Activation of AMP-Activated Protein Kinase Attenuates Tumor Necrosis Factor-α-Induced Lipolysis via Protection of Perilipin in 3T3-L1 Adipocytes

Background Tumor necrosis factor (TNF)-α and AMP-activated protein kinase (AMPK) are known to stimulate and repress lipolysis in adipocytes, respectively; however, the mechanisms regulating these processes have not been completely elucidated. Methods The key factors and mechanism of action of TNF-α and AMPK in lipolysis were investigated by evaluating perilipin expression and activity of protein kinase RNA-like endoplasmic reticulum kinase (PERK)/eukaryotic initiation factor 2 α (eIF2α) by Western blot and an immunofluorescence assay in 24-hour TNF-α-treated 3T3-L1 adipocytes with artificial manipulation of AMPK activation. Results Enhancement of AMPK activity by the addition of activator minoimidazole carboxamide ribonucleotide (AICAR) suppressed TNF-α-induced lipolysis, whereas the addition of compound C, an inhibitor of AMPK phosphorylation, enhanced lipolysis. Perilipin, a lipid droplet-associated protein, was decreased by TNF-α and recovered following treatment with AICAR, showing a correlation with the antilipolytic effect of AICAR. Significant activation of PERK/eIF2α, a component of the unfolded protein response signaling pathway, was observed in TNF-α or vesicle-treated 3T3-L1 adipocytes. The antilipolytic effect and recovery of perilipin expression by AICAR in TNF-α-treated 3T3-L1 adipocytes were significantly diminished by treatment with 2-aminopurine, a specific inhibitor of eIF2α. Conclusion These data indicated that AICAR-induced AMPK activation attenuates TNF-α-induced lipolysis via preservation of perilipin in 3T3-L1 adipocytes. In addition, PERK/eIF2α activity is a novel mechanism of the anti-lipolytic effect of AICAR.


INTRODUCTION
Tumor necrosis factor (TNF)-α is a cytokine with a well-established role in immunomodulatory and inflammatory responses, and has been implicated in the development of obesity [1,2]. Elevated TNF-α production in adipose tissues and adipocytes from obese subjects suggests that TNF-α may be linked to diabetes and insulin resistance [3][4][5]. Several laboratories have demon-strated that TNF-α increases lipolysis and release of free fatty acids (FFAs) from adipocytes [6][7][8]. In addition, it has been shown that the levels of TNF-α and FFAs are positively correlated in adipose tissues [9]. However, the mechanism of TNF-α function in obese subjects and lipolysis is not completely understood.
AMP-activated protein kinase (AMPK) is a widely-expressed serine/threonine kinase that is considered to act as an intracellular energy sensor. Because AMPK activation may have beneficial metabolic consequences in diabetic patients, AMPK has emerged as a potential target for the treatment of obesity and type 2 diabetes [10]. It has been demonstrated that two classes of antidiabetic drugs (metformin and thiazolidinediones) act at least in part through activation of AMPK in liver and muscle [11,12]. Whereas the function of AMPK in liver and muscle has been well-illustrated, the role of AMPK in adipose tissue remains poorly documented. An antilipolytic effect of the AMPK activator minoimidazole carboxamide ribonucleotide (AICAR) has been demonstrated in a lipolysis model treated with cyclic AMP (cAMP) inducers [13,14]. However, although the cAMP level is increased in TNF-α-treated adipocytes, the main mechanism of TNF-α-induced lipolysis has remained unknown.
In adipocytes, induction of stress can increase the expression and secretion of proinflammatory cytokines [15]. Overproduction and chronic exposure to proinflammatory cytokines such as TNF-α and interleukin-6 can induce lipolysis and apoptosis in adipocytes as a result of endoplasmic reticulum (ER) stress and generation of reactive oxygen species [16]. A variety of environmental insults leads to the phosphorylation of a family of proteins associated with the unfolded protein response (UPR), including protein kinase RNA-like endoplasmic reticulum kinase (PERK) and eukaryotic initiation factor 2 α (eIF2α), to alleviate cellular injury, or alternatively induce apoptosis. Phosphorylation of eIF2α regulates global translation, allowing cells to conserve resources and to initiate the reconfiguration of gene expression to effectively manage stress conditions [17].
The aim of this study was to determine the mechanism of TNF-α-induced lipolysis and the antilipolytic effect of AMPK in fully differentiated 3T3-L1 adipocytes. We identified the key factor in TNF-α-induced lipolysis, and also investigated the effect of TNF-α and AMPK on factors relating to ER stress and the UPR.

