of angiopoietin-like 4 gene transcription by insulin.

Angiopoietin-like 4 (Angptl4) is a glucocorticoid receptor (GR) primary target gene in hepatocytes and adipocytes. It encodes a secreted protein that inhibits extracellular LPL and promotes adipocyte lipolysis. In Angptl4 null mice, glucocorticoid-induced adipocyte lipolysis and hepatic steatosis are compromised. Markedly, insulin suppressed glucocorticoid-induced Angptl4 transcription. To unravel the mechanism, we utilized small molecules to inhibit insulin signaling components and found that phosphatidylinositol 3-kinase and Akt were vital for the suppression in H4IIE cells. A forkhead box transcription factor response element ( FRE ) was found near the 15 bp Angptl4 glucocorticoid response element ( GRE ). Mutating the Angptl4 FRE signiﬁ cantly reduced glucocorticoid-induced reporter gene expression in cells. More-over, chromatin immunoprecipitation revealed that GR and FoxO1 were recruited to Angptl4 GRE and FRE in a glucocor-ticoid-dependent manner, and cotreatment with insulin abolished both recruitments. Furthermore, in 24 h fasted mice, signiﬁ cant occupancy of GR and FoxO1 at the Angptl4 GRE and FRE was found in the liver. In contrast, both occupancies were diminished after 24 h refeeding. Finally, overexpression of dominant negative FoxO1 glucocorti-coid-induced for transcription FoxO1 the suppressive of


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Journal of Lipid Research Volume 55, 2014 Research Center Inc.). To synthesize randomly primed cDNA, 0.5 g of total RNA, 4 l of 2.5 mM 2'-deoxynucleoside 5'triphosphate, and 2 l of 15 M random primers (New England Biolabs) were mixed at a volume of 16 l and incubated at 70°C for 10 min. Then, a 4 l cocktail containing 25 units of Moloney Murine Leukemia Virus Reverse Transcriptase (New England Biolabs), 10 units of RNasin (Promega) and 2 l of 10× reaction buffer (New England Biolabs) was added and incubated at 42°C for 1 h and then 95°C for 5 min. The cDNA was diluted appropriately for real-time quantitative PCR (qPCR) using the EVA QPCR SuperMix Kit (Biochain) following the manufacturer's protocol. qPCR was performed in a StepOne PCR System (Applied Biosystems) and analyzed with the ⌬ ⌬ -Ct method, as supplied by the manufacturer. Rpl19 gene expression was used for internal normalization. Mouse primers used were mRpl19_ cDNA_Fo: ATGGAGCACATCCACAAGC; mRpl19_cDNA_Re: TCCTTG GTCTTAGACCTGCG; mAngptl4_cDNA_Fo: AAGAT-GCACAGCATCACAGG; and mAngptl4_cDNA_Re: ATGGAT-GGGAAATTGGAGC. Rat primers used were rRPL19_cDNA_Fo: ACAAGCGGATTCTCATGGAG; rRPL19_cDNA_Re: TCC TT-GGTCTTAGACCTGCG; rAngptl4_cDNA_Fo: AGACC CG AA-GGA TAGAGTCCC; and rAngptl4_cDNA_Re: CC TT C TGG AACA-GTTGCTGG.

Plasmids, transfection, and luciferase reporter assay
Reporter plasmids harboring different GR binding regions (GBRs) were cotransfected with pcDNA3-hGR (150 ng) and pRL Renilla (100 ng) into H4IIE cells in 12-well plates. pGL4.10-E4TATA reporter plasmid was generated by insertion of a 50 bp minimal E4 TATA promoter sequence into the Bgl II to Hind III sites of vector pGL4.10 to drive luciferase expression. Different lengths of the Angptl4 GBR regions were then inserted into the upstream of Kpn I and Xho I sites of E4 TATA sequences. The QuikChange Lightning mutagenesis kit (Stratagene) was used to make site-directed mutations per the manufacturer's instructions. Lipofectamine 2000 (Invitrogen) was used to transfect H4IIE cells according to the technical manual. Twenty-four hours posttransfection, cells were treated with control ethanol, 0.5 M Dex, 1 nM insulin in DMEM only for 16-20 h. Cells were then harvested, and their luciferase activities were measured with the Dual-Luciferase Reporter Assay kit (Promega) according to the technical manual. Cloning primers used were Luc_ rAngptl4_KpnI_+6529bp: gctgcaGGTACCgctcttgttacctgctatgt; Luc_ rAngptl4_XhoI_+6030bp: cgctctCTCGAGtggagatgcagagggacca; Luc_rAngptl4_KpnI_+6376bp: gctgcaGGTACCggaagctgaaatcactggga; Luc_rAngptl4_XhoI_+6181bp: cgctctCTCGAGggttccaaggcacagctca; and Luc_rAngptl4_KpnI_+6244bp: gctgcaGGTACCcagagaacaaaatgttctgagg. Mutagenesis primers used were Luc_rAngptl4_mt-FOX_sense: CAAAGTTGGAGTAAAGATGTTCCTCGGGTGGAG and Luc_rAngptl4_mtFOX_antisense: CTCCACCCGAGGAACA-TCTTTA C TCCACACTTTG. Human expression vector for dominant negative Akt was described previously ( 26 ) and was provided by Dr. Gary Firestone (University of California Berkeley).

