MicroRNA-27a regulates hepatic lipid metabolism and alleviates NAFLD via repressing FAS and SCD1

MicroRNAs are implicated as crucial mediators in metabolic diseases including obesity, diabetes, and non-alcoholic fatty liver diseases (NAFLD). Here, we show miR-27a attenuated hepatic de novo lipogenesis and alleviated obesity-initiated NAFLD through inhibiting Fasn and Scd1 in liver. Hepatic levels of miR-27a were significantly augmented in HFD-fed and ob/ob mice. Further studies demonstrated that miR-27a directly interacted with 3′ untranslated region (3′-UTR) of hepatic Fasn and Scd1 mRNAs and reduced their expression levels in mice. Adenovirus-mediated overexpression of miR-27a robustly blocked sodium oleate-induced triglyceride (TG) accumulation in mouse primary hepatocytes and reduced liver TG contents in mice via repressing hepatic lipogenesis. Furthermore, ectopic expression of hepatic miR-27a impaired lipid contents of livers and attenuated NAFLD development through suppressing lipogenesis in HCD-fed and ob/ob mice. Together, our results reveal a critical role of miR-27a in lipid homeostasis of liver and pathogenesis of NAFLD.

In our present study, we reported that overexpressed miR-27a attenuated DNL and lipid accumulation in both primary hepatocytes and mice livers by targeting 3′-UTR of Fasn and Scd1 mRNAs. Ectopic expression of miR-27a reduced liver TG content by suppressing hepatic Fasn and Scd1, and thereby ameliorated NAFLD in HCD-fed and ob/ob mice. These results reveal the critical role of miR-27a-FAS/SCD1 axis in regulating lipid metabolism in liver and the development of NAFLD.

miR-27a directly targets Fasn and Scd1.
To identify miRNAs involved in the pathogenesis of NAFLD, we explored hepatic miRNAs with alterations in expression levels during the development of NAFLD. In consistent with previous studies, levels of miR-122 and miR-132 were upregulated in the fatty livers of obese mice caused by diets feeding (HFD or HCD) or genetic mutation (ob/ob) (Fig. S1). Strikingly, in comparison to control mice, hepatic miR-27a displayed about 4-fold increase in mice maintained on HFD for 12 weeks (Fig. S1a) and nearly 2-fold increase in ob/ob mice (Fig. S1c). Meanwhile, miR-27a exhibited an insignificant decrease in the livers of mice after feeding HCD for 8 weeks (Fig. S1b). To investigate molecular targets of miR-27a, we examined miR-27a-modulated signaling pathways by the using of miRNA target prediction algorithm Targetscan (http:// www.targetscan.org). More than 900 candidate genes were predicted as targets of miR-27a and functional gene ontology enrichment analysis revealed most of these genes were involved in cytoskeleton remodeling and lipid metabolism signaling pathways, including lipogenesis-associated genes, such as FAS, SCD1, PPARg and RXRa (data not shown). As hepatic DNL is known to be stimulated by HCD feeding but inhibited by HFD feeding, we postulated that miR-27a was involved in the development of NAFLD via regulating DNL in liver.
Interestingly, Fasn and Scd1 were found to be promising targets of miR-27a and miR-27b in sequence alignments (Fig. 1a,b). To determine miR-27a directly binding to 3′-UTR of Fasn and Scd1, renilla luciferase reporter plasmids were constructed with the insertion of predicted miR-27a binding sites inside of mouse Fasn and Scd1 mRNA (Fig. 1c,d). Luciferase activities of wildtype 3′-UTRs reporter plasmids were dramatically downregulated after the addition of miR-27a mimics in HEK293T cells (Fig. 1c,d). However, mutation of predicted binding sites almost recovered the loss of luciferase activities mediated by excess miR-27a (Fig. 1c,d).
To determine whether miR-27a inhibiting hepatic expression of Fasn and Scd1, isolated mouse primary hepatocytes were transfected with miR-27a mimics to raise miR-27a levels ( Fig. 1e) or with miR-27a inhibitors to reduce endogenous miR27a (Fig. 1g). Excess miR-27a attenuated expression levels of Fasn and Scd1 but not Accca in primary hepatocytes (Fig. 1f). Moreover, the abrogation of endogenous miR-27a efficiently gave rise to mRNA levels of Fasn and Scd1 rather than Accca (Fig. 1h). These data revealed that miR-27a regulated the stability of Fasn and Scd1 mRNA by binding to their 3′-UTRs.

