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Departments of Molecular Biology (Y.-K.L., M.C., L.P., S.A.K.), Pharmacology (D.R.S., C.L.C., Y.Z., D.J.M., S.A.K.), and Biochemistry (R.E.H.), and the Howard Hughes Medical Institute (D.R.S., C.L.C., Y.Z., D.J.M.), University of Texas Southwestern Medical Center, Dallas, Texas 75390; GlaxoSmithKline Research and Development (B.G.), Research Triangle Park, North Carolina 27709
Address all correspondence and requests for reprints to: Steven A. Kliewer, Departments of Molecular Biology and Pharmacology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390-9041. E-mail: steven.kliewer{at}utsouthwestern.edu.
| ABSTRACT |
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-hydroxylase (CYP7A1) and sterol 12
-hydroxylase (CYP8B1), which catalyze key steps in bile acid synthesis. In vitro studies suggest that LRH-1 may be involved both in stimulating basal CYP7A1 and CYP8B1 transcription and in repressing their expression as part of the nuclear bile acid receptor [farnesoid X receptor (FXR)]-small heterodimer partner signaling cascade, which culminates in small heterodimer partner binding to LRH-1 to repress gene transcription. However, in vivo analysis of LRH-1 actions has been hampered by the embryonic lethality of Lrh-1 knockout mice. To overcome this obstacle, mice were generated in which Lrh-1 was selectively disrupted in either hepatocytes or intestinal epithelium. LRH-1 deficiency in either tissue changed mRNA levels of genes involved in cholesterol and bile acid homeostasis. Surprisingly, LRH-1 deficiency in hepatocytes had no significant effect on basal Cyp7a1 expression or its repression by FXR. Whereas Cyp8b1 repression by FXR was also intact in mice deficient for LRH-1 in hepatocytes, basal CYP8B1 mRNA levels were significantly decreased, and there were corresponding changes in the composition of the bile acid pool. Taken together, these data reveal a broad role for LRH-1 in regulating bile acid homeostasis but demonstrate that LRH-1 is either not involved in the feedback regulation of bile acid synthesis or is compensated for by other factors. | INTRODUCTION |
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-fetoprotein transcription factor, FTZ-F1-related factor, and CYP7A1 promoter binding factor) is an orphan member of the nuclear receptor superfamily that is highly expressed in liver, exocrine pancreas, intestine, and ovary (1, 2, 3 ; reviewed in4). LRH-1 belongs to a nuclear receptor subfamily that includes steroidogenic factor 1 and fushi tarazu factor 1. Members of this subfamily regulate target gene transcription by binding as monomers to DNA response elements with consensus sequence 5'-PyCAAGGPyCPu-3' (4). LRH-1 has high constitutive transcriptional activity that can be regulated by phosphorylation (5). Although various phospholipids have been shown to bind in the ligand-binding pocket of human LRH-1 (6, 7, 8), the physiological relevance of these interactions remains uncertain.
In the intestine, LRH-1 binding sites have been identified in the regulatory regions of a number of genes involved in cholesterol and bile acid homeostasis, including those encoding the ATP-binding cassette (ABC) transporters ABCG5 and ABCG8, the organic solute transporters (OST)
and β, and the ileal apical sodium-dependent bile acid transporter (ASBT; also known as solute carrier family 10, member A2) (9, 10, 11). LRH-1 is also implicated in the regulation of other intestinal processes including epithelial cell renewal and the synthesis of glucocorticoids (12, 13). Heterozygous Lrh-1+/–-mice have decreased epithelial cell proliferation and are susceptible to chemical-induced intestinal inflammation (13, 14).
