Tohoku J. Exp. Med., 2015 March, 235(3)

Opposing Roles of Nitric Oxide and Rho-Kinase in Lipid Metabolism in Mice

KAZUKI NODA,1 SHIGEO GODO,1 HIROKI SAITO,1 MASATO TSUTSUI2 and HIROAKI SHIMOKAWA1

1Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
2Department of Pharmacology, Ryukyu University Graduate School of Medicine, Nishihara-gun, Okinawa, Japan

Dyslipidemia is a life-style disorder and is one of the important risk factors of cardiovascular diseases. Nitric oxide (NO) exerts beneficial effects on lipid metabolism through activation of hepatic sterol regulatory element-binding protein (SREBP)-2, a transcriptional factor for cholesterol metabolism and expression of LDL receptor, while Rho-kinase, an effecter protein of small G protein, RhoA, contributes to the pathogenesis of metabolic syndrome through suppressing the whole body energy consumption. However, the crosstalk between NO and Rho-kinase in regulation of lipid metabolism remains to be elucidated. In the present study, we used male wild-type (WT) mice and mice lacking three isoforms of NO synthase (NOSs−/−). WT mice were fed either normal diet (ND) or high-fat diet (HFD), while NOSs−/− mice were fed ND with or without a selective Rho-kinase inhibitor, fasudil (100 mg/kg/day), for 6 weeks. At 6 weeks, plasma NOx concentration was significantly decreased and Rho-kinase activity and lipid levels were significantly elevated in HFD-fed WT mice and NOSs−/− mice compared with ND-fed WT mice. In the liver, SREBP-2 activity was reduced in NOSs−/− mice. Fasudil ameliorated lipid levels in HFD-fed WT mice and NOSs−/− mice without affecting SREBP-2 activity or LDL receptor expression, whereas it significantly enhanced phosphorylation of AMP-activated kinase (AMPK) in the liver and skeletal muscle. Importantly, the beneficial metabolic effects of fasudil were absent in HFD-fed AMPK−/− mice. These results provide the first evidence that NO and Rho-kinase play opposing roles for the lipid metabolism, suggesting that Rho-kinase inhibitors could be novel therapeutic agents of dyslipidemia.

keywords —— adenosine-5'-monophosphate-activated protein kinase; dyslipidemia; lipid metabolism; nitric oxide; Rho-kinase

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Tohoku J. Exp. Med., 2015, 235, 171-183

Correspondence: Hiroaki Shimokawa, M.D., Ph.D., Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan.

e-mail: shimo@cardio.med.tohoku.ac.jp