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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2017.6513</article-id>
<article-id pub-id-type="publisher-id">mmr-15-06-4139</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Berberine activates AMPK to suppress proteolytic processing, nuclear translocation and target DNA binding of SREBP-1c in 3T3-L1 adipocytes</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Jang</surname><given-names>Jaewoong</given-names></name>
<xref rid="af1-mmr-15-06-4139" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Jung</surname><given-names>Yoonju</given-names></name>
<xref rid="af1-mmr-15-06-4139" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Seo</surname><given-names>Seong Jun</given-names></name>
<xref rid="af2-mmr-15-06-4139" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Kim</surname><given-names>Seok-Min</given-names></name>
<xref rid="af3-mmr-15-06-4139" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Shim</surname><given-names>Yae Jie</given-names></name>
<xref rid="af4-mmr-15-06-4139" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Cho</surname><given-names>Soo Hyun</given-names></name>
<xref rid="af5-mmr-15-06-4139" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author"><name><surname>Chung</surname><given-names>Sang-In</given-names></name>
<xref rid="af1-mmr-15-06-4139" ref-type="aff">1</xref>
<xref rid="c1-mmr-15-06-4139" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Yoon</surname><given-names>Yoosik</given-names></name>
<xref rid="af1-mmr-15-06-4139" ref-type="aff">1</xref>
<xref rid="c1-mmr-15-06-4139" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-15-06-4139"><label>1</label>Department of Microbiology, Chung-Ang University College of Medicine, Dongjak-gu, Seoul 156-756, Republic of Korea</aff>
<aff id="af2-mmr-15-06-4139"><label>2</label>Department of Dermatology, Chung-Ang University College of Medicine, Dongjak-gu, Seoul 156-756, Republic of Korea</aff>
<aff id="af3-mmr-15-06-4139"><label>3</label>School of Mechanical Engineering, Chung-Ang University, Dongjak-gu, Seoul 156-756, Republic of Korea</aff>
<aff id="af4-mmr-15-06-4139"><label>4</label>College of General Studies, Sangmyung University, Jongno-gu, Seoul 110-743, Republic of Korea</aff>
<aff id="af5-mmr-15-06-4139"><label>5</label>Department of Family Medicine, College of Medicine, Chung-Ang University Hospital, Dongjak-gu, Seoul 156-755, Republic of Korea</aff>
<author-notes>
<corresp id="c1-mmr-15-06-4139"><italic>Correspondence to</italic>: Professor Yoosik Yoon or Professor Sang-In Chung, Department of Microbiology, Chung-Ang University College of Medicine, 84 Heukseok-ro, Dongjak-gu, Seoul 156-756, Republic of Korea, E-mail: <email>thanks@cau.ac.kr</email>, E-mail: <email>sichung@cau.ac.kr</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>06</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>26</day><month>04</month><year>2017</year></pub-date>
<volume>15</volume>
<issue>6</issue>
<fpage>4139</fpage>
<lpage>4147</lpage>
<history>
<date date-type="received"><day>20</day><month>08</month><year>2016</year></date>
<date date-type="accepted"><day>06</day><month>03</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Jang et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>AMP-activated protein kinase (AMPK) and sterol regulatory element binding protein (SREBP)-1c are major therapeutic targets in the treatment of metabolic diseases. In the present study, the fat-reducing mechanisms of berberine (BBR), a natural isoquinoline, was investigated by examining the AMPK-mediated modulation of SREBP-1c in 3T3-L1 adipocytes. BBR activated AMPK in a dose- and time-dependent manner, and increased the phosphorylation of the 125-kDa precursor form of SREBP-1c, which suppressed its proteolytic processing into the mature 68-kDa form and its subsequent nuclear translocation. The binding of nuclear SREBP-1c to its E-box motif-containing target DNA sequence was decreased following treatment with BBR, which led to a decrease in the expression of lipogenic genes and subsequently reduced intracellular fat accumulation. Transfection with AMPK&#x03B1;1 siRNA, and not control siRNA, inhibited BBR-induced phosphorylation of the 125-kDa SREBP-1c, which confirmed that AMPK was responsible for phosphorylating SREBP-1c. AMPK&#x03B1;1 siRNA transfection rescued the proteolytic processing, nuclear translocation and target DNA binding of SREBP-1c that had been suppressed by BBR. In addition, BBR-induced suppression of lipogenic gene expression and intracellular fat accumulation were rescued by AMPK&#x03B1;1 siRNA transfection. In conclusion, the results of the present study demonstrate that BBR activates AMPK to induce phosphorylation of SREBP-1c, thereby suppressing proteolytic processing, nuclear translocation and target DNA binding of SREBP-1c, which leads to a reduction in lipogenic gene expression and intracellular fat accumulation. The results of the present study indicate that BBR may be a potential candidate for the development of drugs to treat obesity.</p>
</abstract>
<kwd-group>
<kwd>AMP-activated protein kinases</kwd>
<kwd>sterol regulatory element binding protein 1</kwd>
<kwd>berberine</kwd>
<kwd>adipogenesis</kwd>
<kwd>3T3-L1</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>AMP-activated protein kinase (AMPK), a sensor of cellular energy status, is one of the major therapeutic targets in the treatment of metabolic diseases. AMPK is composed of a catalytic &#x03B1; subunit and regulatory &#x03B2; and &#x03B3; subunits (<xref rid="b1-mmr-15-06-4139" ref-type="bibr">1</xref>). The AMPK &#x03B1; subunit consists of two isoforms, &#x03B1;1 and &#x03B1;2; of which &#x03B1;1 is the predominant isoform expressed in adipocytes (<xref rid="b2-mmr-15-06-4139" ref-type="bibr">2</xref>). Phosphorylation of Thr172 in the &#x03B1; subunit activates AMPK &#x003E;100-fold, and 5&#x2032;-adenosine monophosphate maintains AMPK in an activated state by enhancing phosphorylation of the &#x03B1; subunit, as well as by allosteric activation (<xref rid="b3-mmr-15-06-4139" ref-type="bibr">3</xref>).</p>
