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Updated: Jun 15, 2025

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Published on: February 18, 2022
FoxO transcription factors regulate urea cycle through Ass1
Samia Karkoutly1, Yoshinori Takeuchi1, Zahra Mehrazad Saber2
1Division of Endocrinology and Metabolism, Department of Medicine, Jichi Medical University, Tochigi, 329-0498, Japan; Nutrigenomics Research Group, Institute of Medicine, University of Tsukuba, Ibaraki, 305-8575, Japan.
Forkhead box proteins (FoxOs) directly regulate ureagenesis, the process of nitrogen excretion, through a pathway independent of KLF15, especially under high-protein diets.
Area of Science:
- Biochemistry
- Molecular Biology
- Metabolic Regulation
Background:
- High-protein diets increase amino acid degradation and nitrogen excretion via urea cycle enzymes in the liver.
- Krüppel-like factor 15 (KLF15) is a known regulator of amino acid catabolism and ureagenesis.
- FoxO transcription factors are identified as upstream regulators of KLF15 in hepatic amino acid metabolism.
Purpose of the Study:
- To investigate the role of FoxO transcription factors in hepatic amino acid metabolism, particularly ureagenesis, under high-protein diet conditions.
- To elucidate the relationship between FoxOs, KLF15, and the regulation of urea cycle enzymes in response to dietary protein intake.
Main Methods:
- Knockdown of FoxOs in mice to assess effects on urea cycle-related amino acids (arginine, ornithine).
- Utilized KLF15 knockout mice and an in vivo Ad-luc reporter system to examine FoxO regulation of hepatic Ass1 expression.
- Chromatin immunoprecipitation (ChIP) analysis to evaluate FoxOs DNA binding and nuclear protein levels under high-protein diet.
Main Results:
- FoxOs knockdown significantly altered arginine and ornithine concentrations, key urea cycle amino acids.
- FoxOs were confirmed to directly regulate hepatic Ass1 expression independently of KLF15 under high-protein intake.
- High-protein diet enhanced FoxOs DNA binding activity without changing their nuclear protein levels.
Conclusions:
- FoxO transcription factors play a direct role in regulating ureagenesis through a KLF15-independent pathway in response to high-protein diets.
- This study identifies a novel mechanism by which FoxOs control nitrogen excretion, contributing to the understanding of metabolic adaptation to dietary protein.
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