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.

Archives of Toxicology
|March 10, 2022
PubMed

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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