<p>Berberine (BBR) is a natural isoquinoline alkaloid, which has been reported to exert therapeutic effects in a number of metabolic diseases, such as diabetes and hypercholesterolemia (<xref rid="b4-mmr-15-06-4139" ref-type="bibr">4</xref>). The beneficial effects of BBR are attributable to its effect as an AMPK activator. BBR has been demonstrated to activate AMPK in adipocytes and muscle cells, as well as in animal models of diabetes and obesity, thus resulting in reduced fat accumulation and improved insulin sensitivity (<xref rid="b5-mmr-15-06-4139" ref-type="bibr">5</xref>). In addition, BBR has been reported to inhibit mitochondrial respiratory chain complex I, thereby activating AMPK (<xref rid="b6-mmr-15-06-4139" ref-type="bibr">6</xref>). However, its downstream mechanisms have not yet been fully elucidated.</p>
<p>The sterol regulatory element-binding protein (SREBP) is the major transcription factor involved in regulating lipogenic gene expression (<xref rid="b7-mmr-15-06-4139" ref-type="bibr">7</xref>). Previous studies have suggested that BBR reduces fat accumulation in white adipose tissue and adipocytes via downregulation of SREBPs (<xref rid="b8-mmr-15-06-4139" ref-type="bibr">8</xref>,<xref rid="b9-mmr-15-06-4139" ref-type="bibr">9</xref>). In the present study, the detailed molecular mechanisms of the action of BBR were elucidated, whereby a signaling pathway involving BBR-mediated AMPK activation and SREBP-1c downregulation in 3T3-L1 adipocytes was identified.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Chemicals and reagents</title>
<p>Cell culture reagents, including Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM), fetal bovine serum, calf serum and antibiotics were obtained from Thermo Fisher Scientific, Inc. (Waltham, MA, USA). AMPK&#x03B1;1 small interfering (si)RNA and control siRNA were purchased from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). Lipofectamine RNAiMAX transfection reagent was purchased from Invitrogen; Thermo Fisher Scientific, Inc. BBR, insulin, dexamethasone and 3-isobutyl-1-methylxanthine were obtained from Sigma-Aldrich; Merck KGaA (Darmstadt, Germany).</p>
</sec>
<sec>
<title>Cell culture and differentiation</title>
<p>3T3-L1 pre-adipocytes were purchased from the American Type Culture Collection (Manassas, VA, USA) and seeded in 12-well plates at a density of 1.5&#x00D7;10<sup>5</sup> cells/well with DMEM containing 10&#x0025; calf serum at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub> atmosphere with relative humidity of 85&#x2013;95&#x0025;. When the cells were 100&#x0025; confluent following 3 days of culture (taken as day 0), the cells were induced to differentiate by incubation in a differentiation induction medium consisting of DMEM, 10&#x0025; fetal bovine serum, 1 &#x00B5;g/ml insulin, 0.25 &#x00B5;M dexamethasone and 0.5 mM 3-isobutyl-1-methylxanthine for 2 days. The culture medium was then replaced with differentiation maintenance medium, consisting of DMEM, 1 &#x00B5;g/ml insulin and 10&#x0025; fetal bovine serum on days 2 and 4, and the cells were harvested on day 7. To examine the effects of BBR on cell differentiation, BBR was dissolved in dimethylsulfoxide and diluted &#x003E;1,000-fold in differentiation maintenance medium. In the present study, BBR was administered during the late phase of adipogenic differentiation (days 2&#x2013;7) in order to analyze the effects of BBR on fat accumulation and avoid its effects on mitotic clonal expansion, as BBR was previously reported to inhibit the mitotic clonal expansion of 3T3-L1 cells (<xref rid="b10-mmr-15-06-4139" ref-type="bibr">10</xref>). In dose-response experiments, cells were treated with BBR (0, 5, 10, 15 and 20 &#x00B5;M) at day 2 and day 4, when media were replaced, and harvested at day 7. In time-response experiments, cells were treated with 0 or 20 &#x00B5;M BBR at day 2 and day 4, when media were replaced, and harvested at days 3, 5 and 7. Cells harvested at day 3 were treated with 20 &#x00B5;M BBR at day 2 only. Control cells were treated with an equal volume of dimethylsulfoxide diluted in differentiation maintenance medium. Intracellular fat accumulation in 1.2&#x00D7;10<sup>6</sup> cells was measured by 0.3&#x0025; Oil red O staining solution at room temperature for 30 min followed by light microscopy with a magnification of &#x00D7;400. Oil red O dye in intracellular fat droplets was extracted by adding 700 &#x00B5;l 60&#x0025; isopropanol per well and shaking at 100 rpm for 2 h at room temperature. The extracted dye was measured by optical density at 510 nm using the methods described previously (<xref rid="b11-mmr-15-06-4139" ref-type="bibr">11</xref>). Cell viability was determined according to the manufacturer&#x0027;s protocol using a CellCountEZ&#x2122; Cell Survival assay kit (Rockland Immunochemicals, Inc., Pottstown, PA, USA), which is based on the ability of viable mammalian cells to convert hydroxyethyl disulfide into mercaptoethanol (<xref rid="b12-mmr-15-06-4139" ref-type="bibr">12</xref>). Cell number was determined using a hemocytometer following the harvesting of cells by trypsinization.</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis</title>
