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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 2

Intestine-derived FGF15 is not required for energy balance and glucose metabolism under standard chow diet.

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Intestine-derived FGF15 is not required for energy balance and glucose m...
(A) Experimental timeline of control and FGF15INT-KO mice fed standard chow diet. (B) Longitudinal body weight, (C) fat mass, and (D) lean mass. Bone parameters, including (E) trabecular bone volume fraction (Tb. BV/TV), (F) trabecular bone mineral density (Tb. BMD), (G) cortical bone area (Ct. BV/TV), (H) cortical bone mineral density (Ct. BMD). (I) Circulating FGF23 levels. (J) IPGTT (2 g/kg). (K) Mixed meal tolerance test. (L) Gastric emptying rate measured by acetaminophen levels at 15 minutes after mixed meal. (M) Insulin levels at baseline (4 hours fast) and 15 minutes after mixed meal. (N) Total GLP-1 levels at baseline (4 hours fast) and 15 minutes after mixed meal. (O) GLP-1 levels in pancreas, small intestine, and colon. (P) Pyruvate tolerance test (2 g/kg). (Q) Glycerol tolerance test (2 g/kg). (R) Insulin tolerance test (0.8 U/kg). Indirect colometry measurements averaged for 3 days. (S) Respiratory exchange ratio (RER). (T) Energy expenditure H(3). (U) ANCOVA for energy expenditure with lean mass as covariate. (V) Distance/locomotor activity. (W) Daily food intake. (X) Daily average meal size. (Y) Average number of meals per day. Animal numbers for A–N, P–R, and T–Y are control (n = 6), FGF15INT-KO (n = 8). Animal numbers for O are control (n = 4), FGF15INT-KO (n = 4). Animal numbers for S are control (n = 6), FGF15INT-KO (n = 7). Data are shown as means ± SEM. *P < 0.05, 2-tailed Student’s t test (unpaired) comparing responses between genotypes. VCO2/VO2, carbon dioxide output/oxygen consumption.

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