In summary, this study identifies ATGL as a major hepatic TAG lipase that has important roles in fatty acid trafficking and signaling. Given these important characteristics, alterations in hepatic ATGL expression or activity is likely to contribute to a host of metabolic diseases including non-alcoholic fatty liver disease.
Supplementary Material
Acknowledgments
This study was supported by grants from the NIH (RO1-DK0822574 to ASG and R56-DK085008 to DGM) and the American Diabetes Association (7-08-RA-57 to ASG and 7-07-JF-43 to DGM). The authors would also like to thank the technical support of Katie Ress and the Minnesota Obesity Center (P30-DK50456).
Abbreviations used
- ASM
acid-soluble metabolites
- ATGL
adipose triglyceride lipase
- CE
cholesterol ester
- DAG
diacylglycerol
- PL
phospholipid
- PPAR-α
peroxisome proliferator-activated receptor-α
- TAG
triacylglycerol
- VLDL
very low density lipoprotein
Footnotes
Potential conflict of interest: none
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