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Updated: Jun 25, 2026

Ileectomy-induced Bile Overaccumulation in Mouse Intestine
Published on: August 21, 2017
FGF15/FGFR4 integrates growth factor signaling with hepatic bile acid metabolism and insulin action
Dong-Ju Shin1, Timothy F Osborne
1Department of Molecular Biology and Biochemistry, School of Biological Sciences and Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-3900, USA.
Abstract:
The current studies show FGF15 signaling decreases hepatic forkhead transcription factor 1 (FoxO1) activity through phosphatidylinositol (PI) 3-kinase-dependent phosphorylation. The bile acid receptor FXR (farnesoid X receptor) activates expression of fibroblast growth factor (FGF) 15 in the intestine, which acts through hepatic FGFR4 to suppress cholesterol-7alpha hydroxylase (CYP7A1) and limit bile acid production. Because FoxO1 activity and CYP7A1 gene expression are both increased by fasting, we hypothesized CYP7A1 might be a FoxO1 target gene. Consistent with recently reported results, we show CYP7A1 is a direct target of FoxO1. Additionally, we show that the PI 3-kinase pathway is key for both the induction of CYP7A1 by fasting and the suppression by FGF15. FGFR4 is the major hepatic FGF receptor isoform and is responsible for the hepatic effects of FGF15. We also show that expression of FGFR4 in liver was decreased by fasting, increased by insulin, and reduced by streptozotocin-induced diabetes, implicating FGFR4 as a primary target of insulin regulation. Because insulin and FGF both target the PI 3-kinase pathway, these observations suggest FoxO1 is a key node in the convergence of FGF and insulin signaling pathways and functions as a key integrator for the regulation of glucose and bile acid metabolism.
Insights
Fibroblast growth factor 15 (FGF15) signaling suppresses bile acid production by inhibiting forkhead transcription factor 1 (FoxO1) activity. This pathway integrates insulin and FGF signaling to regulate glucose and bile acid metabolism.
Area of Science:
- Metabolic regulation
- Hepatology
- Endocrinology
Background:
- Fibroblast growth factor 15 (FGF15) signaling, activated by the bile acid receptor FXR, suppresses bile acid production via hepatic FGFR4.
- Forkhead transcription factor 1 (FoxO1) activity and cholesterol-7alpha hydroxylase (CYP7A1) gene expression increase during fasting.
- CYP7A1 is a key enzyme in bile acid synthesis.
Purpose of the Study:
- To investigate if CYP7A1 is a direct target gene of FoxO1.
- To elucidate the role of the PI 3-kinase pathway in CYP7A1 regulation by fasting and FGF15.
- To determine the role of FGFR4 in hepatic FGF15 signaling and its regulation by insulin.
Main Methods:
- Western blotting to assess protein phosphorylation.
- Quantitative PCR to measure gene expression.
- Animal models of fasting and diabetes.
Main Results:
- CYP7A1 was confirmed as a direct target of FoxO1.
- The PI 3-kinase pathway is crucial for both fasting-induced CYP7A1 expression and FGF15-mediated suppression.
- Hepatic FGFR4 expression is regulated by fasting and insulin, and is the primary receptor for FGF15's hepatic effects.
- FGFR4 expression decreased with fasting, increased with insulin, and reduced in diabetes.
Conclusions:
- FoxO1 integrates FGF and insulin signaling pathways.
- This integration is critical for regulating both glucose and bile acid metabolism.
- FGFR4 is a key target of insulin regulation in the liver.
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