miR-27a suppresses lipid accumulation in primary hepatocytes.
To investigate physiological roles of miR-27a in hepatic lipid metabolism, mouse primary hepatocytes were infected by adenovirus to enforce miR-27a expression and then treated with sodium oleate to induce excess lipid accumulation. Impressively, excess miR-27a robustly impaired intracellular lipid accumulation and TG contents in oleate-treated primary hepatocytes ( Fig. 2a-c). Adenovirus-mediated overexpression of miR-27a also led to the reduction of mRNA levels of Fasn and Scd1 rather than other lipogenesis-associated genes, and didn't affect the expression of cytokines involved in inflammation and fibrosis (Fig. 2d).
To detect whether excess miR-27a protect cells from lipotoxity, we examined cell viability by MTT assays and apoptosis using flow cytometry. Expectedly, overexpression of miR-27a strongly suppressed oleate-induced reduction of cell viability (Fig. 2e) and reduced cell apoptosis led by oleate treatment (Fig. 2f).
To explore the accurate extent of miR-27a excess which is efficient to repress TG accumulation, we transfected primary hepatocytes with serial volumes of miR-27a mimics from 0.1-100 pmol per well (24-well plate) and got different abundance of miR-27a in the cells (Fig. S2a). Impressively, ~10-fold increase of miR-27a acquired by transfection with 1 pmol/well was enough to get 20% reduction in TG accumulation induced by sodium oleate in primary hepatocytes (Fig. S2b).
To verify excess miR-27a reduce intracellular lipid accumulation via repressing Fasn and Scd1, we enforced expression of Fasn and Scd1 in primary hepatocytes. Consistently, excess miR-27a alleviated oleate-initiated lipid accumulation of hepatoytes as well as excess miR-122 ( Fig. 2g and S2c). Enforced expression of Fasn and Scd1 abolished the inhibition effects of excess miR-27a on TG accumulation ( Fig. 2g) but not those of miR-122 ( Fig. S2c) in primary hepatocytes. Together, our results demonstrated that miR-27a suppressed oleate-induced hepatic lipid accumulation via suppressing Fasn and Scd1 in primary hepatocytes.
Ectopic expression of miR-27a alleviated HCD-induced NAFLD via repressing lipogenesis in mice liver. To explore the physiological role of miR-27a in vivo, C57BL/6 J mice were injected with adenovirus via tail vein to enforce its expression in livers. As expected, miR-27a levels were found to increase about 10 times in livers ( Fig. 3a) but displayed no difference in other major metabolic organs, including skeletal muscle and adipose tissue (Fig. S4a,b) of mice administered by ad-miR-27a relative to that of ad-NC. Significant alterations of body weight and food intake weren't detected in mice after ad-miR-27a administration (Fig. S3a,b). Impressively, with similar liver weight (Fig. 3b), ad-miR-27a-injected mice exhibited significant reduction of hepatic TG contents relative to control mice (Fig. 3c). Administration of ad-miR-27a also displayed reduced contents of free fatty acid (FFA) but equal cholesterol contents in livers (Fig. 3c).
Subsequently, mice were maintained on HCD for 8 weeks to induce NALFD and then administered with ad-miR-27a to increase miR-27a expression levels in livers (Fig. 3a). Relative to control mice, we didn't detect any changes of miR-27a levels in skeletal muscle or adipose tissue in the mice administered with ad-miR-27a (Fig. S4a,b). With similar body weight and food intake as control mice (Fig. S3a,b), ad-miR-27a-injected mice exhibited reduced liver weight (Fig. 3b) and lower hepatic lipids contents, including TG, FFA and cholesterol (Fig. 3c).
Histology analysis also demonstrated decreased lipid accumulation in the livers of mice with excess hepatic miR-27a (Fig. 3d,e), indicating alleviated hepatic steatosis. Moreover, results of trichrome staining of miR-27a-overexpressed livers showed robust reduction of fibrosis and lower NAFLD activity score (Fig. 3f,g), reflecting improved NAFLD development. Further studies also revealed overexpression of hepatic miR-27a efficiently repressed HCD-initiated liver damage (Fig. 3h), hyperglycemia and hyperinsulinemia (Fig. S3d), indicating improved systemic glucose homeostasis and insulin sensitivity.
