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THE JOURNAL OF BIOLOGICAL CHEMISTRY

Communication Vol. 272, No. 6, Issue of February 7, pp. 3137–3140, 1997


© 1997 by The American Society for Biochemistry and Molecular Biology, Inc.
Printed in U.S.A.

Activation of the Nuclear 3-hydroxy-3-methylglutaryl coenzyme A reductase (1). Al-


though increases in dietary CH lead to the inhibition of expres-
Receptor LXR by Oxysterols sion of these genes in vivo, it remains unclear whether CH or
Defines a New Hormone CH metabolites are responsible for this inhibition (2). Experi-
ments performed in vitro using several different cell lines have
Response Pathway* indicated that derivatives of CH that are oxygenated on the CH
side chain are significantly more potent in the suppression of
(Received for publication, December 5, 1996) sterol biosynthesis than CH (3). These oxysterols are produced
Jürgen M. Lehmann‡§, Steven A. Kliewer‡, through the actions of P450 enzymes in various metabolic
Linda B. Moore‡, Tracey A. Smith-Oliver‡, pathways including bile acid synthesis in the liver and sex
Beverly B. Oliver‡, Jui-Lan Su¶, hormone synthesis in the adrenal glands. The in vitro activities
Scott S. Sundsethi, Deborah A. Winegari, of oxysterols together with their presence in vivo suggests that
Daniel E. Blanchard**, Thomas A. Spencer**, oxysterols may serve in metabolic feedback loops to regulate
and Timothy M. Willson‡‡
CH homeostasis.
From the Departments of ‡Molecular Endocrinology, Although CH and its oxysterol metabolites can repress gene
iMetabolic Diseases, ¶Molecular Sciences, and
‡‡Medicinal Chemistry, Glaxo Wellcome Research and
transcription, in at least one instance dietary CH has been
Development, Research Triangle Park, North Carolina shown to stimulate gene expression. Expression of the choles-
27709 and the **Department of Chemistry, Dartmouth terol 7a-hydroxylase (CYP7A) gene, which encodes the enzyme

