Our previous studies showed that berberine (BBR) increases liver low-density lipoprotein (LDL) receptor expression in an extracellular signal-regulated kinase (ERK)-dependent manner. This study was designed to explore the upstream cellular signaling molecules recruited by BBR to activate the ERK mitogen-activated protein kinase (MAPK) cascade. Chemical inhibitors such as GW5074, manumycin A, and compound C or specific small interfering RNAs (siRNAs) were used in the blocking experiments; Western blot was used to determine the phosphorylation of kinases; real-time reverse transcriptase polymerase chain reaction (RT-PCR) was used to determine the expression level of LDL receptor mRNA. Our results indicate that BBR increases p-Raf-1 (ser338) level time and dose dependently in HL-7702 cells, but has no influence on Ras activity; the stimulating activities of BBR on Raf-1 signaling and LDL receptor expression can be blocked by GW5074 completely, but not by manumycin A, a Ras inhibitor. BBR activates hepatic Raf-1 signaling and up-regulates LDL receptor expression in a rat model of hyperlipidemia with no impact on liver Ras activity. Importantly, our results show that the stimulating activities of BBR on hepatic Raf-1 signaling and LDL receptor expression are totally blocked by compound C, a selective inhibitor of AMP-activated protein kinase (AMPK), and also by silencing its expression with siRNA. Taken together, our results demonstrate for the first time that BBR up-regulates LDL receptor expression through Ras-independent, but AMPK-dependent Raf-1 activation in liver cells. Our study will help to elucidate the molecular pharmacology of BBR and provide new scientific evidence for its clinical application.Key words berberine; low-density lipoprotein (LDL) receptor; Raf-1; AMP-activated protein kinase (AMPK); RasThe low-density lipoprotein (LDL) receptor is a transmembrane glycoprotein which is mainly responsible for the clearance of atherogenic lipoproteins from blood. 1) Defects of the human LDL receptor could cause familial hypercholesterolemia (FH), which may lead to atherosclerosis and coronary heart disease (CHD), if there are no medical interventions.
2)For decades, pharmacological modulation of the LDL receptor was proved to be useful to treat hypercholesterolemia and related cardiovascular diseases in clinic.3)The expression of the LDL receptor gene is subjected to complex regulations, which include transcriptional as well as post-transcriptional events.3) For example, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, or "statins" could induce the transcription of the LDL receptor gene through the sterol regulatory element-binding protein (SREBP) pathway.3) And our previous studies proved that natural product berberine (BBR) was able to up-regulate the LDL receptor gene at the post-transcriptional level. 4) BBR (molecular weight: 371.8) is a kind of isoquinoline alkaloid isolated from plants such as Rhizoma coptidis (huanglian) or Hydrastis canadensis (goldenseal) and has multiple pharmaco...