LRH-1 binding sites have also been identified in the regulatory regions of many genes involved in cholesterol and bile acid homeostasis in liver (4). Among these are the genes encoding cholesterol 7
-hydroxylase (CYP7A1), which catalyzes the first and rate-limiting step in bile acid synthesis, and cholesterol 12
-hydroxylase (CYP8B1), which catalyzes a step in the conversion of chenodeoxycholic acid to cholic acid (15). In vitro studies have suggested that LRH-1 has dual effects on CYP7A1 and CYP8B1 expression (16, 17). First, it enhances basal transcription of these genes. Second, it is involved in the feedback repression of CYP7A1 and CYP8B1 through a signaling cascade involving the farnesoid X receptor (FXR), a nuclear bile acid receptor, and small heterodimer partner (SHP) (16, 17). Activation of FXR by bile acids induces expression of SHP, an atypical orphan nuclear receptor lacking a DNA-binding domain that functions as a strong transcriptional repressor through interactions with other nuclear receptors and transcription factors (18 ; reviewed in Ref. 19). Because SHP binds efficiently to LRH-1 and inhibits its transcriptional activity in vitro, it is proposed that this interaction causes CYP7A1 and CYP8B1 repression (16, 17). Whereas the roles of FXR and SHP in this signaling cascade have been demonstrated in vivo using gene knockout mice (20, 21, 22), Lrh-1–/– mice die during early embryogenesis, precluding their use in the analysis of LRH-1 function in adult tissues (23). Interestingly, heterozygous Lrh-1+/– mice have elevated CYP7A1 and CYP8B1 mRNA levels (23, 24), suggesting that the dominant effect of LRH-1 on Cyp7a1 and Cyp8b1 transcription is the recruitment of SHP, not the induction of their basal activity. LRH-1 overexpression studies in mice have yielded contrasting outcomes: whereas CYP7A1 mRNA levels were increased in LRH-1 transgenic mice (23), overexpression of LRH-1 using an adenoviral delivery system caused a strong decrease in CYP7A1 and CYP8B1 mRNA levels (24). Given these mixed results, the precise role of LRH-1 in the regulation of bile acid synthesis remains unclear.
In this report, we describe the generation and characterization of mice deficient for LRH-1 in either hepatocytes or the intestinal epithelium. These studies demonstrate roles for LRH-1 in regulating bile acid homeostasis in both tissues. However, they also unexpectedly show that LRH-1 is not essential for FXR-mediated feedback repression of bile acid synthesis.
| RESULTS |
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(HNF4
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, and Ostβ, which have been shown to be regulated directly by LRH-1 in vitro (10, 11).
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-muricholic acid, and β-muricholic acid and lower concentrations of taurocholic acid and taurodeoxycholic acid (Fig. 3B
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| DISCUSSION |
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A surprising outcome of our studies was that LRH-1 deficiency in hepatocytes had no significant effect on either basal Cyp7a1 expression or its repression by FXR. This was unexpected given that LRH-1 binds to the murine Cyp7a1 promoter as measured by chromatin immunoprecipitation assays (28), and LRH-1 haploinsufficiency or overexpression affects hepatic CYP7A1 mRNA levels in mice (23, 24). There are at least two possible explanations for these data. First, LRH-1 may not regulate Cyp7a1 or play a relatively minor role. Alternatively, there may be a redundant factor or compensatory response in the hepKO mice that maintains Cyp7a1 regulation in the absence of LRH-1. One possible candidate for mediating a compensatory response is HNF4
, which binds to the same composite response element in the CYP7A1 promoter as LRH-1 and, like LRH-1, is repressed by SHP in vitro (29, 30). In vitro studies have shown that bile acids can down-regulate CYP7A1 transcription by reducing HNF4
activity (31). Moreover, mice deficient for HNF4
in liver have decreased CYP7A1 mRNA and protein levels during the dark cycle (32). Although no significant changes in HNF4
mRNA levels were seen in hepKO mice, additional studies will be needed to determine the role of HNF4
and its relationship with LRH-1 in regulating both basal expression and FXR-mediated repression of CYP7A1. Additional studies will also be required to determine whether our findings in mice are relevant in other species, including humans. There are well-established species differences in the regulation of CYP7A1, especially with regard to its modulation by cholesterol (33, 34, 35, 36, 37, 38, 39, 40). Thus, LRH-1 may be important for the regulation of CYP7A1 in other species.
