Glucocorticoids (cortisol in humans and corticosterone in rodents) are critical regulators of many aspects of mammalian physiology, including glucose homeostasis and immune function, and these stress hormones exhibit a robust diurnal rhythm in the circulation. Synthetic glucocorticoids are widely used as anti-inflammatory drugs, but cause undesirable side effects including hyperglycemia, insulin resistance and suppression of adrenal function. A paradox of nuclear receptor signalling is that potent agonists typically repress as many genes as they activate. The cloning of the GR
3 revealed that the same gene product mediated both agonist induced activation and repression via dichotomous mechanisms that still remain poorly understood. Ligand stimulation results in translocation of GR from the cytoplasm to the nucleus where it binds to GREs and alters the transcription of hundreds to thousands of genes. Several cofactors have been identified that mediate transcriptional activation, including the steroid receptor coactivators (SRC1-3), the histone acetyltransferases CBP/p300 and the nuclear methylase coactivator-associated arginine methyltransferase 1 (CARM1)
4. In regards to GR-dependent repression, combinations of direct and indirect mechanisms have been proposed. For example, GR may `tether' or bind to proinflammatory transcription factors, such as nuclear factor of kappa light polypeptide gene enhancer in B-cells (NFκB), and `trans-repress' gene expression by interfering with their activation mechanism
5. In addition, glucocorticoids can directly repress metabolic targets, particularly in the HPA axis, in a way that does not seem to require NFκB or other inflammatory transcription factors. In this case, GR acts via direct binding to negative response elements that presumably promote recruitment of one or more hypothetical repressive co-factors.
Circadian clocks drive rhythms in physiology and behaviour that enable organisms to keep track of the time of day and to adjust their physiology to adapt to recurrent, and therefore predictable, changes in the external environment. Mammalian circadian clocks are based on a transcription and translation feedback loop in which a heterodimer of the transcription factors circadian locomotor output cycles kaput (CLOCK) and brain and muscle ARNT-like 1 (BMAL1) drives transcription from E-box elements, including that of their own repressors, the Period (
Per1,
Per2 and
Per3) and Cryptochrome (
Cry1 and
Cry2) genes
2. For many years, mammalian clocks were thought to reside solely in the hypothalamic suprachiasmatic nucleus (SCN), in which the clock is set by light signals via the retinohypothalamic tract, and from which secreted signals drive rhythms in locomotor activity. Subsequently, circadian clocks have been identified throughout mammalian peripheral organs and their timing was demonstrated to be determined by metabolic cues rather than in direct response to light
6. Several molecular mechanisms have been described that contribute to metabolic resetting of clock time in peripheral organs
7–9.
The existence of clocks in peripheral organs and the demonstration that their timing is set by metabolic cues led to the question of whether they participate in physiological regulation that enables organisms to adapt to changing metabolic needs over the course of the day. Tissue-specific ablation of clock function demonstrated that clocks in the liver
10 and pancreas
11,12 indeed contribute to glucose homeostasis at specific times of the day. Several studies have demonstrated that thousands of transcripts are subject to circadian regulation in myriad organs
13,14, and that most of this regulation is lost upon tissue-specific clock disruption
10,15, suggesting that rhythmic transcription of rate-limiting enzymes and transporters contributes to circadian physiological regulation
14.
The time of peak expression for these oscillating transcripts is distributed across the day, suggesting that multiple mechanisms contribute to their diurnal regulation. In addition to cascades of rhythmically expressed transcription factors, including NRs, which could be driven by clock-dependent rhythmic expression, circadian repression of subsets of target genes by the negative arm of the clock may contribute to oscillation of specific genetic programs. The direct regulation of cryptochromes by metabolic signals
7 makes them ideal potential cross-over regulators for circadian and metabolic gene expression programs. Because nuclear receptors are prototypic regulators of metabolism, we examined the possibility that Cry1 and Cry2 might contribute to diurnal aspects of their regulatory output
1.