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College, Hanover, New Hampshire 03755 responsible for the initial and rate-limiting step in the conver-
sion of CH to bile acids (4), is up-regulated in rats fed a CH-rich
Accumulation of cholesterol causes both repression of
diet (5–7). This stimulatory effect provides a regulatory mech-
genes controlling cholesterol biosynthesis and cellular
uptake and induction of cholesterol 7a-hydroxylase, anism whereby excess dietary CH can be converted to more
which leads to the removal of cholesterol by increased polar bile acids for subsequent removal from the body. Al-
metabolism to bile acids. Here, we report that LXRa and though the molecular mechanism is unknown, induction of
LXRb, two orphan members of the nuclear receptor su- CYP7A expression in the presence of CH occurs at the level of
perfamily, are activated by 24(S),25-epoxycholesterol gene transcription (8, 9).
and 24(S)-hydroxycholesterol at physiologic concentra- A variety of CH derivatives, including steroid hormones and
tions. In addition, we have identified an LXR response vitamin D, exert effects on gene expression through interac-
element in the promoter region of the rat cholesterol tions with members of the nuclear receptor superfamily (10).
7a-hydroxylase gene. Our data provide evidence for a Members of this family function as ligand-activated transcrip-
new hormonal signaling pathway that activates tran- tion factors by binding to short stretches of DNA, termed hor-
scription in response to oxysterols and suggest that mone response elements, present in the regulatory regions of
LXRs play a critical role in the regulation of cholesterol target genes. In addition to the nuclear receptors with known
homeostasis. ligands, this superfamily includes a large number of structur-
ally related members that contain DNA binding domains and
putative ligand binding domains but lack identified ligands,
Cholesterol (CH)1 is a major structural constituent of cellu- the so-called “orphan receptors.”
lar membranes and serves as the biosynthetic precursor for bile In this report, we have identified a binding site for the
acids and steroid hormones. Animal cells can obtain CH endo- orphan nuclear receptor LXRa in the proximal promoter region
genously through de novo synthesis from acetyl-CoA or exog- of the rat CYP7A gene. LXRa and the closely related orphan
enously through receptor-mediated endocytosis of low density receptor LXRb are broadly expressed and bind to DNA as
lipoproteins. Cells must balance the internal and external heterodimers with the retinoid X receptors (RXRs) (11–14). As
sources of CH so as to maintain mevalonate biosynthesis while part of an effort to identify natural LXR ligands, we have found
at the same time avoiding the accumulation of excess CH, that the oxysterols 24(S),25-epoxycholesterol and 24(S)-hy-
which can result in diseases such as atherosclerosis, gallstones, droxycholesterol activate both LXRa and LXRb at concentra-
and several lipid storage disorders (1). tions consistent with those found in tissue extracts. Our results
CH homeostasis is maintained in part through feedback provide evidence for a novel oxysterol signaling pathway reg-
regulation of the low density lipoprotein receptor gene and at ulating hepatic CH homeostasis that may also be important in
least two genes encoding enzymes in the CH biosynthetic path- mediating other cellular and developmental effects of CH.
way, 3-hydroxy-3-methylglutaryl coenzyme A synthase and
MATERIALS AND METHODS
Chemical Reagents—24(S),25-epoxycholesterol, 24(R),25-epoxycho-
* This research was supported in part by Grant HL52069 from the lesterol, 24(S)-hydroxycholesterol, and 24(R)-hydroxycholesterol were
National Institutes of Health (to T. A. S.). The costs of publication of
prepared as described previously (20, 21). 24-Ketocholesterol was syn-
this article were defrayed in part by the payment of page charges. This
thesized from cholenic acid by conversion to the Weinreb amide and
article must therefore be hereby marked “advertisement” in accordance
with 18 U.S.C. Section 1734 solely to indicate this fact. reaction with isopropyl magnesium chloride. All other compounds were
§ To whom correspondence should be addressed: Glaxo Wellcome obtained through commercial sources (Sigma; Steraloids).
Research and Development, 5 Moore Dr., Research Triangle Park, NC Plasmids—To generate the plasmids pSG5-mLXRa, pSG5-hLXRb,
27709. Tel.: 919-483-6332; Fax: 919-483-6147; E-mail: jml30414@ and pSG5-hRXRa, the cDNAs encoding the murine LXRa, human
glaxo.com. LXRb, or human RXRa were inserted into the expression vector pSG5
1
The abbreviations used are: CH, cholesterol; CYP7A, cholesterol (Stratagene). The GAL4-LXR constructs contain in the pSG5 expression
7a-hydroxylase; RXR, retinoid X receptor; CAT, chloramphenicol vector the translation initiation sequence and amino acids 1–76 of the
acetyltransferase; DR, direct repeat; tk, thymidine kinase. glucocorticoid receptor fused to the DNA-binding domain of the yeast

