MINIREVIEW
SREBPs: physiologyandpathophysiologyof the
SREBP family
Hitoshi Shimano
Department of Internal Medicine (Endocrinoglogy and Metabolism), Graduate School of Comprehensive Human Sciences, University of
Tsukuba, Japan
SREBP-2 and sterol regulation
The sterol regulatory element-binding protein (SREBP)
family, originally identified as basic helix–loop–helix
(bHLH) leucine zipper transcription factors by Gold-
stein and Brown, is involved in the regulation of genes
participating in cholesterol biosynthesis and low-density
lipoprotein receptor synthesis [1,2]. They are now estab-
lished as global regulators of lipid synthesis. What
makes this bHLH family unique is that SREBPs are syn-
thesized and located on the endoplasmic reticulum (ER)
membrane in their precursor form. To exert transcrip-
tional activities, the active N-terminal region of the
bHLH needs to undergo proteolytic cleavage for nuclear
translocation. Sterol regulation is mainly attributed to
this cleavage activity, depending on cellular cholesterol
levels. TheSREBP cleavage-activating protein (SCAP)
functions as a cholesterol sensor. When the cellular cho-
lesterol levels are depleted, SCAP binds to and escorts
SREBP in COPII vesicles to the Golgi apparatus, where
the site 1 and site 2 proteases cleave the SREBPs [3,4].
Upon restoration of cellular cholesterol, Insig, another
key regulator of ER membrane proteins, traps and
retains the SREBP–SCAP complex at the ER to inhibit
SREBP cleavage in the Golgi, thus downregulating
sterol and low-density lipoprotein receptor biosynthesis.
Keywords
cholesterol; diabetes; dyslipidemia; fatty
acids; fatty liver; insulin resistance;
lipotoxicity; metabolic syndrome; SREBP;
trigylcerides
Correspondence
H. Shimano, Department of Internal
Medicine (Endocrinoglogy and Metabolism),
Graduate School of Comprehensive Human
Sciences, University of Tsukuba,
1-1-1 Tennodai, Tsukuba, 305-8575, Japan
Fax: +81 29 853 3174
Tel: +81 29 853 3053
E-mail: shimano-tky@umin.ac.jp,
hshimano@md.tsukuba.ac.jp
(Received 2 August 2008, revised 11
November 2008, accepted 18 November
2008)
doi:10.1111/j.1742-4658.2008.06806.x
Sterol regulatory element-binding proteins (SREBPs) have been established
as physiological regulators of lipid synthesis. The molecular mechanisms by
which cellular sterol balance and nutritional states regulate SREBP acti-
vities are the current research focus of this field. Meanwhile, it has been
shown that overnutrition or disturbed energy balance causes accumulation
of tissue lipids, leading to metabolic disorders, often referred to as ‘lipotox-
icity’. In this overview, I discuss the pathological aspects of SREBPs, which
contribute to lipotoxicity in a wide variety of organs, including hepatic
insulin resistance in hepatosteatosis, impaired insulin secretion in pancreatic
b-cells, diabetic nephropathy, cardiac arrythmiasis, and obesity.
Abbreviations
bHLH, basic helix–loop–helix; ER, endoplasmic reticulum; IRS-2, insulin receptor substrate-2; PUFA, polyunsaturated fatty acid; SCAP, sterol
regulatory element-binding protein cleavage-activating protein; SREBP, sterol regulatory element-binding protein.
616 FEBS Journal 276 (2009) 616–621 ª 2008 The Author Journal compilation ª 2008 FEBS
SREBP-1c and lipogenesis
The SREBPfamily consists of three isoforms: SREBP-
1a, SREBP-1c, and SREBP-2. Each isoform has a
different regulatory mechanism [5–8]. In contrast to
sterol regulation by SREBP-2 at the cleavage level as
described above, SREBP-1c activates transcription of
genes involved in fatty acid and triglyceride synthesis,
such as the genes encoding acetyl-CoA carboxylase,
fatty acid synthase, Elovl-6, and stearoyl-CoA desatur-
ase. These genes are regulated by SREBP-1c, depend-
ing on the nutritional conditions for triglyceride
storage. SREBP-1c is also subject to the SCAP–Insig
cleavage regulation system, but it is not strictly under
sterol regulation. Under conditions of overnutrition,
SREBP-1c expression is elevated, and consequently,
the levels of nuclear SREBP-1c protein and lipogenesis
are enhanced in the liver and adipose tissues. Intake of
energy molecules such as sugars, carbohydrates and
saturated fatty acids activates SREBP-1c expression,
which is eliminated under conditions of fasting and
starvation. SREBP-1c activates insulin-mediated lipo-
genesis, whereas starvation signals such as glucagon,
protein kinase A and AMP-activated protein kinase
inhibit SREBP-1c. Glucose metabolism and lipid
metabolism are highly linked, as depicted in Fig. 1.