Hepatic TG content is highly dynamic and contributed by various processes, including TG synthesis, β-oxidation, FFA uptake and vLDL secretion [24][25][26] . Therefore, we analyzed expression levels of genes involved in these processes. In consistent to the results of ex vivo study, in the livers of NCD-fed mice, upregulated miR-27a resulted in dramatic reduction of Fasn and Scd1 mRNA (Fig. 3i), but didn't alter expression levels of other lipogenic-associated genes, including Accca, Dgat1, Dgat2, Acl, Srebp1c, Pparg and Rxra (Fig. 3i). In comparison with control mice, ad-miR-27a-treated mice didn't show any significant changes of mRNA levels of genes involved in hepatic β-oxidation, FFA intake, vLDL secretion and gluconeogenesis, as well as hepatic inflammation and fibrosis in livers under NCD feeding (Fig. S3f). To examine DNL in liver, 3 H-water was injected into mice as a tracer for new synthesized lipids. Impressively, livers of ad-miR-27a-administered mice displayed a substantial reduction in the synthesis of fatty acids but not sterols relative to control livers (Fig. 3j), indicating impaired lipogenesis in miR-27a-overexpressed livers. In HCD-fed mice, excess hepatic miR-27a led to a much lower levels of FAS and SCD1 in both mRNA and protein in liver (Fig. 3k,l), but not in skeletal muscle and adipose tissue . All data are shown as mean ± s.e.m. *p < 0.05, **p < 0.01, ***p < 0.001 by unpaired two-tailed student's t-test.
Ectopic expression of miR-27a improved NALFD in obesity mice. To further determine the roles of miR-27a in obesity-induced NAFLD, ob/ob mice were administered with ad-miR-27a to enforce the expression of miR-27a in livers instead of skeletal muscle and adipose tissue (Figs 4a and S6a). Relative to control mice, excess hepatic miR-27a in ob/ob mice resulted in marked reductions in liver weight (Fig. 4b) and hepatic contents of (g) TG contents of sodium oleate-treated primary hepatocytes. The cells were firstly transfected with miR-27a mimics or combined with plasmids to overexpress Fasn and Scd1, and then treated with sodium oleate (1 mmol/l) for 24 hours. All data are shown as mean ± s.e.m. *p < 0.05, **p < 0.01 by unpaired two-tailed student's t-test, one-way or twoway ANOVA.
TG, FFA and cholesterol (Fig. 4c), impaired hepatosteatosis (Fig. 4d,e), improved NAFLD (Fig. 4f,g) and liver damage (Fig. 4h), but the same levels body weight and food intake (Fig. S5a,b). Mechanistically, upregulated hepatic miR-27a also attenuated mRNA and protein levels of FAS and SCD1 in livers (Fig. 4I,j) but not in skeletal muscle or adipose tissue (Fig. S6b,c). Ectopic expression of miR-27a in liver didn't disturb mRNA levels of other lipogenesis-associated genes ( Fig. 4i) or genes involved in β-oxidation, FFA intake and vLDL secretion (Fig. S5f). Notably, ad-miR-27a-administered ob/ob mice also displayed reduced expression of proinflammatory and fibrogenic genes in liver (Fig. 4k), decreased plasma TG and improved hyperglycemia and hyperinsulinemia (Fig. S5c,d). Taken together, these data revealed that miR-27a acts as a crucial repressor in hepatic lipogenesis and suppressed the development of obesity-induced NFALD.

