title: Ciprofibrate increases cholesteryl ester transfer protein gene expression and the indirect reverse cholesterol transport to the liver.
abstract: BACKGROUND
  CETP is a plasma protein that modulates atherosclerosis risk through its HDL-cholesterol reducing action. The aim of this work was to examine the effect of the PPARalpha agonist, ciprofibrate, on the CETP gene expression, in the presence and absence of apolipoprotein (apo) CIII induced hypertriglyceridemia, and its impact on the HDL metabolism.
  
  
  RESULTS
  Mice expressing apo CIII and/or CETP and non-transgenic littermates (CIII, CIII/CETP, CETP, non-Tg) were treated with ciprofibrate during 3 weeks. Drug treatment reduced plasma triglycerides (30-43%) and non-esterified fatty acids (19-47%) levels. Cholesterol (chol) distribution in plasma lipoprotein responses to ciprofibrate treatment was dependent on the genotypes. Treated CIII expressing mice presented elevation in VLDL-chol and reduction in HDL-chol. Treated CETP expressing mice responded with reduction in LDL-chol whereas in non-Tg mice the LDL-chol increased. In addition, ciprofibrate increased plasma post heparin lipoprotein lipase activity (1.3-2.1 fold) in all groups but hepatic lipase activity decreased in treated CETP and non-Tg mice. Plasma CETP activity and liver CETP mRNA levels were significantly increased in treated CIII/CETP and CETP mice (30-100%). Kinetic studies with 3H-cholesteryl ether (CEt) labelled HDL showed a 50% reduction in the 3H-CEt found in the LDL fraction in ciprofibrate treated compared to non-treated CETP mice. This means that 3H-CEt transferred from HDL to LDL was more efficiently removed from the plasma in the fibrate treated mice. Accordingly, the amount of 3H-CEt recovered in the liver 6 hours after HDL injection was increased by 35%.
  
  
  CONCLUSIONS
  Together these data showed that the PPARalpha agonist ciprofibrate stimulates CETP gene expression and changes the cholesterol flow through the reverse cholesterol transport, increasing plasma cholesterol removal through LDL.
authors.affiliation: Physiology and Biophysics Division, Biology Institute, State University of Campinas, Campinas, SP, Brazil. jbigh@hotmail.com
authors.forename: Eliete J B
authors.initials: EJ
authors.lastname: Bighetti
authors.forename: Patrícia R
authors.initials: PR
authors.lastname: Patrício
authors.forename: Andrea C
authors.initials: AC
authors.lastname: Casquero
authors.forename: Jairo A
authors.initials: JA
authors.lastname: Berti
authors.forename: Helena C F
authors.initials: HC
authors.lastname: Oliveira
mesh_terms: D000818:Animals; D053305:Apolipoprotein C-III / Q000494:pharmacology; D001692:Biological Transport; D002784:Cholesterol / Q000378:metabolism*; D053480:Cholesterol Ester Transfer Proteins / Q000235:genetics*; D002995:Clofibric Acid / Q000031:analogs & derivatives* / Q000494:pharmacology; D058607:Fibric Acids; D015870:Gene Expression / Q000187:drug effects; D015228:Hypertriglyceridemia / Q000139:chemically induced; D008099:Liver / Q000378:metabolism*; D051379:Mice; D047493:PPAR alpha / Q000819:agonists
chemical_list: D053305:Apolipoprotein C-III; D053480:Cholesterol Ester Transfer Proteins; D058607:Fibric Acids; D047493:PPAR alpha; D002995:Clofibric Acid; D002784:Cholesterol; C019304:ciprofibrate