In contrast to Cyp7a1, basal Cyp8b1 expression was significantly reduced in mice deficient for LRH-1 in liver. As predicted, the decrease in Cyp8b1 expression was accompanied by decreased concentrations of taurocholic acid and increased levels of tauromuricholic acids in the bile acid pool. As in the case of Cyp7a1, FXR-mediated repression of Cyp8b1 still occurred in the hepKO mice, although the magnitude of the decrease was reduced. These data demonstrate an important role for LRH-1 in determining the composition of the bile acid pool through effects on Cyp8b1 expression. They also reveal marked differences in the regulation of Cyp7a1 and Cyp8b1. The differential regulation of Cyp7a1 and Cyp8b1 was also recently highlighted by Kim et al. (26), who showed that Cyp7a1 is repressed more efficiently than Cyp8b1 by FGF15.
In the hepKO mice, there were significant decreases in hepatic SHP, CYP27A1, SCARB1, ABCG5, ABCG8, BSEP, multidrug resistance transporter 2, MRP2, MRP3, and sodium-dependent bile acid cotransporter mRNA levels. Several different mechanisms may contribute to their decreased expression. First, LRH-1 may regulate these genes directly. In the case of Shp, Mrp3, Abcg5, Abcg8, Scarb1, and Bsep, sites that bind LRH-1 have been identified in the gene-regulatory regions (9, 16, 17, 28, 41, 42). The decreased expression of a subset of these genes may be due also to changes in the activity of FXR, which directly regulates the Shp, Bsep, and Mrp2 genes (16, 17, 43, 44). FXR mRNA levels were decreased approximately 2-fold in livers of hepKO mice consistent with the previous finding that LRH-1 binds to the Fxr promoter (28). Furthermore, it was previously shown that cholic acid is an important endogenous agonist for FXR in mice (45). In hepKO mice, the reduction in CYP8B1 mRNA and resulting decrease in cholic acid may contribute to the reduced hepatic expression of genes that are regulated by FXR. Thus, decreases in both FXR protein levels and its endogenous ligands could contribute to the altered expression of FXR target genes in hepKO mice.
LRH-1 also appears to have both direct and indirect effects on gene expression in ileum. In ieKO mice, SHP, IBABP, and FGF15 mRNA levels were significantly decreased in ileum, and OST
, OSTβ, and ASBT mRNA levels trended lower. Whereas Shp, Ost
, Ostβ, and Asbt have been shown previously to be regulated by LRH-1 in vitro (10, 11, 16, 17), Ibabp and Fgf15 have not. It remains to be determined whether intestinal LRH-1 regulates Ibabp and Fgf15 directly or indirectly. Notably, FGF15 mRNA was also decreased in ileum of mice deficient for LRH-1 in liver. Because FGF15 is regulated strongly by FXR (25, 46), this decrease may be due to the aforementioned reduction in FXR agonist activity in the hepKO mice. However, because Shp and Ibabp are also FXR target genes (16, 17, 47), it is surprising that their mRNA levels were not also significantly decreased in the hepKO mice.
While this paper was in preparation, Mataki et al. (48) reported the characterization of mice in which exons 4 and 5 of Lrh-1 were deleted in hepatocytes using a tamoxifen-inducible cre. Although many of their findings with respect to the effect of LRH-1 deficiency on hepatic gene expression and bile acid composition are similar to ours, they did not investigate the effect of LRH-1 deficiency on feedback regulation of bile acid synthesis nor did they generate mice lacking LRH-1 in the intestinal epithelium. Notably, they reported a significant decrease in the bile acid pool size and a significant increase in fecal bile acid excretion in their LRH-1-deficient mice that were not seen in the current study. Moreover, they did not see the modest decrease in plasma cholesterol that we observed in the hepKO mice. The basis for these differences is not clear but could relate to either the different strategies used to disrupt Lrh-1 or the different background strains. Regarding the decreased plasma cholesterol levels in our hepKO mice, this is a surprising finding in light of the lack of change in CYP7A1 mRNA levels and decreased hepatic expression of ABCG5 and ABGG8, which promote cholesterol secretion into the bile. At present we do not have a molecular explanation for the effect of LRH-1 deficiency on cholesterol homeostasis.