We first explored whether Cry1 can interact with two NRs known to modulate clock function—the retinoid-related orphan receptors (ROR α/β/γ) and Reverb α/β. Unexpectedly, we find robust association between Cry1 and RORα and γ but not with RORβ or Reverb α/β though we did reproduce the reported association of PER2 with Reverb α
16 (). This is intriguing for two reasons: 1) RORα and RORγ but not RORβ can activate Bmal1 transcription
17 and 2) Cry1 preferentially associates with the activation (ROR) and not the repressive (Reverb) arm of the pathway. Together these results suggest that the so-called “secondary loop” in which ROR's and Rev-Erb's modulate BMAL1 transcription and are thought to make clocks more robust and accurate involves cryptochromes.
We next initiated a broader survey of NR interactions and unexpectedly discovered a robust physical association of Cry1 with the glucocorticoid and androgen receptors (GR and AR, respectively) (). Although Per2 can interact with some NRs (such as Reverb
16), it does not appear to bind GR (). Further analysis reveals that Cry2 also interacts with GR () and that the association is stimulated by glucocorticoids (). Notably, Cry1 represses the ability of GR to drive expression of a luciferase reporter from a GRE-containing promoter (). Finally, we used a series of deletion mutants of GR to demonstrate that Cry1 interacts with the C-terminus of GR (), which is required for either activation or repression of transcription in response to ligand. Steroid hormones (glucocorticoids, testosterone, progesterone and aldosterone) are critical regulators of metabolic and reproductive physiology so the possibility that they could be directly regulated by cryptochromes suggests a new mechanism by which circadian clocks modulate physiological rhythms.
In order to determine whether cryptochromes modulate glucocorticoid-stimulated changes in transcription of endogenous genes in vivo, we analyzed global changes in gene expression following glucocorticoid treatment of primary fibroblasts derived from wild type and
cry1−/−;
cry2−/− double knockout (DKO) littermate mouse embryos (). Circadian rhythms of transcription can be synchronized by dexamethasone treatment of fibroblasts
18 and these changes are expected to be lost in Cry-deficient cells, such that a subset of both positive and negative transcriptional responses to dexamethasone will be absent. However, if cryptochromes are independently capable of repressing transcription via GR, we would expect to see a global positive shift in the transcriptional response to dexamethasone (e.g. an increase in gene activation and a decrease in repression). Indeed, we found that the transcriptional response to the synthetic glucocorticoid dexamethasone (Dex) was significantly more positive in cryptochrome-deficient cells: 205 more genes (191→396) were activated by Dex in Cry-deficient cells compared to the controls indicating that Cry limits induction of a larger network of GR responsive genes. Perhaps even more unexpectedly, of 657 Dex repressed genes only 64 were suppressed in DKO cells (). We confirmed the observed expression patterns for several individual genes in an independently derived pair of control and cryptochrome-deficient MEFs (). Because the interpretation of the results for individual transcripts is complicated by the potential role of circadian synchronization, we also examined the expression profile of the established GR transcriptional target serum/glucocorticoid regulated kinase 1 (
sgk1) in response to dexamethasone stimulation and found that
sgk1 mRNA is more robustly activated in
cry1−/−;
cry2−/− cells compared to control cells within two hours of exposure to glucocorticoids () and over a range of dosages (). In general, the dynamic response to Dex is complex and transcript-dependent but more positive in the absence of cryptochromes (
Fig. S2). Together these results lead to the surprising suggestion that Cry1 and Cry2, central regulators of the circadian clock, also directly oppose Dex-induced GR activation.
Some of the best-studied physiological roles of glucocorticoids are suppression of the immune system and activation of gluconeogenesis. We examined whether cryptochromes are required for transrepression of inflammatory genes in primary bone marrow macrophages from wildtype and
DKO mice. Following lipopolysaccharide (LPS) stimulation with or without prior Dex treatment, the expression of tumor necrosis factor alpha (TNFα) and chemokine (C–C motif) ligand 4 (Ccl4) was indistinguishable in wildtype and DKO macrophages (
Fig. S3). The basal and LPS-induced expression of monocyte chemoattractant protein 1 (Mcp1), interleukin 6 (IL-6), and inducible nitric oxide sythase (iNOS) was elevated in macrophages lacking Cry1 and Cry2 but these transcripts were equally suppressed by dexamethasone treatment regardless of the presence or absence of cryptochromes (
Fig. S3). Thus, cryptochromes appear to regulate a distinct, albeit substantial, subset of GR regulated target genes, which does not include the NFκB inflammatory gene network.