Cell cultures
3T3-L1 fibroblasts were cultured in high-glucose Dulbecco's modified Eagle medium (DMEM) supplemented with 10% fetal calf serum, 50 µg/mL of penicillin, and 50 µg/mL of streptomycin. After the fibroblasts reached quiescence, adipocyte differentiation was induced by adding methylisobutylxanthine (100 µM), dexamethasone (0.25 µM), and insulin (1 µg/mL) for 2 days. Cells were cultured in high-glucose DMEM supplemented with 10% calf serum and insulin for an additional 3 days, then maintained in high-glucose DMEM only supplemented with 10% fetal bovine serum. 3T3-L1 adipocytes were used for experiments 8 to 10 days after differentiation and were treated as described below for mature adipocytes.

Lipolysis assays
Lipolysis was stimulated by incubation with TNF-α (10 µg/mL) for 24 hours in the presence or absence of AICAR (1 µM) or CC (20 µM), an AMPK activator and inhibitor, respectively. Lipolysis was assessed from the release of glycerol in the culture medium, as previously described [18] using free glycerol reagent (Sigma, St. Louis, MO, USA). Lipolysis of adipocytes treated with 2-AP (5 mM), a specific inhibitor of eIF2α kinase, was also assessed to evaluate the relationship between the PERK/eIF2α pathway and lipolysis.

Western blot analysis
Cultured cells were scraped and lysed on ice in radioimmunoprecipitation assay buffer (Santa Cruz Biochemistry, Santa Cruz, CA, USA). After lysis for 30 minutes, protein was extracted by centrifugation at 13,000 rpm for 20 minutes at 4°C. The samples containing 30 µg of protein were separated on 4% to 12% bis-Tris Nupage gels (Invitrogen, Carlsbad, CA, USA), then transferred to polyvinylidene difluoride (PVDF) membranes. The PVDF membranes were incubated overnight at 4°C with primary antibodies against molecules of interest. After an additional incubation for 1 hour at room temperature, membranes were incubated with horseradish peroxidase-conjugated secondary antibodies, and visualized using enhanced chemiluminescence Western blotting detection reagents.

Immunofluorescence assay
For determination of perilipin protein, 3T3-L1 adipocytes were cultured on cover glass-bottomed dishes and incubated with reagents, as described above. After treatment, cells were fixed with 4% paraformaldehyde for 5 minutes at room temperature, washed, and incubated with polyclonal antibodies against perilipin overnight. For fluorescence detection, fluorescein isothiocyanate-conjugated immunoglobulin G was used after incubation with primary antibodies. Nuclei were counterstained with DAPI (Invitrogen).

Statistical analysis
The data are presented as the mean±SD. Significance was assessed by Student two sample t tests. A P value of less than 0.05 was considered significant.

AICAR inhibits TNF-α-induced lipolysis in 3T3-L1 adipocytes
To evaluate the role of AMPK in the regulation of lipolysis, we first confirmed spontaneous phosphorylation of AMPK in adipocytes which were exposed to TNF-α for 24 hours. Phosphorylation of the α-subunit of AMPK at the critical activating threonine residue, Thr-172, was evaluated by immunoreactivity with a specific antibody for the phosphorylated AMPK protein (Fig.  1A). The phosphorylation of AMPK was controlled by pre-and co-treatment with chemical reagents, showing a remarkable increase and decrease by AICAR and CC, respectively. In fullydifferentiated 3T3-L1 adipocytes, treatment with TNF-α and manipulation of AMPK activity resulted in an alteration of lipolysis, as measured by the amount of released glycerol. As shown in Fig. 1B, lipolysis was significantly elevated to approximately 1.8-fold in cells cultured in DMEM containing 10 ng/mL of TNF-α, and accelerated 2.3-fold by blocking of AMPK activity. Concordantly, TNF-α-induced lipolysis was abrogated upon activation of AMPK by AICAR treatment.

AMPK alleviates TNF-α induced diminution of perilipin
Perilipin, which protects lipids on the surface of lipid droplets, is a key factor in the process of lipolysis by lipolytic enzymes. The amount of perilipin protein was decreased in TNF-αtreated adipocytes, and was further diminished by treatment with CC, while perilipin protein was restored in adipocytes incubated with TNF-α and AICAR ( Fig. 2A, B). In contrast, the amount of HSL was unchanged in TNF-α and/or AMPK-regu-lated adipocytes. We also evaluated the amount of perilipin protein using an immunofluorescence assay (Fig. 2C). The intensity of green fluorescence indicating perilipin protein on the surface of lipid droplets decreased upon TNF-α and/or CC treatment. In adipocytes incubated with AICAR and TNF-α; however, green fluorescence was remarkably increased in amount and intensity, although it was weaker than the level of intensity in control adipocytes.  Copyright © 2014 Korean Endocrine Society

