Opposite effects of the FXR agonist obeticholic acid on Mafg and Nrf2 mediate the development of acute liver injury in rodent models of cholestasis.

作者: Adriana Carino , Michele Biagioli , Silvia Marchianò , Chiara Fiorucci , Martina Bordoni

DOI: 10.1016/J.BBALIP.2020.158733

关键词:

摘要: The farnesoid-X-receptor (FXR) is validated target in the cholestatic disorders treatment. Obeticholic acid (OCA), first class of FXR agonist approved for clinical use, causes side effects including acute liver decompensation when administered to cirrhotic patients with primary biliary cholangitis at higher than recommended doses. V-Maf avian-musculoaponeurotic-fibrosarcoma-oncogene-homolog-G (Mafg) and nuclear factor-erythroid-2-related-factor-2 (Nrf2) mediates some downstream FXR. In present study we have investigated role FXR/MafG/NRF2 pathway development toxicity caused by OCA rodent models cholestasis. Cholestasis was induced bile duct ligation (BDL) or administration α-naphtyl-isothiocyanate (ANIT) male Wistar rats FXR-/- FXR+/+ mice. Treating BDL ANIT exacerbated severity cholestasis, hepatocytes injury severely downregulated expression basolateral transporters. mice, genetic ablation its pharmacological inhibition 3-(naphthalen-2-yl)-5-(piperidin-4-yl)-1,2,4-oxadiazole rescued from negative regulation MRP4 protected against ANIT. By RNAseq analysis found that antagonism effectively reversed transcription over 2100 genes modulated OCA/ANIT treatment, Mafg Nrf2 their Cyp7a1, Cyp8b1, Mat1a, Mat2a, Gss. Genetic delivery siRNA antisense S-adenosylmethionine damage ANIT/OCA. contrast, induction sulforaphane protective. CONCLUSIONS: Liver agonism cholestasis FXR-dependent induction.

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