In summary, we show that LRH-1 affects the expression of a number of genes in liver and intestine that are involved in cholesterol and bile acid homeostasis. Among these are several that were not previously linked to LRH-1, including Cyp27a1 in liver and Ibabp and Fgf15 in ileum. These findings reveal a broader role for LRH-1 in regulating bile acid homeostasis than was previously appreciated. We also demonstrate that LRH-1 plays a major role in determining the composition of the bile acid pool through effects on Cyp8b1 expression. Surprisingly, however, LRH-1 is not essential for FXR-mediated feedback regulation of Cyp7a1. Additional studies will be required to determine whether LRH-1 has no role in the feedback regulation of bile acid synthesis or whether there are redundant factors or a compensatory response that maintains Cyp7a1 regulation in the absence of LRH-1.
| MATERIALS AND METHODS |
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Generation of LRH-1 Deficient Mice
High-fidelity PCR amplification of 129SvEv genomic DNA was used to generate an approximately 3.7-kb long arm including exon 4 and parts of introns 3 and 4, an approximately 0.8-kb targeting arm including exon 5 and parts of introns 4 and 5, and an approximately 1.6-kb short arm including intron 5. These fragments were assembled in the pMC1neo PolyA vector (Stratagene, La Jolla, CA) containing a neomycin resistance cassette and loxP and FRT sites. AatII-linearized DNA was electroporated into 129SvEv-derived embryonic stem (ES) cells. ES cells were screened for targeted recombination by Southern blot analysis using 5'- and 3'-probes and DNA digested with NheI or NdeI, respectively. Probes were generated by PCR amplification using the following primers: 5'-probe forward primer, CCATGGTGGATTTGGTTCTC; reverse primer, TGTAGCATAAGTTGGTCCGG; 3'-probe forward primer, GGCTGTTCTTGCTACTTGAG; reverse primer, CAGGTGCACTGTATGTAGCT. Two independently derived ES cell clones were injected into C57BL/6J blastocysts to produce chimeric mice that transmitted the modified Lrh-1 locus. The neomycin resistance cassette was removed by crossing Lrh-1flox/+ mice with R26::FLPe transgenic mice (49). Hepatocyte and intestinal epithelium-specific LRH-1 deficiency was achieved by breeding Lrh-1flox/flox mice with albumin-cre (50) or villin-cre (51) transgenic mice. hepKO and ieKO mice and their corresponding control Lrh-1flox/flox mice were maintained on mixed C57BL6/129 backgrounds. To confirm homologous recombination and tissue-specific deletion of exon 5 of Lrh-1, genomic DNA was extracted from tail, liver, and intestine, and PCR analysis was performed using the following primers: forward primer 1, CGATGTCCCTACTGTCGA; reverse primer 1, CGCAGCATTCTTCGGCAG; forward primer 2, CATAAGGGCTCAGTGGCAC; reverse primer 2, CTTCACTGGCTGCCAAGCTG.
Morphometry and Proliferation Measurements
The small intestine was cut into three segments of equal length representing the duodenum, jejunum, and ileum. Each section was cut transversely, fixed with 10% formalin, paraffin embedded, sectioned, and stained with hematoxylin and eosin. For villus and crypt measurements, duodenum sections were photographed using a Nikon DXM1200F camera and Nikon Eclipse 80i microscope at xX and x20 magnification, and 10 villi and crypts per mouse (n =11–12 mice per group) were measured using MetaVue software (Meta Imaging Series 6.1; Lewisville, TX). To determine proliferation indices, BrdU incorporation was detected by immunohistochemistry. Sections were deparaffinized and rehydrated. DNA was denatured by 2 N HCl for 1 h at 37 C and neutralized by immersing sections two times in 0.1 M borate buffer (pH 8.5) for 5 min each. Sections were permeabilized by 0.3% Triton for 5 min, incubated in 1.5% horse serum for 30 min, and incubated with antimouse BrdU antibody (Roche Molecular Biochemicals, Indianapolis, IN) at a 1:25 dilution overnight at 4 C. Biotinylated horse antimouse IgG was added at a dilution 1:200 for 30 min at room temperature followed by fluorescein isothiocyanate-conjugated streptavidin at a 1:50 dilution for 30 min at room temperature. Ten crypts per mouse were analyzed for BrdU incorporation (n =4 mice per group).
