Targeted gene deletion of Bscl2 in mice is associated with a marked loss of fat, especially gonadal WAT. The lipodystrophic
Bscl2−/− mice also display hyperinsulinemia, dyslipidemia, hepatic steatosis, and hyperphagia as well as enlarged liver, spleen, kidney, and heart and elongated small intestine, recapitulating the major phenotypic features of CGL type 2 patients. Sexual dimorphism was evident, as male mice were more severely affected than females (; see also Fig. S1E in the supplemental material). However, interestingly, the extent of adipose tissue loss in
Bscl2−/− mice was less severe than in
Agpat2−/− mice which have no detectable adipose tissue (
12). Similarly, the rate of premature death of
Bscl2−/− mice (21%) was lower than that of
Agpat2−/− mice (~80%) (
12). This is in direct contrast to the clinical phenotypes of the two CGL subtypes in humans, in which CGL type 2 individuals have a more severe loss of adipose tissue and earlier onset of diabetes as well as a higher incidence of premature death compared to CGL type 1 patients with AGPAT2 mutations (
1,
3). The discrepancy may be due to the differential pathways these two genes are involved in and the relative importance of these pathways in human and mouse adipose tissue development. Meanwhile, the less severe adipose tissue loss and absence of hypertriglyceridemia or overt diabetes in
Bscl2−/− mice compared to CGL2 humans suggests other differences between human and mouse physiologies.
The creation of the lipodystrophic
Bscl2−/− mice provided us with a powerful model in which to investigate the pathophysiology that underlies CGL type 2 individuals and enabled us to examine the role of Bscl2 in adipocyte differentiation. We found that in differentiating
Bscl2−/− cells, uncontrolled cAMP-dependent PKA-stimulated lipolysis depletes the cellular content of TAG, resulting in failure of LD maintenance and ultimately causing the cells to abort the adipocyte differentiation program. The principal players in the stimulated lipolysis pathway, HSL and PLIN1A, are highly phosphorylated at PKA sites in the total lysates of
Bscl2−/− cells (A). In a situation resembling that of adipocytes stimulated by cAMP-dependent PKA activation (
8,
40), the differentiating
Bscl2−/− cells also recruit more lipolytic enzymes to the LDs, further accelerating lipolysis (C). Moreover, the dynamic changes of LD sizes and the abnormal expression of PAT family LDPs during
Bscl2−/− cell differentiation further support the presence of ongoing and unbridled lipolysis.
Notably, the early-stage differentiating
Bscl2−/− cells contain numerous dispersed microlipid droplets coated with PLIN1 (D). Similar microlipid droplets have been previously found in adipocytes chronically stimulated with β-adrenergic receptor agonists (
10,
25) and to occur with PLIN1 phosphorylation via PKA activation (
27). The much smaller LDs were also observed in lymphoblastoid cell lines derived from CGL2 patients (
6). At later stages of differentiation, supersized LDs make their appearance (D), a phenotype that was also observed in yeast Fld1/Bscl2 mutants (
15,
41). These supersized LDs may represent a compensatory response of the cells in an attempt to minimize the total surface area of the LDs to limit lipolysis as the size of LDs has been found to be inversely correlated with the rate of lipolysis (
29,
32).
It is noteworthy that PLIN2 mRNA is highly elevated in the beginning of adipocyte differentiation and that its level remains constant throughout the differentiation. However, PLIN2 protein is degraded by proteasome degradation pathways and has been shown to be absent from mature adipocytes once PLIN1 makes its presence (
7). We noted the predominant upregulation of PAT family LDP PLIN2 both
in vitro in the differentiating
Bscl2−/− cells and
in vivo in the EWAT of
Bscl2−/− mice. A similar phenomenon has also been observed in mice with Fsp27 and PLIN1 ablation, which exhibited elevated lipolysis (
32,
40). More importantly, PLIN2 protein expression was previously shown to reappear as a response to protect lipid droplets from lipolysis when PLIN1 is chronically hyperphosphorylated by hormone-induced lipolysis (
16), a finding that corroborates our observation in differentiating
Bscl2−/− cells and EWAT that exhibit unbridled cAMP/PKA-mediated lipolysis. Collectively, these findings show that the rampant stimulated lipolysis leads to the aborted adipose differentiation, resulting in the presence of residual much smaller and immature adipocytes that express a massive amount of Plin2 both
in vitro and
in vivo. The dynamic LD changes and adipocyte turnover during adipogenesis of Bscl2-deficient cells
in vitro are substantially different from what has been reported from studies of cultured adipogenic cell lines with Bscl2 knockdown (
11,
33), possibly due to the presence of a low but significant level of functional Bscl2 expression in knockdown cells.
