Endocrinology Vol. 138, No. 12 5325-5332
Copyright © 1997 by The Endocrine Society
3',5'-Cyclic Adenosine Monophosphate-Response Sequences of the Uncoupling Protein Gene Are Sequentially Recruited During Darglitazone-Induced Brown Adipocyte Differentiation1
Rogério Rabelo,
Anne Camirand and
J. Enrique Silva
Division of Endocrinology, Lady Davis Institute for Medical
Research, Jewish General Hospital, McGill University, Montreal,
Québec, Canada H3T 1E2
Address all correspondence and requests for reprints to: J. Enrique Silva, M.D., Jewish General Hospital, Division of Endocrinology, Room E-162, 3755 Cote-Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada. E-mail: mdsi{at}musica.mcgill.ca
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Abstract
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Uncoupling protein-1 (UCP) is uniquely expressed in brown adipose
tissue (BAT) and is essential to the thermogenic function of this
tissue. The UCP gene is under the control of norepinephrine (NE) via
cAMP. However, the precise delineation of the cAMP response sequences
and mechanisms whereby cAMP stimulate the gene have remained elusive. A
BAT tumor cell line, HIB-1B, can be differentiated into UCP-expressing
brown adipocytes. We report here that when these cells are
differentiated with a standard differentiation protocol including
insulin, T3, hydrocortisone, IBMX, and indomethacin
(standard differentiation, StD), cAMP stimulation of the rat UCP gene
is largely mediated by an upstream 90-bp sequence -2,399/-2,490 (R90)
with a lesser contribution of a downstream sequence -57/+114 (dnCRS).
This latter is functional also in non-BAT cells, whereas the cAMP
response sequence contained in R90 (upCRS) is BAT-specific.
Thiazolidinediones (TZD) are a new group of drugs known to increase
sensitivity to insulin and, more recently, to induce adipocyte
differentiation (adipogenesis) via PPAR
. A TZD, darglitazone
(darg), can rapidly induce differentiation of HIB-1B
cells, as judged by the expression of the adipocyte lipid binding
protein (aP2), lipoprotein lipase (LPL), uncoupling protein (UCP) and
ß3-adrenergic receptors. UCP messenger RNA (mRNA)
responsive to NE is evidenced as early as one day after exposure to
darg. While UCP-CAT vectors (+114/-3673 bp of rat UCP
gene) are barely responsive to NE in HIB-1B preadipocytes, both
darg and StD markedly enhance NE responsiveness of such
constructs. However, by 3 days of exposure to darg, the
responses were less vigorous than in StD cells (4- to 10-fold
vs. 20- to 50-fold), and the deletion of R90 did not
affect the response to NE in darg-differentiated cells,
whereas this deletion caused a 75% reduction in StD cells.
Prolongation of darg exposure to 57 days resulted in
greater response of UCP mRNA to NE and 5080% inhibition of the
response of UCP-CAT vectors by the deletion of R90. Thus,
darg-induced differentiation of HIB-1B cells suggests
that the NE-dependent expression of the UCP gene takes place in a
step-wise manner: first, the gene is "enabled," as no UCP mRNA is
detected in HIB-1B preadipocytes; thereafter and transiently, the
response of the gene to NE is sustained by dnCRS; finally, as
differentiation progresses, a cell-specific and more powerful
cis-acting sequence, upCRS, is recruited, accounting in
the fully differentiated cell for most of the response to NE. These
results also suggest that TZDs might increase energy expenditure by
inducing terminal differentiation of BAT, and that these drugs may be
useful in the differential cloning of the factors involved in the
recruitment of the BAT specific cAMP response sequence.
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Introduction
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BROWN AND WHITE adipose tissues have
diametrically opposed effects in energy balance. While white adipose
tissue (WAT) serves as storage of calories ingested in excess, brown
adipose tissue (BAT) dissipates energy as heat in response to cold or
excessive caloric intake. The major difference revolves around the
capacity of BAT to uncouple phosphorylation, a function ultimately due
to the uncoupling protein uniquely expressed in this tissue (1).