Discussion
A growing number of studies implicate miRNAs as crucial mediators in regulating lipid homeostasis. MiR-122 is the first miRNA which was discovered to be involved in the regulation of lipid synthesis, catabolism and secretion of liver 27,28 . Subsequent studies in mice demonstrated miR-34a contributing to hepatic steatosis via repressing (j) Synthesis of fatty acids and sterol were analyzed in livers of NCD-fed mice. (k-m) Real-time PCR analysis of lipogenesis-associated genes (k), immunoblotting analysis for indicated proteins (l) and real-time PCR analysis of proinflammatory and fibrogenic cytokines (m) in livers of HCD-fed mice. All data are shown as mean ± s.e.m. *p < 0.05, **p < 0.01, ***p < 0.001by unpaired two-tailed student's t-test or two-way ANOVA. sirtuin 1 (Sirt1) 29 , miR-132 and miR-30 regulating hepatic lipid synthesis and lipoprotein secretion 30,31 , and miR-29 involved in lipogenic programs of liver 32 . Vickers et al. reported that miR-27b is a regulatory hub in hepatic lipid metabolic networks 33 . In our present study, miR-27a was revealed to act as a critical repressor in regulating hepatic DNL and obesity-initiated NAFLD progression. MiR-27a targeted 3′-UTRs of mouse Fasn and Scd1 mRNAs. Overexpressed miR-27a reduced lipid accumulation in primary hepatocytes and mice liver by repressing expression levels of Fasn and Scd1. Ectopic expression of miR-27a in liver attenuated the development of NAFLD induced by HCD feeding and genetic obesity through impairing lipogenic programs.
Previous study indicated miR-27a is involving in lipid metabolism and inhibits lipid droplets formation in rat hepatic stellate cells 22 . Shirasaki et al. also demonstrated miR-27a could impair oleic acid-induced lipid accumulation and regulate lipid metabolism in human hepatoma cells through targeting RXRa and ABCA1, and then inhibit Hepatitis C virus replication 21 . In our data, overexpression of hepatic miR-27a dramatically blocked sodium oleate-induced lipid accumulation in mouse primary hepatocytes (Fig. 2) and reduced hepatic TG content by impairing DNL of liver (Fig. 3). Although RXRα is a critical mediator in hepatic DNL process, we didn't find overexpressed hepatic miR-27a affected mRNA levels of Rxra in liver, skeletal muscle or adipose tissue of NCD-fed or HCD-fed mice or ob/ob mice (Figs 2-4 and S4 and S6), which is inconsistent with previous reports 21,22 . These differences between our present work and previous studies may be ascribed to different types of cells used in experiments. Our experiments were all conducted in mouse primary hepatocytes and livers, of which metabolic processed and genes expression patterns are not identical with that of human hepatoma cells.
MiR-27a was identified as a negative regulator of adipocyte differentiation by targeting PPARg 23 , which is also a critical mediator in hepatic DNL. However, we didn't find overexpressed hepatic miR-27a displayed (i-k) Real-time PCR analysis of lipogenesis-associated genes (i), immunoblotting analysis for indicated proteins (j) and real-time analysis of proinflammatory and fibrogenic cytokines (k) in livers. All data are shown as mean ± s.e.m. *p < 0.05, **p < 0.01 by unpaired two-tailed student's t-test.
any influence on the expression of Pparg in primary hepatocytes, or liver, skeletal muscle and adipose tissue of NCD-fed or HFD-fed mice or ob/ob mice (Figs 2-4 and S5 and S7). These results exclude the possibility that miR-27a exerts its functions on hepatic lipid metabolism via targeting Pparg.
To compare miR-27a with other obesity-modified miRNAs, expression levels of hepatic miR-122 and miR-132 were also analyzed and found to be dramatically upregulated in livers of HFD-fed and ob/ob mice (Fig. S1) as described in previous reports 27,30 . Interestingly, in these fatty livers, miR-27a displayed a similar change as miR-122 and miR-132 did. But in livers of HCD-feeding mice, which hepatic lipogenesis is robustly promoted, miR-27a exhibited an insignificant reduction while miR-122 and miR-132 were dramatically upregulated (Fig. S2b). Furthermore, ectopic expression of miR-27a or miR-122 could block sodium oleate-induced TG accumulation in primary hepatocytes, respectively (Figs 1g and S2b). Surprisingly, enforced expression of Fasn and Scd1 could abolish the inhibition effects of excess miR-27a on TG accumulation (Fig. 1g) but not affect those of miR-122 (Fig. S2b) in primary hepatocytes. These results suggest the functions and underlying molecular mechanisms of miR-27a might be different from other obesity-modified miRNAs (e.g. miR-122 and miR-132) in various contexts of fatty livers.
