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通过考来维仑进行胆汁酸螯合可降低胆汁酸疏水性并改善具有类人胆汁酸组成的小鼠的肝脏病理状况。

Bile Acid Sequestration via Colesevelam Reduces Bile Acid Hydrophobicity and Improves Liver Pathology in Mice with a Human-like Bile Acid Composition.

作者信息

Palmiotti Anna, de Vries Hilde D, Hovingh Milaine V, Koehorst Martijn, Mulder Niels L, Verkade Esther, Veentjer Melany K, van Dijk Theo H, Bloks Vincent W, Havinga Rick, Verkade Henkjan J, de Boer Jan Freark, Kuipers Folkert

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

Biomedicines. 2023 Sep 8;11(9):2495. doi: 10.3390/biomedicines11092495.

Abstract

Bile acids (BAs) and their signaling pathways have been identified as therapeutic targets for liver and metabolic diseases. We generated (KO) mice that were not able to convert chenodeoxycholic acid into rodent-specific muricholic acids (MCAs) and, hence, possessed a more hydrophobic, human-like BA pool. Recently, we have shown that KO mice display cholangiopathic features with the development of liver fibrosis. The aim of this study was to determine whether BA sequestration modulates liver pathology in Western type-diet (WTD)-fed KO mice. The BA sequestrant colesevelam was mixed into the WTD (2% /) of male (WT) and KO mice and the effects were evaluated after 3 weeks of treatment. Colesevelam increased fecal BA excretion in WT and KO mice and reduced the hydrophobicity of biliary BAs in KO mice. Colesevelam ameliorated diet-induced hepatic steatosis in WT mice, whereas KO mice were resistant to diet-induced steatosis and BA sequestration had no additional effects on liver fat content. Total cholesterol concentrations in livers of colesevelam-treated WT and KO mice were significantly lower than those of untreated controls. Of particular note, colesevelam treatment normalized plasma levels of liver damage markers in KO mice and markedly decreased hepatic mRNA levels of fibrogenesis-related genes in KO mice. Lastly, colesevelam did not affect glucose excursions and insulin sensitivity in WT or KO mice. Our data show that BA sequestration ameliorates liver pathology in mice with a human-like bile acid composition without affecting insulin sensitivity.

摘要

胆汁酸(BAs)及其信号通路已被确定为肝脏和代谢性疾病的治疗靶点。我们培育出了无法将鹅去氧胆酸转化为啮齿动物特有的鼠胆酸(MCAs)的基因敲除(KO)小鼠,因此其拥有更疏水的、类似人类的胆汁酸池。最近,我们发现基因敲除小鼠随着肝纤维化的发展表现出胆管病特征。本研究的目的是确定胆汁酸螯合是否能调节喂食西式饮食(WTD)的基因敲除小鼠的肝脏病理。将胆汁酸螯合剂考来维仑混入雄性野生型(WT)和基因敲除小鼠的西式饮食(2%/)中,并在治疗3周后评估其效果。考来维仑增加了野生型和基因敲除小鼠的粪便胆汁酸排泄,并降低了基因敲除小鼠胆汁中胆汁酸的疏水性。考来维仑改善了野生型小鼠饮食诱导的肝脂肪变性,而基因敲除小鼠对饮食诱导的脂肪变性具有抗性,胆汁酸螯合对肝脏脂肪含量没有额外影响。考来维仑治疗的野生型和基因敲除小鼠肝脏中的总胆固醇浓度显著低于未治疗的对照组。特别值得注意的是,考来维仑治疗使基因敲除小鼠的肝损伤标志物血浆水平恢复正常,并显著降低了基因敲除小鼠中与纤维化相关基因的肝脏mRNA水平。最后,考来维仑不影响野生型或基因敲除小鼠的血糖波动和胰岛素敏感性。我们的数据表明,胆汁酸螯合可改善具有类似人类胆汁酸组成的基因敲除小鼠的肝脏病理,而不影响胰岛素敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/977d/10526181/cecf8673e96e/biomedicines-11-02495-g001.jpg

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