Recently, two other uncoupling protein complementary DNAs (cDNAs),
termed 2 and 3, with a more ubiquitous tissue distribution have been
cloned, but the function of the corresponding gene products has not yet
been defined (2, 3). Uncoupling protein-1 (UCP), the product of
BAT-specific uncoupling protein-1 gene, determines its thermogenic
potential and is essential for cold adaptation, as the targeted
disruption of this gene causes the loss of this adaptive response
(4).
The expression of the UCP-1 gene is under complex regulation. BAT
sympathetic stimulation, via norepinephrine (NE) and cAMP, is the
primary signal to activate its expression but other factors, such as
thyroid hormone, are critical for a full physiological response
(recently reviewed in Ref.5). In spite of the progress made in the
knowledge of the regulation of the expression this gene, still the
sequences and mechanisms whereby cAMP stimulates the gene are poorly
understood. In the mouse UCP gene, Kozak et al. (6)
identified several potential cAMP response elements (CRE) of which the
most important is located upstream in the gene in a 210-bp enhancer
called "activator element" by the group of Ricquier (7) in the rat
UCP gene. Notably, in this latter, it has not been possible to define
cAMP response sequences (5, 7). The major difficulty in defining this
aspect of the gene regulation has been the lack of suitable
experimental models.
We have in recent years witnessed rapid progress in the understanding
of adipose tissue differentiation or adipogenesis (8). A number of
observations in this rapidly expanding field are relevant to the
studies reported here. The early stages of the adipogenic programs
appear to be common to WAT and BAT. At least in these early stages of
adipogenesis, the peroxisome proliferator-activated receptor gamma
(PPAR
), more specifically PPAR
2 (9, 10) seems to play a critical
role. Additional interest in these receptors has come from the
observation that the insulin-sensitizing drugs thiazolidinediones (TZD)
bind specifically to PPAR
(11, 12). Most importantly, these drugs
show that PPAR
2 may also participate in the terminal differentiation
of BAT. The TZD pioglitazone accelerates UCP messenger RNA (mRNA)
appearance in cultured brown adipocytes precursors and increases BAT
weight and UCP mRNA content in ob/ob and C57+/+ mice (13), whereas the
TZD BRL49653 given to adult CD1 rats increases BAT weight but not UCP
mRNA concentration (14). These, and the early observations that TZDs
can increase energy expenditure in rodents (15, 16) suggest that they
may stimulate both terminal BAT differentiation and function. TZDs have
also been reported to differentiate HIB-1B cells (17, 18), a BAT cell
line derived from a mouse hibernoma generated by transgenic expression
of the SV40 early region genes (19, 20).
HIB-1B cells exposed to TZDs could thus provide a useful model to
unravel terminal differentiation of BAT, the recruitment of the UCP
regulatory elements and the identification of the CRE(s).
Characterizing the effect of the TZD darglitazone (darg) on
the differentiation and UCP expression in HIB-1B cells, we have made
interesting observations regarding the sequences involved in the
stimulation of the rat UCP gene by cAMP. Results reported here suggest
that the acquisition of the full expression of UCP and its
responsiveness to NE occurs in a step-wise manner during
differentiation and that at least two sequences participate in the
mediation of cAMP stimulation of the rat UCP gene, one located in the
minimal promoter and another, more powerful and tissue specific,
located in a complex upstream enhancer element. Not only these results
are important with regard to the regulation of the UCP gene but the
capacity of TZDs to affect BAT function and differentiation adds an
interesting dimension to the potential therapeutic of these drugs.
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Materials and Methods
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Cell culture
HIB-1B preadipocytes (gift from Dr. B. Spiegelman) were cultured
in DMEM (high glucose, no sodium pyruvate) supplemented with 10% FBS
(Wysent), and maintained in a 10% CO2 incubator at 37 C.
They were differentiated following two different protocols, namely,
standard differentiation and darglitazone (darg)
differentiation. Standard differentiation was induced essentially
as described (19). Briefly, cells were grown in the so called
adipocyte medium (DMEM + 10% FBS in the presence of 18
nM insulin and 1 nM T3). When they
reached tight confluence, they were refed with the same medium
supplemented with 0.5 mM isobutylmethyl-xantine (IBMX), 0.5
µM hydrocortisone and 0.125 mM indomethacin.
