Nicotinamide N-methyltransferase Regulates Hepatic Nutrient ...

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Abstract

Nicotinamide N-methyltransferase (Nnmt) methylates nicotinamide, a form of vitamin B3, to produce N(1)-methylnicotinamide (MNAM). Nnmt has emerged as a metabolic regulator in adipocytes, but its role in the liver, the tissue with the strongest Nnmt expression, is not known. In spite of its overall high expression, here we find that hepatic expression of Nnmt is highly variable and correlates with multiple metabolic parameters in mice and humans. Further, we find that suppression of hepatic Nnmt expression in vivo alters glucose and cholesterol metabolism and that the metabolic effects of Nnmt in the liver are mediated by its product MNAM. Supplementation of high-fat diet with MNAM decreases serum and liver cholesterol and liver triglycerides levels in mice. Mechanistically, increasing Nnmt expression or MNAM levels stabilizes sirtuin 1 protein, an effect that is required for their metabolic benefits. In summary, we describe here a novel regulatory pathway for vitamin B3 that could provide a new opportunity for metabolic disease therapy.

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Figures

Figure 1

Figure 1. Nnmt regulates gluconeogenesis and cholesterol…

Figure 1. Nnmt regulates gluconeogenesis and cholesterol metabolism

( a ) Nnmt protein expression in…

Figure 1. Nnmt regulates gluconeogenesis and cholesterol metabolism (a) Nnmt protein expression in control (shcontrol) and Nnmt knockdown (shNnmt) hepatocytes. (b) Hepatocyte glucose output and mRNA expression of G6pc, Pck1 and Sirt1 in control (shcontrol) and Nnmt knockdown (shNnmt) hepatocytes (representative of 3 independent experiments performed in triplicates). (c) Nnmt protein expression in control (AdGFP) and Nnmt overexpressing (AdNnmt) hepatocytes. (d) Hepatocyte glucose output and mRNA expression of G6pc, Pck1 and Sirt1 in control (AdGFP) and Nnmt overexpressing (AdNnmt) hepatocytes (representative of >3 independent experiments performed in triplicates). (e) Overnight fasting blood glucose and insulin in mice with Nnmt knockdown (shcontrol n = 8, shNnmt n = 8). (f) Pyruvate tolerance test in mice with Nnmt knockdown (shcontrol n = 7, shNnmt n = 5). AUC = area under the curve. (g) Expression of gluconeogenic genes in the liver of Nnmt knockdown mice (shcontrol n = 8, shNnmt n = 8). (h) Serum and liver cholesterol in ad libitum fed Nnmt knockdown mice (shcontrol n = 8, shNnmt n = 7). (i) Expression of genes in cholesterol metabolism in Nnmt knockdown mice (shcontrol n = 8, shNnmt n = 7). Data are presented as mean ± s.e.m. Statistical significance was tested by unpaired Student’s t-test, *P < 0.05).
Figure 2

Figure 2. Human liver NNMT expression correlates…

Figure 2. Human liver NNMT expression correlates with serum cholesterol and liver inflammation

( a …

Figure 2. Human liver NNMT expression correlates with serum cholesterol and liver inflammation (a) Negative correlation between human liver NNMT expression and total cholesterol (n = 41, r = – 0.59, P < 0.0001). Subjects on hypolipidemic drugs (n = 10) were excluded from the correlation. (b) Negative correlation between human liver NNMT expression and LDL cholesterol (n = 41, r = –0.64, P < 0.0001). Subjects on hypolipidemic drugs (n = 10) were excluded from the correlation. (c) Liver NNMT expression according to liver lobular activity (index of inflammation) (n = 53, *P = 0.0367). RU = relative units.
Figure 3

Figure 3. Sirt1 is necessary and sufficient…

Figure 3. Sirt1 is necessary and sufficient for the metabolic effects of Nnmt

( a …

Figure 3. Sirt1 is necessary and sufficient for the metabolic effects of Nnmt (a) Immunobloting of acetylated, total FoxO1 and their ratio in control and Nnmt knockdown primary hepatocytes (triplicate determination). (b) Immunobloting of acetylated, total FoxO1 and their ratio in control and Nnmt overexpressing primary hepatocytes (triplicate determination). (c) Immunoblotting of acetylated and total FoxO1 and their ratio in the livers of control and Nnmt knockdown mice (shcontrol n = 6, shNnmt n = 7). (d) Expression of G6pc and Pck1 in control and Nnmt overexpressing primary hepatocytes treated with the Sirt1 inhibitor sirtinol (representative of 2 independent experiments performed in triplicates). (e) Expression of G6pc and Pck1 in control and Nnmt overexpressing primary hepatocytes treated with the Sirt1 inhibitor Ex-527 (performed in triplicates). (f) Effect of EX-527 on glucose production in control and Nnmt overexpressing primary hepatocytes (triplicate determination). (g) Expression of G6pc and Pck1 in control and Nnmt knockdown primary hepatocytes with Sirt1 overexpression (AdSirt1) (triplicate determination). Data are presented as mean ± s.e.m. Statistical significance was tested by unpaired Student’s t-test, *P < 0.05).
Figure 4

