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Am J Physiol Endocrinol Metab 292: E421-E434, 2007. First published September 19, 2006; doi:10.1152/ajpendo.00157.2006
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PPAR{alpha} mediates the hypolipidemic action of fibrates by antagonizing FoxO1

Shen Qu,1 Dongming Su,1 Jennifer Altomonte,3 Adama Kamagate,1 Jing He,1 German Perdomo,1 Tonia Tse,1 Yu Jiang,2 and H. Henry Dong1

1Rangos Research Center, Children's Hospital of Pittsburgh, Department of Pediatrics, and 2Department of Pharmacology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and 3Department of Gene and Cell Medicine, Mount Sinai School of Medicine, New York, New York

Submitted 2 April 2006 ; accepted in final form 17 September 2006

High-fructose consumption is associated with insulin resistance and diabetic dyslipidemia, but the underlying mechanism is unclear. We show in hamsters that high-fructose feeding stimulated forkhead box O1 (FoxO1) production and promoted its nuclear redistribution in liver, correlating with augmented apolipoprotein C-III (apoC-III) production and impaired triglyceride metabolism. High-fructose feeding upregulated peroxisome proliferator-activated receptor-{gamma} coactivator-1beta and sterol regulatory element binding protein-1c expression, accounting for increased fat infiltration in liver. High-fructose-fed hamsters developed hypertriglyceridemia, accompanied by hyperinsulinemia and glucose intolerance. These metabolic aberrations were reversible by fenofibrate, a commonly used anti-hypertriglyceridemia agent that is known to bind and activate peroxisome proliferator-activated receptor-{alpha} (PPAR{alpha}). PPAR{alpha} physically interacted with, but functionally antagonized, FoxO1 in hepatic apoC-III expression. These data underscore the importance of FoxO1 deregulation in the pathogenesis of hypertriglyceridemia in high-fructose-fed hamsters. Counterregulation of hepatic FoxO1 activity by PPAR{alpha} constitutes an important mechanism by which fibrates act to curb apoC-III overproduction and ameliorate hypertriglyceridemia.

hypertriglyceridemia; forkhead box O1; peroxisome proliferator-activated receptor-{alpha}; apolipoprotein C-III; very-low-density lipoprotein-triglyceride; microsomal triglyceride transfer protein



Address for reprint requests and other correspondence: H. H. Dong, Rangos Research Center, Children's Hospital of Pittsburgh, 3460 5thAve., Rm 5140, Pittsburgh, PA 15213 (e-mail: dongh{at}pitt.edu)




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