Wu Ruiling, Prachyathipsakul Theeraphop, Zhuang Jiaming, Liu Hongxu, Han Yanhui, Liu Bin, Gong Shuai, Qiu Jingyi, Wong Siu, Ribbe Alexander, Medeiros Jewel, Bhagabati Jayashree, Gao Jingjing, Wu Peidong, Dutta Ranit, Herrera Roman, Faraci Steve, Xiao Hang, Thayumanavan S
Department of Chemistry, University of Massachusetts, Amherst, MA 01003, USA.
The Center for Bioactive Delivery, Institute for Applied Life Sciences, University of Massachusetts, Amherst, MA 01003, USA.
PNAS Nexus. 2023 Aug 29;2(8):pgad252. doi: 10.1093/pnasnexus/pgad252. eCollection 2023 Aug.
Optimization of metabolic regulation is a promising solution for many pathologies, including obesity, dyslipidemia, type 2 diabetes, and inflammatory liver disease. Synthetic thyroid hormone mimics-based regulation of metabolic balance in the liver showed promise but was hampered by the low biocompatibility and harmful effects on the extrahepatic axis. In this work, we show that specifically directing the thyromimetic to the liver utilizing a nanogel-based carrier substantially increased therapeutic efficacy in a diet-induced obesity mouse model, evidenced by the near-complete reversal of body weight gain, liver weight and inflammation, and cholesterol levels with no alteration in the thyroxine (T4) / thyroid stimulating hormone (TSH) axis. Mechanistically, the drug acts by binding to thyroid hormone receptor β (TRβ), a ligand-inducible transcription factor that interacts with thyroid hormone response elements and modulates target gene expression. The reverse cholesterol transport (RCT) pathway is specifically implicated in the observed therapeutic effect. Overall, the study demonstrates a unique approach to restoring metabolic regulation impacting obesity and related metabolic dysfunctions.
代谢调节的优化是解决包括肥胖、血脂异常、2型糖尿病和炎症性肝病在内的多种病症的一种有前景的方法。基于合成甲状腺激素类似物对肝脏代谢平衡的调节显示出了前景,但受到低生物相容性以及对肝外轴的有害影响的阻碍。在这项研究中,我们表明利用基于纳米凝胶的载体将甲状腺模拟物特异性地导向肝脏,在饮食诱导的肥胖小鼠模型中显著提高了治疗效果,体重增加、肝脏重量和炎症以及胆固醇水平几乎完全逆转就是证明,而甲状腺素(T4)/促甲状腺激素(TSH)轴没有改变。从机制上讲,该药物通过与甲状腺激素受体β(TRβ)结合起作用,TRβ是一种配体诱导的转录因子,它与甲状腺激素反应元件相互作用并调节靶基因表达。逆向胆固醇转运(RCT)途径与观察到的治疗效果特别相关。总体而言,该研究展示了一种恢复影响肥胖和相关代谢功能障碍的代谢调节的独特方法。