This paper is available on line at http://www-jbc.stanford.edu/jbc/ 3137


3138 Oxysterols Activate the LXR Nuclear Receptors
transcription factor GAL4 (amino acids 1–147) and the SV40 large T
antigen nuclear localization signal (APKKKRKVG). The cDNAs encod-
ing amino acids 164 – 447 and 157– 440 of the human LXRa and LXRb
were amplified by polymerase chain reaction and inserted C-terminal to
the nuclear localization sequence to generate the plasmids pSG5GAL4-
hLXRa and pSG5GAL4-hLXRb, respectively. The reporter plasmids
(CYP7-LXRE)4-tk-CAT and (DR-4)4-tk-CAT were generated by insert-
ing four copies of the CYP7-LXRE (59-gatcCCTTTGGTCACTCAAGT-
TCAAGTG) or the DR-4-LXRE (59-gatcCCTTAGTTCACTCAAGTT-
CAAGTG) into the BamHI restriction site of pBLCAT2 (29).
Cotransfection Assay—CV-1 cells were plated in 24-well plates in
Dulbecco’s modified Eagle’s medium supplemented with 10% charcoal-
stripped fetal calf serum at a density of 1.2 3 105 cells/well. In general,
transfection mixes contained 33 ng of receptor expression vector, 100 ng
of reporter plasmid, 200 ng of b-galactosidase expression vector
(pCH110, Pharmacia Biotech Inc.), and 166 ng of carrier plasmid. Cells
were transfected overnight by lipofection using Lipofectamine (Life
Technologies Inc.) according to the manufacturer’s instructions. The
medium was changed to Dulbecco’s modified Eagle’s medium supple-
mented with 10% delipidated calf serum (Sigma), and compound was
added for 24 h. Cell extracts were prepared and assayed for chloram-
phenicol acetyltransferase (CAT) and b-galactosidase activities as de-
scribed previously (30).
Gel Mobility Shift Assays—LXRa, LXRb, and RXRa were transcribed
and translated in vitro using pSG5-mLXRa, pSG5-hLXRb, and pSG5-
FIG. 1. LXR response element in the proximal CYP7A pro-
hRXRa as templates and the TNT coupled transcription/translation
moter. A, schematic representation of the CYP7A gene and the se-

