A previous study identified the peroxisome proliferator-activated receptor ␣ (PPAR␣) activation biomarkers 21-steroid carboxylic acids 11-hydroxy-3,20-dioxopregn-4-en-21-oic acid (HDOPA) and 11,20-dihydroxy-3-oxo-pregn-4-en-21-oic acid (DHOPA). In the present study, the molecular mechanism and the metabolic pathway of their production were determined. The PPAR␣-specific time-dependent increases in HDOPA and 20␣-DHOPA paralleled the development of adrenal cortex hyperplasia, hypercortisolism, and spleen atrophy, which was attenuated in adrenalectomized mice. Wy-14,643 activation of PPAR␣ induced hepatic FGF21, which caused increased neuropeptide Y and agouti-related protein mRNAs in the hypothalamus, stimulation of the agouti-related protein/neuropeptide Y neurons, and activation of the hypothalamic-pituitary-adrenal (HPA) axis, resulting in increased adrenal cortex hyperplasia and corticosterone production, revealing a link between PPAR␣ and the HPA axis in controlling energy homeostasis and immune regulation. Corticosterone was demonstrated as the precursor of 21-carboxylic acids both in vivo and in vitro. Under PPAR␣ activation, the classic reductive metabolic pathway of corticosterone was suppressed, whereas an alternative oxidative pathway was uncovered that leads to the sequential oxidation on carbon 21 resulting in HDOPA. The latter was then reduced to the end product 20␣-DHOPA. Hepatic cytochromes P450, aldehyde dehydrogenase (ALDH3A2), and 21-hydroxysteroid dehydrogenase (AKR1C18) were found to be involved in this pathway. Activation of PPAR␣ resulted in the induction of Aldh3a2 and Akr1c18, both of which were confirmed as target genes through introduction of promoter luciferase reporter constructs into mouse livers in vivo.This study underscores the power of mass spectrometry-based metabolomics combined with genomic and physiologic analyses in identifying downstream metabolic biomarkers and the corresponding upstream molecular mechanisms.
Peroxisome proliferator-activated receptor ␣ (PPAR␣)7 is a nuclear hormone receptor regulating a number of physiologic processes including lipid metabolism and energy homeostasis via the transactivation of various target genes (1, 2). In a previous study (3), 11-hydroxy-3,20-dioxopregn-4-en-21-oic acid (HDOPA) and 11,20-dihydroxy-3-oxo-pregn-4-en-21-oic acid (DHOPA), two specific biomarkers of PPAR␣ activation, were identified through urinary ultra-performance liquid chromatography-coupled time-of-flight mass spectrometry (UPLC-TOFMS)-based metabolomics analysis of wild-type and Pparanull mice fed either a regular diet or a diet containing the PPAR␣ ligand Wy-14,643 (WY). However, the issue remained of defining the metabolic pathway and identifying the target genes involved in the synthesis of these two biomarkers. Although metabolomics has been actively applied to investigate physiological/pathological biomarkers via the robust analytical ability to discriminate small molecule metabolomes in biofluids, cells, tissues, and organisms (4, 5), its power for translatio...