<p>RT-qPCR experiments were performed as described previously (<xref rid="b13-mmr-15-06-4139" ref-type="bibr">13</xref>). Cells (1.2&#x00D7;10<sup>6</sup>) were treated with BBR and harvested as described above. Total RNA was extracted using the RNeasy Mini kit (Qiagen GmbH, Hilden, Germany), according to the manufacturer&#x0027;s protocol. RNA (1 &#x00B5;g) was reverse-transcribed at 37&#x00B0;C using the High-Capacity cDNA Reverse Transcription kit (Applied Biosystems; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s protocol. qPCR was performed using a StepOne Real-Time PCR System (Applied Biosystems; Thermo Fisher Scientific, Inc.), in triplicate, in a final volume of 20 &#x00B5;l, which consisted of 10 &#x00B5;l TaqMan Gene Expression Master Mix (Applied Biosystems; Thermo Fisher Scientific, Inc.) containing Taq polymerase and dNTPs, 1 &#x00B5;l TaqMan Gene Expression assay (Applied Biosystems; Thermo Fisher Scientific, Inc.) containing 20X TaqMan probe and primers, cDNA (1/10th that produced by RT) and distilled water. The reaction mixtures were preheated at 95&#x00B0;C for 10 min to activate the enzyme, followed by 40 cycles of melting at 95&#x00B0;C for 15 sec and annealing/extension at 60&#x00B0;C for 1 min. TaqMan Gene Expression assays containing TagMan probe and primers were used to evaluate the mRNA levels of the following genes: peroxisome proliferator-activated receptor-&#x03B3; (PPAR&#x03B3;; assay ID, Mm00440945_m1), CCAAT-enhancer-binding protein &#x03B1; (C/EBP&#x03B1;; assay ID, Mm01265914_s1), SREBP-1c (assay ID, Mm00550338_m1), lipoprotein lipase (LPL; assay ID, Mm00434764_m1), fatty acid synthase (FAS; assay ID, Mm01253292_m1) and acetyl-CoA carboxylase-1 (ACC-1; assay ID, Mm01304257_m1) and 18S ribosomal (r) RNA (assay ID, Hs99999901_s1). The 18S rRNA was used as an internal control, as previously described (<xref rid="b11-mmr-15-06-4139" ref-type="bibr">11</xref>). For each sample, target gene mRNA levels were normalized against the level of 18S rRNA, and the ratio of normalized mRNA in each sample to that of the control sample was determined using the comparative C<sub>q</sub> method (<xref rid="b14-mmr-15-06-4139" ref-type="bibr">14</xref>).</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Western blotting was performed using the methods described previously (<xref rid="b13-mmr-15-06-4139" ref-type="bibr">13</xref>). Cells (1.2&#x00D7;10<sup>6</sup>) were treated with BBR and harvested as described above. Cells were lysed for 1 h in ice-cold radioimmunoprecipitation assay buffer containing 25 mM Tris-HCl (pH 7.6) 150 mM NaCl, 1&#x0025; Nonidet P-40, 1&#x0025; sodium deoxycholate, 0.1&#x0025; SDS and a protease inhibitor cocktail (Sigma-Aldrich; Merck KGaA). The cell lysates were centrifuged at 19,000 &#x00D7; g for 20 min at 4&#x00B0;C to remove insoluble materials. The protein concentrations were determined using a BCA protein assay kit (Pierce; Thermo Fisher Scientific, Inc.). Protein extracts (50 &#x00B5;g) were resolved by 10&#x0025; SDS-PAGE and electro-transferred to nitrocellulose membranes at 150 mA for 1 h. The membranes were then blocked for 2 h at room temperature with PBS containing 5&#x0025; skim milk and 0.1&#x0025; Tween-20 and, after washing for 10 min three times with PBS containing 0.1&#x0025; Tween 20, were incubated with primary antibodies (diluted 1:1,000 in the blocking solution) overnight at 4&#x00B0;C and subsequently with horseradish peroxidase-conjugated anti-rabbit or anti-mouse secondary antibodies (diluted 1:1,000 in the blocking solution) for 1 h at room temperature. Protein bands were visualized using Pierce ECL Western Blotting Substrate, according to the manufacturer&#x0027;s protocol (Thermo Fisher Scientific, Inc.). An anti-&#x03B2;-Actin antibody (diluted 1:1,000 in the blocking solution) was used as an endogenous control to confirm that equal amounts of proteins were loaded. Anti-phosphorylated (p)-AMPK&#x03B1; (cat. no. 2535), anti-AMPK&#x03B1; (cat. no. 2603), anti-p-SREBP-1c (cat. no. 9874) and anti-PPAR&#x03B3; (cat. no. 2430) primary antibodies, as well as anti-mouse IgG (cat. no. 7076S) and anti-rabbit IgG (cat. no. 7074) secondary antibodies were purchased from Cell Signaling Technology, Inc. (Danvers, MA, USA). The anti-SREBP-1c (cat. no. 557036) antibody was purchased from BD Biosciences (Franklin Lakes, NJ, USA). Anti-C/EBP&#x03B1; (cat. no. sc-61), anti-TATA box-binding protein (TBP; cat. no. sc-204) and anti-&#x03B2;-actin (cat. no. sc-47778) primary antibodies were purchased from Santa Cruz Biotechnology, Inc.</p>
</sec>
<sec>
<title>Analysis of nuclear SREBP-1c levels</title>
<p>Cells (1.2&#x00D7;10<sup>6</sup>) were treated with BBR and harvested as described above. Cells were harvested using cell scrapers, and nuclear lysates were prepared using a Nuclear Extract kit (Active Motif, Inc. Carlsbad, CA, USA) according to the manufacturer&#x0027;s protocol. The protein concentration of nuclear lysates was determined using a BCA protein assay kit. To determine nuclear SREBP-1c protein expression levels, 10 &#x00B5;g nuclear protein was separated by 10&#x0025; SDS-PAGE, followed by western blotting using anti-SREBP-1c antibody followed by secondary antibody. The procedures and antibodies used for western blotting were identical to those described above.</p>
</sec>
<sec>
<title>Determination of SREBP-1c binding to target DNA</title>