Chronic treatment with gluocorticoids to suppress inflammation often results in hyperglycemia due to GR-induced expression of Pck1, a rate-limiting gluconeogenic enzyme in the liver. If cryptochrome repression of GR-mediated transcription were relevant in the liver, we would expect the ability of glucocorticoids to induce
pck1 transcription to be lower when cryptochromes are present. Indeed,
pck1 induction following a one-hour exposure to dexamethasone was dependent on the time of day and the induction of
pck1 is inversely correlated with the amount of cryptochrome protein in the nucleus (). Excluding the possibility that the observed effect of day-time involves altered expression or chromatin accessibility of GR, in an independent experiment, we observed a greater increase in
pck1 expression in response to Dex at ZT4 (ZT, zeitgeber time, denotes hours after the lights are turned on) than at ZT16, even though the glucocorticoid-induced association of GR with the Pck1 promoter was relatively elevated at ZT16 (
Fig. S4). Furthermore, using antibodies that we generated to detect endogenous Cry1 and Cry2 (
Fig. S5), we found that cryptochromes interact with GR in the liver following ligand stimulation
in vivo at night (ZT18) when glucocoticoids are less effective at inducing the expression of
pck1 (). (
Cry1−/− and
Cry2−/− samples were used in this experiment to ensure antibody specificity without abolishing circadian rhythmicity). Strikingly, dexamethasone stimulated
pck1 transcription 12.8-fold at ZT16 in Cry-deficient livers, even though glucocorticoid-induced association of GR with the Pck1 promoter was reduced in the
DKO livers (). Finally, chromatin immunoprecipitation of Cry1 and Cry2 revealed that cryptochromes are associated with the Pck1 promoter GRE following dexamethasone treatment
in vivo in mouse livers, while dexamethasone had no effect on the Bmal1-mediated association of Cry1 and Cry2 with the Dbp promoter (). Together, these data demonstrate that cryptochromes directly repress GR induction of
pck1 in the liver and thus may limit glucocorticoid-induced hyperglycemia.
To examine the role of cryptochromes in glucocorticoid-dependent physiology, we measured several GR-dependent parameters in wildtype and Cry-deficient mice. (Importantly, Cry-deficient mice were maintained in 12:12 light:dark conditions and were found to have normal behavioural patterns,
Fig. S6). In addition to suppressing inflammation and increasing gluconeogenesis via
pck1, a principal role of glucocorticoids is to promote negative feedback in all three organs of the (HPA) axis
19. However, in
DKO mice, we find that glucocorticoids, which normally show robust cycling rhythm, fail to be suppressed during the day as they are in wildtype mice (). Perhaps not surprisingly, glucose homeostasis is severely disrupted in Cry-deficient mice, consistent with the observed regulation of
pck1 transcription: thus,
DKO mice exhibit elevated blood glucose in response to acute feeding after an overnight fast () and severely impaired glucose clearance in a glucose tolerance test (GTT) (). Even mice lacking either Cry1 (
cry1−/−) or Cry2 (
cry2−/−) were significantly impaired in their ability to restore normal blood glucose following glucose injection (). In contrast, Cry-deficient animals were normally responsive to insulin ().