Figure 4. Nnmt regulates Sirt1 protein stability…

Figure 4. Nnmt regulates Sirt1 protein stability through its product MNAM

( a ) Sirt1…

Figure 4. Nnmt regulates Sirt1 protein stability through its product MNAM (a) Sirt1 protein and mRNA expression in control and Nnmt overexpressing primary hepatocytes (representative of 3 independent experiments performed in triplicates). (b) Sirt1 protein and mRNA expression in control and Nnmt knockdown primary hepatocytes (representative of 3 independent experiments performed in triplicates). (c) Sirt1 protein and mRNA expression in livers of control and Nnmt knockdown mice (shcontrol n = 8, shNnmt n = 8). (d) Time course of Sirt1 protein degradation in cyclohexamide-treated control and Nnmt overexpressing hepatocytes (triplicate determination). (e) Correlation between Nnmt mRNA and Sirt1 protein expression from human liver biopsies (n = 12, P = 0.797). (f) Supplementation of media with 0.1 mM MNAM increases intracellular MNAM concentration (triplicate determination). (g) Dose-dependent effect of MNAM (0–1 mM) on Sirt1 protein expression in primary hepatocytes (representative of 2 independent experiments). (h) Dose-dependent effect of MNAM (0–0.3 mM) on G6pc ,Pck1, Sirt1 and Nnmt expression in primary hepatocytes (representative of 3 independent experiments performed in triplicates). (i) Glucose production in primary hepatocytes supplemented with MNAM and infected with either control or Sirt1 knockdown adenovirus (triplicate determination). (j) G6pc and Pck1 expression in primary hepatocytes supplemented with MNAM and infected with either control or Sirt1 knockdown adenovirus (triplicate determination). Data are presented as mean ± s.e.m. Statistical significance was tested by unpaired Student’s t-test. *P < 0.05. RU = relative units.
Figure 5

Figure 5. MNAM improves cholesterol and lipid…

Figure 5. MNAM improves cholesterol and lipid homeostasis in DIO mice

( a ) Liver…

Figure 5. MNAM improves cholesterol and lipid homeostasis in DIO mice (a) Liver Sirt1, Actin and Sirt1 mRNA from CD, HFD, HFD0.3% and HFD1% fed mice (b) Liver acetylated and total FoxO1 from HFD and HFD1% fed mice. (c) Blood glucose (4 h fast), insulin, and quantitative insulin sensitivity index (QUICKI) of mice fed CD, HFD, HFD0.3% and HFD1%. (d) Liver TGs content of mice fed CD, HFD, HFD0.3%, HFD1% (n = 5/group) and fatty acid synthesis in primary hepatocytes from mice fed HFD and HFD1% (n = 6/group, representative of 2 independent experiments). (e) Serum cholesterol (4 h fast) on days 8, 15 and 32 from mice fed CD, HFD, HFD0.3% and HFD1%. (f) Cholesterol content of lipoprotein fractions from mice fed CD, HFD and HFD1%. (g) Liver and fecal cholesterol of mice fed CD, HFD, HFD0.3% and HFD1%. Cholesterol synthesis in primary hepatocytes from mice fed HFD and HFD1% (n = 6/group, representative of 3 independent experiments). (h) Effect of pharmacological Sirt1 inhibition on serum and liver cholesterol and liver TGs levels in mice fed a HFD, HFD1%, HFD1%+EX (n = 5/group). (i) Schematic representation of the proposed pathway. One-way ANOVA followed by posthoc Dunnett’s with control set to HFD: a,c,d,e,g and h. Unpaired t-test: b,d (right panel), g (right panel); n = 7 for CD, n = 8 for HFD, HFD0.3%, HFD1% in a,b,c,e,g (left panel); f pooled sample from 8 mice/group; g (middle panel) technical triplicate of pooled samples. Data are presented as mean ± s.e.m, *P < 0.05.
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Comment in

  • NNMT: A Bad Actor in Fat Makes Good in Liver. Trammell SA, Brenner C. Trammell SA, et al. Cell Metab. 2015 Aug 4;22(2):200-1. doi: 10.1016/j.cmet.2015.07.017. Cell Metab. 2015. PMID: 26244929 Free PMC article.

References

    1. Haigis MC, Sinclair DA. Mammalian sirtuins: biological insights and disease relevance. Annu Rev Pathol. 2010;5:253–295. - PMC - PubMed
    1. Houtkooper RH, Cantó C, Wanders RJ, Auwerx J. The secret life of NAD+: an old metabolite controlling new metabolic signaling pathways. Endocr. Rev. 2010;31:194–223. - PMC - PubMed
    1. Bogan KL, Brenner C. Nicotinic acid, nicotinamide, and nicotinamide riboside: a molecular evaluation of NAD+ precursor vitamins in human nutrition. Annu. Rev. Nutr. 2008;28:115–130. - PubMed
    1. Rodgers JT, et al. Nutrient control of glucose homeostasis through a complex of PGC-1alpha and SIRT1. Nature. 2005;434:113–118. - PubMed
    1. Nemoto S, Fergusson MM, Finkel T. Science. Vol. 306. New York, N.Y: 2004. Nutrient availability regulates SIRT1 through a forkhead-dependent pathway; pp. 2105–2108. - PubMed
Show all 53 references

Method-Only References

    1. Kleiner DE, et al. Design and validation of a histological scoring system for nonalcoholic fatty liver disease. Hepatology. 2005;41:1313–1321. - PubMed

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