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短期奥贝胆酸治疗不会影响具有类似人类胆汁酸组成的 Cyp2c70 缺陷型小鼠的胆管病。

Short-term obeticholic acid treatment does not impact cholangiopathy in Cyp2c70-deficient mice with a human-like bile acid composition.

机构信息

Department of Pediatrics, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, the Netherlands.

Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, the Netherlands.

出版信息

Biochim Biophys Acta Mol Cell Biol Lipids. 2022 Aug;1867(8):159163. doi: 10.1016/j.bbalip.2022.159163. Epub 2022 Apr 22.

Abstract

Cyp2c70 mice with a human-like bile acid (BA) composition, lacking hydrophilic muricholic acids (MCAs), have been reported to display cholangiopathy and biliary fibrosis with female preponderance that can be reversed by ursodeoxycholic acid (UDCA). Obeticholic acid (OCA), a steroidal BA-like FXR agonist, has been shown to improve liver function in patients with primary biliary cholangitis and is approved as second-line treatment for patients with an inadequate response or intolerance to UDCA. Here, we investigated the impact of OCA on BA hydrophobicity and cholangiopathy in Cyp2c70 mice. Male and female wild-type (WT) and Cyp2c70 mice were fed a chow diet with or without 10 mg/kg/day OCA for 4 weeks. OCA accounted for 1-5% of biliary BAs, with larger enrichments in Cyp2c70 than in WT mice. In WT mice, OCA induced a more hydrophilic, MCA-rich BA pool. In Cyp2c70 mice, however, BA pool became more hydrophobic with a larger proportion of chenodeoxycholic acid, attributable to a reduction of BA 12α-hydroxylation. OCA treatment reduced fecal BA excretion, indicating repression of hepatic BA synthesis in both WT and Cyp2c70 mice. OCA did, however, not impact on markers of liver (dys)function in plasma nor did it ameliorate cholangiopathy and fibrosis in male or female Cyp2c70 mice. OCA treatment also did not affect the expression of genes involved in fibrosis, inflammation and cellular senescence. In conclusion, 4 weeks of OCA treatment oppositely modulates the hydrophobicity of the BA pool in WT and Cyp2c70 mice, but does not improve or worsen the characteristic sex-dependent liver pathology in Cyp2c70 mice.

摘要

已报道,具有与人相似胆汁酸(BA)组成、缺乏亲水性鼠胆酸(MCA)的 Cyp2c70 小鼠表现出胆管病和胆管纤维化,且这种病变具有雌性偏向性,可被熊去氧胆酸(UDCA)逆转。奥贝胆酸(OCA),一种甾体 BA 样 FXR 激动剂,已被证明可改善原发性胆汁性胆管炎患者的肝功能,且被批准为对 UDCA 应答不足或不耐受的患者的二线治疗药物。在此,我们研究了 OCA 对 Cyp2c70 小鼠 BA 疏水性和胆管病的影响。雄性和雌性野生型(WT)和 Cyp2c70 小鼠分别用含或不含 10mg/kg/天 OCA 的标准饮食喂养 4 周。OCA 占胆汁 BA 的 1-5%,在 Cyp2c70 小鼠中比在 WT 小鼠中有更大的富集。在 WT 小鼠中,OCA 诱导了一个更亲水、MCA 丰富的 BA 池。然而,在 Cyp2c70 小鼠中,BA 池变得更加疏水,胆酸的比例更大,这归因于 BA 12α-羟化作用的减少。OCA 治疗减少了粪便 BA 的排泄,表明 OCA 抑制了 WT 和 Cyp2c70 小鼠的肝 BA 合成。然而,OCA 并未影响 WT 和 Cyp2c70 小鼠血浆中肝(功能)障碍的标志物,也未改善 Cyp2c70 小鼠的胆管病和纤维化。OCA 治疗也未影响纤维化、炎症和细胞衰老相关基因的表达。总之,4 周的 OCA 治疗相反地调节了 WT 和 Cyp2c70 小鼠 BA 池的疏水性,但不能改善或加重 Cyp2c70 小鼠特征性的性别依赖的肝病理。

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