<p>Binding of nuclear SREBP-1c to the target DNA sequence, 5&#x2032;-TCACCTGA-3&#x2032;, which contains an E-box motif, was measured using a SREBP-1 Transcription Factor ELISA kit (cat. no. 10010854; Cayman Chemical Company, Ann Arbor, MI, USA). Briefly, 10 &#x00B5;g protein from the nuclear lysates was added to wells of a 96-well plate that were provided as part of the ELISA kit. The wells included in the kit were already coated with the 5&#x2032;-TCACCTGA-3&#x2032; oligonucleotide. Following incubation for 1 h at room temperature, unbound nuclear proteins were removed by washing five times with a wash buffer provided in the kit. Each well was incubated with 100 &#x00B5;l anti-SREBP-1 (1:100) primary antibody for 1 h at room temperature followed by 100 &#x00B5;l horseradish peroxidase-conjugated secondary antibody (1:100) for 1 h at room temperature. Optical density at 450 nm was measured following the addition of 100 &#x00B5;l developing solution followed by 100 &#x00B5;l stop solution provided in the kit.</p>
</sec>
<sec>
<title>AMPK activity assay</title>
<p>The kinase activity of AMPK was measured by ELISA using an AMPK assay kit (cat. no. CY-1182; Cyclex Inc., Columbia, MD, USA). Cells (1.2&#x00D7;10<sup>6</sup>) were lysed in 0.2 ml lysis buffer containing 20 mM Tris HCl (pH 7.5) 250 mM NaCl, 10&#x0025; glycerol, 0.5&#x0025; Nonidet P-40, 0.2 mM PMSF, 1 &#x00B5;g/ml pepstatin, 0.5 &#x00B5;g/ml leupeptin, 5 mM NaF, 2 mM Na<sub>3</sub>VO<sub>4</sub>, 2 mM &#x03B2;-glycerophosphate and 1 mM dithiothreitol for 90 min at 4&#x00B0;C, followed by centrifugation at 22,000 &#x00D7; g for 10 min at 4&#x00B0;C. Cell lysates (10 &#x00B5;l) and 90 &#x00B5;l kinase reaction buffer with 50 &#x00B5;M ATP (included in the kit) were added to wells of a 96-well plate coated with peptides consisting of the sequence surrounding Ser789 of insulin receptor substrate (IRS)-1, which is efficiently phosphorylated by AMPK, and incubated at 30&#x00B0;C for 30 min. The quantity of phosphorylated substrate was measured by incubating with 100 &#x00B5;l anti-p-IRS-1 antibody at room temperature for 30 min followed by incubation a with 100 &#x00B5;l horseradish peroxidase-conjugated secondary antibody at room temperature for 30 min. The primary and secondary antibodies included in the ELISA kit were prediluted. Subsequently, 100 &#x00B5;l substrate reagent was added at room temperature for 10 min followed by 100 &#x00B5;l stop solution included in the kit. Optical density was measured at 450 nm.</p>
</sec>
<sec>
<title>Transfection of siRNA</title>
<p>At one day prior to reaching confluence (taken as day-1), 3T3-L1 cells were incubated in serum-free medium for 1 h and then transfected with 12.5, 25, 50, or 75 nM AMPK&#x03B1;1 siRNA, or 50 or 75 nM control siRNA using Lipofectamine RNAiMAX transfection reagent according to the manufacturer&#x0027;s protocol. The following day (on day 0), the transfected cells were induced to differentiate by replacing the medium with differentiation-induction medium. Following 7 days of differentiation into adipocytes, cells were harvested for Oil red O staining, western blotting, determination of SREBP-1c binding to target DNA or RT-qPCR analysis using the aforementioned methods.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the mean &#x00B1; standard deviation of four replicate experiments. Differences among multiple groups were determined using one-way analysis of variance followed by post hoc analysis using Duncan&#x0027;s multiple range test, and comparisons between two groups were analyzed using an unpaired Student&#x0027;s t-test. Statistical tests were performed using SPSS software (version, 14.0; SPSS, Inc., Chicago, IL, USA).</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Dose-dependent effect of BBR on AMPK, SREBP-1c and lipogenesis-associated gene expression</title>
<p>SREBP-1c is synthesized as a 125-kDa precursor, which is processed by proteolytic cleavage into a mature 68-kDa form that translocates into the nucleus. Phosphorylation of the SREBP-1c precursor suppresses its proteolytic maturation (<xref rid="b15-mmr-15-06-4139" ref-type="bibr">15</xref>). In the present study BBR activated AMPK in a dose-dependent manner (<xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1A</xref>), which was associated with elevation of p-AMPK and p-SREBP-1c levels (<xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1B</xref>). The increase in p-SREBP-1c levels was accompanied by reduced proteolytic processing of the 125-kDa SREBP-1c precursor into the 68-kDa mature form (<xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1B</xref>). Western blotting of total SREBP-1c revealed gradual proteolytic degradation of the 125-kDa precursor form into the 68-kDa mature form (<xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1B</xref>). The level of the mature 68-kDa SREBP-1c isoform was decreased in the total cell lysate and nuclear lysate in a dose-dependent manner following treatment with BBR, as proteolytic maturation is required for the nuclear translocation of SREBP-1c (<xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1B</xref>). Similarly, the binding of nuclear SREBP-1c to its E-box motif-containing target DNA sequence was reduced in a dose-dependent manner following BBR treatment (<xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1C</xref>).</p>