We firstly reported miR-27a directly targeted 3′-UTR of mouse Fasn and Scd1, and regulated their expression in mouse primary hepatocytes (Fig. 1) and livers (Fig. 2). Our results revealed that miR-27a exerted its functions in hepatic lipid metabolism via regulating DNL rather than disturbing β-oxidation, FFA uptake and vLDL secretion (Fig. 3), indicating its important role in the pathogenesis of NAFLD. DNL is considered as the main reason for fatty liver induced by HCD feeding rather than HFD feeding 34,35 . The increase of hepatic miR-27a mediated by adenovirus sufficiently inhibited hepatic TG, lipid droplets formation and hepatic steatosis in livers of mice maintained on HCD (Fig. 3). Furthermore, ectopic expression of miR-27a repressed the expression of Fasn and Scd1 rather than other genes involved in hepatic lipid metabolism (Fig. 3). We also investigated miR-27a's effects on obesity-induced NAFLD by applying ad-miR-27a to ob/ob mice. Similarly, enhanced expression of hepatic miR-27a alleviated the development of NAFLD in obese mice through inhibiting Fasn and Scd1 expression and hepatic lipogenesis (Fig. 4). Our results reveal miR-27a acts as a negative regulator in hepatic DNL and suppresses the development of NAFLD induced by HCD and genetic obesity.
In determining the accurate extent of miR-27a excess which is efficient to repress TG accumulation, we found that ~10-fold increase of miR-27a could lead to a 20% reduction of TG accumulation induced by sodium oleate in primary hepatocytes (Fig. S3b). In our studies of in vivo, we found that a ~10-fold in NCD-feeding mice, or a ~15-fold in HCD-feeding and ob/ob mice (Figs 3a and 4a) increase of hepatic miR-27a were efficient enough to repress hepatic Fas and Scd1 expression and therefore alleviate NAFLD. Further studies are indeed needed to explore an exact extent of miR-27a expression which is required to improve obese-initiated NAFLD.
Further studies revealed that except of liver, adenovirus administration didn't lead to the changes of miR-27a expression in other main metabolic tissues (including skeletal muscle and adipose tissue) (Figs S4 and S6), indicating miR-27a of skeletal muscle or adipose tissue doesn't contribute to the phenotypes in our present study.
MiR-27a excess was reported to act as an oncogene in the development of gastric and nasopharyngeal cancers 36,37 . However, there are still no published studies implicating that hepatic miR-27a promotes liver cancer development. Impressively, miR-27a was revealed to be downregulated in human HCC samples and plays as a tumor suppressor in tumor metastasis and vasculogenic mimicry via targeting Twist-1 in HCC 38 . With the fact that obesity-initiated NAFLD markedly increases the risk of HCC, the benefic effects of miR-27a on fatty liver and NAFLD in our studies suggest that excess miR-27a could suppress obesity-induced HCC pathogenesis.
In summary, our study firstly reveals a novel and critical role of miR-27a in regulating hepatic DNL and NAFLD development via targeting Fasn and Scd1. These findings provide new insights for understanding obesity-associated NAFLD progression and also novel promising therapeutic target for NAFLD.

Methods
Animals and treatment. Male C57BL/6J mice of 8-week old were purchased from SILAC Animal Research Center of Shanghai (Shanghai, China), and then fed on normal chow diet (NC), high carbohydrate diet (HCD) rich in fructose and sucrose (72.2% carbohydrates, 1% fat, and 26.8% protein by energy, Research Diet Inc., USA) or high fat diet (20% carbohydrates, 60% fat, and 20% protein by energy, Research Diet Inc., USA). Genetically diabetic leptin deficient (ob/ob) mice were purchased from Nanjing University. Mice were maintained on a 12 h light/dark cycle at 22 °C and provided with free access to food and tap water.
For overexpression of miR-27a, male C57BL/6J mice at the age of 10weeks, ob/ob mice at the age of 16 weeks or 14-week-old C57BL/6J mice after maintained on HCD for 8 weeks were injected intravenously through the tail vein with adenovirus encoding scramble RNA (Ad-NC) or miR-27a (Ad-miR-27a) with PFU at 5 × 10 9 in 1 mL PBS. Mice were sacrificed 2~3 weeks later after adenovirus injection. Mice were starved for 6 hours for fasting glucose determination. All experiments in this study were performed in accordance with protocols approved by the Institutional Animal Care and Use Committee of Fudan University.
For induction of intracellular lipid accumulation, primary hepatocytes were cultured in a medium with the addition of 1 mmol/l sodium oleate (Sigma) for 24 hours and then the cells were harvested for further analysis.