Three days later, cells were placed back in adipocyte medium
and incubated for additional 5 days at the end of which they attained
differentiation, as assessed by their ability to express UCP (19). The
darg differentiation was induced, as the name indicates,
with the thiazolidinedione darglitazone (Pfizer). This drug was used at
the concentration of 30 µM, known to be nontoxic and
maximally stimulate glucose transport in 3T3-L1 cells (M. Gibbs,
Pfizer, personal communication). This differentiation was performed as
recently described for another thiazolidinedione (18), with some
modifications. First, cells were plated at high density in DMEM + 10%
charcoal-dextran stripped serum (cds-FBS) and allowed to become
confluent (usually 612 h later). At confluence, 30 µM
darg or the same volume of its solvent, dimethyl-sulfoxide
(DMSO; final
0.1%), was added for 1 to 7 days, as indicated along
with the experiments described. After differentiation, the adipogenic
media were substituted by fresh medium containing either plain FBS or
cds-FBS, as appropriate, and cells were exposed to various experimental
conditions, as described with the individual experiments. Cells were
then harvested for mRNA analysis or transfected with various UCP-CAT
expression vectors. JEG-3 and CHO cells were cultured as described
previously (21).
Transient transfection assays
Differentiated or nondifferentiated HIB-1B cells as well as
JEG-3 or CHO cells were transfected by the calcium phosphate method as
described previously (21). The preadipocytes were transfected at
8090% confluence, and the differentiated HIB were transfected at the
end of the either of the specific differentiation protocols described
above. After darg differentiation, cells were placed in
fresh DMEM-cds-FBS and transfected 5 h later. Transfected plasmids
routinely included the 48 µg of UCP-CAT constructs (different
regions of the UCP gene promoter cloned upstream of the chloramphenicol
acetyl transferase [CAT] reporter gene) (21, 22, 23) and 1 µg of a
plasmid encoding the ß-galactosidase gene [pCMV-ß, ClonTech (Palo
Alto, CA) or pCH110, Pharmacia (Baie dUrfe, Quebec, Canada)] as
internal standard. Test treatments, described with the individual
experiments, were added in fresh medium, approximately 16 h
(overnight) after transfection. Cells were harvested 24 h later
and the CAT assay performed as described elsewhere (21, 24).
RNA analysis
Total RNA was isolated from cultured HIB-1B pre-adipocytes and
adipocytes by a popular acid guanidinium thiocyanate-phenol-chloroform
extraction method previously described (25). Five or 10 µg of RNA
were denatured in formamide and formaldehyde and electrophoresed in
agarose gels for Northern blotting, following published guidelines
(26). Ethidium bromide staining, probing with an 18S rRNA or GAPDH
specific oligonucleotide was used to control for equivalence of RNA
loading. cDNAs probes for rat UCP, mouse PPAR
2 (gift
from Dr. B. Spiegelman), and mouse aP2 and LPL (gift of Dr. V.
Giguère) were labeled with [
-32P]dCTP and/or
[
-32P]dATP by the random primer method (27). Other
probes were commercially available and equally labeled.
Statistical analysis
Results are expressed as mean ± SEM.
Significance was assessed by the Students t test or ANOVA,
followed by Newman-Keuls test for the comparison of multiple means
within an experiment. Some Northern blots were quantified using the
ImageQUant software (Molecular Dynamics, Sunnyvale, CA).
