Mj. Haas et al., Induction of the apolipoprotein AI gene by fasting: A relationship with ketosis but not with ketone bodies, METABOLISM, 49(12), 2000, pp. 1572-1578
Apolipoprotein Al (apoAI) expression is inversely related to the incidence
of atherosclerosis. ApoAI expression is also influenced by the nutritional
state and diabetes. We used both cell culture and animal models to examine
the effect of fasting and ketoacidosis on apoAI gene expression. Two days o
f food deprivation in rats increased hepatic and intestinal apoAI mRNA by 2
.6- and 2.3-fold, respectively (P <.05). The absolute concentration of plas
ma apoAI did not change. However, the plasma apoAI concentration relative t
o the plasma concentration of serum proteins was increased 23% (P <.05). In
fasting rats, there was a significant positive correlation between the ser
um beta -hydroxybutyrate concentration and hepatic or intestinal apoAI mRNA
level. Despite this correlation, changes in apoAI mRNA are probably not me
diated by ketone bodies, since neither hepatic nor intestinal apoAI mRNA le
vels were altered in rats maintained on a ketogenic diet for 10 days or tre
ated with isobutyramide, an orally active ketone analog. In addition, the a
ctivity of the rat apoAI promoter was not altered in Hep G2 cells treated w
ith isobutyramide or fatty acids or exposed to hypoglycemic conditions, whi
le dexamethasone increased promoter activity 1.9-fold (P <.05). These data
indicate that metabolic changes other than ketone bodies, such as an increa
se in plasma glucocorticoids, may account for starvation-induced expression
of apoAI. Copyright (C) 2000 by W.B. Saunders Company.