<p>SREBP-1c is a transcription factor that binds to the promoter region of numerous lipogenesis-associated genes (<xref rid="b16-mmr-15-06-4139" ref-type="bibr">16</xref>&#x2013;<xref rid="b21-mmr-15-06-4139" ref-type="bibr">21</xref>). As a result of decreased binding of nuclear SREBP-1c to target DNA, the mRNA expression of lipogenic genes, including FAS, LPL, SREBP-1c, PPAR&#x03B3;, C/EBP&#x03B1; and ACC-1 were reduced by BBR treatment in a dose-dependent manner (<xref rid="f2-mmr-15-06-4139" ref-type="fig">Fig. 2</xref>). This is consistent with the dose-dependent reduction in PPAR&#x03B3; and C/EBP&#x03B1; protein expression levels demonstrated in <xref rid="f1-mmr-15-06-4139" ref-type="fig">Fig. 1B</xref>. Intracellular fat accumulation, which is mediated by the collective actions of lipogenic genes, was reduced by BBR treatment in a dose-dependent manner (<xref rid="f3-mmr-15-06-4139" ref-type="fig">Fig. 3A</xref>). BBR exhibited no significant effect on cell viability, which was maintained at &#x003E;90&#x0025; of untreated adipocytes (<xref rid="f3-mmr-15-06-4139" ref-type="fig">Fig. 3B</xref>). This indicates that the BBR-induced suppression of nuclear SREBP-1c binding to its target DNA, as well as the reduction in lipogenic gene expression and intracellular fat accumulation, were not caused by increased cytotoxicity. Previously, BBR was reported to inhibit the mitotic clonal expansion of 3T3-L1 cells when treated during the early phase of differentiation (<xref rid="b10-mmr-15-06-4139" ref-type="bibr">10</xref>) and the present study aimed to elucidate the molecular mechanism of BBR for reducing fat accumulation without its effects on mitotic clonal expansion. In the present study, BBR was administered during the late phase of adipogenic differentiation (from days 2&#x2013;7) in order to avoid its effects on mitotic clonal expansion, which occurs during the early phase of differentiation. As demonstrated in <xref rid="f3-mmr-15-06-4139" ref-type="fig">Fig. 3C</xref>, increasing concentrations of BBR demonstrated no significant effects on the number of cells, demonstrating that mitotic clonal expansion was not affected in this experimental condition (<xref rid="f3-mmr-15-06-4139" ref-type="fig">Fig. 3C</xref>).</p>
</sec>
<sec>
<title>Effect of BBR on AMPK, SREBP-1c and the expression of lipogenesis-associated genes over time</title>
<p>In order to examine the effect of BBR exposure over time, 3T3-L1 adipocytes were treated with 0 or 20 &#x00B5;M BBR from days 2&#x2013;7, and were analyzed on days 3, 5 and 7 of adipogenic differentiation. Under these conditions, the protein expression levels of p-AMPK and p-SREBP-1c were increased in BBR-treated cells relative to the untreated cells (<xref rid="f4-mmr-15-06-4139" ref-type="fig">Fig. 4A</xref>). The protein expression levels of the 125-kDa SREBP-1c precursor and its processed 68-kDa mature form were reduced in BBR-treated cells when compared with in untreated cells (<xref rid="f4-mmr-15-06-4139" ref-type="fig">Fig. 4A</xref>). In addition, the nuclear levels of mature 68-kDa SREBP-1c were reduced in BBR-treated cells when compared with untreated cells, as proteolysis is required for nuclear translocation (<xref rid="f4-mmr-15-06-4139" ref-type="fig">Fig. 4A</xref>). The binding of nuclear SREBP-1c to its target DNA sequence was elevated in a time-dependent manner in untreated cells, which was significantly suppressed in BBR-treated cells, in a similar manner to nuclear SREBP-1c levels (<xref rid="f4-mmr-15-06-4139" ref-type="fig">Fig. 4B</xref>). Intracellular fat accumulation was reduced in BBR-treated cells when compared with the untreated cells (<xref rid="f4-mmr-15-06-4139" ref-type="fig">Fig. 4C</xref>). Consistent with these observations, the mRNA levels of lipogenesis-associated genes, including SREBP-1c, were significantly suppressed in BBR-treated cells when compared with the untreated cells (<xref rid="f5-mmr-15-06-4139" ref-type="fig">Fig. 5</xref>).</p>
</sec>
<sec>
<title>Effect of AMPK knockdown on SREBP-1c processing, lipogenesis-associated gene expression and intracellular fat accumulation</title>
<p>In order to confirm the essential role of AMPK in BBR-induced SREBP-1c phosphorylation and processing, 3T3-L1 cells were transfected with different concentrations of control siRNA or AMPK&#x03B1;1 siRNA. siRNA sequences targeting the &#x03B1;1 isoform of AMPK, rather than &#x03B1;2, were employed for knockdown experiments in the present study, as &#x03B1;1 is the predominant isoform expressed in adipocytes (<xref rid="b2-mmr-15-06-4139" ref-type="bibr">2</xref>). Levels of p-AMPK and p-SREBP-1c were elevated in adipocytes treated with BBR alone when compared with untreated adipocytes (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6A</xref>). Levels of p-SREBP-1c were reduced in a dose-dependent manner following transfection with increasing concentrations of AMPK&#x03B1;1 siRNA, whereas, this effect was not observed following transfection with control siRNA (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6A</xref>). This confirmed that SREBP-1c is a substrate of AMPK. Conversely, the level of total SREBP-1c, including the 125-kDa precursor form and the mature 68-kDa form, were reduced in BBR-treated cells when compared with in untreated cells (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6A</xref>). These levels increased in a dose-dependent manner in AMPK&#x03B1;1 siRNA-transfected cells, however, not in control siRNA-transfected cells (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6A</xref>). The nuclear expression levels of the 68-kDa SREBP-1c form demonstrated a similar pattern to that observed in the total cell lysate. The binding of nuclear SREBP-1c to its target DNA sequence, which was suppressed by BBR, was rescued by AMPK&#x03B1;1 siRNA transfection in a dose-dependent manner (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6B</xref>). This effect was not observed following transfection with control siRNA. Intracellular fat accumulation, which was suppressed by BBR exposure, was rescued by AMPK&#x03B1;1 siRNA transfection, whereas transfection with control siRNA demonstrated no effect (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6C</xref>). In addition, the mRNA levels of lipogenesis-associated genes, including FAS, LPL, SREBP-1c, PPAR&#x03B3;, C/EBP&#x03B1; and ACC-1, which were suppressed by BBR treatment, were rescued AMPK&#x03B1;1 siRNA transfection