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Inhibition of ileal bile acid uptake protects against nonalcoholic fatty liver disease in high-fat diet-fed mice.

作者信息

Rao Anuradha, Kosters Astrid, Mells Jamie E, Zhang Wujuan, Setchell Kenneth D R, Amanso Angelica M, Wynn Grace M, Xu Tianlei, Keller Brad T, Yin Hong, Banton Sophia, Jones Dean P, Wu Hao, Dawson Paul A, Karpen Saul J

机构信息

Department of Pediatrics, Emory University School of Medicine, 1760 Haygood Drive Northeast, Atlanta, GA 30322, USA.

Department of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.

出版信息

Sci Transl Med. 2016 Sep 21;8(357):357ra122. doi: 10.1126/scitranslmed.aaf4823.


DOI:10.1126/scitranslmed.aaf4823
PMID:27655848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5056562/
Abstract

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the Western world, and safe and effective therapies are needed. Bile acids (BAs) and their receptors [including the nuclear receptor for BAs, farnesoid X receptor (FXR)] play integral roles in regulating whole-body metabolism and hepatic lipid homeostasis. We hypothesized that interruption of the enterohepatic BA circulation using a luminally restricted apical sodium-dependent BA transporter (ASBT) inhibitor (ASBTi; SC-435) would modify signaling in the gut-liver axis and reduce steatohepatitis in high-fat diet (HFD)-fed mice. Administration of this ASBTi increased fecal BA excretion and messenger RNA (mRNA) expression of BA synthesis genes in liver and reduced mRNA expression of ileal BA-responsive genes, including the negative feedback regulator of BA synthesis, fibroblast growth factor 15. ASBT inhibition resulted in a marked shift in hepatic BA composition, with a reduction in hydrophilic, FXR antagonistic species and an increase in FXR agonistic BAs. ASBT inhibition restored glucose tolerance, reduced hepatic triglyceride and total cholesterol concentrations, and improved NAFLD activity score in HFD-fed mice. These changes were associated with reduced hepatic expression of lipid synthesis genes (including liver X receptor target genes) and normalized expression of the central lipogenic transcription factor, Srebp1c Accumulation of hepatic lipids and SREBP1 protein were markedly reduced in HFD-fed Asbt(-/-) mice, providing genetic evidence for a protective role mediated by interruption of the enterohepatic BA circulation. Together, these studies suggest that blocking ASBT function with a luminally restricted inhibitor can improve both hepatic and whole body aspects of NAFLD.

摘要

相似文献

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Inhibition of ileal bile acid uptake protects against nonalcoholic fatty liver disease in high-fat diet-fed mice.

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本文引用的文献

[1]
Bile acids and nonalcoholic fatty liver disease: Molecular insights and therapeutic perspectives.

Hepatology. 2017-1

[2]
Global epidemiology of nonalcoholic fatty liver disease-Meta-analytic assessment of prevalence, incidence, and outcomes.

Hepatology. 2016-2-22

[3]
Intestine-selective farnesoid X receptor inhibition improves obesity-related metabolic dysfunction.

Nat Commun. 2015-12-15

[4]
Inhibition of intestinal bile acid absorption improves cholestatic liver and bile duct injury in a mouse model of sclerosing cholangitis.

J Hepatol. 2015-10-31

[5]
Review: Mechanisms of How the Intestinal Microbiota Alters the Effects of Drugs and Bile Acids.

Drug Metab Dispos. 2015-10

[6]
Pharmacological inhibition of apical sodium-dependent bile acid transporter changes bile composition and blocks progression of sclerosing cholangitis in multidrug resistance 2 knockout mice.

Hepatology. 2016-2

[7]
Ursodeoxycholic acid exerts farnesoid X receptor-antagonistic effects on bile acid and lipid metabolism in morbid obesity.

J Hepatol. 2015-6

[8]
Saturated fat and cholesterol are critical to inducing murine metabolic syndrome with robust nonalcoholic steatohepatitis.

J Nutr Biochem. 2015-3

[9]
Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance.

Nat Med. 2015-2

[10]
Omega-3 polyunsaturated fatty acid and ursodeoxycholic acid have an additive effect in attenuating diet-induced nonalcoholic steatohepatitis in mice.

Exp Mol Med. 2014-12-19

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