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Am J Physiol Gastrointest Liver Physiol (June 1, 2006). doi:10.1152/ajpgi.00171.2006
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Submitted on April 26, 2006
Accepted on May 19, 2006

Induction of the intestinal peptide transporter 1 expression during fasting is mediated via peroxisome proliferator-activated receptor {alpha}

Jin Shimakura1, Tomohiro Terada1, Hirofumi Saito1, Toshiya Katsura1, and Ken-ichi Inui1*

1 Department of Pharmacy, Kyoto University Hospital, Kyoto, Kyoto, Japan

* To whom correspondence should be addressed. E-mail: inui{at}kuhp.kyoto-u.ac.jp.

We previously demonstrated that starvation markedly increased the amount of mRNA and protein levels of the intestinal H+/peptide cotransporter PEPT1 in rats, leading to altered pharmacokinetics of the PEPT1 substrates. In this study, the mechanism underlying this augmentation was investigated. We focused on the peroxisome proliferator-activated receptor α (PPAR{alpha}), which plays a pivotal role in the adaptive response to fasting in the liver and other tissues. In 48-hour fasted rats, the expression level of PPAR{alpha} mRNA in the small intestine markedly increased, accompanied with the elevation of serum free fatty acids, which are endogenous PPAR{alpha} ligands. Oral administration of synthetic PPAR{alpha} ligand WY-14643 to fed rats increased the mRNA level of intestinal PEPT1. Furthermore, treatment of the human intestinal model, Caco-2 cells, with WY-14643 resulted in enhanced PEPT1 mRNA expression and the uptake activity of glycylsarcosine. In the small intestine of PPAR{alpha} null mice, augmentation of PEPT1 mRNA during fasting was completely abolished. In the kidney, fasting did not induce PEPT1 expression in both PPAR{alpha} null and wild-type mice. Taken together, these results indicate that PPAR{alpha} plays critical roles in fasting-induced intestinal PEPT1 expression. In addition to the well-established roles of PPAR{alpha}, we propose a novel function of PPAR{alpha} in the small intestine, that is, the regulation of nitrogen absorption through PEPT1 during fasting.




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