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Results
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Effect of darglitazone on HIB-1B cells differentiation and
expression of UCP
In agreement with previous observations in HIB-1B cells treated
with the TZD BRL49653 (14), or in primary cultures of rat brown
preadipocytes treated with another TZD, pioglitazone (13), we find that
cells exposed to darg become round and acquire refringent
droplets by phase contrast in 23 days, which are morphological
indicators of differentiation (data not shown). Figure 1
depicts the most salient results
regarding the acquisition of UCP expression. Cells were exposed to
darg or the darg diluent dimethyl sulfoxide
(DMSO) for the indicated times. After the induction period, cells were
challenged with various adrenergic agonists and antagonists for 4
h, as indicated, after which they were harvested and the RNA probed for
UCP, aP2 or LPL mRNAs. Note first in panels A and C of Fig. 1
that,
regardless of the exposure to darg, there was not detectable
UCP mRNA expression unless the cells were stimulated with an adrenergic
agent, suggesting that darg per se does not
significantly stimulate UCP expression. This was corroborated in RNA
obtained immediately after the incubation with darg as well
as by acutely adding the drug after the induction period (data not
shown). In Fig. 1A
, cells were exposed for approximately 21/2
days to 30 µM darg and challenged with 1
µM norepinephrine (NE) or the ß3-adrenergic
receptor agonist CL316,243 (CL). As shown in lanes 3, 4, and 5, UCP
mRNA weakly if at all responded to NE or CL in the control cells,
whereas the darg-treated cells had a vigorous response
(lanes 8, 9, and 10). The effect of NE was abolished by 10
µM propranolol (lane 7). Figure 1B
shows that these cells
have functional ß1- or ß2-, as well as
ß3-adrenergic receptors (ß3-AR). Cells were
stimulated for 4 h with 10 or 1 µM NE, 1
µM CL, 0.5 µM isoproterenol, or 1
µM forskolin. The receptor agonists were given ±
0.5 µM propranolol, a concentration sufficient to block
ß1-AR and ß2-AR without significantly
blocking the ß3-AR (28). Propranolol partially inhibited
the effect of 10 µM NE, markedly reduced the effect of 1
µM NE (lanes 2 and 4) and isoproterenol (lane 8) but
failed to reduce the effect of CL (lane 6). These results are
consistent with the presence of functional ß1 -AR and
ß3-AR in darg-induced HIB-1B cells, as
observed in mature brown adipocytes (29). The presence of both
receptors explain the greater response to NE than to CL, as the former
binds and activates are ß-ARs, whereas CL is a pure
ß3-AR agonist. Figure 1C
shows the time dependency of the
darg effect on UCP, aP2 and LPL mRNAs. While within 1 day
there was evidence of adipose differentiation, as judged by the markers
of adipogenesis, the response of UCP mRNA was delayed, consistent with
this being a later event in the process of brown adipose
differentiation. Thus, aP2 and LPL nearly reached a plateau within a
day of exposure to darg, whereas the response of UCP mRNA to
NE was very weak at 1 day and not detectable for CL. By 2 days the
response to NE was vigorous and that to CL clear, yet weaker than that
to NE. Note, finally that neither adrenergic agent stimulated the
expression of aP2 or LPL during this short exposure. Altogether, these
results indicate that darg stimulates both the basal
adipogenesis and the brown-adipocyte specific adipogenic program in
HIB-1B cells as it makes the UCP gene responsive to NE and other
adrenergic agonists. Both ß1-AR and ß3-AR
seem to be present as in mature brown adipocytes (28).

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Figure 1. Most salient aspects of the responses of UCP mRNA
in HIB-1B cells to darg. Cells were exposed to
30 µM darg or its vehicle,
DMSO, for the indicated times, in DMEM containing charcoal-dextran
stripped serum. Following the removal of the medium, rinsing and
replacement of fresh medium without darg or DMSO, cells
were challenged with the indicated adrenergic agonists ±
antagonists for 4 h. A, Effect of darg exposure for
approximately 2.5 days on basal and norepinephrine (NE)- or CL316,243
(CL)-stimulated UCP mRNA levels. (B) ß-adrenergic receptors in
darg-differentiated HIB-1B cells. Cells treated as in
panel A were challenged with the indicated concentrations of NE, CL or
isoproterenol (Isoprot.) ± 0.5 µM propranolol. Forskolin
(1 µM) was added for reference. C, Effect of 1 or 2 days
of darg exposure on basal and stimulated UCP mRNA and on adipose tissue
specific fatty acid binding protein (aP2) and lipoprotein lipase (LPL)
mRNAs.
