Hypocholesterolemic effects of fatty acid bile acid conjugates (FABACs) in mice

Alicia Leikin-Frenkel1, Paolo Parini, Fred M Konikoff

  • 1Minerva Center for Cholesterol Gallstones and Lipid Metabolism in the Liver, Tel-Aviv University, Israel.

Insights

Fatty acid bile acid conjugates (FABACs) significantly lower high cholesterol levels in mice. These compounds reduce cholesterol synthesis while increasing its excretion, offering a potential therapeutic approach.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Hepatology

Background:

  • Fatty acid bile acid conjugates (FABACs) are known to prevent cholesterol gallstones and fatty liver in mice.
  • Elevated plasma cholesterol is a significant risk factor for cardiovascular diseases.

Purpose of the Study:

  • To investigate the hypocholesterolemic effects of FABACs in mice.
  • To determine the impact of a specific FABAC, the conjugate of cholic acid with arachidic acid (Aramchol), on plasma and hepatic cholesterol levels.

Main Methods:

  • Administration of Aramchol to C57L/J mice on regular (RD) or high-fat diets (HFD).
  • Measurement of plasma cholesterol levels.
  • Assessment of hepatic cholesterol synthesis and CYP7A1 activity/expression.
  • Analysis of fecal bile acid and neutral sterol excretion.

Main Results:

  • Aramchol significantly reduced HFD-induced elevated plasma cholesterol by 50% in C57L/J mice.
  • Hepatic cholesterol synthesis was decreased, while CYP7A1 activity and expression were increased by Aramchol.
  • The ratio of fecal bile acids to neutral sterols increased, alongside elevated total fecal sterol excretion.

Conclusions:

  • FABACs, specifically Aramchol, demonstrate potent hypocholesterolemic effects in mice.
  • The mechanism involves reduced hepatic cholesterol synthesis and enhanced cholesterol catabolism and excretion.
  • FABACs represent a promising therapeutic strategy for managing hypercholesterolemia.