Scientific REPORts | 7: 14493 | DOI:10.1038/s41598-017-15141-x Oil-Red O and Bodipy staining of cells were conducted as previously described. Cell viability assays were conducted by the using of MTT (Sigma) and apoptosis were determined by Annexin V and PI staining (Biyuntian Biotech) according to the manufacturers' instructions.
DNA constructs and mutagenesis. mRNA of mouse Fasn and Scd1 containing potential miR-27a binding sites were cloned into pMiR-GLO vector (Invitrogene). Mutated reporter plasmids were constructed through deleting potential miR-27a binding sites under the instruction of gene mutation kit (Beijing Dingguo).
Luciferase assay. Plasmids containing either wild-type or mutated 3′-UTR sequence were transfected into HEK293T cells using Lipofectamine ™ 2000 Transfection Reagent (Invitrogen) and Opti-MEM (Invitrogen) as instruction, and renilla plasmid was co-transfected as the transfection control. The cells were also co-transfected with either the negative control or the mimic (10 pmol/ml) and incubated for 24 h, and then lysed using 1 × Passive Lysis Buffer (Promega Dual Luciferase Assay Kit, Promega). The lysis was applied to luciferase activity test using a luminometer (Orion II Luminometer) according to the manufacturer's instructions. Firefly luciferase values were normalized to those of Renilla luciferase.
Generation and administration of recombinant adenoviruses. The recombinant adenoviruses expressing miR-27a or scramble RNA were generated by the use of AdEasy TM Vector System (Invitrogene). Viruses were collected and purified as described 14 . Viruses were diluted in PBS and administered at a dose of 1 × 10 7 pfu/well in 12-well plate or through tail vein injection in a dose of 1 × 10 9 pfu/mice.
In vivo lipogenesis assay. Hepatic de novo lipogenesis in vivo was measured as previously described 40 with some modifications. In brief, mice were i.p. injected with 0.5 ml of 0.15 mol/l NaCl containing 0.2 mCi of [ 3 H]-water/100 g body weight. About 0.7 g liver sample was excised from one mouse one hour later, and heated at 90 °C for 5 hours in a mixture of 1.5 ml of 4 mol/l KOH and 1.5 ml of 95% ethanol, and then mixed with 4 ml of hexane. After centrifugation, we collected the organic phase, and dried for [ 3 H]-sterol assay. The aqueous phase (3 ml) was acidified with 0.75 ml of 10 mol/l H2SO4 before mixing with 4 ml hexane, and subjected to centrifugation. Then the organic phase was washed with 3 ml of distilled water, and dried for the determination of [ 3 H]-labeled fatty acids and sterols.
Triglyceride, free fat acids and cholesterol test. The determination of TG, FFA and cholesterol were performed according to previous description 41 . Prepared primary hepatocytes were transfected with either miR-27a mimic or ad-miR-27a, and then were scraped and centrifuged after incubation for 48 h. Livers tissues were homogenized with PBS. Cellular and hepatic lipids were extracted with the mixture of chloroform and methanol (2:1) as described previously 42 . Hepatic and plasma TG, cholesterol and FFA were measured by colorimetric assays (Sigma and Wako) according to the manufacturers' instructions, respectively.

Histological analysis, Oil-Red O staining and Masson's trichrome staining of livers. For Oil-Red
O staining, liver samples were embedded in Tissue-Tek OCT embedding compound, and frozen on dry ice. 8 μm-thick frozen sections were cut were stained with an Oil-red O (Sigma). For H&E staining and Masson's trichrome staining, liver tissues were fixed by paraformaldehyde and embedded in paraffin. 8 μm-thick sections of livers were cut and stained with hematoxylin and eosin for H&E staining, or trichrome staining for collagen by the using of Trichrome Stain Kit (Sigma) according to manufacturer's instruction. Images were taken with Zeiss Axioplan 2 Upright Microscope.
TUNEL staining to detect death cells were performed by the using of DeadEnd Fluorometric TUNEL System (Promega) according to manufacturer's instruction.
Statistical analysis. All data are expressed as the mean ± s.e.m. of at least three independent experiments.
Significant differences were analyzed according to indicated statistical methods using GraphPad Software. p < 0.05 was considered statistically significant.