Comprehensive Diabetes Center and Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Division of Molecular and Cellular Pathology, Department of Pathology, University of Alabama at Birmingham, AL.
Diabetes. 2018 Sep;67(9):1773-1782. doi: 10.2337/db17-1502. Epub 2018 Jun 20.
Glucagon, an essential regulator of glucose and lipid metabolism, also promotes weight loss, in part through potentiation of fibroblast growth factor 21 (FGF21) secretion. However, FGF21 is only a partial mediator of metabolic actions ensuing from glucagon receptor (GCGR) activation, prompting us to search for additional pathways. Intriguingly, chronic GCGR agonism increases plasma bile acid levels. We hypothesized that GCGR agonism regulates energy metabolism, at least in part, through farnesoid X receptor (FXR). To test this hypothesis, we studied whole-body and liver-specific FXR-knockout () mice. Chronic GCGR agonist (IUB288) administration in diet-induced obese (DIO) , and whole-body or liver-specific knockout () mice failed to reduce body weight when compared with wild-type (WT) mice. IUB288 increased energy expenditure and respiration in DIO WT mice, but not mice. GCGR agonism increased [C]palmitate oxidation in hepatocytes isolated from WT mice in a dose-dependent manner, an effect blunted in hepatocytes from mice. Our data clearly demonstrate that control of whole-body energy expenditure by GCGR agonism requires intact FXR signaling in the liver. This heretofore-unappreciated aspect of glucagon biology has implications for the use of GCGR agonism in the therapy of metabolic disorders.
胰高血糖素是葡萄糖和脂质代谢的重要调节剂,它也能促进体重减轻,部分是通过增强成纤维细胞生长因子 21(FGF21)的分泌。然而,FGF21 只是胰高血糖素受体(GCGR)激活后代谢作用的部分介导物,这促使我们寻找其他途径。有趣的是,慢性 GCGR 激动剂会增加血浆胆汁酸水平。我们假设 GCGR 激动剂通过法尼醇 X 受体(FXR)调节能量代谢,至少部分如此。为了验证这一假设,我们研究了全身和肝脏特异性 FXR 敲除()小鼠。与野生型(WT)小鼠相比,在饮食诱导肥胖(DIO)小鼠和全身或肝脏特异性 FXR 敲除()小鼠中,慢性 GCGR 激动剂(IUB288)给药并未降低体重。IUB288 增加了 DIO WT 小鼠的能量消耗和呼吸,但对 小鼠没有影响。GCGR 激动剂以剂量依赖性方式增加了来自 WT 小鼠的肝细胞中[C]棕榈酸的氧化,而来自 小鼠的肝细胞中的这种作用减弱。我们的数据清楚地表明,GCGR 激动剂对全身能量消耗的控制需要肝脏中完整的 FXR 信号。胰高血糖素生物学中这一以前未被认识到的方面对 GCGR 激动剂在代谢紊乱治疗中的应用具有重要意义。