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Submitted on March 31, 2006
Accepted on August 28, 2006
-dependent Pathway
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
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
activation by hexarelin, and phosphorylation of PPAR
was increased in THP-1 macrophages treated with hexarelin, suggesting that the response to hexarelin may involve PPAR
AF-1 activity. However, the activation of PPAR
by hexarelin did not lead to an increase in CD36 expression, as opposed to LXR
, suggesting a differential regulation of PPAR
-targeted genes in response to hexarelin. Chromatin immunoprecipitation assays showed that, in contrast to a PPAR
agonist, the occupancy of the CD36 promoter by PPAR
was not increased in THP-1 macrophages treated with hexarelin, while the LXR
promoter was strongly occupied by PPAR
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
and LXR
target genes in peritoneal macrophages. Such response was strongly impaired in PPAR
+/- macrophages, indicating that PPAR
was required to mediate the effect of hexarelin. These findings provide a novel mechanism by which the beneficial regulation of PPAR
and cholesterol metabolism in macrophages could be regulated by CD36 and ghrelin receptor downstream effects.
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