Chromatin immunoprecipitation assay
H4IIE cells (1 × 10 8 to 2 × 10 8 cells) were treated with control ethanol, 0.5 µM Dex, 1 nM insulin, or a combination of Dex and insulin for 30 min, followed by cross-linking with formaldehyde at a fi nal concentration of 1% at room temperature for 5 min. The reactions were quenched with 0.125 M glycine. The cells were then washed twice with 1× PBS and scraped and lysed in cell lysis buffer (50 mM HEPES-KOH at pH 7.4, 1 mM EDTA, 150 mM NaCl, 10% glycerol, 0.5% Triton X-100), supplemented with protease inhibitor (PI) cocktails (Calbiochem). The cell lysate was incubated for 15 min at 4°C, and the crude nuclear extract was collected by centrifugation at 600 g for 5 min at 4°C. The nuclei were resuspended in 1 ml of ice-cold RIPA buffer (10 mM Tris-HCL and hepatocytes ( 19 ). A glucocorticoid response element ( GRE ) was identifi ed in 3 ′ untranslated region of rat Angptl4 gene and is located between +6,267 and +6,241 [relative to transcription start site (TSS)] ( 19 ). The Angptl4 GRE sequence is conserved within rat, mouse, and human. Notably, Angptl4 expression is highly induced upon fasting, and glucocorticoid signaling is required for this fasting response ( 20 ). Physiological studies further confi rmed that Angptl4 is involved in glucocorticoid-regulated lipid metabolism. Excess glucocorticoid-induced fatty liver and hyperlipidemia are protected in Angptl4 Ϫ / Ϫ mice ( 19 ). Further more, glucocorticoid-induced lipolysis in WAT is reduced in Angptl4 Ϫ / Ϫ mice ( 20 ).
Previous studies have shown that serum ANGPTL4 levels and the expression of ANGPTL4 are inversely correlated with insulin sensitivity (21)(22)(23). In 3T3-L1 adipocytes, insulin suppresses Angptl4 gene expression ( 24,25 ). Notably, in adipocytes, glucocorticoids promote lipolysis, whereas insulin inhibits this process. Moreover, insulin resistance could lead to dyslipidemia and hepatic steatosis, which both can be a result of excess or prolonged glucocorticoid exposure. Based on these data, we propose that insulin suppresses glucocorticoid-induced Angptl4 transcription to antagonize glucocorticoid-modulated lipid metabolism. In this report, we investigated the effect of insulin on glucocorticoidstimulated Angptl4 gene expression and unraveled the transcriptional mechanism underlying insulin-suppressed glucocorticoid-induced Angptl4 transcription.

