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Published on: March 11, 2017
Intestine-selective farnesoid X receptor inhibition improves obesity-related metabolic dysfunction
Changtao Jiang1,2, Cen Xie1, Ying Lv2
1Laboratory of Metabolism, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA.
Abstract:
The farnesoid X receptor (FXR) regulates bile acid, lipid and glucose metabolism. Here we show that treatment of mice with glycine-β-muricholic acid (Gly-MCA) inhibits FXR signalling exclusively in intestine, and improves metabolic parameters in mouse models of obesity. Gly-MCA is a selective high-affinity FXR inhibitor that can be administered orally and prevents, or reverses, high-fat diet-induced and genetic obesity, insulin resistance and hepatic steatosis in mice. The high-affinity FXR agonist GW4064 blocks Gly-MCA action in the gut, and intestine-specific Fxr-null mice are unresponsive to the beneficial effects of Gly-MCA. Mechanistically, the metabolic improvements with Gly-MCA depend on reduced biosynthesis of intestinal-derived ceramides, which directly compromise beige fat thermogenic function. Consequently, ceramide treatment reverses the action of Gly-MCA in high-fat diet-induced obese mice. We further show that FXR signalling in ileum biopsies of humans positively correlates with body mass index. These data suggest that Gly-MCA may be a candidate for the treatment of metabolic disorders.
Insights
Glycine-β-muricholic acid (Gly-MCA) selectively inhibits the farnesoid X receptor (FXR) in the intestine, improving obesity and insulin resistance in mice. This FXR inhibition reduces ceramides, enhancing beige fat function and offering a potential treatment for metabolic disorders.
Area of Science:
- Metabolic disease research
- Endocrinology
- Pharmacology
Background:
- The farnesoid X receptor (FXR) plays a crucial role in regulating bile acid, lipid, and glucose metabolism.
- Dysregulation of FXR signaling is implicated in metabolic disorders such as obesity and insulin resistance.
Purpose of the Study:
- To investigate the effects of glycine-β-muricholic acid (Gly-MCA) as a selective intestinal FXR inhibitor.
- To evaluate the therapeutic potential of Gly-MCA in preclinical models of metabolic disease.
Main Methods:
- Administration of Gly-MCA to mouse models of diet-induced and genetic obesity.
- Assessment of metabolic parameters including body weight, insulin sensitivity, and hepatic steatosis.
- Investigation of the molecular mechanisms involving ceramide biosynthesis and beige fat thermogenic function.
- Utilized intestine-specific Fxr-null mice and FXR agonist GW4064 to confirm specificity.
Main Results:
- Oral administration of Gly-MCA selectively inhibited intestinal FXR signaling.
- Gly-MCA treatment prevented and reversed obesity, insulin resistance, and hepatic steatosis in mice.
- Metabolic improvements were linked to reduced intestinal ceramide biosynthesis, preserving beige fat thermogenesis.
- FXR signaling in human ileum biopsies positively correlated with body mass index.
Conclusions:
- Gly-MCA acts as a selective intestinal FXR inhibitor with significant therapeutic potential.
- Targeting intestinal FXR with Gly-MCA offers a novel strategy for treating metabolic disorders.
- Reduced ceramide levels are a key mechanism underlying Gly-MCA's beneficial metabolic effects.
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