Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Laboratory Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Clin Sci (Lond). 2023 Nov 15;137(21):1637-1650. doi: 10.1042/CS20230812.
Cyp2c70-deficient mice have a human-like bile acid (BA) composition due to their inability to convert chenodeoxycholic acid (CDCA) into rodent-specific muricholic acids (MCAs). However, the hydrophobic BA composition in these animals is associated with liver pathology. Although Cyp2c70-ablation has been shown to alter gut microbiome composition, the impact of gut bacteria on liver pathology in Cyp2c70-/- mice remains to be established. Therefore, we treated young-adult male and female wild-type (WT) and Cyp2c70-/- mice with antibiotics (AB) with broad specificity to deplete the gut microbiota and assessed the consequences on BA metabolism and liver pathology. Female Cyp2c70-/- mice did not tolerate AB treatment, necessitating premature termination of the experiment. Male Cyp2c70-/- mice did tolerate AB but showed markedly augmented liver pathology after 6 weeks of treatment. Dramatic downregulation of hepatic Cyp8b1 expression (-99%) caused a reduction in the proportions of 12α-hydroxylated BAs in the circulating BA pools of AB-treated male Cyp2c70-/- mice. Interestingly, the resulting increased BA hydrophobicity strongly correlated with various indicators of liver pathology. Moreover, genetic inactivation of Cyp8b1 in livers of male Cyp2c70-/- mice increased liver pathology, while addition of ursodeoxycholic acid to the diet prevented weight loss and liver pathology in AB-treated female Cyp2c70-/- mice. In conclusion, depletion of gut microbiota in Cyp2c70-/- mice aggravates liver pathology at least in part by increasing the hydrophobicity of the circulating BA pool. These findings highlight that the potential implications of AB administration to cholestatic patients should be evaluated in a systematic manner.
Cyp2c70 缺陷型小鼠由于无法将鹅去氧胆酸(CDCA)转化为具有啮齿动物特异性的鼠胆酸(MCA),因此具有类似于人类的胆汁酸(BA)组成。然而,这些动物中疏水性 BA 组成与肝脏病理有关。尽管 Cyp2c70 缺失已被证明会改变肠道微生物组组成,但肠道细菌对 Cyp2c70-/-小鼠肝脏病理的影响仍有待确定。因此,我们用广谱抗生素(AB)处理年轻成年雄性和雌性野生型(WT)和 Cyp2c70-/- 小鼠,以耗尽肠道微生物群,并评估其对 BA 代谢和肝脏病理的影响。雌性 Cyp2c70-/- 小鼠不能耐受 AB 治疗,需要提前终止实验。雄性 Cyp2c70-/- 小鼠确实耐受 AB,但在治疗 6 周后肝脏病理明显加重。肝脏 Cyp8b1 表达的显著下调(-99%)导致循环 BA 池 12α-羟化 BA 的比例降低。有趣的是,增加的 BA 疏水性与各种肝脏病理指标强烈相关。此外,在雄性 Cyp2c70-/- 小鼠肝脏中基因敲除 Cyp8b1 会增加肝脏病理,而在 AB 处理的雌性 Cyp2c70-/- 小鼠饮食中添加熊去氧胆酸可防止体重减轻和肝脏病理。总之,Cyp2c70-/- 小鼠肠道微生物群的耗竭至少部分通过增加循环 BA 池的疏水性加重了肝脏病理。这些发现强调,应系统地评估 AB 给药对胆汁淤积患者的潜在影响。
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