ATP8B1 Deficiency Causes Phosphodiesterase 4-Mediated Glucagon Resistance and Impaired Gluconeogenesis in Mouse and

Jung-Chin Chang1,2, Wietse In Het Panhuis2,3, Shu-Hao Hsu4

  • 1Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands.

Insights

ATP8B1 deficiency in progressive familial intrahepatic cholestasis type I (PFIC1) leads to impaired liver glucose regulation by upregulating PDE4D, causing glucagon resistance. This impacts gluconeogenesis and glycogenolysis in both mouse models and PFIC1 patients.

Area of Science:

  • Hepatology
  • Metabolic Research
  • Genetics

Background:

  • ATP8B1 deficiency causes progressive familial intrahepatic cholestasis type I (PFIC1).
  • PFIC1 patients may exhibit metabolic dysregulation beyond cholestasis, including glucose and lipid metabolism.
  • ATP8B1's role in hepatic glucose and lipid metabolism requires further investigation.

Purpose of the Study:

  • To investigate the role of ATP8B1 in hepatic glucose and lipid metabolism.
  • To utilize the Atp8b1G308V/G308V mutant mouse as a preclinical model for PFIC1 metabolic studies.
  • To validate findings in PFIC1 patient liver samples.

Main Methods:

  • Examined Atp8b1G308V/G308V and wild-type mice.
  • Assessed hepatic glucose metabolism via oral glucose tolerance tests and plasma glucose/insulin/lipid quantification.
  • Conducted mechanistic studies in primary mouse hepatocytes and HepG2 cells, validating with PFIC1 patient liver tissues.

Main Results:

  • Atp8b1G308V/G308V mice displayed reduced fasting glucose, triglycerides, and insulin, suggesting impaired glucagon response.
  • Primary mouse hepatocytes showed reduced glucagon signaling and increased Pde4 isoforms; PDE4 inhibition normalized signaling.
  • PFIC1 patient livers exhibited elevated PDE4D, reduced p-CREB, and low glycogen content.

Conclusions:

  • ATP8B1 deficiency upregulates hepatic PDE4D in both mouse models and PFIC1 patients.
  • PDE4D-mediated glucagon resistance contributes to impaired gluconeogenesis and altered glycogenolysis.
  • This study provides novel metabolic insights into ATP8B1 deficiency in PFIC1.
Abstract

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