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A possibility to explain the lack of effect of NE on UCP mRNA in
nondifferentiated HIB-1B cells is the lack of one or more steps in the
NE signaling pathway. To test this possibility, we transfected HIB-1B
preadipocytes with either SS-70-CAT, a reporter vector containing the
promoter and cAMP response element of the somatostatin gene (30), or
with 3.7 UCP-CAT, a reporter expression vector driven by the 3.7 kb of
5'-flanking sequence of the rat UCP gene. As shown in Fig. 2
both constructs responded to NE,
8-Br-cAMP and forskolin indicating the presence of an intact NE
signaling pathway. The lack of UCP mRNA expression in HIB-1B
preadipocytes is thus due to other mechanism, probably repression of
the gene expression or lack of a factor necessary to enable the UCP
gene. The difference in CAT activity between 3.7 UCP-CAT and SS-70-CAT
probably reflects the greater strength of the somatostatin promoter in
HIB-1B preadipocytes because ß-galactosidase expression was the same
in cells transfected with either CAT vector (data not shown).

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Figure 2. Effect of norepinephrine (NE), 8-Br-cAMP (8-Br),
and forskolin (Forsk.) on CAT activity in HIB-1B preadipocytes
transiently transfected with expression CAT vectors driven by the 5'
flanking sequence of the rat UCP gene between -3,623/+114 (3.7
UCP-CAT) or 70 bp of the somatostatin gene encompassing the basic
promoter and its cAMP response element (SS-70). Note the difference in
the y axes scales.
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Sequences involved in the responses of UCP to NE
The stimulation of CAT by NE and other adrenergic agonists in
HIB-1B preadipocytes transfected with 3.7 UCP-CAT suggests that the BAT
phenotype is not necessary for the responsiveness. We previously
reported that UCP-CAT constructs could respond to adrenergic
stimulation in JEG-3 cells (21) but the sequences involved were not
defined. In a recent review (5), we reported unpublished results
indicating that in differentiated HIB-1B most of the response to cAMP
was mediated by 90 bp between -2,490/-2,399 contained in a critical
enhancer previously identified in the mouse (6) and in the rat (7) UCP
genes. This enhancer area showed cell-specificity and the need of
mature BAT phenotype for expression. The experiment depicted by Fig. 3A
shows that in JEG-3 cells the sequence
mediating cAMP response, in this case stimulated by forskolin, is
located in the minimal promoter of the UCP gene. Similar results (not
shown) were obtained in CHO cells. These observations suggest that the
90 bp, -2490/-2,399, called by us R90 as it also contains a complex
retinoic acid response element (23), contributes little or nothing to
the cAMP response in these cells. In contrast, in differentiated HIB-1B
cells, but not in JEG-3 cells, the upstream enhancer can confer
responsiveness to cAMP to a CAT vector driven by the thymidine kinase
promoter (Fig. 3B
).

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Figure 3. Comparison between HIB-1B and JEG-3 cells
regarding the capacity of various transiently transfected UCP-CAT
constructs to respond to cAMP stimulation. A, JEG-3 cells were
transfected with the indicated UCP-CAT constructs and stimulated with 5
µM forskolin overnight. B, HIB-1B and JEG-3 cells were
transfected with the thymidine kinase (TK)-driven CAT expression
vectors containing the indicated rat UCP gene sequences. HIB-1B cell
were differentiated following standard protocol as defined in
Materials and Methods. Overnight stimulation was with 1
µM isoproterenol for HIB-1B cells and 5 µM
forskolin for JEG-3 cells.
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Figure 4
shows two additional aspects of
the UCP gene response to NE in HIB-1B cells. Panel A shows the effect
of time of exposure to darg. The response to a 4-h challenge
with NE approaches a plateau by 5 days of exposure to the
darg. Note again that there was no detectable UCP mRNA in
the cells not stimulated with NE. In panel B, we show the response of
cells exposed for 3 days to darg in comparison to that of
cells differentiated with the standard protocol. The response to NE of
these latter cells was about three times more vigorous.