Lipolysis-mediated impaired adipocyte differentiation also underlies the congenital generalized loss of adipose tissue in
Bscl2−/− mice
in vivo. The residual EWAT of
Bscl2−/− mice demonstrates higher basal lipolysis. The striking upregulation of UCP1 expression in EWAT of
Bscl2−/− mice implies the presence of increased cAMP signaling, as cAMP-mediated PKA activation has been demonstrated to be the major pathway that integrates with PPARγ and PGC1α to regulate UCP1 expression in the white adipose tissue depots (
36,
46). We could not detect a significant increase in PKA-mediated HSL phosphorylation in the EWAT of adult
Bscl2−/− mice (D) such as we have demonstrated in differentiating
Bscl2−/− MEFs (A) and SVCs
in vitro (see Fig. S5E in the supplemental material). This might be due to the fact that the residual EWAT of adult
Bscl2−/− mice had reached a late stage of white adipose tissue development very different from that of actively differentiating
Bscl2−/− cells studied
in vitro. The EWAT appears to contain altered cell populations, including macrophages which have been shown to infiltrate lipodystrophic adipose tissues (
18). Interestingly, the marked upregulation of PLIN2 protein expression in the residual EWAT of
Bscl2−/− mice (as occurs in
in vitro differentiating
Bscl2−/− cells) is readily evident and is reminiscent of the consequences of unbridled lipolysis. Meanwhile, although the residual adipose depots of
Bscl2−/− mice express a similar level of mature adipocyte markers, the much lower level of Pref1, a preadipocyte marker and an inhibitor of adipocyte differentiation (
39), along with the increased C/EBPβ, a transcription factor required for an early stage of adipogenesis (
44), together suggest an enhanced conversion of
Bscl2−/− preadipocytes to adipocytes
in vivo to compensate for a marked deficiency of adipocytes resulting from defective terminal adipocyte differentiation in these mice.
Our data show Bscl2 to be an early physiological regulator of cAMP/PKA-stimulated lipolysis whose disruption has a profound effect on adipocyte differentiation. The late differentiation defect can be reversed by a PKA inhibitor () or a downstream lipase inhibitor (), further underscoring the important role of well-controlled cAMP/PKA-mediated lipolysis in sustaining normal adipogenesis. Ablation of genes such as the PLIN1 and Fsp27 genes results in higher basal lipolysis in mature adipocytes but has no apparent effect on adipocyte differentiation (
28,
32), suggesting that cAMP/PKA-stimulated lipolysis, but not basal lipolysis, may play a direct role in adipocyte differentiation. Consequently, the fat loss in
Bscl2−/− mice is substantially more severe than that observed in the other models. In addition, forced hyperactivation of PPARγ by pioglitazone treatment ameliorates the differentiation defect in
Bscl2−/− MEFs to only a very minor extent (). Only when the unbridled lipolysis is suppressed by a lipase inhibitor is the differentiation defect reversed with restoration of normal adipocyte differentiation (). These data argue against PPARγ being a downstream target or mediator of Bscl2 action.
It is unclear how an ER BSCL2 protein modulates cAMP signaling pathway. Bscl2 was originally identified as a divergently transcribed gene adjacent to the G protein γ 3 subunit (Gng3) gene (
14), whose gene product is involved in G protein-coupled receptor (GPCR) signaling. However, the activation of cAMP/PKA signaling in the absence of Bscl2 was unlikely to have been mediated at the level of β-adrenergic receptors (β-AR), because we found that neither pan-β-AR antagonists [(
S)-(−)-propranolol hydrochloride] nor the antagonist against the most abundant β3-AR (SR59230A) blocks lipolysis or rescues adipocyte differentiation in
Bscl2−/− MEFs (data not shown). We note that Bscl2 was found to regulate phospholipid metabolism (
6,
15), which could potentially generate downstream lipid mediators that modulate cAMP signaling. The exact pathway whereby Bscl2 controls lipolysis must await further elucidation. A detailed analysis is hampered by the lack of a specific antibody that recognizes the endogenous protein and the fact that transgene-induced expression of Bscl2 in cells
in vitro generally leads to aggregate formation (
11,
26).
There is a complex relationship between cAMP/PKA signaling and the expression of adipose-specific transcription factors and adipose differentiation. Activation of cAMP/PKA and subsequent phosphorylation of cAMP response element binding protein (CREB) is required for upregulation of C/EBPβ and initiation of adipocyte differentiation in 3T3-L1 cells (
35,
49). In contrast, chronic activation of cAMP/PKA, through either adrenergic signaling or forskolin, negatively regulates adipose tissue-specific transcription factors such as C/EBPβ, C/EBPα, and/or PPARγ2, impeding adipogenesis in MEFs () and other different cell types (
20,
22,
23,
34). Here we show that in differentiating
Bscl2−/− cells, the abnormal activation of the cAMP/PKA pathway triggers a marked reduction of adipose-specific transcription factors and their downstream targets and products, leading to the formation of rounded cells that have completely lost their adipocyte phenotype, containing no LDs or adipocyte marker proteins, a process that can be reversed with lipase inhibitors but not PPARγ activation.
In summary, by creating and investigating the mouse genetic equivalent of human CGL2, we have identified Bscl2 as a cell-autonomous determinant of cAMP/PKA-stimulated lipolysis, a process which must be tightly regulated for complete differentiation and maintenance of adipocytes.