Animals
Male 8-week-old C57BL/6 mice were purchased from Charles River. The control group of mice was continuously fed, while the experimental group of mice was fasted for 24 h starting at 10 AM, or fasted and refed the next morning at 10 AM for 24 h. Then, the mice were euthanized, and their liver tissues were collected at the same time. The Offi ce of Laboratory Animal Care at the University of California, Berkeley (#R306-0111) approved all animal experiments conducted.
Hormonal regulation of Angptl4 gene transcription 921 applied to resuspend the nuclei pellet for sonication at 60% output for fi ve times, 10 s each. To remove insoluble components, the samples were centrifuged at 13,000 rpm for 15 min at 4°C, and the supernatant was collected. Then, 3 vol of dilution buffer (20 mM Tris-HCl at pH 8.0, 2 mM EDTA, 200 mM NaCl, 1% Triton X-100, and 0.1% Na-deoxycholate) was added to the supernatant, and 100 l of 50% protein A/G plus-agarose bead slurry with 5 g of IgG antibody was added to each sample for preclearing at 4°C for 1 h with gentle shaking. Then, the sample was centrifuged at 4,000 rpm at 4°C for 3 min, 100 l of the supernantant was saved for input, and the rest was divided accordingly for immunoprecipitation overnight. The next day, 60 l of 50% protein A/G plus-agarose bead slurry was applied, and the samples were nutated for 2 h at 4°C. The following 500 l washes were done, all supplemented with PI: once with TSE I (20 mM Tris-HCl at pH 8.0, 2 mM EDTA, 150 mM NaCl, 1% Triton X-100, and 0.1% SDS); once with TSE II (20 mM Tris-HCl at pH 8.0, 2 mM EDTA, 500 mM NaCl, 1% Triton X-100, and 0.1% SDS); once with TSE III (10 mM Tris-HCl at pH 8.0, 1 mM EDTA, 0.25 M LiCl, 1% NP-40, and 1% Na-deoxycholate), and twice with TE (10 mM Tris-HCl at pH 8.0 and 1 mM EDTA) buffer. Centrifugation at 8,000 rpm at 4°C for 1 min was used to remove supernatant between washes. Freshly prepared 400 l elution buffer (100 mM NaHCO 3 and 1% SDS) was added to each sample, and elution buffer (up to 400 l in total) was added for input. The samples were nutated for 1 h at room temperature. To reverse the crosslinking, after centrifugation, supernatant was transferred to new Eppendorf tubes, and a fi nal concentration of 200 mM NaCl was added to each sample, followed by 65°C water bath incubation for >6 h. The next day, 8 l of 0.5 M EDTA, 16 l of 1 M Tris-HCL at pH 6.5, and 1.5 l of 25 mM proteinase K were added to each sample, followed by 65°C water bath incubation for 1 h. To purify DNA, chloroform extraction was done for each sample, and realtime qPCR was carried out for data analysis.

Adenovirus infection and Western blotting
FoxO1 ⌬ 256 adenoviruses were provided from Dr. Mimmo Accili (Columbia University) ( 27 ), which express human infl uenza hemagglutinin (HA) epitope tag-containing proteins. H4IIE cells were infected with adenoviruses for 48 h, followed by 5-6 h treatment of control ethanol, 0.5 M Dex, or Dex plus 1 nM insulin. Antibody against HA tag (Roche 11583816001) was used to detect the overexpression level of FoxO1, and GAPDH (abcam ab9483) was included as internal control.

Insulin suppressed glucocorticoid-induced Angptl4 gene expression
Mouse primary hepatocytes were treated with 0.5 µM of Dex (a synthetic glucocorticoid), 1 nM insulin, a combination of insulin and Dex, or ethanol (vehicle control) for 5 h. At the end of the treatment, RNA was isolated from these cells, and reverse transcription was performed. Real-time PCR (qPCR) was then used to monitor the expression of Angptl4 . We found that Angptl4 gene expression was ‫ف‬ 3.4fold higher in Dex-treated cells than ethanol-treated cells ( Fig. 1A ). Although insulin treatment did not signifi cantly decrease Angptl4 expression, insulin treatment abolished Dex-induced Angptl4 expression ( Fig. 1A ).
We previously showed that Dex markedly augmented the expression of Angptl4 in rat H4IIE hepatoma cells. We thus examined whether insulin inhibited Angptl4 expression at pH 8.0, 1 mM EDTA, 150 mM NaCl, 5% glycerol, 1% Triton X-100, 0.1% sodium deoxycholate, 0.1% SDS, supplemented with PI). The chromatin was fragmented on ice with Branson Sonifi er 250 sonicator (4 min total, 20 s pulse at 30% power followed by 40 s pause). To remove insoluble components, the samples were centrifuged at 13,000 rpm for 15 min at 4°C, and the supernatant was collected. Fifty to 100 l supernatant was aliquoted as input, and the rest of supernatant was divided equally for antibody addition. One and half micrograms of normal rabbit IgG antibody (sc-2027, Santa Cruz Biotechnology), 2.5 g of rabbit polyclonal anti-GR antibody (IA-1), 4 g of FoxO1 antibody (sc-11350×, Santa Cruz Biotechnology), 4 g of FoxO3 antibody (07-702, Millipore), or 4 g of hepatic nuclear factor-3 ␤ /FoxA2 antibody (sc-9187×, Santa Cruz Biotechnology) was added to the supernatant and nutated at 4°C overnight. Our GR antibody, IA-1, was raised in a rabbit against a synthetic peptide comprising residues 75-103 of human GR. The IA-1 antibody was purifi ed from the serum by binding to human GR fragment 27-506 immobilized to agarose beads (Sterogene Actigel), then eluted at low pH. The eluted antibody was neutralized, concentrated to 1 µg/µl, and stored at Ϫ 80°C. We found IA-1 to be at least as specifi c for GR by western and chromatin immunoprecipitation (ChIP) sequencing compared with the published N499 and H-300 (SC-8992, Santa Cruz Biotechnology).
The next day, 100 l of 50% protein A/G plus-agarose bead slurry (Santa Cruz Biotechnology) was added into each immunoprecipitated sample and nutated for 2 h at 4°C. These washes followed: twice with RIPA buffer, twice with RIPA buffer containing 500 mM NaCl, twice with LiCl buffer (20 mM Tris at pH 8.0, 1 mM EDTA, 250 mM LiCl, 0.5% Tergitol-type NP-40 (NP-40, nonyl phenoxypolyethoxylethanol) , 0.5% sodiumdeoxycholate), and one last time with RIPA buffer. After removing the remaining wash buffer, 75 l of proteinase K solution (Tris-EDTA (TE) at pH 8.0, 0.7% SDS, 200 g/ml proteinase K) was added to each immunoprecipitation reaction, followed by incubation at 55°C for 3 h and 65°C overnight to reverse formaldehyde cross-linking. ChIP DNA fragments were purifi ed with QIAquick PCR purifi cation kit (Qiagen), eluting in 60-120 l of Qiagen Elution Buffer. ChIP DNA samples were then subjected to real-time qPCR analysis with the following primers: rAngptl4_ChIP_+6093bp_Fo: TTGACCGACTGGAGATAGGG and rAngptl4_ChIP_+6205bp_ Re: ATGTTGTGAGCTGTGCCTTG.

