Fasting induces nuclear factor E2-related factor 2 and ATP-binding Cassette transporters via protein kinase A and

Supriya R Kulkarni1, Ajay C Donepudi, Jialin Xu

  • 11 Department of Biomedical and Pharmaceutical Sciences, University of Rhode Island , Kingston, Rhode Island.

Abstract

Insights

Fasting activates the NRF2-ARE pathway via cAMP/PKA and SIRT1, influencing ATP-binding Cassette (ABC) transporter expression. This study reveals nutrient status as a key regulator of NRF2 activity and the antioxidant response.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Biochemistry

Background:

  • ATP-binding Cassette (ABC) transporters (ABCC2-4) are crucial for chemical elimination and biliary excretion in hepatocytes.
  • Nuclear factor-E2 related-factor 2 (NRF2) typically mediates ABCC induction in response to chemical inducers or liver injury.
  • The role of NRF2 in regulating transporter expression during non-chemical liver perturbations remains largely undescribed.

Purpose of the Study:

  • To investigate whether cyclic adenosine monophosphate (cAMP)-protein kinase A (PKA) and Sirtuin-1 (SIRT1) signaling pathways modulate the expression of ABC transport proteins.
  • To explore the role of NRF2 in regulating transporter expression under non-chemical liver stress conditions, specifically fasting.

Main Methods:

  • Utilized fasting models in intact mice and primary mouse/human hepatocytes.
  • Administered 8-Bromoadenosine-cAMP (a cAMP analogue) and the PKA inhibitor H-89.
  • Examined NRF2 target gene expression, antioxidant response element (ARE) activity, and protein recruitment to promoter regions.
  • Employed liver-specific null mice for SIRT1 and NRF2.

Main Results:

  • Fasting significantly increased NRF2 target gene expression (1.5-5 fold) in mouse liver through NRF2- and SIRT1-dependent pathways.
  • cAMP analogue treatment elevated NRF2 target gene expression and ARE activity in hepatocytes, an effect diminished by PKA inhibition.
  • Fasting-induced NRF2 target gene expression was reduced in hepatocytes and livers from SIRT1 and NRF2 knockout mice.
  • NRF2 and SIRT1 were observed to bind to MAREs and AREs in the human ABCC2 promoter.

Conclusions:

  • Nutrient status, specifically fasting, plays a novel role in regulating NRF2 activity and the cellular antioxidant response.
  • The cAMP/PKA and SIRT1 pathways act as upstream regulators for fasting-induced activation of the NRF2-ARE pathway.
  • These findings highlight a new mechanism for controlling ABC transporter expression independent of chemical induction.

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