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SLC10A5 deficiency causes hypercholanemia.

Yuqing Xu1,2, Yeqing Qian1,2, Ying Yu1

  • 1Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Hepatology (Baltimore, Md.)
|July 10, 2024
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Summary

Solute Carrier Family 10 Member 5 (SLC10A5) transports bile acids. Its deficiency impairs bile acid uptake, leading to elevated bile acid levels (hypercholanemia).

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Area of Science:

  • Biochemistry
  • Genetics
  • Molecular Biology

Background:

  • Solute Carrier Family 10 Member 5 (SLC10A5) is a transporter in the SLC10 family.
  • Its specific role in bile acid metabolism and hypercholanemia is not well understood.

Purpose of the Study:

  • To investigate the function of SLC10A5 in bile acid metabolism.
  • To determine the role of SLC10A5 in the development of hypercholanemia.

Main Methods:

  • Whole-exome and Sanger sequencing identified SLC10A5 variants.
  • CRISPR/Cas9 generated knockout and point mutation mouse models.
  • Cellular assays assessed bile acid uptake, gene expression (FXR, SHP, CYP7A1, CYP8B1), and protein localization.

Main Results:

  • A heterozygous SLC10A5 variant (c.994_995del) was found in hypercholanemia patients.
  • SLC10A5 deficiency in mice increased serum and liver bile acids.
  • Gene editing led to downregulated FXR/SHP and upregulated CYP7A1/CYP8B1, indicating disrupted bile acid homeostasis.
  • SLC10A5 knockdown/knockout inhibited bile acid uptake in vitro.

Conclusions:

  • SLC10A5 plays a crucial role in bile acid uptake.
  • Deficiency in SLC10A5 function results in hypercholanemia.