The feedback system by SREBP-2 guarantees appro-
priate levels of cellular cholesterol. Meanwhile, excess
glucose cumulatively activates SREBP-1c and increases
triglyceride storage. This scenario explains the physio-
logical transcriptional regulation of energy storage in
response to the nutritional status. Under energy abun-
dance scenarios, acetyl-CoA is used as a substrate for
the synthesis of fatty acids and cholesterol. In contrast,
in an energy-depleted state, acetyl-CoA serves as fuel
for the tricarboxylic acid cycle and ATP production
via fatty acid oxidation. SREBP-1c is an upstream
regulator of genes for energy storage, and could
precipitate cardiovascular risks. Physiologically, this
system is important for surviving starvation. However,
in modern society, where obesity is a major health
problem, these thrifty genes exacerbate metabolic
disturbances such as diabetes, hyperlipidemia, and
metabolic syndrome [9]. Chronic activation of
SREBP-1c in cases of overnutrition can therefore lead
to obesity-related problems.
SREBP as the global lipid regulator
SREBP-1a is highly expressed in growing cells, and it
activates the synthesis of a variety of lipids, such as
fatty acids, triglycerides, and phospholipids, as well as
cholesterol, presumably for the supply of membrane
lipids. It has been reported that SREBP may play a role
in proliferation in a wide variety of human cancers [10–
13]. Recent reports also suggest that SREBP-1a could
be involved in lipid synthesis during the cell cycle [14].
Regulation of SREBP-1a in the cell cycle is mediated
through its phosphorylation and ubiquitin-dependent
degradation by the Fbw7 ubiquitin ligase, indicating a
new mechanism ofSREBP regulation [15–18]. In con-
trast, we recently reported that overexpression of
SREBP-1a activates cyclin-dependent kinase inhibitors
such as p21, p27, and p16, and causes cell cycle arrest
Glucose
Glc6P 6PG
G6PD
Feedback
Pentose phosphate
pathway
NADPH
Pyruvate Malate
ME
PK
Cholesterol synthesis
Squalene
Cholesterol
HMG-CoA reductase
SREBP-2
NADPH
Pyruvate
Acetyl-CoA
Citrate
acetyl-CoA
Oxaloacetate
Oxaloacetate
ACL
ACC
HMG-CoA
HMG-CoA synthase
Citrate
Malonyl-CoA
Palmitate
Malate
Mitochondria
FAS
ACC
SCD
Fatty acid synthesis
Stearate
Elovl6
acyl-CoA
Glycerol-3-phosphate
1-acylglycerol-3-phosphate
CoA
Cytosol
GPAT
SCD
Feedforward
SREBP-1
Triglyceride
DGAT
Fig. 1. Regulation of glucose and lipid
metabolism by SREBPs. Acetyl-CoA is
produced from glycolysis of glucose, and
passed into the tricarboxylic acid cycle or
used for fatty acid synthesis or cholesterol
synthesis. SREBP-2 regulates cholesterol
synthetic genes in a sterol-regulatory feed-
back fashion, whereas SREBP-1c controls
lipogenic genes depending upon energy
states. Glc6P, glucose 6-phosphate; G6PD,
glucose-6-phosphate dehydrogenase; PK,
pyruvate kinase; ME, malic enzyme; ACL,
acetyl-CoA lyase; ACC, acetyl-CoA carboxyl-
ase; FAS, fatty acid synthase; SCD, stea-
royl-CoA desaturase; GPAT, glycerol
phosphate acyltransferase; DGAT, diacyl-
glycerol acyltransferase; 6PG, 6-phosphoglu-
conate.
