Abstract

BackgroundFibrates are a unique hypolipidemic drugs that lower plasma triglyceride and cholesterol levels through their action as peroxisome proliferator-activated receptor alpha (PPARα) agonists. The activation of PPARα leads to a cascade of events that result in the pharmacological (hypolipidemic) and adverse (carcinogenic) effects in rodent liver.ResultsTo understand the molecular mechanisms responsible for the pleiotropic effects of PPARα agonists, we treated mouse primary hepatocytes with three PPARα agonists (bezafibrate, fenofibrate, and WY-14,643) at multiple concentrations (0, 10, 30, and 100 μM) for 24 hours. When primary hepatocytes were exposed to these agents, transactivation of PPARα was elevated as measured by luciferase assay. Global gene expression profiles in response to PPARα agonists were obtained by microarray analysis. Among differentially expressed genes (DEGs), there were 4, 8, and 21 genes commonly regulated by bezafibrate, fenofibrate, and WY-14,643 treatments across 3 doses, respectively, in a dose-dependent manner. Treatments with 100 μM of bezafibrate, fenofibrate, and WY-14,643 resulted in 151, 149, and 145 genes altered, respectively. Among them, 121 genes were commonly regulated by at least two drugs. Many genes are involved in fatty acid metabolism including oxidative reaction. Some of the gene changes were associated with production of reactive oxygen species, cell proliferation of peroxisomes, and hepatic disorders. In addition, 11 genes related to the development of liver cancer were observed.ConclusionOur results suggest that treatment of PPARα agonists results in the production of oxidative stress and increased peroxisome proliferation, thus providing a better understanding of mechanisms underlying PPARα agonist-induced hepatic disorders and hepatocarcinomas.

Highlights

  • Fibrates are a unique hypolipidemic drugs that lower plasma triglyceride and cholesterol levels through their action as peroxisome proliferator-activated receptor alpha (PPARα) agonists

  • In this study, using mouse primary hepatocytes, we examined global gene expression profiles observed after treatment with several concentrations of three PPARα agonists

  • PPARα agonist administration to primary hepatocytes to assess PPARα activity In order to estimate whether PPARα activity was elevated by the addition of PPARα agonists, pHD(x3) luciferase plasmid containing three direct tandem copies of a peroxisome proliferator response elements (PPREs) binding site was used as a reporter plasmid

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Summary

Introduction

Fibrates are a unique hypolipidemic drugs that lower plasma triglyceride and cholesterol levels through their action as peroxisome proliferator-activated receptor alpha (PPARα) agonists. Clofibrate, fenofibrate, WY-14,643, and others are a unique class of hypolipidemic drugs They function as agonists for peroxisome proliferator-activated receptor alpha (PPARα). Fibrates bind to PPARα and increase the expression of genes that involved in fatty acid uptake (fatty acid binding protein, FABP), β-oxidation (acyl-CoA oxidase, ACOX), and ω-oxidation (cytochrome P450) [47]. This pharmacological effect of fibrates is responsible for the therapeutic utility, and this effect was observed in preclinical species and in humans

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