Mouse liver ChIP assay
Liver tissues were harvested from control and experimental groups of C57BL/6 mice, minced with a razor blade, and collected in 1× SSC buffer (150 mM NaCl and 15 mM sodium citrate). Samples were then washed on a nutator, followed by centrifugation at 4,000 rpm for 3 min at 4°C to remove supernatant. The liver pellets were resuspended in PBS and cross-linked with 1% formaldehyde for 15 min at room temperature with gentle shaking, and the reaction was quenched with the addition of glycine. Centrifugation followed to remove supernatant, and the cell pellets were washed with ice-cold PBS plus PI with shaking. Once PBS was removed, the cells were resuspended in hypotonic buffer (10 mM HEPES at pH 7.9, 1.5 mM MgCl 2 , 10 mM KCl, 0.2% NP-40, 1 mM EDTA, 5% sucrose) with PI, 1.5 mM spermine, and 0.5 mM spermidine added right before use. Cells were homogenized using Polytron PT 2100 homogenizer for four pulses of 10 s each. Homogenized cells in hypotonic buffer are mounted onto cushion buffer (10 mM Tris-HCl at pH 7.5, 15 mM NaCl, 60 mM KCl, 1 mM EDTA, 10% sucrose, with PI, 1.5 mM spermine, and 0.5 mM spermidine added right before use) and centrifuged at 4,000 rpm at 4°C for 5 min, followed by the removal of supernatant. SDS-sonication buffer (50 mM Tris-HCl at pH 8.0, 2 mM EDTA, and 1% SDS added right before use) was 922 Journal of Lipid Research Volume 55, 2014 of each signaling protein in the insulin signaling pathway were applied ( Fig. 1B ). In detail, GDC-0941 inhibits class I PI3K ( 28 ), whereas API-2 inhibits Akt ( 29 ). MK-8669 and rapamycin inhibited mTORC1 ( 30,31 ), which results in a reduction of p70 S6K activity. In addition, the GSK-3 ␤ inhibitor SB-216763 was used to mimic insulin effect ( 32 ), as Akt inhibits GSK-3 ␤ . We found that MK-8669 and rapamycin treatment did not affect insulin response, whereas GDC-0941 and API-2 signifi cantly reduced the ability of insulin to inhibit Dex-induced Angptl4 gene expression (from 1.1-fold to 2.7-and 28.7-fold, respectively, Fig. 1A ). Most likely, PI3K and Akt participate in the observed insulin repression, whereas mTORC1 does not. Moreover, cotreatment of Dex and SB-216763 reduced glucocorticoid-induced Angptl4 from 18.9-to 6.5-fold ( Fig. 1A ), suggesting that inhibiting in H4IIE cells. H4IIE cells were treated with 0.5 µM of Dex, 1 nM insulin, a combination of insulin and Dex, or ethanol for 5 h. Gene expression of Angptl4 was then performed. Indeed, we found that Dex increased Angptl4 expression ‫ف‬ 18.9fold ( Fig. 1A ). Insulin treatment abolished this induction ( Fig. 1A ), whereas insulin alone did not signifi cantly affect Angptl4 expression. Overall, these results support that the H4IIE cell line is a viable cell culture model for studying the mechanism of insulin effect on Angptl4 expression.

