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Intestinal FGF15 regulates bile acid and cholesterol metabolism but not glucose and energy balance
Nadejda Bozadjieva-Kramer, Jae Hoon Shin, Ziru Li, Alan C. Rupp, Nicole Miller, Stace Kernodle, Nicolas Lanthier, Paulina Henry, Nikhil Seshadri, Andriy Myronovych, Ormond A. MacDougald, Robert W. O’Rourke, Rohit Kohli, Charles F. Burant, Amy E. Rothberg, Randy J. Seeley
Nadejda Bozadjieva-Kramer, Jae Hoon Shin, Ziru Li, Alan C. Rupp, Nicole Miller, Stace Kernodle, Nicolas Lanthier, Paulina Henry, Nikhil Seshadri, Andriy Myronovych, Ormond A. MacDougald, Robert W. O’Rourke, Rohit Kohli, Charles F. Burant, Amy E. Rothberg, Randy J. Seeley
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Research Article Gastroenterology Metabolism

Intestinal FGF15 regulates bile acid and cholesterol metabolism but not glucose and energy balance

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Abstract

Fibroblast growth factor 15/19 (FGF15/19, mouse/human ortholog) is expressed in the ileal enterocytes of the small intestine and released postprandially in response to bile acid absorption. Previous reports of FGF15–/– mice have limited our understanding of gut-specific FGF15’s role in metabolism. Therefore, we studied the role of endogenous gut-derived FGF15 in bile acid, cholesterol, glucose, and energy balance. We found that circulating levels of FGF19 were reduced in individuals with obesity and comorbidities, such as type 2 diabetes and metabolic dysfunction–associated fatty liver disease. Gene expression analysis of ileal FGF15-positive cells revealed differential expression during the obesogenic state. We fed standard chow or a high-fat metabolic dysfunction-associated steatohepatitis–inducing diet to control and intestine-derived FGF15-knockout (FGF15INT-KO) mice. Control and FGF15INT-KO mice gained similar body weight and adiposity and did not show genotype-specific differences in glucose, mixed meal, pyruvate, and glycerol tolerance. FGF15INT-KO mice had increased systemic bile acid levels but decreased cholesterol levels, pointing to a primary role for gut-derived FGF15 in regulating bile acid and cholesterol metabolism when exposed to obesogenic diet. These studies show that intestinal FGF15 plays a specific role in bile acid and cholesterol metabolism regulation but is not essential for energy and glucose balance.

Authors

Nadejda Bozadjieva-Kramer, Jae Hoon Shin, Ziru Li, Alan C. Rupp, Nicole Miller, Stace Kernodle, Nicolas Lanthier, Paulina Henry, Nikhil Seshadri, Andriy Myronovych, Ormond A. MacDougald, Robert W. O’Rourke, Rohit Kohli, Charles F. Burant, Amy E. Rothberg, Randy J. Seeley

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Figure 8

Intestinal FGF15 is not necessary to suppress steatosis and fibrosis in the liver.

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Intestinal FGF15 is not necessary to suppress steatosis and fibrosis in ...
(A) Liver to body weight ratio. (B) Alanine aminotransferase (ALT) plasma levels. (C) Aspartate aminotransferase (AST) plasma levels. (D) Pathology examination of H&E-stained liver (full scan area). (E) Representative images of liver stained for H&E, Picro Sirius Red (PSR) for fibrosis analysis, and periodic acid–Schiff (PAS) for glycogen analysis; scale 100 μm. (F) Representative images of liver H&E showing macrovesicular (red arrows) and microvesicular (blue arrows) steatosis; scale = 100 μm. (G) Liver RNA expression of CD36. (H) Liver glycogen content. Liver RNA expression of (I) FXR, (J) FGFR4, (K) small heterodimer partner (SHP), (L) Col1a1, (M) Timp1, (N) Adgre1, and (O) Acta2 (α-SMA). (P) Analysis of fibrosis by percentage area of PSR stain. (Q) Circulating (4-hour fast) FGF21 levels. (R) Diagram representing the increased levels of circulating bile acids, GLP-1, and FGF21 in mice lacking intestinal FGF15. Animal numbers for A are control chow (n = 6), FGF15INT-KO chow (n = 7), control DIO-MASH (n = 11), FGF15INT-KO DIO-MASH (n = 10). Animal numbers for B and C are control chow (n = 6), FGF15INT-KO chow (n = 8), control DIO-MASH (n = 11), FGF15INT-KO DIO-MASH (n = 10). Animal numbers for D, G–I, and K–P are control chow (n = 6), FGF15INT-KO chow (n = 8), control DIO-MASH (n = 6), FGF15INT-KO DIO-MASH (n = 5). Animal numbers for J are control chow (n = 5), FGF15INT-KO chow (n = 8), control DIO-MASH (n = 6), FGF15INT-KO DIO-MASH (n = 5). Animal numbers for Q are control DIO-MASH (n = 5), FGF15INT-KO DIO-MASH (n = 5). Data are shown as means ± SEM. *P < 0.05, 2-tailed Student’s t test (unpaired) comparing responses between genotypes per diet.

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