Liquid Chromatography/Mass Spectrometry Analysis of Bile Acids
Gall bladder, liver, and intestines were removed and placed into 50 ml of EtOH. The tissues in solution were spiked with 50 µg of chenodeoxycholic acid-D4 (C/D/N Isotopes; Pointe-Claire, Canada) and extracted. Samples were minced and boiled for 1 h to reduce the EtOH volume to approximately 30 ml. Samples were filtered through no. 2 Whatman paper, and the volume was brought to 50 ml using a volumetric flask. One milliliter of the extract was centrifuge filtered using a polyvinylidine difluoride membrane (Millipore Corp., Bedford, MA) before analysis. Bile acids were quantified by liquid chromatography/mass spectrometry (Agilent Technologies, Palo Alto, CA) with electrospray ionization in negative ion mode by modification of a published procedure (52). Briefly, samples were loaded onto a precolumn (Zorbax C8, 4.6 x 12.5 mm, 5 µm; Agilent) at 1 ml/min for 1 min with water containing 5 mM NH4Ac and then backflushed onto the analytical column at 0.4 ml/min (Eclipse XDB-C18, 4.6 x 50 mm, 5 µm; Agilent). The mobile phase consisted of methanol/0.024% formic acid (A) and water/10 mM NH4Ac/0.024% formic acid (B). The following gradient was run for a total run time of 30 min: 0–15 min, 70–80% (A); 15–17 min, 80% (A); 17–20 min, 80–95% (A); 20–26 min, 95% (A). MS parameters were set as follows: gas temperature, 350 C; nebulizer pressure, 30 pounds per square inch gauge; drying gas (nitrogen), 12 liters/min; capillary voltage, 4000 V; fragmentor voltage, 200 V. Under these conditions it is not possible to resolve the closely related taurine-cojugated trihydroxy bile acids,
-, β-, and
-muricholic acid (MCA). Likewise, unconjugated
- and
-MCA cannot be resolved. For this reason, the pair of unconjugated MCAs is reported as
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-MCA and the three taurine-conjugated bile acids are reported as tauromuricholic acid. Selective ion monitoring was used to detect the conjugated and unconjugated bile acids (supplemental Table 1, published as supplemental data on The Endocrine Societys Journals Online web site at http://mend.endojournals.org). Quantification was performed based on peak areas using external calibration curves of standards prepared in methanol. CDCA-D4 was used to calculate the recovery of bile acids after extraction relative to a blank control.
Fecal Bile Acid Excretion
Fecal excrement was collected from individually housed mice over a continuous 72-h period. Bile acids were extracted and quantified as previously described (53).
RT-qPCR Analysis
Total RNA was extracted from liver and scraped intestine using RNA STAT-60 (Tel-Test, Inc., Friendswood, TX). After DNase I (Roche Molecular Biochemicals) treatment, RNA was reverse transcribed into cDNA with random hexamers using the SuperScript II First-Strand Synthesis System (Invitrogen, Carlsbad, CA). Primers for each gene were designed using Primer Express Software (Applied Biosystems, Foster City, CA) and were validated as previously described (54). Primer sequences are shown in supplemental Table 2. RT-qPCR reactions contained 25 ng of cDNA, 150 nM of each primer, and 5 µl of SYBR GreenER PCR Master Mix (Invitrogen) and were carried out in triplicate using an Applied Biosystems Prism 7900HT instrument. Relative mRNA levels were calculated using either the comparative CT or standard curve methods normalized to cyclophilin or 18S RNA, respectively.