H. Shimano PhysiologyandpathophysiologyoftheSREBP family
FEBS Journal 276 (2009) 616–621 ª 2008 The Author Journal compilation ª 2008 FEBS 617
at G
1
[19]. In particular, p21 is a direct target of
SREBP [20]. The role of SREBP-1a in the regulation of
cell growth andthe cell cycle might be biphasic and
complex, and needs to be further investigated.
SREBP is evolutionarily conserved; however, the
key lipid molecules that control SREBP activation dif-
fer among species. Cellular cholesterol levels strictly
and partially determine SREBP-2 and SREBP-1 cleav-
age in mammalian cells for sterol regulation and
synthesis of other lipids, respectively. Intriguingly,
cleavage ofSREBP homolog is regulated by cellular
phosphatidylethanolamine, the major phospholipid in
Drosophila, whereas hypoxia regulates SREBP activa-
tion in fission yeast [21,22]. Despite species-specific
roles, SREBP is linked to cell growth, which leads us
to speculate that SREBP cleavage in the membrane is
the cell’s sensory response to stress that manifests
through changes in membrane lipid composition. Dif-
ferential regulation ofSREBP processing by different
lipids among species suggests that SREBP is a monitor
and controller of cell membrane composition.
Pathophysiological aspects of SREBPs
in various organs
Accumulation of lipids has been linked to functional
disturbances in various tissues and organs, often
referred to as lipotoxicity [23]. Fatty liver is associated
with hepatic insulin resistance and b-cell lipotoxicity
with impaired insulin secretion, both of which trigger
diabetes. SREBP-1c controls endogenous fatty acid
synthesis [24]. It is conceivable that positive energy
imbalance chronically activates SREBP-1c, causing
lipotoxicity in various tissues and organs. It has been
reported that SREBP-1c is involved in hepatosteatosis
and pancreatic b-cell dysfunction [25,26].
Insulin resistance in liver and impaired
insulin secretion in b-cells
Molecular dissection ofthe underlying mechanisms of
lipotoxicity due to cellular stresses such as reactive
oxygen species and ER stress caused by lipid peroxida-
tion has been conducted [27]. Meanwhile, we have
been focusing on the molecular mechanisms by which
SREBPs are involved in lipotoxicity. SREBPs directly
repress the transcription of insulin receptor substrate-2
(IRS-2), the main insulin signaling molecule in the liver
and pancreatic b-cells [8,26]. Suppression of IRS-2 by
SREBP-1c in the liver inhibits processes regulating
insulin signaling, such as glycogen synthesis, and con-
tributes to the physiological switching from glycogen
synthesis to fatty acid synthesis during energy reple-
tion. Chronic activation of hepatic SREBP-1c causes
fatty liver, hypertriglyceridemia, and insulin resistance,
leading to the development of metabolic syndrome.
SREBP-1c activation causes b-cell dysfunction, leading
to impaired insulin secretion [28]. IRS-2 is a key mole-
cule for pancreatic b-cell mass, through influencing cell
survival or possibly proliferation. Diminished b-cell
mass is crucial in the development of diabetes.
SREBP-1c inhibition of IRS-2 affects b-cell mass and
promotes diabetes. Besides affecting b-cell mass, the
other factors by which SREBP-1c could contribute to
diabetes include exocytosis of insulin-containing gran-
ules by uncoupling protein-2 through ATP consump-
tion, and granuphilin through inhibition ofthe vesicle
fusion machinery [29–31].
Fatty acids as modulators of SREBP-1c
The protective role of fish oil rich in polyunsaturated
fatty acids (PUFAs) against cardiovascular diseases has
been long known. In addition to antiplatelet and coagu-
lant actions, PUFAs also inhibit lipogenesis and lower
tissue and plasma triglyceride levels through inhibition
of SREBP-1c. The molecular mechanisms by which
PUFAs inhibit SREBP-1c are multiple and complex,
and still under investigation. Most importantly, PUFAs
inhibit SREBP-1c cleavage for nuclear translocation
[32,33], which highlights different regulators of the
SREBP cleavage system, SREBP-1c for lipogenesis and
SREBP-2 for cholesterol synthesis, although the precise
molecular basis is still under investigation. PUFAs also
suppress SREBP-1c expression [33–37]. They amelio-
rated insulin resistance along with hepatosteatosis in an
obese mouse model [38]. In pancreatic b-cells, palmitate
impairs and eicosapentaenoic acid restores insulin
secretion, and studies conducted on SREBP-1c-deficient
islets found that these effects are mediated through
regulation of SREBP-1c (Fig. 2) [39].