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Figure 4. Effect of time of exposure to darg
on the response of UCP mRNA to NE in HIB-1B cells (A) and comparison of
the response of HIB-1B cells exposed for 3 days to darg
with that of cells differentiated with standard protocols (B).
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A possibility to explain these results is that the cAMP response
sequences are recruited sequentially during the process of
differentiation. The results depicted in Figs. 5
and 6
suggest that this is likely the case. In Fig. 5
we have compared
UCP-CAT constructs responses to NE in cells exposed to darg
for 3 days with standard differentiated cells. The response of the
intact 3.7 UCP-CAT construct to NE in standard differentiated cells was
much more vigorous, over 20-fold, and the deletion of R90 caused
approximately a 75% drop in the response. In contrast, in
darg-differentiated cells the response of 3.7 UCP-CAT was
weaker, about 6 fold, not different from that in nondifferentiated
cells (Fig. 3
), the deletion of R90 did not affect the response, and,
moreover, the response mediated by the minimal promoter -57/+114 was
not significantly different from that of the other constructs. These
observations indicate that by 3 days of exposure to darg the
response of UCP mRNA to cAMP is mediated largely by the downstream cAMP
response sequence (dnCRS) contained in the minimal promoter of the
gene, whereas standard differentiated cells have recruited the upstream
cAMP response sequence (upCRS) contained in R90.

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Figure 5. UCP gene sequences mediating the response to NE
stimulation in HIB-1B cells differentiated with darg for
3 days or with standard adipogenic protocols. UCP Inserts: 3.7,
-3,623/+114; 3.7 90, the same with the deletion of R90, the
sequence between -2,399/-2,490; -57/+114, as defined.
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When the exposure to darg was prolonged, however, the
contribution of upCRS became evident, as illustrated in Fig. 6
. These
are two representative experiments wherein darg exposure was
prolonged for up to 10 days. After 3 days of darg, the
deletion of R90 had no effect on the CAT response to NE, in agreement
with the results just described, whereas after 5 days of
darg this deletion was associated with 5080% drop in the
response. More prolonged exposure to darg, in
charcoal-dextran strip serum, results in cell deterioration and reduced
efficiency of transfection so that basal CAT expression in the cells
transfected with 3.7
90 UCP-CAT was too low to calculate accurately
the fold stimulation (hence the label "error" in the figure).
Results of two other experiments in darg-differentiated
cells compared with cells differentiated with the standard protocol are
summarized in Fig. 7
. Results have been
expressed as percent fall in the response to NE with the deletion of
R90, and the days on darg have been averaged. During the
first days of darg exposure, the deletion of R90 has no
effect on the response to NE, whereas in standard differentiated cells
the average drop in the response to NE with such deletion was 72%.
After 4.7 days in darg the drop in response caused by the
deletion of R90 averaged 55%, but as shown in other experiments,
e.g. Fig. 6
, it could be as much as 80%.

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Figure 7. Comparison of HIB-1B cells differentiated with
darg or standard adipogenic protocols regarding the
recruitment of R90 (-2,399/-2,490) in the response of the reporter
CAT to NE stimulation. Cells were exposed to darg for an
average of 2.5 or 4.7 days as indicated. Results are expressed as
percent fall in the response of CAT to NE by the deletion of R90.
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Discussion
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We have studied the effects of a TZD, darglitazone or
darg, on HIB-1B cells. Our focus has been the terminal
differentiation of these cells, i.e. the acquisition of the
essential feature of the BAT phenotype that is the expression of UCP.