Identifi cation of signaling molecules in insulin signaling pathway required to inhibit glucocorticoid-induced Angptl4 gene expression
To learn how insulin inhibits Dex-induced Angptl4 expression, various small molecules that inhibit the activity Previous studies have demonstrated that FRE can cooperate with GRE to confer a maximal glucocorticoid response on gluconeogenic genes, such as phosphoenolpyruvate carboxykinase ( Pepck ) and glucose-6-phosphatase ( G6Pase ). Notably, the role of the FRE in Dex-activated Angptl4 transcription cannot be answered by comparing the Dex response on pDel-3 and pDel-4 reporters, because the Angptl4 GRE in pDel-4 is located 132 bp closer to the luciferase TSS than pDel-3 ( Fig. 2A ). The distance between the GRE and the basal transcription machinery could affect the magnitude of hormone response. Therefore, to learn whether the FRE is required for maximal Dex response in Angptl4 , we mutated one nucleotide in the FRE in pWT to obtain pMut-FRE ( Fig. 2C ). With the mutated FRE , Dex-induced luciferase activity was signifi cantly reduced 66% ( Fig. 2D , from 100% to 34%), which indicates that this FRE is essential for conferring glucocorticoid response. For pWT reporter, insulin treatment reduced 80% of Dex response ( Fig. 2D ). For pMut-FRE, the ability of insulin to suppress Dex-induced luciferase activity was greatly reduced ( Fig. 2D ). These results again confi rm the important role of this FRE in mediating the repressive effect of insulin. The reason that pMut-FRE still responded to insulin is likely because a single nucleotide mutation in FRE did not entirely eliminate the binding of FoxA2, FoxO1, and/or FoxO3 to this element. This is in contrast to pDel-4, in which the deletion of the entire FRE results in a complete loss of insulin response.
In Fig. 1A , we showed that Akt was involved in insulinrepressed glucocorticoid-induced Angptl4 expression. To test whether Akt directly regulates Angptl4 transcription through the GBR , we cotransfected an expression vector harboring a dominant negative form of Akt (DN Akt) with pWT into H4IIE cells. As shown in Fig. 2E , insulin suppressed ‫ف‬ 80% of Dex-induced pWT activity. With cotransfection of 0.3 g DN Akt, insulin only repressed ‫ف‬ 50% of Dex-induced pWT activity. Furthermore, cotransfection of 0.6 g DN Akt completely abolished insulin suppression ( Fig. 2E ). These results suggest that Akt is involved in the repressive effect of insulin on the enhancer activity of the Angptl4 GBR .

The recruitment of GR and FoxO1 to the rat Angptl4 GBR
We performed ChIP with specifi c antibodies against GR, FoxA2, FoxO1, and FoxO3 to determine which of them were recruited to the Angptl4 GBR . H4IIE cells were treated with ethanol, Dex, insulin, or a combination of insulin and Dex for 30 min, followed by ChIP assay. At basal condition under ethanol treatment, there was no signifi cant GR recruitment at the Angptl4 GBR ( Fig. 3 ). With Dex treatment, we observed signifi cant GR occupancy ( Fig. 3 ). Moreover, FoxO1 was recruited to the Angptl4 GBR with Dex treatment ( Fig. 3 ). Interestingly, insulin treatment abolished Dex-induced recruitment of both GR and FoxO1 to the Angptl4 GBR ( Fig. 3 ). The recruitment of FoxA2 and FoxO3 with Dex treatment did not reach statistical signifi cance, with P values of 0.07 and 0.79, respectively (FoxO3 data was not shown).

The recruitment of GR and FoxO1 to the mouse Angptl4 GBR in vivo
To examine whether GR and FoxO1 are recruited to the mouse Angptl4 GBR in a similar pattern in vivo, we GSK-3 ␤ mimicked the repressive effect of insulin on glucocorticoid-induced Angptl4 expression.
We also examined whether insulin suppresses Dexinduced Angptl4 expression in mouse primary adipocytes. We treated mouse primary adipocytes isolated from epididymal fat depots with ethanol, Dex, insulin, and Dex plus insulin for 5 h. RNA was isolated from these cells, and qPCR was used to monitor Angptl4 expression. We found that Dex increased Angptl4 expression ‫ف‬ 1.5-fold ( Fig. 1C ). This induction was abolished by insulin treatment ( Fig. 1C ). Insulin treatment alone did not reduce Angptl4 expression statistically; however, the trend of Angptl4 expression was lower in insulin-treated cells than in ethanol-treated ones.