Immunoblot Analysis
Nuclear extracts were prepared from liver using hypotonic buffer [10 mM HEPES (pH 7.5), 10 mM KCl, 1.5 mM MgCl2, 1.5 mM dithiothreitol, Complete Protease Inhibitor Cocktail (Roche Diagnostic)] and nuclear lysis buffer (50 mM Tris-HCl, pH 7.5; 150 mM NaCl; 0.1% Triton X-100; Complete Protease Inhibitor Cocktail). Nuclear extract (50 µg) was resolved on a 10% sodium dodecyl sulfate-polyacrylamide gel and transferred to a polyvinylidine difluoride membrane (Amersham Pharmacia Biotech, Piscataway, NJ). The membrane was probed with guinea pig polyclonal anti-LRH-1 antibody against mouse LRH-1 residues 318–560. Recombinant LRH-1 protein was generated as previously described (55). The LRH-1 antibody was used at a dilution of 1:500 at 4 C overnight followed by a secondary horseradish peroxidase-conjugated antibody at a dilution of 1:10,000. The membrane was reprobed with antibody against TATA-binding protein (Santa Cruz Biotechnology, Inc., Santa Cruz, CA) as a loading control. Proteins were detected by Super Signal West Femto chemiluminescense substrate (Pierce Chemical Co., Rockford, IL).
Plasma and Liver Parameters
Vena cava blood was collected and transferred into Li-heparin tubes (Sarstedt, Newton, NC). Samples were centrifuged at 4000 rpm at 4 C for 10 min, and total plasma cholesterol, triglycerides, glucose, aspartate aminotransferase, and alanine aminotransferase were measured using a Vitros 250 automated analyzer (Johnson & Johnson, New Brunswick, NJ). Plasma free fatty acids were measured with colorimetric assay kits (Roche). Total plasma bile acids were measured using enzymatic assay kits (Diagnostic Chemicals Ltd., Charlottetown, Prince Edward Island, Canada). Hepatic cholesterol and triglyceride concentrations were measured as previously described (56) except that Triton X-100 was used in place of Triton X-114 and the kits used to measure cholesterol and triglyceride were from Roche and Trinity Biotech (Jamestown, NY), respectively.
Statistical Analyses
Minitab Release 14 software (Minitab, Inc., State College, PA) was used. Values are expressed as mean ± SEM. Significant differences of two groups were evaluated using a two-tailed, unpaired Students t-test. Multiple groups were analyzed by one-way ANOVA followed by Fishers least significant difference test.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Disclosure Summary: Y.K.L., D.R.S., C.L.C., M.C., L.P., Y.Z., and R.E.H. have nothing to declare. B.G. is employed by, and has equity in, GlaxoSmithKline. D.J.M. owns equity in Exelixis and Ligand and has received consulting fees from Kalypsys, Exelixis, Daiichi-Sankyo, and Bay City Capital and lecture fees from Bristol-Myers Squibb, Gene Logic, Wyeth, and ISIS. S.A.K. owns equity in Intercept and Intekrin and has received consulting fees from Intekrin, GlaxoSmithKline, and Daiichi-Sankyo and lecture fees from Daiichi-Sankyo and Merck.
First Published Online March 6, 2008
Abbreviations: ABC, ATP-binding cassette; ASBT, apical sodium-dependent bile acid transporter; BrdU, bromodeoxyuridine; BSEP, bile salt export pump; CYP7A1, cholesterol 7
-hydroxylase; CYP8B1, sterol 12
-hydroxylase; ES, embryonic stem; FGF, fibroblast growth factor; FXR, farnesoid X receptor; hepKO, hepatocyte knockout; HNF4
, hepatocyte nuclear factor 4
; IBABP, ileal bile acid-binding protein; ieKO, intestinal epithelium knockout; LRH-1, liver receptor homolog-1; MCA, muricholic acid; MRP, multidrug resistance protein; OST, organic solute transporter; RT-qPCR, real-time quantitative PCR; SCARB1, scavenger receptor B1; SHP, small heterodimer partner.
Received for publication December 18, 2007. Accepted for publication February 25, 2008.
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