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Activation Has Coordinate Effects on Gene Expression in Multiple Insulin-Sensitive Tissues
Departments of Molecular Endocrinology (J.M.W., S.A.K.), Metabolic Diseases (W.W.H., K.K.B., W.K.G.), Discovery Genetics (S.S.S.), and Medicinal Chemistry (T.M.W.), Glaxo Wellcome Inc., Research and Development, Research Triangle Park, North Carolina 27709; and CuraGen Corp. (T.A.M., R.K.R.), New Haven, Connecticut 06511
Address all correspondence and requests for reprints to: Dr. Steven A. Kliewer, Glaxo Wellcome Inc. Research and Development, Venture 118, 5 Moore Drive, Research Triangle Park, North Carolina 27709. E-mail: sak15922{at}glaxowellcome.com
Peroxisome proliferator-activated receptor
(PPAR
) agonists,
including the glitazone class of drugs, are insulin sensitizers that
reduce glucose and lipid levels in patients with type 2 diabetes
mellitus. To more fully understand the molecular mechanisms underlying
their therapeutic actions, we have characterized the effects of the
potent, tyrosine-based PPAR
ligand GW1929 on serum glucose and lipid
parameters and gene expression in Zucker diabetic fatty rats. In
time-course studies, GW1929 treatment decreased circulating FFA levels
before reducing glucose and triglyceride levels. We used a
comprehensive and unbiased messenger RNA profiling technique to
identify genes regulated either directly or indirectly by PPAR
in
epididymal white adipose tissue, interscapular brown adipose
tissue, liver, and soleus skeletal muscle. PPAR
activation
stimulated the expression of a large number of genes involved in
lipogenesis and fatty acid metabolism in both white adipose tissue and
brown adipose tissue. In muscle, PPAR
agonist treatment decreased
the expression of pyruvate dehydrogenase kinase 4, which represses
oxidative glucose metabolism, and also decreased the expression of
genes involved in fatty acid transport and oxidation. These changes
suggest a molecular basis for PPAR
-mediated increases in glucose
utilization in muscle. In liver, PPAR
activation coordinately
decreased the expression of genes involved in gluconeogenesis. We
conclude from these studies that the antidiabetic actions of PPAR
agonists are probably the consequence of 1) their effects on FFA
levels, and 2), their coordinate effects on gene expression in multiple
insulin-sensitive tissues.
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