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Atorvastatin increases miR-124a expression: a mechanism of Gamt modulation in liver cells
Alisa Phulukdaree1, Devapregasan Moodley2, Sajidah Khan2
1Department of Physiology, College of Health Sciences, University of Pretoria, Durban, South Africa.
Abstract:
Atorvastatin is used to control cholesterol and lipid levels in hyperlipidaemic and hypercholesterolaemic patients. Myopathy and hepatotoxicity, however, have been reported as side effects in a small percentage of statin users. This study aimed to investigate the cytotoxicity and the effect of atorvastatin on microRNA expression in HepG2 cells. The methylthiazol tetrazolium assay was used to assess hepatocyte viability and at 20 μM atorvastatin (24 h) treatment were 82 ± 1.5% viable (P = 0.0002). Levels of intracellular ATP in cells treated with 20 μM atorvastatin were reduced by 1.25-fold, P = 0.002. Cytotoxicity, measured by the release of intracellular lactate dehydrogenase, was increased from 0.95 ± 0.29 units in control cells to 1.12 ± 0.02 units (P = 0.002) in atorvastatin treated cells. A panel of 84-miRNA species was used to evaluate the effect of atorvastatin on miRNA expression. MiR-124a was significantly up-regulated by atorvastatin (12.94-fold). A significant decrease in GAMT expression (3.54-fold) was observed in atorvastatin treated cells following quantitative PCR analysis. In addition, western blotting data showed GAMT protein levels were significantly lower than the controls (3.02-fold) and analysis of creatine levels in treated cells showed a significant decrease in the atorvastatin treated culture supernatant compared to control culture supernatant (32.33 ± 3.51 μM/l vs. 59.67 ± 1.52μM/l, P = 0.0056). This is the first study to show that atorvastatin up-regulates miR-124a levels and consequently modulates GAMT expression in hepatocytes.
Insights
This study investigated atorvastatin
Area of Science:
- Hepatology and molecular biology
- Pharmacology and toxicology
Background:
- Atorvastatin is a widely prescribed statin for managing hyperlipidemia.
- Potential side effects include myopathy and hepatotoxicity, necessitating further investigation into its cellular effects.
- Understanding atorvastatin's impact on liver cells (HepG2) and microRNA (miRNA) expression is crucial.
Purpose of the Study:
- To assess the cytotoxicity of atorvastatin in HepG2 cells.
- To investigate the effect of atorvastatin on miRNA expression profiles in hepatocytes.
- To explore the molecular mechanisms underlying atorvastatin's cellular effects, focusing on GAMT expression.
Main Methods:
- Cytotoxicity was evaluated using methylthiazol tetrazolium (MTT) assays to measure cell viability and lactate dehydrogenase (LDH) release.
- Intracellular adenosine triphosphate (ATP) levels were quantified.
- A panel of 84 miRNA species was analyzed, with specific attention to miR-124a, and gene/protein expression of Guanidinoacetate N-methyltransferase (GAMT) was assessed via quantitative PCR and Western blotting. Creatine levels were also measured.
Main Results:
- Atorvastatin treatment at 20 μM for 24 hours resulted in reduced HepG2 cell viability (82%) and increased cytotoxicity.
- Intracellular ATP levels decreased by 1.25-fold, and LDH release increased significantly.
- Atorvastatin significantly upregulated miR-124a (12.94-fold) and downregulated GAMT expression and protein levels (3.54-fold and 3.02-fold, respectively), accompanied by a decrease in creatine levels in the supernatant.
Conclusions:
- Atorvastatin exhibits cytotoxicity in HepG2 cells at 20 μM.
- The study demonstrates for the first time that atorvastatin upregulates miR-124a in hepatocytes.
- This upregulation of miR-124a is associated with the modulation of GAMT expression and creatine metabolism, suggesting a novel mechanism of action for atorvastatin's cellular effects.
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