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system (Promega). Gel mobility shift assays (20 ml) contained 10 mM quences of the CYP7-LXRE located between nucleotides 272 and 257.
Tris (pH 8.0), 40 mM KCl, 0.1% Nonidet P-40, 6% glycerol, 1 mM For comparison, the sequences of the idealized DR-4-LXRE and the
dithiothreitol, 0.2 mg of poly(dI-dC), 2.5 ml each of in vitro synthesized mCYP7-LXRE, in which the second half-site has been mutated to the
LXRa or LXRb, and RXR proteins. The total amount of reticulocyte GR recognition sequence, are shown. Arrows indicate potential re-
lysate was maintained constant in each reaction (5 ml) through the sponse element half-site motifs. B, LXR binds with high affinity to the
addition of unprogrammed lysate. After a 10-min incubation on ice, 1 ng CYP7-LXRE as a heterodimer with RXR. Gel mobility shift assays are
of 32P-labeled oligonucleotide was added, and the incubation continued shown in which mLXRa (upper panel), hLXRb (lower panel), hRXRa, or
for an additional 10 min. DNA-protein complexes were resolved on a 4% a combination of LXR and RXR were incubated as indicated with
polyacrylamide gel in 0.5 3 TBE (1 3 TBE 5 90 mM Tris, 90 mM boric radiolabeled probes corresponding to CYP7-LXRE or DR-4-LXRE. Spec-
acid, 2 mM EDTA). Gels were dried and subjected to autoradiography at ificity of the binding complex was tested by adding a 5- or 25-fold molar
270 °C. Liver nuclear extracts were prepared as described previously excess of CYP7-LXRE, DR-4-LXRE, or mCYP7-LXRE as indicated.
(31). In experiments performed with liver nuclear extracts, 5 mg of
extract was used, the amount of poly(dI-dC) in each reaction was
added together with RXR, indicating that high affinity DNA
increased to 8 mg, and DNA-protein complexes were resolved on 8%
polyacrylamide gels. The following double-stranded oligonucleotides binding required the formation of LXR-RXR heterodimers (Fig.
were synthesized and used in the gel mobility assay (sense strand 1B, lane 3). Interestingly, a weaker complex migrating slightly
shown, mutated nucleotides underlined): CYP7-LXRE, GATCCCTTT- faster than the LXR-RXR heterodimer was observed when
GGTCACTCAAGTTCAAGTGGATC; mCYP7-LXRE, GATCCCTTTG- LXRa was used in the absence of RXR (Fig. 1B, lane 1), sug-
GTCACTCAAGAACAAGTGGATC; and DR-4-LXRE, GATCCCTTAGT- gesting the weak binding of an LXR homodimeric complex. In
TCACTCAAGTTCAAGTGGATC.
experiments performed with an oligonucleotide containing the
For the antibody supershift assays, a pool of monoclonal antibodies
was used. The antibodies were generated by fusing spleenocytes from CYP7A DR-4 element (Fig. 1A), strong binding was observed
an SJL mouse (male, 8 weeks old, Jackson, Bar Harbor, ME) immu- with both the LXRa-RXR and LXRb-RXR heterodimers (Fig.
nized with histidine-tagged recombinant human LXRa protein (amino 1B, lane 6). This binding was sequence-specific because an
acids 164 – 447) with mouse myeloma cells as previously described (32). excess of either the unlabeled CYP7 oligonucleotide or the
idealized DR-4-LXRE oligonucleotide (Fig. 1B, lanes 7–10) com-
RESULTS AND DISCUSSION peted efficiently for binding to the probe, but no competition for
The CYP7A Promotor Contains an LXR-RXR Heterodimer binding was seen with an oligonucleotide in which the 39 half-
Binding Site—Previous work had identified a region of the site had been mutated to a consensus glucocorticoid receptor
CYP7A promoter that interacts with nuclear proteins and con- half-site (mCYP7-LXRE) (Fig. 1, A and B, lanes 11 and 12). As
tains a motif that closely resembles known binding sites for observed with the DR-4-LXRE, a weak and slightly faster mi-
members of the nuclear receptor family (15, 16). This putative grating complex of a potential LXRa homodimer was seen
response element is composed of a nearly perfect tandem re- when LXRa was added alone to the CYP7A direct repeat ele-
peat of the nuclear receptor half-site recognition sequence ment (Fig. 1B, lane 4). Based on these data, we refer to the
AG(G/T)TCA separated by four nucleotides, a so-called DR-4 DR-4 of the CYP7A promoter as the CYP7-LXRE.
motif (17). This type of DR-4 response element has been shown LXRa is abundantly expressed in the liver (11, 12), the site of
to function as a high affinity binding site for heterodimers CYP7A expression. To determine whether endogenously ex-
between RXR and the orphan nuclear receptors LXRa and pressed LXRa bound to the CYP7-LXRE, we prepared nuclear
LXRb (11–14). extracts from rat liver for use in gel retardation assays. A
To investigate whether the DR-4 motif in the CYP7A pro- strong, shifted complex was observed in assays performed with
moter could function as an LXR response element, we per- the CYP7-LXRE and liver extracts (Fig. 2B, lane 3) that mi-
formed a series of gel retardation assays. First, to verify that grated at the same position as the one obtained with in vitro
the in vitro synthesized receptor proteins were functional, we synthesized LXR and RXR protein (Fig. 2B, lane 1). A portion
used an oligonucleotide in which two nucleotides in the 59 of this complex was supershifted (Fig. 2B, lane 4) upon the
half-site of the CYP7A direct repeat sequence were mutated to addition of a pool of monoclonal antibodies that specifically
obtain an idealized, tandem repeat of the AGTTCA motif (Fig. recognizes the LXRa but not the LXRb ligand binding domain
1A, DR4-LXRE). Consistent with previous findings (11–14), a (Fig. 2A). An analogous supershifted complex was seen in ex-
strong complex was formed when either LXRa or LXRb was periments performed with these antibodies and in vitro syn-
Oxysterols Activate the LXR Nuclear Receptors 3139

FIG. 2. LXRa in liver nuclear extracts binds to the CYP7-LXRE.