To directly examine the role of cryptochromes in repression of the HPA axis and in glucocorticoid-induced hyperglycemia, we subjected wildtype and littermate
DKO mice to 8 weeks of chronic glucocorticoid treatment. After long-term exposure to Dex, endogenous production of corticosterone was completely shut down in wildtype mice as expected, and was incompletely suppressed in Cry-deficient mice (), suggesting that cryptochromes directly participate in GR-mediated repression of glucocorticoid synthesis via the HPA axis. Furthermore, circulating adrenocorticotropic hormone (ACTH) seems to be elevated in DKO mice (
Fig. S7), suggesting that cryptochromes may regulate steroidogenesis upstream of pituitary secretion of ACTH. Chronic glucocorticoid treatment caused significant fasting hyperglycemia in both wildtype and
DKO mice, but it was more severe in mice lacking cryptochromes (). In addition, Cry-deficient mice exposed to chronic glucocorticoid treatment exhibited greater glucose intolerance compared to Cry-deficient mice treated with saline for the same time period while wildtype mice had the same ability to respond to a mild glucose challenge whether they were exposed to saline or dexamethasone over the 8 weeks of treatment (). Together, these data suggest that cryptochrome repression of GR-mediated transcription is an important mechanism by which circadian clocks modulate metabolic physiology
in vivo.
It has become increasingly clear that circadian clocks play an important role in optimizing the temporal coordination of tissue physiology with metabolic demands that fluctuate over the course of the day
2. While oscillating transcriptional activation of Clock:Bmal1 target genes contributes to these physiological rhythms, some transcriptional targets, including
pck1, undergo circadian oscillations independent of Clock and Bmal1
10. Some of these transcripts are likely to be regulated by rhythms of fasting and feeding and subsequent oscillations in insulin, glucagon and other hormones
20 and may be modulated by circadian repressors in the Period and Cryptochrome families.
In this study, we describe an interaction between cryptochromes and the glucocorticoid receptor, through which Cry1 and Cry2 repress GR-dependent transcription, including the induction of
pck1 in the liver (
Fig. S1). We demonstrate that Cry1 and Cry2 interact with GR in mouse liver and are associated with a GRE in the Pck1 promoter in a glucocorticoid-dependent manner. The physiological relevance of these associations is apparent in the increased susceptibility of cryptochrome-deficient mice to glucocorticoid-induced hyperglycemia. Notably,
cry1−/−,
cry2−/− and
cry1−/−;
cry2−/− mice were also strikingly intolerant of a high dose of glucose even in the absence of supplemental glucocorticoid treatment, reflecting a combination of increased glucocorticoid production, increased glucocorticoid-induced
pck1 transcription and other cryptochrome-dependent pathways, including both Clock/Bmal1-dependent transcriptional programs and recently reported Cry-dependent effects on cAMP responsive element binding protein (CREB)-mediated transcription
21. Past studies have indicated a role for PER2 up-regulation in the hyperglycemia induced by glucocorticoids via GR binding a GRE in the Per2 promoter
22; we have found a distinct regulatory axis, involving direct physical association between cryptochormes and GR, by which circadian clocks modulate the response to glucocorticoids.
In addition, we found that Cry1 and Cry2 participate in glucocorticoid-dependent suppression of the HPA axis and the production of endogenous glucocorticoids. The observed effects on corticosterone production are reminiscent of a recent study in which
cry1−/−;
cry2−/− mice were found to have constitutively elevated production of aldosterone due to adrenal de-repression of type VI 3-β hydroxyl-steroid dehydrogenase (
hsd3b6)
23. Combined with our observation of direct interactions between cryptochromes and multiple steroid hormone receptors ( and data not shown), these data suggest that cryptochromes may play a general role in feedback inhibition of steroid hormone biosynthesis, though the anatomic location of action may differ as previous studies did not observe a role of cryptochromes in corticosteroid biosynthetic gene expression in adrenal cortex while they do seem to modulate aldosterone-synthesizing pathways in the adrenal gland
23.
These results suggest a specific mechanism through which cryptochromes couple the activity of clock and receptor target genes to complex genomic circuits underpinning normal metabolic homeostasis. While we found that cryptochromes participate in glucocorticoid regulation of gluconeogenesis and steroidogenesis, they are not required for trans-repression of inflammatory gene transcription. Thus, the undesirable metabolic side effects of glucocorticoids used to suppress inflammation may be alleviated by altering the timing of treatment or by combining them with agents that can stabilize Cry1 and/or Cry2 in the liver. As metabolic syndrome is a complex blend of chronic inflammation and poorly controlled glucose homeostasis, the ability of cryptochromes to integrate metabolism and circadian rhythms suggests that targeting the GR-Cry interface could be a new therapeutic strategy.