Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, 201203, China.
University of Chinese Academy of Sciences, Beijing, 100049, China.
Acta Pharmacol Sin. 2021 Apr;42(4):585-592. doi: 10.1038/s41401-020-0472-9. Epub 2020 Jul 28.
Dyslipidemia is a chronic metabolic disease characterized by elevated levels of lipids in plasma. Recently, various studies demonstrate that the increased activity of adenosine 5'-monophosphate-activated protein kinase (AMPK) causes health benefits in energy regulation. Thus, great efforts have been made to develop AMPK activators as a metabolic syndrome treatment. In the present study, we investigated the effects of the AMPK activator C24 on dyslipidemia and the potential mechanisms. We showed that C24 (5-40 μM) dose-dependently increased the phosphorylation of AMPKα and acetyl-CoA carboxylase (ACC), and inhibited lipogenesis in HepG2 cells. Using compound C, an AMPK inhibitor, or hepatocytes isolated from liver tissue-specific AMPK knockout AMPKα1α2 mice (AMPK LKO), we demonstrated that the lipogenesis inhibition of C24 was dependent on hepatic AMPK activation. In rabbits with high-fat and high-cholesterol diet-induced dyslipidemia, administration of C24 (20, 40, and 60 mg · kg· d, ig, for 4 weeks) dose-dependently decreased the content of TG, total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C) in plasma and played a role in protecting against hepatic dysfunction by decreasing lipid accumulation. A lipid-lowering effect was also observed in high-fat and high-cholesterol diet-fed hamsters. In conclusion, our results demonstrate that the small molecular AMPK activator C24 alleviates hyperlipidemia and represents a promising compound for the development of a lipid-lowering drug.
脂代谢紊乱是一种以血浆脂质水平升高为特征的慢性代谢性疾病。最近,多项研究表明,腺苷 5'-单磷酸激活蛋白激酶(AMPK)活性的增加可对能量调节产生有益作用。因此,人们已经做出了巨大的努力来开发 AMPK 激活剂作为代谢综合征的治疗方法。在本研究中,我们研究了 AMPK 激活剂 C24 对脂代谢紊乱的影响及其潜在机制。结果表明,C24(5-40μM)呈剂量依赖性地增加 HepG2 细胞中 AMPKα和乙酰辅酶 A 羧化酶(ACC)的磷酸化,并抑制脂肪生成。使用 AMPK 抑制剂 Compound C 或来自肝组织特异性 AMPKα1α2 敲除 AMPK(AMPK LKO)的肝细胞,我们证明了 C24 的脂肪生成抑制作用依赖于肝 AMPK 的激活。在高脂肪和高胆固醇饮食诱导的脂代谢紊乱的兔中,C24(20、40 和 60mg·kg·d,ig,连续 4 周)给药呈剂量依赖性地降低血浆中 TG、总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-C)的含量,并通过减少脂质积累发挥保护肝功能的作用。在高脂肪和高胆固醇饮食喂养的仓鼠中也观察到了降脂作用。总之,我们的结果表明,小分子 AMPK 激活剂 C24 可缓解高脂血症,是开发降脂药物的有前途的化合物。