FOX response element is required for maximal glucocorticoid-induced Angptl4 transcription
The 500 bp GBR of rat Angptl4 , located from nt position +6,030 to +6,529 relative to its TSS, was inserted upstream of a luciferase reporter plasmid pGL4.10-E4TATA ( 33,34 ) to create pWT ( Fig. 2A ). Dex treatment increased the activity of this reporter gene 12.7-fold ( Fig. 2B ), and a consensus GRE was previously identifi ed at nt +6,228 to +6,242 ( 19 ). Here, we showed that insulin was able to suppress Dex-induced reporter gene activity from 12.7-fold to 4.8fold ( Fig. 2B ). This indicates that pWT contains cis -acting elements that mediate Dex and insulin effects.
To locate the cis -acting elements responsible for insulin suppression, we deleted portions of pWT to get pDel-1, pDel-2, and pDel-3, which contain the genomic region of rat Angptl4 nt +6,030 to +6,376; nt +6,181 to +6,529; and nt +6,181 to +6,376 relative to its TSS, respectively ( Fig. 2A ). Markedly, insulin was able to suppress Dex response in all three reporter genes. These results suggest that cis -acting elements mediating Dex and insulin effects are located within nt +6,181 and +6,376.
We used TFSEARCH (http://www.cbrc.jp/research/ db/TFSEARCH.html) to look for binding motif(s) for other transcription factors close to the Angptl4 GRE . Binding motifs for Sex determining region Y protein (SRY), Acute myeloid leukemia 1 protein (AML1), TATA, GR, FoxA2 (also known as HNF-3 ␤ ), Ikaros-1 (IK-1), Ik-2, and Ik-3 were found when we set the threshold at 85 ( Fig. 2C ). Among them, FoxA2 binding motif and its potential binding proteins, FoxA2, FoxO1, and FoxO3, have a direct link to insulin signaling. Akt has been reported to phosphorylate and export FoxA2, FoxO1, and FoxO3 from the nucleus, thereby inactivating these transcription factor proteins ( 35,36 ). For simplicity, this FoxA2 binding site will be referred to as the Forkhead box (FOX) response element ( FRE ) from now on.
To examine whether the Angptl4 FRE relayed the suppression of insulin on glucocorticoid-induced Angptl4 expression, we constructed the pDel-4 reporter, in which the FRE region was deleted from the pDel-3 reporter gene ( Fig. 2A ). Dex treatment markedly increased the activity of this pDel-4 reporter gene ( Fig. 2B ). However, insulin was unable to repress Dex response ( Fig. 2B ). These results suggested that the FRE plays a critical role in the repressive function of insulin on Dex-induced Angptl4 .  Mutagenesis and reporter assay reveal the importance of Fox binding site to glucocorticoid response. The 15 bp GRE of Angptl4 is located at chr17: 33,911,836 to 33,911,850, equivalent to nt position +6,229 to +6,243 relative to Angptl4 TSS. All nt positions shown are relative to rat Angptl4 TSS. A: WT GBR (+6,030 to +6,529) is inserted upstream of a luciferase gene in reporter plasmid pGL4.10-E4TATA (denoted as pWT). Deletions of WT GBR give the following reporter plasmids: pDel-1 (nt +6,030 to +6,376), pDel-2 (nt +6,181 to +6,529), pDel-3 (nt +6,181 to +6,376), and pDel-4 (nt +6,181 to +6,244). B: Reporter plasmids (250 ng) described in A were cotransfected with a human GR expression vector (150 ng) and a Renilla internal control plasmid (50 ng) into H4IIE cells. Twenty-four hours posttransfection, cells were treated with control ethanol (EtOH), 0.5 µM Dex, 1 nM insulin, or Dex plus insulin for 20-24 h. Fold induction is calculated by taking the ratio of treatment over ethanol. C: GRE and FRE of rat Angptl4 are shown. The nt +6,324 of FRE is mutated from C to G for mutant FRE (pMut-FRE). D: Reporter assays described in B were carried out for pWT and pMut-FRE. Ethanol-treated pWT luciferase activity was set as 0%, while Dex-treated pWT was 100%. E: pWT (250 ng) was cotransfected with a human GR expression vector (150 ng), a Renilla internal control plasmid (50 ng), and a human expression vector for dominant negative Akt (DN Akt; 300 or 600 ng) into H4IIE cells. Twenty-four hours posttransfection, cells were treated with control ethanol, 0.5 µM Dex, 1 nM insulin, or Dex plus insulin for 20-24 h. The results are presented as relative activities to Dex-induced pWT reporter activity. Error bars represent standard error of the mean. ** P < 0.05 for relative activity with no DN Akt cotransfection versus relative activity with DN Akt cotransfection; N.D. indicates no difference. Error bars represent standard error of the mean. * P < 0.05. 5% glucose included in the drinking water. After 24 h, liver tissues were collected for gene expression and ChIP assays. The three groups were 1 ) continuous feeding (ad libitum), 2 ) 24 h fasting (fasted), and 3 ) 24 h fasting followed by 24 h refeeding (fasted/refed). Liver tissues were at Univ of Calif Lib Biosciences Lib Natural Res, on April 28, 2014 www.jlr.org