Chronic kidney diseases and SREBP-1c
SREBP-1c is also implicated in chronic kidney dis-
eases. Glomerular SREBP-1c has been suggested to be
involved in diabetic nephropathy and hyperlipidemia-
associated glomerulopathy through activation of
reactive oxygen species, NADPH oxidase and, thus,
transforming growth factor-b [40–43].
Adipogenesis and SREBP-1c
SREBP-1c is also known as ADD1, which has been
cloned as a regulator of adipogenesis [44]. The roles of
SREBP-1c in adipogenesis are currently controversial.
Physiology andpathophysiologyoftheSREBPfamily H. Shimano
618 FEBS Journal 276 (2009) 616–621 ª 2008 The Author Journal compilation ª 2008 FEBS
In 3T3L1 adipocytes, overexpression of ADD1 ⁄
SREBP-1c slightly enhances triglyceride accumulation.
However, chronic activation of SREBP-1c in adipose
tissues of transgenic mice with disrupted adipogenesis
caused lipodystrophy phenotypes [45], suggesting that
inappropriate activation of SREBP-1c impairs normal
adipogenesis. However, neither adipogenesis nor lipo-
genesis was affected in SREBP-1 knockout mice [46],
indicating that its chronic absence could be compen-
sated for by other factors, potentially SREBP-2.
SREBP-1c expression was unexpectedly suppressed in
hypertrophic adipose tissues of ob ⁄ ob mice [47]. These
data hamper a consistent evaluation ofthe role of
SREBP-1c in adipogenesis. Although it is likely that
SREBP-1c ⁄ ADD1 contributes to adipogenesis and
lipogenesis in normal adipocytes, the timing and levels
of SREBP-1c action are important for effects on adi-
pocyte functions. The gene encoding the cyclin-depen-
dent kinase inhibitor p21 is a target gene of SREBP
[20]. This finding suggests that the regulation of lipid
synthesis is linked to the regulation of cell growth.
Recently, we observed that in adipocytes, p21 is
involved in adipogenesis and obesity associated with
insulin resistance [48]. The exact roles of SREBP-1c ⁄
ADD1 are not yet fully defined.
SREBP and parasympathetic function
in heart
Parasympathetic stimulation ofthe heart involves
activation of GIRK1 ⁄ 4, a G-protein-coupled inward-
rectifying potassium channel, and results in an
acetylcholine-sensitive atrial potassium current.
GIRK1 is a newly identified SREBP target [49]. The
regulation ofthe cardiac parasympathetic response
and development of ventricular arrhythmia, especially
after myocardial infarction, could be regulated by
myocardial SREBP-1c, indicating a relationship
between lipid metabolism andthe parasympathetic
response that may play a role in arrhythmogenesis.
Regulation of sulfonylurea channels and other potas-
sium channels by SREBPs was also observed in our
preliminary evaluation of SREBP-1c-overexpressing
b-cells, partially contributing to impaired insulin secre-
tion. These data imply that changes in lipid meta-
bolism could regulate thephysiologyof biomembranes
potentially through SREBPs, although it is yet to be
determined whether other ion channels are direct
targets of SREBP.
New aspects ofSREBP functions
To summarize, SREBP-1c is a physiological regulator
of lipogenesis, and activation ofSREBP could
contribute to obesity-related pathophysiology through
modification of tissue-specific gene expression as
shown in Fig. 3.
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H. Shimano PhysiologyandpathophysiologyoftheSREBP family
FEBS Journal 276 (2009) 616–621 ª 2008 The Author Journal compilation ª 2008 FEBS 621
. MINIREVIEW
SREBPs: physiology and pathophysiology of the
SREBP family
Hitoshi Shimano
Department of Internal Medicine (Endocrinoglogy and Metabolism),. target of
SREBP [20]. The role of SREBP- 1a in the regulation of
cell growth and the cell cycle might be biphasic and
complex, and needs to be further investigated.
SREBP