in a dose-dependent manner, whereas the control siRNA sequences demonstrated no significant effect (<xref rid="f7-mmr-15-06-4139" ref-type="fig">Fig. 7</xref>). Similar to the protein expression levels of PPAR&#x03B3; and C/EBP&#x03B1; (<xref rid="f6-mmr-15-06-4139" ref-type="fig">Fig. 6A</xref>), the mRNA expression levels of these factors were rescued by AMPK&#x03B1;1 siRNA transfection in a dose-dependent manner (<xref rid="f7-mmr-15-06-4139" ref-type="fig">Fig. 7</xref>). Therefore, the results of the present study demonstrate that AMPK serves an essential role in the BBR-induced phosphorylation of SREBP-1c and the suppression of proteolytic processing, nuclear translocation and target DNA binding of SREBP-1c, which leads to the downregulation of lipogenesis-associated gene expression and decreased intracellular fat accumulation (<xref rid="f8-mmr-15-06-4139" ref-type="fig">Fig. 8</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>SREBPs are helix-loop-helix-leucine zipper transcription factors that regulate lipid homeostasis by controlling the expression of genes required for the synthesis of fatty acids, triacylglycerol and cholesterol (<xref rid="b7-mmr-15-06-4139" ref-type="bibr">7</xref>). The three SREBP isoforms, SREBP-1a, SREBP-1c and SREBP-2, serve different roles in lipid metabolism. SREBP-1c and SREBP-1a arise from the SREBP-1 gene through the use of alternative first exons, and SREBP-1c is the predominant isoform in the majority of tissues, including adipose tissue, liver and skeletal muscle. SREBP-1c is involved in fatty acid synthesis and lipogenesis, whereas SREBP-2 is primarily involved in cholesterol synthesis. The transcription of SREBP-1c is induced by insulin, and the SREBP-1c protein is synthesized as a 125-kDa precursor containing an N-terminal transcription factor domain and a C-terminal regulatory domain. Precursor SREBP-1c remains in the membrane of the endoplasmic reticulum until it is transported to the Golgi apparatus. In the Golgi apparatus, the membrane-bound 125-kDa precursor SREBP-1c undergoes proteolytic processing to generate the soluble 68-kDa mature SREBP-1c, which contains a transcription factor domain and a nuclear localization signal. Once soluble, the 68-kDa mature SREBP-1c enters the nucleus to bind its target DNA sequence within the promoters of a number of lipogenic genes (<xref rid="b7-mmr-15-06-4139" ref-type="bibr">7</xref>,<xref rid="b22-mmr-15-06-4139" ref-type="bibr">22</xref>,<xref rid="b23-mmr-15-06-4139" ref-type="bibr">23</xref>).</p>
<p>In the nucleus, SREBP-1c, also termed adipocyte determination- and differentiation-dependent factor 1, binds to its binding sequence, E-box or a sterol regulatory element (SRE) in the promoter region of many lipogenesis-associated genes, including that of SREBP-1. In this way, mature SREBP-1c upregulates its own mRNA expression by binding to the promoter of the SREBP-1 gene (<xref rid="b16-mmr-15-06-4139" ref-type="bibr">16</xref>). The promoter of the PPAR&#x03B3; gene contains an E-box motif that mediates its regulation by SREBP-1 (<xref rid="b17-mmr-15-06-4139" ref-type="bibr">17</xref>). PPAR&#x03B3; immediately induces C/EBP&#x03B1; to construct a mutual activation loop (<xref rid="b24-mmr-15-06-4139" ref-type="bibr">24</xref>). SREBP-1c has been reported to transactivate the promoter of the LPL gene in 3T3-L1 cells (<xref rid="b18-mmr-15-06-4139" ref-type="bibr">18</xref>). The promoter of the ACC gene contains an E-box motif for SREBP-1c binding, together with binding sites for additional transcription factors, such as upstream stimulatory factor (USF) and nuclear factor (NF)-Y (<xref rid="b19-mmr-15-06-4139" ref-type="bibr">19</xref>). FAS gene transcription is controlled by USF and SREBP-1c, which bind at the SRE located in its proximal promoter region (<xref rid="b20-mmr-15-06-4139" ref-type="bibr">20</xref>).</p>
<p>AMPK is a serine/threonine kinase that regulates metabolic processes by upregulating catabolism and downregulating anabolism, and its therapeutic importance for metabolic diseases has led many researchers to search for its downstream target proteins as well as upstream activators (<xref rid="b1-mmr-15-06-4139" ref-type="bibr">1</xref>). Recently, it was demonstrated that AMPK phosphorylates precursor SREBP-1c at its Ser372 residue, which suppresses the proteolytic processing of the precursor 125-kDa SREBP-1c into the mature 68-kDa SREBP-1c in HepG2 hepatocellular carcinoma cells and liver tissues of low-density lipoprotein receptor-deficient diabetic mice (<xref rid="b15-mmr-15-06-4139" ref-type="bibr">15</xref>). However, this AMPK-SREBP-1c signaling pathway has not been reported as a mechanism of action of any anti-adipogenic agent in adipocytes.</p>
<p>In the present study, BBR, an AMPK activator of natural origin, induced the phosphorylation of precursor SREBP-1c in a time- and dose-dependent manner, suppressing its proteolytic processing into mature SREBP-1c, its nuclear translocation and target DNA binding. The ability of nuclear SREBP-1c to bind to its target DNA sequence was similar to the observed pattern of mRNA expression of lipogenesis-associated genes in BBR-treated cells. Knockdown of AMPK was associated with inhibition of BBR-induced phosphorylation of precursor SREBP-1c, thus confirming that AMPK is the kinase responsible for phosphorylating SREBP-1c in adipocytes. AMPK&#x03B1;1 siRNA rescued the proteolytic processing, nuclear translocation and target DNA binding of SREBP-1c, which was suppressed by BBR. Accordingly, the expression of lipogenesis-associated genes, which were suppressed by BBR, was rescued by AMPK&#x03B1;1 siRNA. SREBP-1c is one of the target genes of which transcriptions were activated by the binding of mature SREBP-1c, and levels of SREBP-1c mRNA and SREBP-1c precursor protein were rescued by AMPK&#x03B1;1 siRNA. The mRNA levels of a number of lipogenic genes demonstrated similar expression patterns; however, they did not correspond completely with the ability of nuclear SREBP-1c to bind to target DNA. The may be due to the possibility that additional transcription factors, including USF, NF and C/EBP&#x03B1;, may additionally be involved in these processes in cooperation with SREBP-1c (<xref rid="b19-mmr-15-06-4139" ref-type="bibr">19</xref>,<xref rid="b20-mmr-15-06-4139" ref-type="bibr">20</xref>).</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the Korean Health Technology Research and Development Project of the Ministry of Health and Welfare (grant nos. HI15C0075 and HI14C2687).</p>