We find, as other authors have reported previously, that these drugs
can induce or accelerate the acquisition of BAT phenotype by HIB-1B
preadipocytes (14, 18). In the present studies, we have compared the
differentiation induced by darg with that induced by
standard adipogenic protocols including hormones and factors previously
shown to induce white adipocyte differentiation as well as
differentiation of HIB-1B cells (20, 31). Within a day of exposure,
darg brings up the expression of adipogenic markers such as
aP2 and LPL and makes the UCP gene responsive to NE. The responsiveness
to NE of UCP mRNA is time dependent, approaching a plateau between 5
and 7 days. Parallel transient transfections studies suggest that the
responsiveness of the gene to NE can be mediated by sequences far apart
in the gene: a downstream cAMP response sequence between -57/+114
(dnCRS) and an upstream sequence between -2,490/-2,399 (upCRS),
contained in a critical sequence of the gene called by us R90 (23). The
former is non-BAT specific, as it can be demonstrated in JEG-3 and CHO
cells as well as in HIB-1B preadipocytes, whereas upCRS requires the
mature BAT phenotype. Furthermore, these two sequences are not
recruited simultaneously. The data suggest that dnCRS is enabled even
before differentiation, whereas upCRS is recruited later, after 45
days of darg induction.
The mechanism of action of TZDs in adipogenesis is being the focus of
intensive investigation, but there is consensus that these drugs act as
ligands of PPAR
[(8, 32, 33) for recent reviews]. It is possible
that ligand-activated PPAR
s stimulate the expression of other key
adipogenic gene products, such as C/EBP
(8, 9, 10, 34, 35), but these
receptors could also act directly on some of the genes encoding adipose
tissue proteins, for example aP2, which can be directly stimulated by
liganded PPAR
(36). Even though the details have to await further
research, it is reasonable to postulate that TZDs can induce adipose
differentiation by regulating both the expression of key regulatory
genes, as well as by directly affecting the expression of gene products
responsible for the mature adipose phenotype, via PPAR response
elements (PPREs) yet to be defined. How could these drugs bring about
terminal differentiation of brown adipocytes?
The UCP gene is expressed uniquely in BAT [the expression of the gene
in skeletal muscle of KK yellow mice reported by Nagase et
al. (37) will need reevaluation in the light of the newly
discovered, more ubiquitous uncoupling protein-2 (2) or -3 (3)]. This
is probably the result of gene repression in non-BAT tissues and brown
adipocytes precursors. Such repression would be removed sometime during
the process of differentiation of these cells. The mechanism of
repression probably involves the concealing in the chromatin of the
upstream enhancer described in the mouse and rat genes between
approximately -2.28/-2.49 kb (6, 7), because a DNAse-I hypersensitive
has been identified in this area, in chromatin from mature brown
adipocytes but not in nuclei from other cells or tissues (38). In
addition to the exposure of this specific part of the gene sequence,
probably trans-acting factors are also necessary to bring
about the expression of the gene. TZDs could enable the expression of
the UCP gene and its stimulation by cAMP either by facilitating the
exposure of this critical sequence, by inducing some critical
transactivation factor or both, all of which is matter of active
research in our laboratory.
In addition to enabling the expression of the UCP gene, does
darg directly stimulate the UCP gene? Our results show that,
in the absence of an adrenergic agonist, there is no detectable levels
of UCP mRNA after exposing the cells for as long as 10 days to
darg suggesting that drug does not directly stimulates the
gene. This is in apparent contradiction with the reports by Graves and
colleagues indicating that TZDs stimulate reporter gene expression
driven by UCP gene sequences in HIB-1B preadipocytes (14, 18). However,
it should be noted that these authors did not examine the response in
differentiated HIB-1B cells nor did they examine the effect of acutely
added thiazolidinediones on UCP mRNA levels. In agreement with them, we
find that darg acutely added to HIB-1B preadipocytes can
stimulate reporter gene expression mediated by upstream UCP gene
sequences, and we also find a putative PPRE in R90, but the
responsiveness is lost when the cells have entered the process of
differentiation (data not shown). Besides, as shown here,
darg alone does not increase UCP mRNA to a detectable level.
Thus, there is no evidence this far that TZDs directly stimulate the
UCP gene expression in differentiated adipocytes and our results are
better interpreted as indicating that these drugs enable the expression
of the gene by mechanisms to be determined, and probably also induce
transactivating factors involved in the recruitment of upCRS, as
discussed below.
