This article is available online at http://www.jlr.org effect of statins in dyslipidemic hamsters. J. Lipid Res . 2010. 51: 1486-1495.
Supplementary key words LDL receptor • rosuvastatin • berberineThe number of LDL receptors (LDLR) expressed on the surface of hepatocytes is a primary determinant for plasma LDL-cholesterol (LDL-C) levels ( 1 ). Hepatic LDLR mediates the uptake of LDL particles from the circulation and delivers the receptor-bound LDL to the endosomal system for degradation while the LDLR returns to the cell surface. Statins are competitive inhibitors of HMG-CoA reductase, the rate-limiting enzyme in the cellular cholesterol biosynthetic pathway. The inhibition of cholesterol de novo synthesis leads to increased numbers of cell surface LDLR by activation of LDLR gene transcription. Thus, statins are the most widely prescribed drugs to treat hypercholesterolemia and combined hyperlipidemia.Contrary to human studies in which statins effectively lower plasma total cholesterol (TC) and LDL-C, in animal studies, the LDL reducing effects of statins exhibit great species differences. Statins reduce plasma TC and LDL-C as the major drug action in rabbits, miniature pigs, dogs, monkeys, and guinea pigs ( 2-4 ) but not in rodents such as rats and hamsters ( 5-7 ). In rats and hamsters fed either a Abstract We investigated the role of proprotein convertase subtilisin/kexin type 9 (PCSK9) in the resistance of dyslipidemic hamsters to statin-induced LDL-cholesterol (LDL-C) reduction and the molecular mechanism by which statins modulated PCSK9 gene expression in vivo. We utilized the fructose diet-induced dyslipidemic hamsters as an in vivo model and rosuvastatin to examine its effects on liver PCSK9 and LDL receptor (LDLR) expression and serum lipid levels. We showed that rosuvastatin induced PCSK9 mRNA to a greater extent than LDLR mRNA in the hamster liver. The net result was that hepatic LDLR protein level was reduced. This correlated closely with an increase in serum LDL-C with statin treatment. More importantly, we demonstrated that in addition to an increase in sterol response element binding protein 2 (SREBP2) expression, rosuvastatin treatment increased the liver expression of hepatocyte nuclear factor 1 ␣ (HNF1 ␣ ), the newly identifi ed key transactivator for PCSK9 gene expression. Our study suggests that the inducing effect of rosuvastatin on HNF1 ␣ is likely a underlying mechanism accounting for the higher induction of PCSK9 than LDLR because of the utilization of two transactivators (HNF1 ␣ and SREBP2) in PCSK9 transcription versus one (SREBP2) in LDLR transcription. Thus, the net balance is in favor of PCSK9-induced degradation of LDLR in the hamster liver, abrogating the effect of rosuvastatin on LDL-C lowering. Press, January 4, 2010 DOI 10.1194 Abbreviations: BBR, berberine; HNF1, hepatocyte nuclear factor 1; LDL-C, LDL-cholesterol; LDLR, LDL receptor; PCSK9, proprotein convertase subtilisin/kexin type 9; SREBP, sterol response element binding protein; TC , total cholesterol; TG, triglyceri...