3. PPARs (peroxisome proliferator-activated receptors )
are nuclear receptors & function as “Transcription
factor”
Essential roles in regulation of cellular
differentiation, atherosclerosis & macrophage function
3 types have been identified: Alpha α, Gamma , and
Delta (Beta β)
3
α (alpha) - expressed in
4. Cont…
β/δ (beta/delta) - expressed in many tissues but markedly
in brain, adipose tissue, and skin
γ (gamma) - although transcribed by the same gene, this
PPAR through alternative splicing is expressed in 3
isoforms:
γ1 - expressed in virtually all tissues
γ2 - expressed mainly in adipose tissue (30 A.As
longer)
4
5. PPAR is a ligand-activated transcriptional factor have a
dominant role in development of adipose cells
It is subfamily of structurally similar to nuclear receptor
PPAR functions as an obligate heterodimer with RXRs
High affinity binding to DNA by PPAR requires absolute
dimerization with RXR
(Tontonoz P, et al., 1994)
Domains of PPAR proteins present nearly all nuclear
hormone receptor
Retinoid X Receptor
5
6. Cont…
C
N
PPAR has two N-terminal variants formed by alternative
splicing
(Adams M, et al., 1997)
PPAR 2 is expressed in more adipose selective manner
N-terminal region influences the response to ligand
6
binding of LBD by phosphorylation at ser112 al., 1996)
(Hu E, et
7. N
C
DNA-binding domain (DBD): Highly conserved domain
containing two zinc fingers which binds to specific
sequences of DNA called hormone response elements
(HRE)
7
C-terminal region is responsible for dimerization with RXR
(Ren D, et al.,
& contains Transcriptional activation domain (AF2) 2002)
8. Cont…
C-terminal region also
form ligand binding
pocket, with many
hydrophobic residuces
occuring inside the pocket
Crystal structure of
PPAR LBD
8
(Gampe RT, et al., 2000)
9. Cont…
PPAR activation induced by ligand dependent and
independent mechanisms
Absence of ligand, corepressors bind to heterodimers &
recruit Histone deacetylases to repress transcription
After ligand binding, increase PPAR affinity for number
of co-activators
N-terminal regulatory domain: Contains the activation
function 1 (AF-1) whose action is independent of the
9
presence of ligand
(Tontonoz P, et al., 1994)
10. Co-activators: These are not themselves regulated at
expression level
CBP/p300
SRC family
TRAP220
PGC-1α
Co-repressors:
SMART
NCoR
RIP140
10
12. Adipocyte is central player in control of energy balance &
whole body lipid homeostasis
PPAR is dominant or “master” regulator of Adipogenesis
It induces differentiation of pre-adipocytes into
adipocytes & expressed in BAT and WAT
(Sears I, et al., 1996)
C/EBP-β/ bind to PPAR promoter & activates PPAR
12
Upon ligand activation, PPAR induces many target genes
involved in Lipogenesis & Adipogenesis
19. PPAR extensively studied in WAT differentiation & same
receptor is also important in BAT development & function
Thermogenic effect of PPAR in BAT is mediated by PGC1α, induced by cold exposure of animals
(Sears I, et al., 1996)
PGC-1α regulates activation of PPAR on thermogenesis
& fattyacid oxidation by interacting with PPAR/RXR
Stimulation of uncoupling protein (UCP-1), responsible
19
for uncoupling β-oxidation
PPAR Coactivator-1
20. Cont…
Phosphorylated PGC-1α is recruited PPAR binding
site on UCP-1 promoter
PGC-1α is stabilized & activated by p38 MAP kinases
PGC-1α binds to PPAR by its LBD in a ligand
independent manner
LXXLL motif containing co-activator binds to PPAR
Insulin/akt pathway shutdown hepatic
gluconeogenesis, phosphorylation of PGC-1
(McInerney E, et al., 1998)
20
23. Insulin Resistance: is a condition in which body cells
become less sensitive to the glucose-lowering effects of
the hormone insulin
Type2 Diabetes mellitus: Pancreas secrete normal or
even greater than normal amount of insulin
Hallmark of type2 Diabetes is Insulin Resistance
In type2 Diabetes, plasma levels of FFAs & Glucose are
23
increased
24. In T2DM inappropriate deposition of lipids in liver &
skeletal muscle
Thiazolidinedione (TZD), Rosiglitazone & Pioglitazone are
used for treatment of type2 Diabetes
(Haris P, et al., 1994)
Activation of PPAR target gene expression enhance to
store dietary fattyacids
Target genes contributing to this include
