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  4. Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance
 
research article

Intestinal FXR agonism promotes adipose tissue browning and reduces obesity and insulin resistance

Fang, Sungsoon
•
Suh, Jae Myoung
•
Reilly, Shannon M.
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2015
Nature Medicine

The systemic expression of the bile acid (BA) sensor farnesoid X receptor (FXR) has led to promising new therapies targeting cholesterol metabolism, triglyceride production, hepatic steatosis and biliary cholestasis. In contrast to systemic therapy, bile acid release during a meal selectively activates intestinal FXR. By mimicking this tissue-selective effect, the gut-restricted FXR agonist fexaramine (Fex) robustly induces enteric fibroblast growth factor 15 (FGF15), leading to alterations in BA composition, but does so without activating FXR target genes in the liver. However, unlike systemic agonism, we find that Fex reduces diet-induced weight gain, body-wide inflammation and hepatic glucose production, while enhancing thermogenesis and browning of white adipose tissue (WAT). These pronounced metabolic improvements suggest tissue-restricted FXR activation as a new approach in the treatment of obesity and metabolic syndrome.

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Type
research article
DOI
10.1038/nm.3760
Web of Science ID

WOS:000348974800018

Author(s)
Fang, Sungsoon
Suh, Jae Myoung
Reilly, Shannon M.
Yu, Elizabeth
Osborn, Olivia
Lackey, Denise
Yoshihara, Eiji
Perino, Alessia  
Jacinto, Sandra
Lukasheva, Yelizaveta
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Date Issued

2015

Publisher

Nature Publishing Group

Published in
Nature Medicine
Volume

21

Issue

2

Start page

71

End page

77

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPSCHOONJANS  
Available on Infoscience
May 29, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/114679
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