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Silvennoinen R, Escola-Gil JC, Julve J, Rotllan N, Llaverias G, Metso J, Valledor AF, He J, Yu L, Jauhiainen M, Blanco-Vaca F, Kovanen PT, Lee-Rueckert M. Acute Psychological Stress Accelerates Reverse Cholesterol Transport via Corticosterone-Dependent Inhibition of Intestinal Cholesterol Absorption. Circ Res 2012; 111:1459-69. [DOI: 10.1161/circresaha.112.277962] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Rationale:
Psychological stress is associated with an increased risk of cardiovascular diseases. However, the connecting mechanisms of the stress-inducing activation of the hypothalamic-pituitary-adrenal axis with atherosclerosis are not well-understood.
Objective:
To study the effect of acute psychological stress on reverse cholesterol transport (RCT), which transfers peripheral cholesterol to the liver for its ultimate fecal excretion.
Methods and Results:
C57Bl/6J mice were exposed to restraint stress for 3 hours to induce acute psychological stress. RCT in vivo was quantified by measuring the transfer of [
3
H]cholesterol from intraperitoneally injected mouse macrophages to the lumen of the small intestine within the stress period. Surprisingly, stress markedly increased the contents of macrophage-derived [
3
H]cholesterol in the intestinal lumen. In the stressed mice, intestinal absorption of [
14
C]cholesterol was significantly impaired, the intestinal mRNA expression level of peroxisome proliferator–activated receptor-α increased, and that of the sterol influx transporter Niemann-Pick C1–like 1 decreased. The stress-dependent effects on RCT rate and peroxisome proliferator–activated receptor-α gene expression were fully mimicked by administration of the stress hormone corticosterone (CORT) to nonstressed mice, and they were blocked by the inhibition of CORT synthesis in stressed mice. Moreover, the intestinal expression of Niemann-Pick C1–like 1 protein decreased when circulating levels of CORT increased. Of note, when either peroxisome proliferator-activated receptor α or liver X receptor α knockout mice were exposed to stress, the RCT rate remained unchanged, although plasma CORT increased. This indicates that activities of both transcription factors were required for the RCT-accelerating effect of stress.
Conclusions:
Acute psychological stress accelerated RCT by compromising intestinal cholesterol absorption. The present results uncover a novel functional connection between the hypothalamic-pituitary-adrenal axis and RCT that can be triggered by a stress-induced increase in circulating CORT.
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Affiliation(s)
- Reija Silvennoinen
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Joan Carles Escola-Gil
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Josep Julve
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Noemi Rotllan
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Gemma Llaverias
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Jari Metso
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Annabel F. Valledor
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Jianming He
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Liqing Yu
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Matti Jauhiainen
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Francisco Blanco-Vaca
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Petri T. Kovanen
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
| | - Miriam Lee-Rueckert
- From the Wihuri Research Institute, Helsinki, Finland (R.S., P.T.K., M.L.-R.); Departament de Bioquimica, IIB Sant Pau-CIBER de Diabetes y Enfermedades Metabolicas Asociadas-Universitat Autonoma de Barcelona, Barcelona, Spain (J.C.E.-G., J.J., N.R., G.L., F.B.-V.); Department of Chronic Disease Prevention, National Institute for Health and Welfare, Public Health Genomics Research Unit Biomedicum, Helsinki, Finland (J.M., M.J.); Department of Physiology and Immunology, School of Biology, University
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