24-Norursodeoxycholic acid ameliorates experimental alcohol-related liver disease and activates hepatic PPARγ

© 2023 The Authors..

Background & Aims: Alcohol-related liver disease (ALD) is a global healthcare challenge with limited treatment options. 24-Norursodeoxycholic acid (NorUDCA) is a synthetic bile acid with anti-inflammatory properties in experimental and human cholestatic liver diseases. In the present study, we explored the efficacy of norUDCA in experimental ALD.

Methods: NorUDCA was tested in a preventive and therapeutic setting in an experimental ALD model (Lieber-DeCarli diet enriched with ethanol). Liver disease was phenotypically evaluated using histology and biochemical methods, and anti-inflammatory properties and peroxisome proliferator-activated receptor gamma activation by norUDCA were evaluated in cellular model systems.

Results: NorUDCA administration ameliorated ethanol-induced liver injury, reduced hepatocyte death, and reduced the expression of hepatic pro-inflammatory cytokines including tumour necrosis factor (Tnf), Il-1β, Il-6, and Il-10. NorUDCA shifted hepatic macrophages towards an anti-inflammatory M2 phenotype. Further, norUDCA administration altered the composition of the intestinal microbiota, specifically increasing the abundance of Roseburia, Enterobacteriaceae, and Clostridum spp. In a therapeutic model, norUDCA also ameliorated ethanol-induced liver injury. Moreover, norUDCA suppressed lipopolysaccharide-induced IL-6 expression in human peripheral blood mononuclear cells and evoked peroxisome proliferator-activated receptor gamma activation.

Conclusions: NorUDCA ameliorated experimental ALD, protected against hepatic inflammation, and affected gut microbial commensalism. NorUDCA could serve as a novel therapeutic agent in the future management of patients with ALD.

Impact and implications: Alcohol-related liver disease is a global healthcare concern with limited treatment options. 24-Norursodeoxycholic acid (NorUDCA) is a modified bile acid, which was proven to be effective in human cholestatic liver diseases. In the present study, we found a protective effect of norUDCA in experimental alcoholic liver disease. For patients with ALD, norUDCA could be a potential new treatment option.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

JHEP reports : innovation in hepatology - 5(2023), 11 vom: 11. Nov., Seite 100872

Sprache:

Englisch

Beteiligte Personen:

Grander, Christoph [VerfasserIn]
Meyer, Moritz [VerfasserIn]
Steinacher, Daniel [VerfasserIn]
Claudel, Thierry [VerfasserIn]
Hausmann, Bela [VerfasserIn]
Pjevac, Petra [VerfasserIn]
Grabherr, Felix [VerfasserIn]
Oberhuber, Georg [VerfasserIn]
Grander, Manuel [VerfasserIn]
Brigo, Natascha [VerfasserIn]
Jukic, Almina [VerfasserIn]
Schwärzler, Julian [VerfasserIn]
Weiss, Günter [VerfasserIn]
Adolph, Timon E [VerfasserIn]
Trauner, Michael [VerfasserIn]
Tilg, Herbert [VerfasserIn]

Links:

Volltext

Themen:

Alcoholic liver disease
Journal Article
M2 macrophages
Microbiota
NorUDCA
Ppar-gamma

Anmerkungen:

Date Revised 21.02.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jhepr.2023.100872

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363113266