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Hormonal regulation of Angptl4 gene transcription 925 is believed to act dominant negatively, as it can bind to its cognate cis -acting element but cannot synergize with GR to activate gene transcription. Indeed, compared with the overexpression of control LacZ (Ad-LacZ), FoxO1 ⌬ 256 overexpression (Ad-FoxO1 ⌬ 256 ) markedly reduced the ability of Dex to increase Angptl4 expression in H4IIE cells ( Fig. 5 ). Furthermore, when FoxO1 ⌬ 256 was overexpressed, insulin treatment did not signifi cantly suppress Dex-induced Angptl4 expression. These results indicate that FoxO1 mediates the suppressive effect of insulin on Dex-induced Angptl4 expression. Under basal conditions, Angptl4 expression increased ‫ف‬ 2-fold in FoxO1 ⌬ 256overexpressing cells ( Fig. 5 ). Notably, FoxO1 did not occupy Angptl4 FRE when H4IIE cells were treated with ethanol ( Fig. 3 ). Therefore, it is unlikely that FoxO1 ⌬ 256 directly regulates basal Angptl4 expression. The increased basal Angptl4 expression is likely due to indirect effect of FoxO1 ⌬ 256 in H4IIE cells.

DISCUSSION
In this report, we have identifi ed several novel aspects of the mechanism governing the transcriptional regulation of Angptl4 gene by glucocorticoids (GCs) and insulin. We found that an Angptl4 FRE , located close to the Angptl4 GRE , is vital for a maximal GC response in Angptl4 transcription ( Fig. 6A ). FoxO1 is recruited to this FRE in a GCdependent manner both in vitro and in vivo, and the transactivation domain of FoxO1 is required for the GC response. Moreover, insulin represses GC-induced Angptl4 transcription through the activation of PI3K and Akt ( Fig.  6B ). In contrast, mTORC1 and its downstream effectors are not involved in this process. Furthermore, the Angptl4 FRE is also required for the repressive effect of insulin on GC-induced Angptl4 transcription. With the presence of insulin, the recruitment of FoxO1 and GR to their respective response elements is markedly reduced ( Fig. 6B ), which results in decreased GC response. Such a phenomenon is also confi rmed in vivo. Upon fasting, which elevates circulating corticosterone levels and keeps insulin levels low, GR and FoxO1 occupy their respective response collected at the same time. We found that Angptl4 expression in 24 h fasted animals was 4-fold higher than that of ad libitum mice ( Fig. 4A ). After refeeding for 24 h, Angptl4 expression returned to levels the same as the ad libitum mice ( Fig. 4A ). With ChIP assay, in fasted mice both GR and FoxO1 occupied the Angptl4 GBR ( Fig. 4B ). In contrast, in fasted/refed mice, the occupancy of these two transcription factors diminished greatly ( Fig. 4B ). These results were reminiscent of our observations in H4IIE cells. In ad libitum mice, we detected signifi cant GR occupancy on the GRE ( Fig. 4B ). However, FoxO1 was absent from the FRE ( Fig. 4B ). It is important to note that there is no induction of Angptl4 expression in ad libitum mice. These results further support the notion that the FRE is required for glucocorticoid-activated Angptl4 . In summary, high glucocorticoid levels result in the recruitment of GR and FoxO1 to the Angptl4 GBR , whereas high insulin levels disrupt this recruitment.

