Language
English
Publication Date
11-1-2025
Journal
Journal of Lipid Research
DOI
10.1016/j.jlr.2025.100919
PMID
41043692
PMCID
PMC12637226
PubMedCentral® Posted Date
10-1-2025
PubMedCentral® Full Text Version
Post-print
Abstract
We aimed to investigate the relative efficacy of feeding different bile acids in preventing PNALD in neonatal pigs. Newborn pigs given total parenteral nutrition (TPN) combined with minimal enteral feeding of chenodeoxycholic acid (CDCA) or increasing doses of obeticholic acid (OCA) for 19 days. Enteral OCA (5 and 15 mg/kg), but not CDCA (30 mg/kg) reduced blood cholestasis markers compared to TPN controls and increased bile acids in the gallbladder and intestine. Major bile acids in the liver and distal intestine were CDCA, HCA, HDCA, and OCA, and their relative proportions were increased by the type of bile acid (CDCA or OCA) given enterally. High doses of OCA increased the total NR1H4-agonistic bile acid profile in the liver and intestine above 50% total bile acids. Both CDCA and OCA treatments suppressed hepatic CYP7A1 expression, but only OCA increased hepatobiliary transporters, ABCB11, ABCC4, and ABCB1. Plasma phytosterol levels were reduced and biliary levels were increased by CDCA and OCA and hepatic sterol transporters, abcg5/8, expression were increased by OCA. Both CDCA and OCA increased plasma FGF19 and OCA increased intestinal FGF19, FABP6, and SLC51A. Both CDCA and OCA increased intestinal mucosal growth, whereas CDCA increased the plasma GLP-2, GLP-1 and GIP. Enteral OCA prevented cholestasis and phytosterolemia by increased hepatic bile acid and sterol transport via induction of hepatobiliary transporter NR1H4 target genes and not by suppression of bile acid synthesis genes. We also showed an intestinal trophic action of OCA that demonstrates a dual clinical benefit of NR1H4 agonism in the prevention of PNALD in pigs.
Keywords
Animals, Receptors, Cytoplasmic and Nuclear, Swine, Cholestasis, Liver, Animals, Newborn, Chenodeoxycholic Acid, Intestines, Bile Acids and Salts, Intestinal Mucosa, Parenteral Nutrition, parenteral nutrition-associated liver disease, cholestasis, phytosterols, FGF19, FXR
Published Open-Access
yes
Recommended Citation
Jiang, Yanjun; Fang, Zhengfeng; Guthrie, Gregory; et al., "Selective Agonism of Liver and Gut Fxr Prevents Cholestasis and Intestinal Atrophy in Parenterally Fed Neonatal Pigs" (2025). Faculty and Staff Publications. 5828.
https://digitalcommons.library.tmc.edu/baylor_docs/5828
Graphical Abstract