</ack>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>ACC</term><def><p>acetyl-CoA carboxylase</p></def></def-item>
<def-item><term>AMPK</term><def><p>AMP-activated protein kinase</p></def></def-item>
<def-item><term>BBR</term><def><p>berberine</p></def></def-item>
<def-item><term>C/EBP</term><def><p>CCAAT/enhancer-binding protein</p></def></def-item>
<def-item><term>FAS</term><def><p>fatty acid synthase</p></def></def-item>
<def-item><term>IRS</term><def><p>insulin receptor substrate</p></def></def-item>
<def-item><term>LPL</term><def><p>lipoprotein lipase</p></def></def-item>
<def-item><term>NF</term><def><p>nuclear factor</p></def></def-item>
<def-item><term>PPAR</term><def><p>peroxisome proliferator-activated receptor</p></def></def-item>
<def-item><term>SRE</term><def><p>sterol regulatory element</p></def></def-item>
<def-item><term>SREBP</term><def><p>sterol regulatory element binding protein</p></def></def-item>
<def-item><term>TBP</term><def><p>TATA box-binding protein</p></def></def-item>
<def-item><term>USF</term><def><p>upstream stimulatory factor</p></def></def-item>
</def-list>
</glossary>
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<floats-group>
<fig id="f1-mmr-15-06-4139" position="float">
<label>Figure 1.</label>
<caption><p>Dose-dependent effects of BBR on AMPK, SREBP-1c and lipogenesis-associated protein expression levels. 3T3-L1 adipocytes were treated with 0, 5, 10, 15 or 20 &#x00B5;M BBR from days 2&#x2013;7 of differentiation, and cells were harvested on day 7 for analysis. (A) AMPK activity as determined by its capability to phosphorylate Ser789 on its substrate, IRS-1. This was measured in cell lysates by ELISA. (B) The level of p-AMPK and p-SREBP-1c, as well as the 125-kDa precursor form and mature 68-kDa form, were measured in total cell lysates by western blotting. Levels of the 68-kDa mature SREBP-1c form were analyzed in nuclear lysates to determine its nuclear translocation. Levels of the major adipogenic transcription factors, PPAR&#x03B3; and C/EBP&#x03B1;, were analyzed in total cell lysates. &#x03B2;-actin and TBP were used as endogenous controls for protein expression in total cell lysates and nuclear lysates, respectively. (C) The binding of nuclear SREBP-1c to its E-box motif-containing target DNA sequence, 5&#x2032;-TCACCTGA-3&#x2032;, as determined by ELISA. Different letters indicate significant differences between groups (P&#x003C;0.05). BBR, berberine; AMPK, AMP-activated protein kinase; SREBP-1c, sterol regulatory element binding protein-1c; p-AMPK, phosphorylated AMPK; IRS-1, insulin receptor substrate-1; p-SREBP-1c, phosphorylated SREBP-1c; PPAR&#x03B3;, peroxisome proliferator-activated receptor-&#x03B3;; C/EBP&#x03B1;, CCAAT/enhancer-binding protein &#x03B1;; TBP, TATA box-binding protein.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g00.tif"/>
</fig>
<fig id="f2-mmr-15-06-4139" position="float">
<label>Figure 2.</label>
<caption><p>Dose-dependent effects of BBR on the expression of lipogenesis-associated genes. 3T3-L1 adipocytes were treated with 0, 5, 10, 15 or 20 &#x00B5;M BBR from days 2&#x2013;7 of differentiation, and cells were harvested on day 7 for analysis. The mRNA levels of (A) FAS, (B) LPL, (C) SREBP-1c, (D) PPAR&#x03B3;, (E) C/EBP&#x03B1; and (F) ACC-1 were measured by reverse transcription-quantitative polymerase chain reaction. Different letters indicate significant differences between groups (P&#x003C;0.05). BBR, berberine; FAS, fatty acid synthase; LPL, lipoprotein lipase; SREBP1-c, sterol regulatory element binding protein-1c; PPAR&#x03B3;, peroxisome proliferator-activated receptor-&#x03B3;; C/EBP&#x03B1;, CCAAT/enhancer-binding protein &#x03B1;; ACC-1, acetyl-CoA carboxylase-1.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g01.tif"/>
</fig>
<fig id="f3-mmr-15-06-4139" position="float">
<label>Figure 3.</label>
<caption><p>Dose-dependent effects of BBR on intracellular fat accumulation, cell viability and cell number. 3T3-L1 adipocytes were treated with 0, 5, 10, 15 or 20 &#x00B5;M BBR from days 2&#x2013;7 of differentiation, and cells were harvested on day 7 for analysis. (A) Oil red O stain in intracellular fat droplets was extracted using isopropyl alcohol and quantified by measuring the OD at 510 nm. (B) Analysis of the viability of 3T3-L1 adipocytes following treatment with increasing concentrations of BBR. (C) The cell number was determined using a hemocytometer following trypsinization of the cells. Different letters indicate significant differences between groups (P&#x003C;0.05). BBR, berberine; OD, optical density.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g02.tif"/>
</fig>
<fig id="f4-mmr-15-06-4139" position="float">
<label>Figure 4.</label>
