The melanocortin-4 receptor (MC4-R) is a G protein-coupled, seven-transmembrane receptor expressed in the brain. Inactivation of this receptor by gene targeting results in mice that develop a maturity onset obesity syndrome associated with hyperphagia, hyperinsulinemia, and hyperglycemia. This syndrome recapitulates several of the characteristic features of the agouti obesity syndrome, which results from ectopic expression of agouti protein, a pigmentation factor normally expressed in the skin. Our data identify a novel signaling pathway in the mouse for body weight regulation and support a model in which the primary mechanism by which agouti induces obesity is chronic antagonism of the MC4-R.

Smad proteins are intracellular mediators of signalling initiated by Tgf-betasuperfamily ligands (Tgf-betas, activins and bone morphogenetic proteins (Bmps)). Smads 1, 2, 3, 5 and 8 are activated upon phosphorylation by specific type I receptors, and associate with the common partner Smad4 to trigger transcriptional responses. The inhibitory Smads (6 and 7) are transcriptionally induced in cultured cells treated with Tgf-beta superfamily ligands, and downregulate signalling in in vitro assays. Gene disruption in mice has begun to reveal specific developmental and physiological functions of the signal-transducing Smads. Here we explore the role of an inhibitory Smad in vivo by targeted mutation of Madh6 (which encodes the Smad6 protein). Targeted insertion of a LacZ reporter demonstrated that Smad6 expression is largely restricted to the heart and blood vessels, and that Madh6 mutants have multiple cardiovascular abnormalities. Hyperplasia of the cardiac valves and outflow tract septation defects indicate a function for Smad6 in the regulation of endocardial cushion transformation. The role of Smad6 in the homeostasis of the adult cardiovascular system is indicated by the development of aortic ossification and elevated blood pressure in viable mutants. These defects highlight the importance of Smad6 in the tissue-specific modulation of Tgf-beta superfamily signalling pathways in vivo.

Scavenger receptor BI (SR-BI) is a cell surface receptor that binds high density lipoproteins (HDL) and mediates selective uptake of HDL cholesteryl esters (CE) in transfected cells. To address the physiological role of SR-BI in HDL cholesterol homeostasis, mice were generated bearing an SR-BI promoter mutation that resulted in decreased expression of the receptor in homozygous mutant (designated SR-BI att) mice. Hepatic expression of the receptor was reduced by 53% with a corresponding increase in total plasma cholesterol levels of 50-70% in SR-BI att mice, attributable almost exclusively to elevated plasma HDL. In addition to increased HDL-CE, HDL phospholipids and apo A-1 levels were elevated, and there was an increase in HDL particle size in mutant mice. Metabolic studies using HDL bearing nondegradable radiolabels in both the protein and lipid components demonstrated that reducing hepatic SR-BI expression by half was associated with a decrease of 47% in selective uptake of CE by the liver, and a corresponding reduction of 53% in selective removal of HDL-CE from plasma. Taken together, these findings strongly support a pivotal role for hepatic SR-BI expression in regulating plasma HDL levels and indicate that SR-BI is the major molecule mediating selective CE uptake by the liver. The inverse correlation between plasma HDL levels and atherosclerosis further suggests that SR-BI may inf luence the development of coronary artery disease.It is well established that plasma concentrations of high density lipoprotein (HDL) cholesterol are inversely proportional to the risk of developing atherosclerosis and coronary artery disease (1). Although the protective mechanism is not known, HDL is thought to reduce plaque formation by removing cholesterol from arterial cells and delivering it to the liver as cholesteryl ester (CE) for bile acid synthesis and secretion, a process referred to as reverse cholesterol transport (2). HDL also delivers CE to steroidogenic tissues (adrenal gland, ovary, and testis), where it serves as substrate for steroid hormone synthesis (reviewed in ref.3). The uptake of HDL cholesterol by cells involves selective transfer of CE to the cell without uptake and degradation of HDL proteins, a process known as selective lipid uptake (4, 5). This is markedly different from the mechanism of clearance of low density lipoproteins (LDL), which involves receptor-mediated endocytosis and intracellular degradation of the entire lipoprotein particle (6).Whereas the receptor that mediates LDL clearance was identified well over a decade ago (6), a functional HDL receptor has only recently been identified. Acton et al. (7) demonstrated that scavenger receptor BI (SR-BI), a multiligand cell surface receptor isolated from Chinese hamster ovary cells by expression cloning (8), binds HDL with high affinity and mediates selective cholesterol uptake in transfected cells. Furthermore, the receptor is primarily expressed in those tissues exhibiting selective lipid uptake in vivo: liver, adrenal gland, ovary, ...

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