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Published on: November 15, 2013
Farnesoid X receptor (FXR) agonists induce hepatocellular apoptosis and impair hepatic functions via FXR/SHP pathway
Tianwei Zhang1,2, Shanshan Feng3, Jiahuan Li3
1Shanghai Institute of Materia Medica, Chinese Academy of Science, Shanghai, 201203, China.
Abstract:
Farnesoid X receptor (FXR) plays an indispensable role in liver homeostasis and has been a promising drug target for hepatic diseases. However, the concerns of undesired biological actions limit the clinical applications of FXR agonists. To reveal the intrinsic mechanism of FXR agonist-induce hepatotoxicity, two typical FXR agonists with different structures (obeticholic acid (OCA) and Px-102) were investigated in the present study. By detecting MMP, ROS, and ATP and analyzing the fate of cells, we found that both OCA and Px-102 reduced the mitochondrial function of hepatocytes and promoted cell apoptosis. Gene ablation or inhibition of FXR or SHP ameliorated the cytotoxicities of OCA and Px-102, which indicated the adverse actions of FXR/SHP activation including down-regulation of phosphorylation of PI3K/AKT and functional hepatic genes. The dose-related injurious effects of OCA (10 mg/kg and 30 mg/kg) and Px-102 (5 mg/kg and 15 mg/kg) on the liver were confirmed on a high-fat diet mouse model. The decrease of hepatocyte-specific genes and augmenter of liver regeneration in the liver caused by OCA or Px-102 suggested an imbalance of liver regeneration and a disruption of hepatic functions. Exploration of intestinally biased FXR agonists or combination of FXR agonist with apoptosis inhibitor may be more beneficial strategies for liver diseases.
Insights
Farnesoid X receptor (FXR) agonists like OCA and Px-102 can harm liver cells by disrupting mitochondrial function and promoting apoptosis. Inhibiting FXR or SHP pathways may mitigate these toxic effects in hepatic diseases.
Area of Science:
- Hepatology
- Molecular Biology
- Pharmacology
Background:
- Farnesoid X receptor (FXR) is crucial for liver homeostasis and a therapeutic target for liver diseases.
- Current FXR agonists face limitations due to potential adverse effects, necessitating a deeper understanding of their hepatotoxicity.
Purpose of the Study:
- To elucidate the mechanism underlying FXR agonist-induced hepatotoxicity.
- To compare the effects of two distinct FXR agonists, obeticholic acid (OCA) and Px-102, on liver cells.
Main Methods:
- Assessed mitochondrial function (MMP, ROS, ATP) and cell apoptosis in hepatocytes treated with OCA and Px-102.
- Utilized gene ablation or inhibition of FXR and SHP to evaluate their role in agonist-induced cytotoxicity.
- Confirmed dose-related liver injury in a high-fat diet mouse model.
Main Results:
- Both OCA and Px-102 impaired hepatocyte mitochondrial function and induced apoptosis.
- FXR/SHP activation led to decreased PI3K/AKT phosphorylation and downregulation of hepatic genes.
- OCA and Px-102 caused dose-dependent liver injury, decreased hepatocyte-specific genes, and disrupted liver regeneration and function in mice.
Conclusions:
- FXR/SHP activation contributes to hepatotoxicity by affecting mitochondrial function, apoptosis, and key signaling pathways.
- Developing intestinally biased FXR agonists or combining them with apoptosis inhibitors may offer safer therapeutic strategies for liver diseases.
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