The results reported here suggest that to make the gene fully
responsive to NE, the recruitment of two cAMP response sequences is
necessary. In transient transfection studies on the rat UCP gene,
Cassard-Doulcier et al. obtained modest and variable
responses to cAMP or adrenergic receptor agonists with virtually all
their constructs spanning 4.2 kb of 5' flanking region, but no discrete
sequence was deemed to be or contain a CRE (7). With transient
transfection assays, Kozak et al. (5) found that, out of
four possible CREs, two of them, CREs 2 and 4, were probably important
for NE responses of the mouse of UCP gene. While CRE4, located in the
minimal promoter was necessary for NE stimulation (its mutation reduced
the responses by >90%), this sequence in isolation could not confer
significant cAMP responses. This was interpreted as this sequence being
"required for a promoter function" rather than being a
cAMP-dependent enhancer. Only CRE2, located in between approximately
-2,400 and -2,500, could confer cAMP responsiveness to both
homologous and heterologous promoters (6). Our results are similar but
not identical to those obtained by these authors. The upCRS is located
in the same area of the gene where Kozak et al. (6)
localized their CRE2. As this latter, upCRS requires the mature brown
fat phenotype to be recruited and accounts for most (7080%) of the
responsiveness of the gene to cAMP in mature cells, although not as
much as in the mouse gene (>90%). At variance with the results
obtained by Kozak et al. (6), our data suggest that the CRE
contained in dnCRS is more important than they estimated and can be
considered a bona fide cAMP-dependent enhancer. Thus, we
find it can sustain up to 2530% of the reporter gene response in
fully differentiated cells and seemingly is responsible for the
NE-induced increase in UCP mRNA before any evidence of recruitment of
the upstream element is available.
Altogether, our findings are consistent with the model we proposed in a
recent review (5). According to this model, cAMP responses of the UCP
mRNA gene would be mediated by two of several possible CRE motifs found
in the 5' flanking sequence of the gene. The downstream one (in dnCRS),
is not cell specific, weaker and probably activated by CREB, as its
response closely parallels that of the somatostatin promoter (Fig. 2
),
and the overexpression of CREB enhances the response in JEG-3 cells
(data not shown). The upstream CRE contained in upCRS or R90, is cell
specific, stronger, and activated by a cell-specific protein alone or
in conjunction with CREB. The induction of such a protein could be a
direct or an indirect effect of PPAR
2 activation by TZDs or
endogenous ligands such as certain prostaglandins (39). Our data
further suggest that upCRS recruitment may be facultative, in contrast
to dnCRS which is enabled in HIB-1B preadipocytes as well as
differentiated cells. Being the CRE contained in upCRS a stronger one,
the facultative recruitment may be of importance in the responses of
the tissue to stimulation. Endogenous ligands, such as those just
mentioned, could play a critical role in the recruitment of this
regulatory element. This is an area that deserves further study.
Certainly the potential of TZDs to differentiate committed precursors
into brown adipocytes adds another perspective to the clinical use of
these drugs. For one thing, this is consistent with early observations
that TZDs stimulate energy expenditure in lean and obese rodents (15, 16). This effect of these drugs might explain the observation in human
trials that the use of troglitazone has not been thus far associated
with an increase in weight or adiposity (40, 41, 42, 43), even though the drug
is clearly adipogenic and stimulates the expression of lipogenic
enzymes. It will be critical to study the effect of these drugs on
resting energy expenditure in humans. Another implication of the
present results is that TZDs and HIB-1B cells could serve as a
potentially valuable model to unravel the factors involved in the
expression of UCP and in the cell-specific regulation by cAMP. Such a
model has not been available, which explains our limited knowledge in
this area in spite of the gene being cloned nearly ten years ago
(44, 45).
 |
Acknowledgments
|
|---|
The authors are grateful to all the scientists that generously
provided various biological reagents used and to Pfizer, Inc. for the
gift of darglitazone. We also thank Tetsu Ishi for his enthusiastic and
competent technical help.
 |
Footnotes
|
|---|
1 This work has been supported by a grant of the Medical Research
Council of Canada, MT-11550. 
Received June 27, 1997.
 |
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