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Submitted on September 23, 2003
Accepted on November 24, 2003
1 Departments of Medicine and Clinical Biochemistry, University of Cambridge, Addenbrooke's Hospital, Cambridge, CB2 2QQ, UK; GlaxoSmithKline, Isotope Chemistry, Upper Merion, PA, USA; GlaxoSmithKline, Nuclear Receptor Discovery Research, Research Triangle Park, NC 27709, USA; Medical Research Council Laboratory of Molecular Biology, Addenbrooke's Hospital, Cambridge, CB2 2QH, UK
* To whom correspondence should be addressed. E-mail: kkc1{at}mole.bio.cam.ac.uk.
Loss-of-function mutations in the ligand-binding domain of human peroxisome proliferator-activated receptor
(PPAR
) are associated with a novel syndrome characterized by partial lipodystrophy and severe insulin resistance. Here, we have further characterized the properties of natural dominant negative PPAR
mutants (P467L, V290M) and evaluated the efficacy of putative natural ligands and synthetic thiazolidinedione (TZD) or tyrosine-based (TA) receptor agonists in rescuing mutant receptor function. A range of natural ligands failed to activate the PPAR
mutants and their transcriptional responses to TZDs (e.g. pioglitazone, rosiglitazone) were markedly attenuated, whereas TAs (e.g. farglitazar) corrected defects in ligand binding and coactivator recruitment by the PPAR
mutants, restoring transcriptional function comparable to wild-type (WT) receptor. Transcriptional silencing via recruitment of corepressor contributes to dominant negative inhibition of WT by the P467L and V290M mutants and the introduction of an artificial mutation (L318A) disrupting corepressor interaction, abrogated their dominant negative activity. More complete ligand-dependent corepressor release and reversal of dominant negative inhibition was achieved with TA than TZD agonists. Modeling suggests a structural basis for these observations: both mutations destabilise helix 12 to favor receptor-corepressor interaction; conversely, farglitazar makes more extensive contacts than rosiglitazone within the ligand binding pocket, to stabilize helix 12, facilitating corepressor release and transcriptional activation. Farglitazar was a more potent inducer of PPAR
target gene (aP2) expression in peripheral blood mononuclear cells with the P467L mutation. Having shown that rosiglitazone is of variable and limited efficacy in these subjects, we suggest that TAs may represent a more rational therapeutic approach.
mutants
tyrosine agonists
dominant negative inhibition
corepressor interaction
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