Diabetes 53:672-678, 2004
© 2004 by the American Diabetes Association, Inc.
In Vitro Transcriptional Induction of the Human Apolipoprotein A-II Gene by Glucose
Dominique Sauvaget1,2,
Valérie Chauffeton2,
Sonia Dugué-Pujol1,2,
Athina-Despina Kalopissis1,2,
Isabelle Guillet-Deniau3,
Fabienne Foufelle2,4,
Jean Chambaz1,2,
Armelle Leturque1,2,
Philippe Cardot1,2, and
Agnès Ribeiro1,2
1 Institut National de la Santé et de la Recherche Médicale (INSERM) U505, Institut Biomédical des Cordeliers, Paris, France
2 Institut Fédératif de Recherche 58, Institut Biomédical des Cordeliers, Paris, France
3 INSERM U567, Unité Mixte de Recherche 8104 Centre National de la Recherche Scientifique, Institut Cochin, Paris, France
4 INSERM U465, Institut Biomédical des Cordeliers, Paris, France
Type 2 diabetic patients present high triglyceride and low HDL levels, significant determinants for the risk of atherosclerosis. Transgenic mice overproducing human apolipoprotein (apo)A-II, one of the two major apos of HDLs, display the same lipid disorders. Here, we investigated the possible regulation of apoA-II gene expression by glucose. In primary rat hepatocytes and in HepG2 cells, the transcription of the human apoA-II gene was upregulated by glucose. This response was mediated by a hormone-responsive element within the enhancer of the apoA-II promoter and was dependent on hepatocyte nuclear factor-4 . Accordingly, in transgenic mice, the human apoA-II gene is stimulated by a high-carbohydrate diet after fasting and at weaning. By contrast, the apoA-II mRNA level is not modified in streptozotocin-induced diabetic rats. In transgenic mice overexpressing the human apoA-II gene, plasma human apoA-II concentration was positively correlated with blood glucose levels. These mice displayed a marked delay in plasma glucose tolerance as compared with control mice. We hypothesize that the following pathogenic pathway might occur in the course of type 2 diabetes: increased apoA-II level causes a rise in plasma triglyceride level and glucose intolerance, resulting in hyperglycemia, which in turn might further increase apoA-II gene transcription.
Address correspondence and reprint requests to Agnès Ribeiro, INSERM U505, 15 rue de lEcole de Médecine, 75006 Paris, France. E-mail: agnes.ribeiro-pillet-u505{at}bhdc.jussieu.fr

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S. Dugue-Pujol, X. Rousset, D. Pastier, N. T. Quang, V. Pautre, J. Chambaz, M. Chabert, and A.-D. Kalopissis
Human apolipoprotein A-II associates with triglyceride-rich lipoproteins in plasma and impairs their catabolism
J. Lipid Res.,
December 1, 2006;
47(12):
2631 - 2639.
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Copyright © 2004 by the American Diabetes Association.
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