Abstract:Gpbar1 (TGR5), a membrane-bound bile acid receptor, is well known for its roles in regulation of energy homeostasis and glucose metabolism. We recently reported that TGR5 activation inhibits nuclear factor κB (NF-κB)-mediated inflammation. Here we show that TGR5 deficiency enhances chemically-induced liver carcinogenesis, and that TGR5 is a negative regulator of signal transducer and activator of transcription 3 (STAT3) signaling. Mice lacking TGR5 were much more susceptible to diethylnitrosamine (DEN)-induced… Show more
“…72 Loss of TGR5 in mice also increased susceptibility to diethylnitrosamine-induced acute liver injury and cancer due to increased hepatocyte death, compensatory proliferation, and expression of inflammatory cytokines. 73 Moreover, TGR5 KO mice displayed abnormal hydrophobic BA composition, severe hepatocyte necrosis, prolonged cholestasis, exacerbated inflammatory response, and delayed regeneration compared to WT mice post partial hepatectomy. 74 Treatment of non-alcoholic fatty liver disease (NAFLD) mice with dual FXR/TGR5 agonist decreased intrahepatic inflammation and improved histological features.…”
Because of increasingly widespread sedentary lifestyles and diets high in fat and sugar, the global diabetes and obesity epidemic continues to grow unabated. A substantial body of evidence has been accumulated which associates diabetes and obesity to dramatically higher risk of cancer development, particularly in the liver and gastrointestinal tract. Additionally, diabetic and obese individuals have been shown to suffer from dysregulation of bile acid (BA) homeostasis and dysbiosis of the intestinal microbiome. Abnormally elevated levels of cytotoxic secondary BAs and a pro-inflammatory shift in gut microbial profile have individually been linked to numerous enterohepatic diseases including cancer. However, recent findings have implicated a detrimental interplay between BA dysregulation and intestinal dysbiosis that promotes carcinogenesis along the gut–liver axis. This review seeks to examine the currently investigated interactions between the regulation of BA metabolism and activity of the intestinal microbiota and how these interactions can drive cancer formation in the context of diabesity. The precarcinogenic effects of BA dysregulation and gut dysbiosis including excessive inflammation, heightened oxidative DNA damage, and increased cell proliferation are discussed. Furthermore, by focusing on the mediatory roles of BA nuclear receptor farnesoid x receptor, ileal transporter apical sodium dependent BA transporter, and G-coupled protein receptor TGR5, this review attempts to connect BA dysregulation, gut dysbiosis, and enterohepatic carcinogenesis at a mechanistic level. A better understanding of the intricate interplay between BA homeostasis and gut microbiome can yield novel avenues to combat the impending rise in diabesity-related cancers.
“…72 Loss of TGR5 in mice also increased susceptibility to diethylnitrosamine-induced acute liver injury and cancer due to increased hepatocyte death, compensatory proliferation, and expression of inflammatory cytokines. 73 Moreover, TGR5 KO mice displayed abnormal hydrophobic BA composition, severe hepatocyte necrosis, prolonged cholestasis, exacerbated inflammatory response, and delayed regeneration compared to WT mice post partial hepatectomy. 74 Treatment of non-alcoholic fatty liver disease (NAFLD) mice with dual FXR/TGR5 agonist decreased intrahepatic inflammation and improved histological features.…”
Because of increasingly widespread sedentary lifestyles and diets high in fat and sugar, the global diabetes and obesity epidemic continues to grow unabated. A substantial body of evidence has been accumulated which associates diabetes and obesity to dramatically higher risk of cancer development, particularly in the liver and gastrointestinal tract. Additionally, diabetic and obese individuals have been shown to suffer from dysregulation of bile acid (BA) homeostasis and dysbiosis of the intestinal microbiome. Abnormally elevated levels of cytotoxic secondary BAs and a pro-inflammatory shift in gut microbial profile have individually been linked to numerous enterohepatic diseases including cancer. However, recent findings have implicated a detrimental interplay between BA dysregulation and intestinal dysbiosis that promotes carcinogenesis along the gut–liver axis. This review seeks to examine the currently investigated interactions between the regulation of BA metabolism and activity of the intestinal microbiota and how these interactions can drive cancer formation in the context of diabesity. The precarcinogenic effects of BA dysregulation and gut dysbiosis including excessive inflammation, heightened oxidative DNA damage, and increased cell proliferation are discussed. Furthermore, by focusing on the mediatory roles of BA nuclear receptor farnesoid x receptor, ileal transporter apical sodium dependent BA transporter, and G-coupled protein receptor TGR5, this review attempts to connect BA dysregulation, gut dysbiosis, and enterohepatic carcinogenesis at a mechanistic level. A better understanding of the intricate interplay between BA homeostasis and gut microbiome can yield novel avenues to combat the impending rise in diabesity-related cancers.
“…We conducted TGR5 overexpression under normal and high glucose levels and found that, without exogenous stimulation, overexpression of TGR5 decreased FN, ICAM-1, and TGF-β1 protein contents (Figs.3B-3E). TGR5 showed receptor activity without ligand binding, which could be related to TGR5 constitutive activity [13,28].…”
Section: Tgr5 Overexpression Inhibited High Glucose-induced Fn Icam-mentioning
“…Animal studies show that activation of this receptor inhibits inflammatory processes55–57 and minimises associated liver injury. It may also have a protective role in carcinogenesis of the liver 58. Fibroblast growth factor 19 (FGF19) has also been discovered as a therapeutic target for patients with PBC.…”
Primary biliary cholangitis (PBC) is an immunological condition that causes a significant health disturbance and dramatically reduces the quality of life for those affected with the disease. It is a potentially fatal disease that can lead to multiple hepatic and extrahepatic complications. Having adequate therapeutic interventions that can improve the course of the disease is imperative in reducing the associated morbidity and mortality. Ursodeoxycholic acid (UDCA) is the gold standard therapy. However, it has been associated with suboptimal response rates in a significant proportion of patients. Despite UDCA, approximately 35%–40% of individuals with PBC still experience a progression of the disease, leading to liver failure and requiring liver transplantation. Recent studies of new pharmacological approaches have shown beneficial outcomes. Some of these agents can now be applied to a clinical scenario. In this review article, we will outline the new and emerging treatments for PBC.
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