Intestinal Inflammation Alters the Expression of Hepatic Bile Acid Receptors Causing Liver Impairment

Anna Negroni1, Noemi Fiaschini2,3, Francesca Palone2

  • 1Division of Health Protection Technologies, ENEA.

Abstract

Insights

Gut inflammation negatively impacts liver health by altering bile acid (BA) receptors, including farnesoid-X-receptor (FXR) and pregnane-X-receptor (PXR). Reducing gut inflammation is crucial for protecting liver function and improving intestinal diseases.

Area of Science:

  • Gastroenterology and Hepatology
  • Immunology
  • Molecular Biology

Background:

  • The gut-liver axis plays a critical role in maintaining metabolic homeostasis and is implicated in various intestinal and hepatic diseases.
  • Bile acid (BA) receptors, such as farnesoid-X-receptor (FXR), pregnane-X-receptor (PXR), and G-protein-coupled-receptor (GPCR; TGR5), are key regulators of metabolic processes, inflammation, and fibrosis.
  • Intestinal inflammation is increasingly recognized as a significant factor influencing liver health.

Purpose of the Study:

  • To investigate the impact of intestinal inflammation on liver health, specifically examining the expression of FXR, PXR, and TGR5.
  • To explore strategies for improving liver health by mitigating gut inflammation.
  • To analyze the modulation of BA receptors in pediatric inflammatory bowel disease (IBD) patients with inflamed colonic tissues.

Main Methods:

  • Establishment of a dextran sodium sulphate (DSS)-induced colitis animal model.
  • Utilizing co-culture systems with Caco2 (intestinal) and HepG2 (hepatic) cell lines.
  • Assessment of BA receptor expression in colonic biopsies from pediatric IBD patients using real-time PCR and immunohistochemistry.

Main Results:

  • DSS-induced colitis in mice led to liver inflammatory cell infiltration, decreased FXR and PXR expression, and increased oxidative stress.
  • Inflammatory stimuli in Caco2 cells reduced BA receptor expression in co-cultured HepG2 cells.
  • Dipotassium glycyrrhizate (DPG) treatment mitigated the negative effects on liver cells.
  • Altered expression of FXR, PXR, and TGR5 was observed in the inflamed colons of IBD patients.

Conclusions:

  • Gut inflammation adversely affects hepatic cells by altering BA receptor levels and promoting pro-inflammatory cytokine production and oxidative stress.
  • Reducing intestinal inflammation is essential for both managing intestinal diseases and safeguarding liver health.
  • Targeting BA receptors and gut inflammation presents a potential therapeutic strategy for gut-liver axis disorders.

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