CREBH regulation of lipid metabolism through multifaceted functions that improve arteriosclerosis

Yoshimi Nakagawa1, Takashi Matsuzaka2,3, Hitoshi Shimano2

  • 1Division of Complex Biosystem Research, Institute of Natural Medicine, University of Toyama, Toyama, Japan.

Insights

Cyclic adenosine monophosphate-responsive element-binding protein H (CREBH) enhances the clearance of remnant lipoproteins, reducing plaque formation and lowering plasma triglycerides. This improves HDL-cholesterol levels and promotes cardiovascular health.

Area of Science:

  • Metabolic regulation
  • Lipid metabolism
  • Cardiovascular disease research

Background:

  • Lipoprotein lipase (LPL) activity is crucial for hydrolyzing triglyceride-rich lipoproteins.
  • Remnant lipoproteins contribute to atherogenic plaque formation.
  • Apolipoproteins, including ApoE and ApoC3, play key roles in remnant particle clearance.

Purpose of the Study:

  • To investigate the role of CREBH in regulating LPL activity and lipoprotein metabolism.
  • To understand how CREBH influences the clearance of remnant lipoproteins.
  • To determine the impact of CREBH on cardiovascular risk factors like plasma triglycerides and HDL-cholesterol.

Main Methods:

  • The study likely involved molecular biology techniques to assess CREBH activity and its downstream targets.
  • Analysis of apolipoprotein expression and lipoprotein receptor levels.
  • Measurement of plasma lipid profiles, including triglycerides and HDL-cholesterol.

Main Results:

  • CREBH activation leads to increased LPL activity.
  • CREBH modulates apolipoprotein levels, enhancing remnant particle clearance via ApoE and reducing ApoC3.
  • CREBH upregulates VLDL receptor (VLDLR) and LDL receptor-related protein 1 (LRP1) expression.
  • CREBH induces fibroblast growth factor 21 (FGF21) secretion, lowering plasma triglycerides.
  • CREBH promotes ApoA1 production, increasing HDL-cholesterol.

Conclusions:

  • CREBH plays a significant role in promoting the clearance of atherogenic remnant lipoproteins.
  • CREBH activation reduces atherogenic plaque area and improves lipid profiles.
  • CREBH represents a potential therapeutic target for managing dyslipidemia and cardiovascular disease.

Related Concept Videos

Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
58
Cholesterol: Significance and Regulation01:29

Cholesterol: Significance and Regulation

Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
731
Lipid-Lowering Drugs: Statins and Miscellaneous Agents01:20

Lipid-Lowering Drugs: Statins and Miscellaneous Agents

Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
930
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
172
Atherosclerosis I: Introduction01:30

Atherosclerosis I: Introduction

Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
148
Inflammation01:38

Inflammation

Overview
55.9K