<caption><p>Effect of BBR on AMPK and SREBP-1c protein expression and intracellular fat accumulation over time. 3T3-L1 adipocytes were treated with 0 or 20 &#x00B5;M BBR commencing at day 2, and cells were harvested at days 3, 5 and 7 of differentiation for time course analyses. (A) The protein levels of p-AMPK and p-SREBP-1c, as well as the 125-kDa precursor form of SREBP-1c and the mature 68-kDa form were analyzed in total cell lysates by western blotting. The level of the mature 68-kDa SREBP-1c isoform was analyzed in nuclear lysates. &#x03B2;-actin and TBP were used as endogenous controls for the analysis of protein expression in total cell lysates and nuclear lysates, respectively. (B) The binding of nuclear SREBP-1c to its E-box motif-containing target DNA sequence, 5&#x2032;-TCACCTGA-3&#x2032;, was measured by ELISA. (C) Intracellular fat droplets were stained with Oil red O dye and examined by light microscopy. Magnification, &#x00D7;400. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. untreated adipocytes at the same day of differentiation. BBR, berberine; AMPK, AMP-activated protein kinase; SREBP-1c, sterol regulatory element binding protein-1c; p-AMPK, phosphorylated AMPK; p-SREBP-1c, phosphorylated-SREBP-1c; TBP, TATA box-binding protein.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g03.tif"/>
</fig>
<fig id="f5-mmr-15-06-4139" position="float">
<label>Figure 5.</label>
<caption><p>Effect of BBR on the expression of lipogenesis-associated genes over time. 3T3-L1 adipocytes were treated with 0 or 20 &#x00B5;M BBR commencing at day 2 until cells were harvested at days 3, 5 or 7 of differentiation. The mRNA levels of (A) FAS, (B) LPL, (C) SREBP-1c, (D) PPAR&#x03B3;, (E) C/EBP&#x03B1; and (F) ACC-1 were measured by reverse transcription-quantitative polymerase chain reaction. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 vs. untreated adipocytes at same day of differentiation. BBR, berberine; FAS, fatty acid synthase; LPL, lipoprotein lipase; SREBP1-c, sterol regulatory element binding protein-1c; PPAR&#x03B3;, peroxisome proliferator-activated receptor-&#x03B3;; C/EBP&#x03B1;, CCAAT/enhancer-binding protein &#x03B1;; ACC-1, acetyl-CoA carboxylase-1.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g04.tif"/>
</fig>
<fig id="f6-mmr-15-06-4139" position="float">
<label>Figure 6.</label>
<caption><p>Effect of AMPK knockdown on SREBP-1c expression and intracellular fat accumulation following BBR treatment. 3T3-L1 cells were transfected with 12.5, 25, 50, or 75 nM AMPK&#x03B1;1 siRNA, or 50 or 75 nM control siRNA at one day prior to induction of differentiation. Cells were treated with 20 &#x00B5;M BBR from days 2&#x2013;7 of differentiation, and were harvested on day 7 for analysis. (A) The protein expression levels of p-AMPK and p-SREBP-1c, as well as the 125-kDa precursor SREBP-1c isoform and the mature 68-kDa isoform, were analyzed in total cell lysates by western blotting. The levels of the mature 68-kDa SREBP-1c isoform were analyzed in nuclear lysates in order to examine its nuclear translocation. Levels of the major adipogenic transcription factors, PPAR&#x03B3; and C/EBP&#x03B1;, were analyzed in total cell lysates. &#x03B2;-actin and TBP were used as endogenous controls for the analysis of protein expression in total cell lysates and nuclear lysates, respectively. (B) The binding of nuclear SREBP-1c to its E-box motif-containing target DNA sequence, 5&#x2032;-TCACCTGA-3&#x2032;, was measured by ELISA. (C) Oil red O stain in intracellular fat droplets was extracted using isopropyl alcohol and quantified by measuring the OD at 510 nm. Different letters indicate significant differences between groups (P&#x003C;0.05). AMPK, AMP-activated protein kinase; SREBP-1c, sterol regulatory element binding protein-1c; BBR, berberine; siRNA, small-interfering RNA; p-AMPK, phosphorylated-AMPK; p-SREBP-1c, phosphorylated-SREBP-1c; PPAR&#x03B3;, peroxisome proliferator-activated receptor-&#x03B3;; C/EBP&#x03B1;, CCAAT/enhancer-binding protein &#x03B1;; TBP, TATA box-binding protein; OD, optical density.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g05.tif"/>
</fig>
<fig id="f7-mmr-15-06-4139" position="float">
<label>Figure 7.</label>
<caption><p>Effect of AMPK knockdown on the expression of lipogenesis-associated genes. 3T3-L1 cells were transfected with 12.5, 25, 50, or 75 nM AMPK&#x03B1;1 siRNA, or 50 or 75 nM control siRNA at one day prior to induction of differentiation. Cells were treated with 20 &#x00B5;M BBR from days 2&#x2013;7 of differentiation, and were harvested on day 7 for analysis. The mRNA level of (A) FAS, (B) LPL, (C) SREBP-1c, (D) PPAR&#x03B3;, (E) C/EBP&#x03B1; and (F) ACC-1 were measured by reverse transcription-quantitative polymerase chain reaction. Different letters indicate significant differences between groups (P&#x003C;0.05). AMPK, AMP-activated protein kinase; siRNA, small-interfering RNA; BBR, berberine; FAS, fatty acid synthase; LPL, lipoprotein lipase; SREBP1-c, sterol regulatory element binding protein-1c; PPAR&#x03B3;, peroxisome proliferator-activated receptor-&#x03B3;; C/EBP&#x03B1;, CCAAT/enhancer-binding protein &#x03B1;; ACC-1, acetyl-CoA carboxylase-1.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g06.tif"/>
</fig>
<fig id="f8-mmr-15-06-4139" position="float">
<label>Figure 8.</label>
<caption><p>A schematic depicting the molecular mechanisms underlying the anti-adipogenic activity of berberine. AMPK, AMP-activated protein kinase; p-AMPK, phosphorylated-AMPK; SREBP1-c, sterol regulatory element binding protein-1c; C/EBP&#x03B1;, CCAAT/enhancer-binding protein &#x03B1;; PPAR&#x03B3;, peroxisome proliferator-activated receptor-&#x03B3;; FAS, fatty acid synthase; LPL, lipoprotein lipase; ACC-1, acetyl-CoA carboxylase-1.</p></caption>
<graphic xlink:href="MMR-15-06-4139-g07.tif"/>
</fig>
</floats-group>
</article>