FoxO-KlLF5 Pathway Switches the Flow of Macronutrients Under the Control of Insulin

KLF15 is a transcription factor that plays an important role in the activation of gluconeogenesis from amino acids as well as the suppression of lipogenesis from glucose. Although it is well known that hepatic Klf15 expression is elevated during fasting, its regulatory mechanisms have not been elucidated. Here we identified the transcription start site of liver-specific KLF15 transcript and showed that FoxO1 and FoxO3 (FoxOs) transcriptionally regulate Klf15 gene expression by directly binding to the liver-specific Klf15 promoter. To achieve this, we performed a precise in vivo promoter analysis using “in vivo Ad-luc” analytical system, combined with the genome-wide screening method “TFEL scan”, using our original cDNA library named Transcription Factor Expression Library (TFEL), which covers nearly all the transcription factors in the mouse genome. Hepatic Klf15 expression is significantly increased by the attenuation of the insulin signaling in STZ-induced insulin deficiency and insulin receptor knockdown models. In addition, we have found that FoxOs elevate the expression levels of amino acid catabolic enzymes via KLF15, resulting in accelerated amino acid metabolism during fasting. Based on these findings, we conclude that the FoxO-KLF15 pathway switches the macronutrient flow in the liver under the control of insulin.