Peroxisome proliferator-activated receptor α activation induces hepatic steatosis, suggesting an adverse effect

PLoS One. 2014 Jun 13;9(6):e99245. doi: 10.1371/journal.pone.0099245. eCollection 2014.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is characterized by hepatic triglyceride accumulation, ranging from steatosis to steatohepatitis and cirrhosis. NAFLD is a risk factor for cardiovascular diseases and is associated with metabolic syndrome. Antihyperlipidemic drugs are recommended as part of the treatment for NAFLD patients. Although fibrates activate peroxisome proliferator-activated receptor α (PPARα), leading to the reduction of serum triglyceride levels, the effects of these drugs on NAFLD remain controversial. Clinical studies have reported that PPARα activation does not improve hepatic steatosis. In the present study, we focused on exploring the effect and mechanism of PPARα activation on hepatic triglyceride accumulation and hepatic steatosis. Male C57BL/6J mice, Pparα-null mice and HepG2 cells were treated with fenofibrate, one of the most commonly used fibrate drugs. Both low and high doses of fenofibrate were administered. Hepatic steatosis was detected through oil red O staining and electron microscopy. Notably, in fenofibrate-treated mice, the serum triglyceride levels were reduced and the hepatic triglyceride content was increased in a dose-dependent manner. Oil red O staining of liver sections demonstrated that fenofibrate-fed mice accumulated abundant neutral lipids. Fenofibrate also increased the intracellular triglyceride content in HepG2 cells. The expression of sterol regulatory element-binding protein 1c (SREBP-1c) and the key genes associated with lipogenesis were increased in fenofibrate-treated mouse livers and HepG2 cells in a dose-dependent manner. However, the effect was strongly impaired in Pparα-null mice treated with fenofibrate. Fenofibrate treatment induced mature SREBP-1c expression via the direct binding of PPARα to the DR1 motif of the SREBP-1c gene. Taken together, these findings indicate the molecular mechanism by which PPARα activation increases liver triglyceride accumulation and suggest an adverse effect of fibrates on the pathogenesis of hepatic steatosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dose-Response Relationship, Drug
  • Fatty Liver / chemically induced
  • Fatty Liver / genetics
  • Fatty Liver / metabolism*
  • Fenofibrate / administration & dosage*
  • Fenofibrate / adverse effects
  • Fenofibrate / pharmacology
  • Gene Expression Regulation / drug effects
  • Hep G2 Cells
  • Hepatocytes / cytology
  • Hepatocytes / drug effects*
  • Humans
  • Hypolipidemic Agents / administration & dosage*
  • Hypolipidemic Agents / adverse effects
  • Hypolipidemic Agents / pharmacology
  • Lipogenesis / drug effects
  • Male
  • Mice
  • Mice, Inbred C57BL
  • PPAR alpha / genetics*
  • PPAR alpha / metabolism
  • Sterol Regulatory Element Binding Protein 1 / genetics
  • Sterol Regulatory Element Binding Protein 1 / metabolism
  • Triglycerides / metabolism*

Substances

  • Hypolipidemic Agents
  • PPAR alpha
  • Sterol Regulatory Element Binding Protein 1
  • Triglycerides
  • Fenofibrate

Grants and funding

This work was supported by grants from the National Basic Research Program (2012CB524900), the National Natural Science Foundation (30971409, 30901461, 81230018, 81170794, 81270869 and 81370891), the Natural Science Foundation (ZR2009CZ009), an international cooperation grant (2011) of Shandong Province and the Jinan self-renovation plan for colleges, universities and scientific research institutes (2012) of China. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.