Hepatoprotection by the farnesoid X receptor agonist GW4064 in rat models of intra- and extrahepatic cholestasis

Autor: Mary Jo Numerick, Kathleen I. MacKenzie, Bryan Goodwin, Guizhen Luo, Jane G Binz, Yaping Liu, Bhasha Desai, Steven A. Kliewer, Stacey A. Jones, Traci Ann Mansfield, Steve Dennis
Rok vydání: 2003
Předmět:
Male
medicine.medical_specialty
ATP Binding Cassette Transporter
Subfamily B

Taurine
medicine.drug_class
Organic Anion Transporters
Sodium-Dependent

Receptors
Cytoplasmic and Nuclear

Naphthalenes
Organic Anion Transporters
Sodium-Independent

Extrahepatic Cholestasis
Biology
Receptors
Tumor Necrosis Factor

Liver disorder
Rats
Sprague-Dawley

Cholestasis
Internal medicine
medicine
Animals
Steroid 12-alpha-Hydroxylase
Symporters
Bile acid
Ursodeoxycholic Acid
Membrane Transport Proteins
Isoxazoles
General Medicine
medicine.disease
G protein-coupled bile acid receptor
Bile duct proliferation
Ursodeoxycholic acid
Rats
DNA-Binding Proteins
Receptors
TNF-Related Apoptosis-Inducing Ligand

Endocrinology
Cytoprotection
ATP-Binding Cassette Transporters
Farnesoid X receptor
Carrier Proteins
Isocyanates
Transcription Factors
medicine.drug
Zdroj: Journal of Clinical Investigation. 112:1678-1687
ISSN: 0021-9738
Popis: Farnesoid X receptor (FXR) is a bile acid-activated transcription factor that is a member of the nuclear hormone receptor superfamily. Fxr-null mice exhibit a phenotype similar to Byler disease, an inherited cholestatic liver disorder. In the liver, activation of FXR induces transcription of transporter genes involved in promoting bile acid clearance and represses genes involved in bile acid biosynthesis. We investigated whether the synthetic FXR agonist GW4064 could protect against cholestatic liver damage in rat models of extrahepatic and intrahepatic cholestasis. In the bile duct-ligation and alpha-naphthylisothiocyanate models of cholestasis, GW4064 treatment resulted in significant reductions in serum alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase, as well as other markers of liver damage. Rats that received GW4064 treatment also had decreased incidence and extent of necrosis, decreased inflammatory cell infiltration, and decreased bile duct proliferation. Analysis of gene expression in livers from GW4064-treated cholestatic rats revealed decreased expression of bile acid biosynthetic genes and increased expression of genes involved in bile acid transport, including the phospholipid flippase MDR2. The hepatoprotection seen in these animal models by the synthetic FXR agonist suggests FXR agonists may be useful in the treatment of cholestatic liver disease.
Databáze: OpenAIRE