Abstract

Very low-density lipoprotein receptor (VLDLR) is a member of the LDL receptor family that is involved in the uptake of VLDL into cells. Increased hepatic VLDLR under endoplasmic reticulum (ER) stress has been shown to cause fatty liver. In this study, the effect of dietary protein restriction on hepatic VLDLR and the role of VLDLR in fatty liver were investigated using Vldlr knockout (KO) mice. Growing wild-type (WT) and KO mice were fed a control diet containing 20% ​​protein or a low protein diet containing 3% protein for 11 days. In WT mice, the amount of hepatic Vldlr mRNA and VLDLR protein increased by approximately 8- and 7-fold, respectively, due to protein restriction. Vldlr mRNA and protein levels increased in both type 1 and type 2 VLDLR. However, neither Vldlr mRNA nor protein levels were significantly increased in heart, muscle, and adipose tissue, demonstrating that VLDLR increase due to protein restriction occurred in a liver-specific manner. Increased liver triglyceride levels during protein restriction occurred in KO mice to the same extent as in WT mice, indicating that increased VLDLR during protein restriction was not the main cause of fatty liver, which was different from the case of ER stress.

Highlights

  • Very low-density lipoprotein receptor (VLDLR) is a member of the LDL receptor family that is involved in the uptake of VLDL into cells

  • The results of the two-way ANOVA analysis revealed that plasma TG levels were increased in VLDLR KO mice

  • Vldlr-deficient mice were used as experimental animals to analyze the role of Vldlr in protein restriction

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Summary

Introduction

Very low-density lipoprotein receptor (VLDLR) is a member of the LDL receptor family that is involved in the uptake of VLDL into cells. Increased hepatic VLDLR under endoplasmic reticulum (ER) stress has been shown to cause fatty liver. Neither Vldlr mRNA nor protein levels were significantly increased in heart, muscle, and adipose tissue, demonstrating that VLDLR increase due to protein restriction occurred in a liver-specific manner. Activation of activating transcription factor 4 (ATF4) during endoplasmic reticulum (ER) stress induces Vldlr gene expression, as well as fatty liver, and both of these inductions disappear in Vldlr-deficient ­mice[12]. Since liver lipid accumulation during ER stress disappears in mice lacking ApoE, it is strongly suggested that VLDLR-mediated lipid uptake into the liver may be a major cause. Alcoholic fatty liver has been suppressed in Vldlr-deficient ­mice[13], and fibroblast growth factor 21 (FGF21)-mediated increases in VLDLR cause hepatic ­steatosis[14]. Increased VLDLR expression in the liver likely causes an increase in liver fat

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