A, in vitro synthesized LXRa-RXRa or LXRb-RXRa was incubated with
radiolabeled CYP7-LXRE probe in the presence or the absence of a pool
of monoclonal antibodies (Ab-LXRa) generated against the LXRa ligand
binding domain (amino acids 164 – 447). The arrow indicates the posi-
tion of the antibody supershifted LXRa-RXR heterodimer. No super-
shifted complex was seen when the pool of antibodies was incubated
with LXRb-RXRa or PPAR-RXRa (data not shown). B, in vitro synthe-
sized LXRa-RXRa or nuclear extract prepared from rat liver was incu- FIG. 3. Sterols with oxygenated cholesterol side chains are
bated with radiolabeled CYP7-LXRE probe in the presence or the ab- efficacious activators of LXRa and LXRb. A, CV-1 cells were co-
sence of a pool of monoclonal antibodies (Ab-LXRa). The arrow indicates transfected with expression plasmids for the GAL4-hLXRa (open bars)
the position of the antibody supershifted LXRa-RXR heterodimer. and GAL4-hLXRb (black bars) chimeras and the reporter plasmid
(UAS)5-tk-CAT. Cells were then incubated for 24 h with dimethyl sulf-
oxide control or the indicated compound at a concentration of 10 mM.
thesized LXRa and RXR (Fig. 2B, lane 2). These data show that Normalized CAT activity was determined and plotted as fold activation
LXRa is one of the components present in liver extracts that

