Mehta Devina, Mehta Kamal D
Department of Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio; and.
Department of Biological Chemistry and Pharmacology, Dorothy M. Davis Heart & Lung Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio
Am J Physiol Gastrointest Liver Physiol. 2017 Mar 1;312(3):G266-G273. doi: 10.1152/ajpgi.00373.2016. Epub 2017 Jan 19.
Cholesterol homeostasis relies on an intricate network of cellular processes whose deregulation in response to Western type high-fat/cholesterol diets can lead to several life-threatening pathologies. Significant advances have been made in resolving the molecular identity and regulatory function of transcription factors sensitive to fat, cholesterol, or bile acids, but whether body senses the presence of both fat and cholesterol simultaneously is not known. Assessing the impact of a high-fat/cholesterol load, rather than an individual component alone, on cholesterol homeostasis is more physiologically relevant because Western diets deliver both fat and cholesterol at the same time. Moreover, dietary fat and dietary cholesterol are reported to act synergistically to impair liver cholesterol homeostasis. A key insight into the role of protein kinase C-β (PKCβ) in hepatic adaptation to high-fat/cholesterol diets was gained recently through the use of knockout mice. The emerging evidence indicates that PKCβ is an important regulator of cholesterol homeostasis that ensures normal adaptation to high-fat/cholesterol intake. Consistent with this function, high-fat/cholesterol diets induce PKCβ expression and signaling in the intestine and liver, while systemic PKCβ deficiency promotes accumulation of cholesterol in the liver and bile. PKCβ disruption results in profound dysregulation of hepatic cholesterol and bile homeostasis and imparts sensitivity to cholesterol gallstone formation. The available results support involvement of a two-pronged mechanism by which intestine and liver PKCβ signaling converge on liver ERK1/2 to dictate diet-induced cholesterol and bile acid homeostasis. Collectively, PKCβ is an integrator of dietary fat/cholesterol signal and mediates changes to cholesterol homeostasis.
胆固醇稳态依赖于一个复杂的细胞过程网络,对西式高脂/高胆固醇饮食的失调反应可能导致几种危及生命的病症。在解析对脂肪、胆固醇或胆汁酸敏感的转录因子的分子特性和调节功能方面已经取得了重大进展,但机体是否能同时感知脂肪和胆固醇的存在尚不清楚。评估高脂/高胆固醇负荷而非单独的某一成分对胆固醇稳态的影响在生理上更具相关性,因为西式饮食同时提供脂肪和胆固醇。此外,据报道膳食脂肪和膳食胆固醇协同作用会损害肝脏胆固醇稳态。最近通过使用基因敲除小鼠,对蛋白激酶C-β(PKCβ)在肝脏适应高脂/高胆固醇饮食中的作用有了关键认识。新出现的证据表明,PKCβ是胆固醇稳态的重要调节因子,可确保对高脂/高胆固醇摄入的正常适应。与此功能一致,高脂/高胆固醇饮食会诱导肠道和肝脏中PKCβ的表达和信号传导,而全身性PKCβ缺乏会促进肝脏和胆汁中胆固醇的积累。PKCβ的破坏会导致肝脏胆固醇和胆汁稳态的严重失调,并使机体对胆固醇胆结石的形成敏感。现有结果支持一种双管齐下的机制,即肠道和肝脏的PKCβ信号传导汇聚于肝脏ERK1/2,以决定饮食诱导的胆固醇和胆汁酸稳态。总体而言,PKCβ是膳食脂肪/胆固醇信号的整合者,并介导胆固醇稳态的变化。