Overexpression of FoxO1 mutant lacking transactivation domain abolished the effects of glucocorticoids and insulin on Angptl4 gene
To further test the importance of the Angptl4 FRE in glucocorticoid-and insulin-regulated Angptl4 transcription, we overexpressed a mutant form of FoxO1 protein with adenoviral system in H4IIE cells. The FoxO1 mutant FoxO1 ⌬ 256 lacks the transactivation domain. FoxO1 ⌬ 256 Fig. 3. ChIP shows that insulin treatment abolished Dex-induced GR and FoxO1 recruitment. H4IIE cells were treated with control ethanol, 0.5 µM Dex, 1 nM insulin, or a combination of Dex and insulin for 30 min, followed by ChIP with antibody against IgG, GR, FoxO1, and FoxA2. Primer used here fl anks nt +6,093 and +6,205 relative to Angptl4 TSS. Error bars indicate SEM . * P < 0.05. absence of insulin repression on basal Angptl4 expression in H4IIE cells from our experiments. In mouse 3T3-L1 adipocytes, previous studies reported that basal Angptl4 expression was suppressed by insulin ( 24,25 ). These fi ndings suggest that insulin exerts tissue-specifi c effects on basal Angptl4 expression. Alternatively, insulin may suppress Angptl4 expression in mouse primary hepatocytes and rat H4IIE hepatoma cells at time point(s) that we did not examine. FoxO1 is implicated in insulin-repressed basal Angptl4 expression in 3T3-L1 cells ( 24 ). It would be interesting to test whether the Angptl4 FRE we identifi ed here associates with FoxO1 in 3T3-L1 adipocytes under basal conditions. So far, we know that FoxO1 plays a critical role in GCactivated Angptl4 transcription. ChIP experiments in mouse liver showed that GR occupied the Angptl4 GRE during ad libitum and fasted states. However, the expression of Angptl4 was markedly lower in the ad libitum state than in the fasted state. This is likely due to the absence of FoxO1 on the Angptl4 FRE during the ad libitum state. It appears that the transactivation domain of FoxO1 is required for GC response to Angptl4 , as overexpression of FoxO1 ⌬ 256 hindered Dex-induced Angptl4 transcription in H4IIE cells. Most likely, the assembly of the transcriptional regulatory complex, one that includes GR, FoxO1, and their associated coregulatory proteins, is required to confer maximal GC response to Angptl4 transcription. The fact that insulin treatment, which leads to FoxO1 exclusion from the nucleus, signifi cantly reduced the recruitment of GR to the Angptl4 GRE suggests that the association of FoxO1 with the Angptl4 FRE is required for the stable interaction between GR and the Angptl4 GRE . Similar mechanisms were found in the regulation of Pepck gene. The transactivation domain of FoxA2 was required for a complete GC response on rat Pepck gene transcription ( 45 ), and the binding of FoxA2 and/or FoxO1 to its Pepck FRE (also known as the insulin response sequence or accessory element 2) potentiates the association of GR to the elements. However, after refeeding, circulating insulin levels are increased, and the occupancies of both GR and FoxO1 on their respective response elements are markedly reduced. Notably, ChIP sequencing results from the Encyclopedia of DNA Elements (ENCODE) Consortium found that there is a binding site for FoxO1 adjacent to the GRE of 3 ′ untranslated region of human ANGPTL4 gene (University of California, Santa Cruz genome browser). Likely, this mechanism of FoxO1 and GR-coregulated Angptl4 transcription is conserved in humans.
The mechanism of insulin-repressed GC-induced Angptl4 transcription is reminiscent of the mechanism of the transcriptional regulation of two important gluconeogenic genes: Pepck and G6Pase . For all three genes, their FRE s are required for both GC and insulin response (37)(38)(39). Moreover, the insulin repression acts through PI3K and Akt, whereas mTORC1 is not involved ( 40, 41 ). Insulin indirectly activates PI3K, which in turn increases the activity of Akt for FoxO1 phosphorylation and leads to the exclusion of FoxO1 from the nucleus to cytosol. Gsk3, which is inactivated by Akt, has been reported to potentiate FoxO1 activity for Pepck and G6Pase expression ( 42,43 ). Our data showed that inhibiting Gsk3 activity mimicked insulin repression on GC-induced Angptl4 expression. However, these results did not confi rm that Gsk3 is required for the insulin repression, as Akt can directly inactivate FoxO1. In fact, a previous study suggested that Gsk3 is not involved in insulin-repressed Pepck and G6Pase expression in vivo, despite the pharmacological inhibition of Gsk3 mimicking the repressive effect of insulin ( 42 ).
There is one key feature that is distinct between the regulation of Angptl4 and the two previously mentioned gluconeogenic genes. FoxO1 binds to its respective FRE s in the Pepck and the G6Pase promoters prior to GC treatment ( 39,44 ). In contrast, FoxO1 is recruited to the Angptl4 FRE only upon GC treatment. This difference may explain the   6. Proposed mechanism of Angptl4 transcription. A: When glucocorticoids are present without insulin, FoxO1 binds to the Angptl4 FRE and helps GR transcribe Angptl4 . B: When both glucocorticoid and insulin are present, Akt inactivates FoxO1 by phosphorylation, which results in the export of FoxO1 from the nucleus. Without FoxO1 protein, glucocorticoid-induced Angptl4 gene expression is greatly reduced.