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relative to vehicle-treated cells. Results shown represent the average of
binds to the CYP7-LXRE. three independent experiments performed in duplicate. DHEA, dehy-
Oxysterols Activate LXRa and LXRb—The presence of a droepiandrosterone. B, chemical structures of cholesterol, 24(S),25-ep-
oxycholesterol, and 24(S)-hydroxycholesterol.
binding site for LXR in the promoter of the CYP7A gene, which
encodes the rate-limiting enzyme responsible for the conver-
sion of CH to bile acids, prompted us to test a comprehensive 3B). 24(S),25-Epoxycholesterol is derived from a shunt in the
set of CH precursors and metabolites including bile acids, ox- mevalonate pathway in which squalene epoxide, rather than
ysterols, and steroids for their ability to activate LXRa or LXRb undergoing cyclization to lanosterol, is instead metabolized to
in cotransfection experiments (Fig. 3A). The compounds were 24(S),25-epoxycholesterol (20). 24(S),25-epoxycholesterol has
initially tested using chimeric receptor proteins containing the been identified in cultured cells (21) and in tissue homogenates
ligand binding domains of either LXRa or LXRb fused to the prepared from human and rat livers (22, 23, 28). Because
DNA binding domain of the yeast transcription factor GAL4 24(S),25-epoxycholesterol is derived from a biosynthetic path-
(18). The use of chimeric receptors allowed us to avoid compli- way different from that of any of the other oxysterols, it has
cations in the interpretation of the results caused by endoge- been proposed that this epoxide might serve as a signaling
nous nuclear receptors as well as to identify compounds that molecule in the feedback regulation of CH biosynthesis (23).
mediated their effects through the ligand binding domains of Indeed, we found that 24(S),25-epoxycholesterol was an effica-
these orphan receptors. Expression plasmids encoding the chi- cious activator of both LXRs (Fig. 3A). Taken together, the
meric receptors were cotransfected into CV-1 cells together results of these transfecton studies indicate that the optimal
with a reporter plasmid containing five copies of the GAL4- structural requirement for LXR activation is a 3b-sterol with
binding site upstream of the minimal tk promoter driving the an oxygen substituent at C-24 capable of forming a hydrogen
expression of CAT. All compounds were tested on the chimeric bond.
receptors at a concentration of 10 mM. 24(S),25-Epoxycholesterol and 24(S)-Hydroxycholesterol Are
As shown in Fig. 3A, neither of the LXR chimeras was acti- Potent Activators of LXRa and LXRb—We next wished to de-
vated in response to CH or its precursors lanosterol and des- termine whether the potencies of these oxysterols in the acti-
mosterol. Interestingly, however, significant activation of both vation of the LXRs were consistent with their known abun-
the LXRa and LXRb chimeras was observed in transfected cells dance in vivo. Three of these compounds are particularly
treated with the oxysterols 20(S)-, 22(R)-, and 24(S)-hydroxy- abundant in tissue extracts. 24(S)-hydroxycholesterol is pres-
cholesterol (Fig. 3A). 25- and 27-hydroxycholesterol had rela- ent in brain extracts at concentrations of roughly 100 mM.
tively little or no effect on either LXR chimera (Fig. 3A). Nota- Although its physiological relevance is not known, these high
bly, activation of the LXRs was more efficient with the concentrations have led to 24(S)-hydroxycholesterol being
naturally occurring 22(R)- and 24(S)-hydroxycholesterol enan- termed “cerebrosterol.” Although circulating levels of 24(S)-
tiomers than with the synthetic 22(S)- and 24(R)-hydroxycho- hydroxycholesterol are low in adults (;50 nM), this concentra-
lesterol stereoisomers. We note that while this manuscript was tion can be elevated as much as 10-fold in children (24).
in preparation, several of these oxysterols were shown to acti- 24(S),25-Epoxycholesterol has been isolated from human or rat
vate LXRa (19). 24-Keto-cholesterol was also an efficacious livers at concentrations estimated to be 1–5 mM (22, 23, 28).
activator of both LXRs (Fig. 3A). In contrast, no activation of Finally, 22(R)-hydroxycholesterol is present in adrenal extracts
either LXRa or LXRb was seen in the presence of additional, at micromolar concentrations. Other oxysterols are present in
downstream intermediates in the steroid hormone biosynthetic the circulation or in tissue extracts at concentrations that are
pathway or in the presence of testosterone or progesterone (Fig. nanomolar or lower (25).
3A). 7a-Hydroxycholesterol, its bile acid derivatives chenode- We performed dose response analysis using expression plas-
oxycholic acid and cholic acid, or bile salts also failed to activate mids for full-length LXRa or LXRb. Reporter constructs were
the LXR chimeras (data not shown). In addition, steroids with generated that contained four copies of either the CYP7-LXRE
the 3a-hydroxyl configuration were inactive (data not shown). or the idealized DR-4-LXRE driving CAT gene expression. In
In addition to the various hydroxycholesterol derivatives, we preliminary experiments performed with 10 mM 24(S),25-ep-
also examined the activity of 24(S),25-epoxycholesterol (Fig. oxycholesterol, we found that LXRa induced expression of both
3140 Oxysterols Activate the LXR Nuclear Receptors
In summary, we have demonstrated that the LXRs are acti-
vated by the oxysterols 24(S),25-epoxycholesterol and 24(S)-
hydroxycholesterol at concentrations consistent with those
found in tissues. It is well known that oxysterols suppress de
novo CH biosynthesis as well as cellular uptake of CH (1).
However, oxysterols have a number of other biological effects
including marked effects on DNA synthesis and cell growth and
proliferation (25). Our data suggest that some of these effects
may be mediated through the LXRs. It is interesting that the
nuclear receptor family member most closely related to the
LXRs is the insect ecdysone receptor (12, 13, 15). Ecdysone is a
sterol hydroxylated at the 22 and 25 positions that functions as
a temporal signal to coordinate tissue-specific morphogenetic
changes during insect development (27). The use of nuclear
receptor pathways as a means to transduce the effects of oxy-
genated sterols thus appears to have been conserved through-
out a large part of evolution, from insects to man.

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Communications:
Activation of the Nuclear Receptor LXR by
Oxysterols Defines a New Hormone
Response Pathway

Jürgen M. Lehmann, Steven A. Kliewer,


Linda B. Moore, Tracey A. Smith-Oliver,
Beverly B. Oliver, Jui-Lan Su, Scott S.
Sundseth, Deborah A. Winegar, Daniel E.
Blanchard, Thomas A. Spencer and Timothy
M. Willson
J. Biol. Chem. 1997, 272:3137-3140.

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