[PDF][PDF] FXR regulates intestinal cancer stem cell proliferation

T Fu, S Coulter, E Yoshihara, TG Oh, S Fang… - Cell, 2019 - cell.com
T Fu, S Coulter, E Yoshihara, TG Oh, S Fang, F Cayabyab, Q Zhu, T Zhang, M Leblanc, S Liu
Cell, 2019cell.com
Increased levels of intestinal bile acids (BAs) are a risk factor for colorectal cancer (CRC).
Here, we show that the convergence of dietary factors (high-fat diet) and dysregulated WNT
signaling (APC mutation) alters BA profiles to drive malignant transformations in Lgr5-
expressing (Lgr5+) cancer stem cells and promote an adenoma-to-adenocarcinoma
progression. Mechanistically, we show that BAs that antagonize intestinal farnesoid X
receptor (FXR) function, including tauro-β-muricholic acid (T-βMCA) and deoxycholic acid …
Summary
Increased levels of intestinal bile acids (BAs) are a risk factor for colorectal cancer (CRC). Here, we show that the convergence of dietary factors (high-fat diet) and dysregulated WNT signaling (APC mutation) alters BA profiles to drive malignant transformations in Lgr5-expressing (Lgr5+) cancer stem cells and promote an adenoma-to-adenocarcinoma progression. Mechanistically, we show that BAs that antagonize intestinal farnesoid X receptor (FXR) function, including tauro-β-muricholic acid (T-βMCA) and deoxycholic acid (DCA), induce proliferation and DNA damage in Lgr5+ cells. Conversely, selective activation of intestinal FXR can restrict abnormal Lgr5+ cell growth and curtail CRC progression. This unexpected role for FXR in coordinating intestinal self-renewal with BA levels implicates FXR as a potential therapeutic target for CRC.
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