Antilipolytic effect of AMPK is dependent on UPR
Next we investigated the involvement of the PERK/eIF2α pathway on the antilipolytic effect of AICAR, as described by perilipin protein and the amount of released glycerol. To this end, we used a concentration of 5 mM 2-AP, which inhibits eIF2α kinase, to repress AICAR-induced PERK/eIF2α activation. Restoration of perilipin protein by AICAR was completely abolished by 2-AP (Fig. 4A, B). Supplementation of adipocytes with 2-AP significantly overcame the antilipolytic effect of AICAR, describing a significant increase in lipolysis.

DISCUSSION
AMPK regulates cellular metabolism, as well as responses to a variety of signals not directly related to metabolism, such as ischemia [21], hypoxia [22,23], and oxidative stress [24]. In adipocytes it has been reported that AMPK is involved in triglyceride breakdown [25], with most reports indicating that AMPK antagonizes cAMP-mediated lipolysis [14,26]. Recently, it has also been reported that a key factor in the antilipolytic effect of AMPK is HSL in cAMP-dependent lipolysis in mature adipocytes [18]. However, because TNF-α-induced lipolysis is mediated by an intracellular pathway distinct from cAMP-dependent lipolysis, it is difficult to fully explain the mechanism of antilipolysis.
Here we demonstrated an increase in phosphorylation of AMPK by TNF-α in adipocytes. We also showed that additional enhancement of AMPK activity by artificial manipulation repressed TNF-α-induced lipolysis (Fig. 1). These findings imply that an increase in AMPK activity in TNF-α-treated adipocytes is an antagonistic response to resist the lipolytic effect of TNF-α. TNF-α can stimulate lipolysis by at least three separate mechanisms in adipocytes: inhibiting insulin receptor signaling, thereby counteracting the antilipolytic effect of the hormone; inhibiting signaling through the Gi-protein-coupled adenosine receptor to counteract the antilipolytic effect of adenosine; and stimulation of basal (nonhormonal) lipolysis through a decrease in the lipid-binding protein, perilipin [27]. In the present study, we found quantitative and morphologic alteration of perilipin by TNF-α and AMPK. In addition, lipolysis was directly affected by fluctuation of perilipin expression (Fig. 2). We concluded that perilipin is an essential factor in TNF-α-induced lipolysis, and that AMPK represses lipolysis via preservation of perilipin.
In response to a variety of environmental insults such as accumulation of misfolded proteins, a family of protein kinases, including PERK and eIF2α, is phosphorylated to alleviate cellular injury or induce apoptosis. Phosphorylation of PERK/ eIF2α is a pivotal process of the UPR and reduces global translation, allowing cells to conserve resources and initiate the reconfiguration of gene expression to effectively manage stress conditions [17]. We therefore investigated variation in perilipin expression under conditions that inhibit eIF2α phosphorylation to determine whether PERK/eIF2α signaling induced lipolysis in adipocytes. We used 2-AP, a specific inhibitor of PERK/ eIF2α phosphorylation, to damage the UPR mechanism, which manages cell stress. In adipocytes treated with TNF-α, activation of AMPK by AICAR preserved perilipin expression with stimulation of eIF2α phosphorylation. However, AICAR-induced preservation of perilipin was greatly diminished in 2-AP-treated adipocytes, which showed an increase in lipolysis (Fig. 4). Blockade of PERK/eIF2α signaling completely abrogated protection of perilipin and repression of lipolysis by AICAR. These data suggested that PERK/eIF2α plays a central role in the antilipolytic effect of AMPK in TNF-α-induced lipolysis.
AMPK has been investigated as an essential target molecule  in a number of organs and cells, including pancreatic β-cells, muscle, liver, and brain, to cure diabetes and obesity [28]. TNF-α is one of the etiologic factors in a variety of diseases, and it is increased in obese individuals. In this study, we demonstrated an antilipolytic effect of AMPK in TNF-α-induced adipocytes through regulation of PERK/eIF2 signaling. The cytoprotective effect of AMPK against TNF-α could be of practical use to treat diabetes and obesity, because the effect is expected to also exist in other organs and cells.
Based on these results, we suggest that AMPK represses TNF-α-induced lipolysis via protection of perilipin. It remains to be seen whether pharmacological manipulation of these pathway has the same effect in the therapeutic management of lipolysis in vivo.