In addition to its role in energy storage, adipose tissue also accumulates cholesterol. Concentrations of cholesterol and triglycerides are strongly correlated in the adipocyte, but little is known about mechanisms regulating cholesterol metabolism in fat cells. Here we report that antidiabetic thiazolidinediones (TZDs) and other ligands for the nuclear receptor PPARγ dramatically upregulate oxidized LDL receptor 1 (OLR1) in adipocytes by facilitating the exchange of coactivators for corepressors on the OLR1 gene in cultured mouse adipocytes. TZDs markedly stimulate the uptake of oxidized LDL (oxLDL) into adipocytes, and this requires OLR1. Increased OLR1 expression, resulting either from TZD treatment or adenoviral gene delivery, significantly augments adipocyte cholesterol content and enhances fatty acid uptake. OLR1 expression in white adipose tissue is increased in obesity and is further induced by PPARγ ligand treatment in vivo. Serum oxLDL levels are decreased in both lean and obese diabetic animals treated with TZDs. These data identify OLR1 as a novel PPARγ target gene in adipocytes. While the physiological role of adipose tissue in cholesterol and oxLDL metabolism remains to be established, the induction of OLR1 is a potential means by which PPARγ ligands regulate lipid metabolism and insulin sensitivity in adipocytes.
IntroductionThe adipocyte is the major site of fatty acid storage in the body and plays a critical role in maintaining normal glucose and lipid homeostasis. In a healthy person, excess fat is stored as triglycerides in the adipose tissue, and fatty acids are released into the bloodstream only in response to an increased energy requirement, for example, during fasting. If the capacity of the adipocyte to store lipids is exceeded, it can no longer regulate the release of FFAs into the circulation, which ultimately leads to the abnormal accumulation of lipid in nonadipose depots. A buildup of triglycerides in the liver, pancreatic islets, and the muscle is thought to lead to metabolic dysregulation of these tissues (1); in particular, increased plasma FFA levels and elevated intramyocellular lipids are highly correlated with insulin resistance (2, 3).Obesity can be viewed as a state of long-term lipid disequilibrium that is marked by massive adipocyte hypertrophy and is a major risk factor for developing insulin resistance and type 2 diabetes. When compared with small fat cells from lean controls, enlarged adipocytes isolated from obese animals or humans demonstrate a decreased ability to store triglycerides (4), increased insulin resistance (5), and increased secretion of leptin and TNF-α (6). Interestingly, adipose tissue from ob/ob mice also exhibits an increase in cholesterol biosynthesis (7), and hypertrophied adipocytes from 2 obese rodent models showed elevated mRNA levels of SREBP-2, 3-hydroxy-3-methylglutaryl-CoA (HMG CoA) reductase, and the LDL receptor (8, 9), which suggests that these cells are relatively cholesterol deficient. Adipocytes normally contain a significant amount of ...