Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism

Metabolic dysfunction-associated fatty liver disease (MAFLD) is a major health concern with no approved pharmacological therapies. Molecules developed to activate the bile acid-receptor TGR5 regulate pathways involved in MALFD pathogenesis, but the therapeutic value of TGR5 activation on the active...

Full description

Bibliographic Details
Main Authors: Justine Gillard, Corinne Picalausa, Christoph Ullmer, Luciano Adorini, Bart Staels, Anne Tailleux, Isabelle A. Leclercq
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/13/2707
_version_ 1797408472173641728
author Justine Gillard
Corinne Picalausa
Christoph Ullmer
Luciano Adorini
Bart Staels
Anne Tailleux
Isabelle A. Leclercq
author_facet Justine Gillard
Corinne Picalausa
Christoph Ullmer
Luciano Adorini
Bart Staels
Anne Tailleux
Isabelle A. Leclercq
author_sort Justine Gillard
collection DOAJ
description Metabolic dysfunction-associated fatty liver disease (MAFLD) is a major health concern with no approved pharmacological therapies. Molecules developed to activate the bile acid-receptor TGR5 regulate pathways involved in MALFD pathogenesis, but the therapeutic value of TGR5 activation on the active form of MAFLD, non-alcoholic steatohepatitis (NASH), still needs to be evaluated. As TGR5 agonism is low in MAFLD, we used strategies to promote the production of endogenous TGR5 ligands or administered pharmacological TGR5 agonists, INT-777 and RO5527239, to study the effect of TGR5 activation on liver and metabolic diseases in high-fat diet-fed <i>foz/foz</i> mice. Although described in the literature, treatment with fexaramine, an intestine-restricted FXR agonist, did not raise the concentrations of TGR5 ligands nor modulate TGR5 signaling and, accordingly, did not improve dysmetabolic status. INT-777 and RO5527239 directly activated TGR5. INT-777 only increased the TGR5 activation capacity of the portal blood; RO5527239 also amplified the TGR5 activation capacity of systemic blood. Both molecules improved glucose tolerance. In spite of the TGR5 activation capacity, INT-777, but not RO5527239, reduced liver disease severity. In conclusion, TGR5 activation in enterohepatic, rather than in peripheral, tissues has beneficial effects on glucose tolerance and MAFLD.
first_indexed 2024-03-09T03:58:59Z
format Article
id doaj.art-e894aea60f524f7586ce70cd39ceb4c9
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-09T03:58:59Z
publishDate 2022-06-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-e894aea60f524f7586ce70cd39ceb4c92023-12-03T14:16:42ZengMDPI AGNutrients2072-66432022-06-011413270710.3390/nu14132707Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose DysmetabolismJustine Gillard0Corinne Picalausa1Christoph Ullmer2Luciano Adorini3Bart Staels4Anne Tailleux5Isabelle A. Leclercq6Laboratory of Hepato-Gastroenterology, Institute of Experimental and Clinical Research, Université Catholique de Louvain, 1200 Brussels, BelgiumLaboratory of Hepato-Gastroenterology, Institute of Experimental and Clinical Research, Université Catholique de Louvain, 1200 Brussels, BelgiumPharma Research & Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche Ltd., 4070 Basel, SwitzerlandIntercept Pharmaceuticals, New York, NY 10001, USAInserm, CHU Lille, Institut Pasteur de Lille, University Lille, U1011-EGID, F-59000 Lille, FranceInserm, CHU Lille, Institut Pasteur de Lille, University Lille, U1011-EGID, F-59000 Lille, FranceLaboratory of Hepato-Gastroenterology, Institute of Experimental and Clinical Research, Université Catholique de Louvain, 1200 Brussels, BelgiumMetabolic dysfunction-associated fatty liver disease (MAFLD) is a major health concern with no approved pharmacological therapies. Molecules developed to activate the bile acid-receptor TGR5 regulate pathways involved in MALFD pathogenesis, but the therapeutic value of TGR5 activation on the active form of MAFLD, non-alcoholic steatohepatitis (NASH), still needs to be evaluated. As TGR5 agonism is low in MAFLD, we used strategies to promote the production of endogenous TGR5 ligands or administered pharmacological TGR5 agonists, INT-777 and RO5527239, to study the effect of TGR5 activation on liver and metabolic diseases in high-fat diet-fed <i>foz/foz</i> mice. Although described in the literature, treatment with fexaramine, an intestine-restricted FXR agonist, did not raise the concentrations of TGR5 ligands nor modulate TGR5 signaling and, accordingly, did not improve dysmetabolic status. INT-777 and RO5527239 directly activated TGR5. INT-777 only increased the TGR5 activation capacity of the portal blood; RO5527239 also amplified the TGR5 activation capacity of systemic blood. Both molecules improved glucose tolerance. In spite of the TGR5 activation capacity, INT-777, but not RO5527239, reduced liver disease severity. In conclusion, TGR5 activation in enterohepatic, rather than in peripheral, tissues has beneficial effects on glucose tolerance and MAFLD.https://www.mdpi.com/2072-6643/14/13/2707MAFLDNASHmetabolic syndromeTGR5INT-777RO5527239
spellingShingle Justine Gillard
Corinne Picalausa
Christoph Ullmer
Luciano Adorini
Bart Staels
Anne Tailleux
Isabelle A. Leclercq
Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism
Nutrients
MAFLD
NASH
metabolic syndrome
TGR5
INT-777
RO5527239
title Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism
title_full Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism
title_fullStr Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism
title_full_unstemmed Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism
title_short Enterohepatic Takeda G-Protein Coupled Receptor 5 Agonism in Metabolic Dysfunction-Associated Fatty Liver Disease and Related Glucose Dysmetabolism
title_sort enterohepatic takeda g protein coupled receptor 5 agonism in metabolic dysfunction associated fatty liver disease and related glucose dysmetabolism
topic MAFLD
NASH
metabolic syndrome
TGR5
INT-777
RO5527239
url https://www.mdpi.com/2072-6643/14/13/2707
work_keys_str_mv AT justinegillard enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism
AT corinnepicalausa enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism
AT christophullmer enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism
AT lucianoadorini enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism
AT bartstaels enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism
AT annetailleux enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism
AT isabellealeclercq enterohepatictakedagproteincoupledreceptor5agonisminmetabolicdysfunctionassociatedfattyliverdiseaseandrelatedglucosedysmetabolism