The farnesoid X receptor (FXR) is involved in regulation of bile acid and lipid metabolism. Recently, a role for FXR in control of glucose metabolism became evident. Because FXR is expressed along the length of the small intestine, we evaluated the potential role of FXR in glucose absorption and processing.
During intravenous infusion of a trace amount of D-[6,6-2 H 2 ]glucose, a D-[U-13 C]glucose-enriched oral glucose bolus was given, and glucose kinetics were determined in wild-type and Fxr ؊/؊ mice. Compared with wild-type mice, Fxr ؊/؊ mice showed a delayed plasma appearance of orally administered glucose. Multicompartmental kinetic modeling revealed that this delay was caused by an increased flux through the glucose 6-phosphate pool in enterocytes. Thus, our results show involvement of FXR in intestinal glucose absorption, representing a novel physiological function for this nuclear receptor.The bile acid-activated farnesoid X receptor (FXR; NR1H4) 3 is a member of the nuclear receptor superfamily that is expressed in liver, adrenals, kidney, small intestine, and colon (1). Through FXR activation in the liver, bile acids induce transcription of the atypical nuclear receptor short heterodimer partner (NR0B2), which, in turn, represses transcription of the Cyp7a1 gene, encoding the rate-controlling enzyme in bile acid synthesis (2). FXR also suppresses transcription of the gene encoding the hepatobiliary bile acid uptake transporter NTCP (Na ϩ -taurocholate cotransporting polypeptide; Slc10a1) and induces transcription of genes encoding canalicular bile acid transporters such as the bile salt export pump (ABCB11) and multidrug resistance protein-2 (ABCC2) (see reviews in Refs. 1 and 3). In the intestine of mice, FXR stimulates transcription of the gene encoding the fibroblast growth factor 15 (4). Fibroblast growth factor 15 reduces hepatic bile acid synthesis by repressing Cyp7a1 transcription in the liver. Apart from its clearly established effects on bile acid synthesis and transport, FXR is involved in the control of lipid and lipoprotein homeostasis. Fxr Ϫ/Ϫ mice have elevated plasma triglyceride and cholesterol levels (5), and FXR activation decreases plasma triglyceride levels in mice (6). FXR negatively controls apoA-I (7) as well as apoCIII expression (6), which contributes to FXR-mediated control of plasma lipid levels.Recently, a link between FXR and glucose homeostasis has become evident. It was shown that glucose induces hepatic Fxr expression in rodent liver, probably via intermediates of the pentose-phosphate pathway (8). Recent publications indicate that FXR plays a role in the regulation of the transcription of various hepatic carbohydrate metabolism-related genes. Activated FXR represses the transcription of gluconeogenic genes, e.g. those encoding phosphenolpyruvate carboxykinase, fructose-1,6-biphosphatase-1, and glucose-6-phosphatase (G6PC) in vitro (9). In vivo experiments showed that Fxr Ϫ/Ϫ mice have a reduced peripheral insulin sensitivity (10, 11) and a reduced hepatic glucose produc...