AP2, LPL, CD36, PEPCK & Aquaporin 7
24
(Kishida K, et al., 2001)
25. Cont…
Adipose tissue is primary target for effects of TZD
It also promotes many signaling molecules called
Adipokines from adipocytes
Adiponectin
Resistin
TNFα
INFLAMMATORY
RESPONSE
MCP-1
IL-6, IL-1β
(Bouskila M, et al., 2005)
25
26. Ligand activation (TZD) of
PPAR in adipocytes is
associated with decreased
production of TNFα, Resistin
& MCP-1
Increase of Adiponectin gene
Decreased Insulin Resistance
Suppression of Hepatic
glucose uptake & stimulates
muscle glucose uptake
26
27. ADIPONECTINS:
It is a protein hormone abundantly expressed in
adipocytes
Adiponectin affects:
Decreased gluconeogenesis
Increased glucose uptake
β-oxidation
Triglyceride clearance
Protection from endothelial dysfunction
insulin sensitivity
27
28. TNF-α:
Cont…
It is an inflammatory cytokine released in obese &
insulin resistance
Also propagates atherosclerotic lesion formation
It also promotes apoptosis in endothelial cells by
dephosphorylating protein kinase B or Akt &
contribute endothelial injury
28
29. Cont…
RESISTIN:
It is recently discovered fat-specific hormone,
directly induces insulin resistance in muscle & liver
Neutralization of resistin by specific antibodies
results in decreased blood glucose level
It also express cell adhesion molecule (VCAM-1),
chemokine MCP-1(Atherosclerotic lesion formation)
with insulin resistance patients
29
31. Adipokines & Inflammation:
Increased in adipose tissue (WAT) with obesity
during
inflammation (TNF-α, IL-6,IL-18, MIF, CRP &
PAI-1)
Circulatory inflammatory markers are raised in
obese
IL-6 released from adipose tissue stimulates hepatic
synthesis of CRP in obese
Similary IL-18 is acivated by TNF-α
31
(Trayhurn P, et al., 2005)
32. Cont…
Why Obese should be accompanied by
Inflammation???
It is mainly due to HYPOXIA
Adipose tissue (WAT) mass is very large in Obese &
Type-II diabetes are linked to inflammation
(Sears I, et al., 1996)
32
33. TZD effects on Skeletal Muscle and Liver:
Skeletal Muscle is largest glucose utilizing organ, ability
of TZD is to improve whole body insulin resistance
PPARγ expression is very low in Skeletal muscle
compare to fat
Effect of PPARγ ligands on skeletal muscle for glucose
uptake are likely to be indirect
Direct of effect of PPARγ activation in muscle is still
33
unclear
(Castrillo A, et al., 2004)
34. Cont…
In liver also expression of PPARγ is very low, activation
of PPARγ signaling promotes lipid accumulation
(Hepatic Steatosis) in rodents
But does not appear in human hepatic steatosis
TZD is beneficial in treating nonalcoholic fatty liver
disease in humans
(Castrillo A, et al., 2004)
34
35. PPARγ is induced differentiation of monocytes into
macrophages & highly expressed in Macrophages
It also differentiates of monocytes into dendritic cells
Oxidized ligands (9-HODE & 13-HODE) & lipoproteins
responsible for PPARγ signaling in myeloid cells
Upon ligand activation, it promotes expression of
genes CD36, LXR, Arg-1& IL-10
(Sears I, et al., 1996)
35
37. PPARγ is a lipid-activated member of the nuclear receptor
superfamily of transcription factors
Biological receptor for the TZD class of antidiabetic drugs
Master transcriptional regulator of adipocyte differentiation
& controls expression of a genes involved in lipid
metabolism
PPARγ action in myeloid cells, such as macrophages and
37
DCs, has been linked to the modulation of immune and
Metabolism (carbohydrate & lipid ) for 2 point
. Influences intracellular trafficking and subcellular distribution. Along with the DBD, the LBD contributes to the dimerization interface of the receptor and in addition, binds coactivator and corepressor proteins. The LBD also contains the activation function 2 (AF-2) whose action is dependent on the presence of bound ligand.[15]
All these Ligands are activates PPAR in other tissues
Explain invitro and invivo in main article page 294 left sideForced expression of PPAR is sufficient to induce adipocytedifferentiatation in fibroblast and no factor has been discovered that promotes adipogenesis in absence of ppar
Results in expression of enzymes involved in mitochondrial respiratory chain to activate adaptive thermogenesis for 2 point