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This version published online on September 7, 2006
Molecular Endocrinology, doi:10.1210/me.2006-0146
A more recent version of this article appeared on December 1, 2006
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Submitted on March 31, 2006
Accepted on August 28, 2006

A Growth Hormone-Releasing Peptide that Binds Scavenger Receptor CD36 and Ghrelin Receptor Upregulates ABC Sterol Transporters and Cholesterol Efflux in Macrophages Through a PPAR{gamma}-dependent Pathway

Roberta Avallone, Annie Demers, Amélie Rodrigue-Way, Kim Bujold, Diala Harb, Silvia Anghel, Walter Wahli, Sylvie Marleau, Huy Ong*, and André Tremblay*

Faculty of Pharmacy, Pavillon Jean-Coutu, University of Montreal, Montréal, Québec, H3C 3J7 Canada; Research Center, Ste-Justine Hospital, Montreal, Québec, H3T 1C5 Canada; Center for Integrative Genomics and NCCR Frontiers in Genetics, University of Lausanne, CH-1015 Lausanne, Switzerland; Departments of Biochemistry, and Obstetrics & Gynecology, Faculty of Medicine, University of Montreal, Montréal, Québec, H3T 1C5 Canada

* To whom correspondence should be addressed. E-mail: huy.ong{at}umontreal.ca or andre.tremblay{at}recherche-ste-justine.qc.ca.

Macrophages play a central role in the pathogenesis of atherosclerosis by accumulating cholesterol through increased uptake of oxidized LDL 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 ABCA1 and ABCG1 transporters and cholesterol efflux in macrophages. These effects were associated with a transcriptional activation of nuclear receptor PPAR{gamma} in response to binding of hexarelin to CD36 and GHS-R1a, the receptor for ghrelin. The hormone binding domain was not required to mediate PPAR{gamma} activation by hexarelin, and phosphorylation of PPAR{gamma} was increased in THP-1 macrophages treated with hexarelin, suggesting that the response to hexarelin may involve PPAR{gamma} AF-1 activity. However, the activation of PPAR{gamma} by hexarelin did not lead to an increase in CD36 expression, as opposed to LXR{alpha}, suggesting a differential regulation of PPAR{gamma}-targeted genes in response to hexarelin. Chromatin immunoprecipitation assays showed that, in contrast to a PPAR{gamma} agonist, the occupancy of the CD36 promoter by PPAR{gamma} was not increased in THP-1 macrophages treated with hexarelin, while the LXR{alpha} promoter was strongly occupied by PPAR{gamma} in the same conditions. Treatment of apoE-null mice maintained on a lipid-rich diet with hexarelin resulted in a significant reduction in atherosclerotic lesions, concomitant with an enhanced expression of PPAR{gamma} and LXR{alpha} target genes in peritoneal macrophages. Such response was strongly impaired in PPAR{gamma}+/- macrophages, indicating that PPAR{gamma} was required to mediate the effect of hexarelin. These findings provide a novel mechanism by which the beneficial regulation of PPAR{gamma} and cholesterol metabolism in macrophages could be regulated by CD36 and ghrelin receptor downstream effects.


Key words: atherosclerosis • macrophages • nuclear receptors • PPAR • LXR • ABCA1 • ABCG1 • CD36 • GHS-R1a • GHRP • hexarelin • ghrelin • ApoE-knockout mice • oxidized LDL

NURSA Molecule Pages Link:

Nuclear Receptors:   PPARα  |  PPARδ  |  PPARγ  |  LXRβ  |  LXRα  |  RXRα
Ligands:   22α-Hydroxycholesterol  |  GW 9662  |  Pirinixic acid



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