1. Liver-derived extracellular vesicles improve whole-body glycaemic control via inter-organ communication
- Author
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Miotto, PM, Yang, C-H, Keenan, SN, De Nardo, W, Beddows, CA, Fidelito, G, Dodd, GT, Parker, BL, Hill, AF, Burton, PR, Loh, K, Watt, MJ, Miotto, PM, Yang, C-H, Keenan, SN, De Nardo, W, Beddows, CA, Fidelito, G, Dodd, GT, Parker, BL, Hill, AF, Burton, PR, Loh, K, and Watt, MJ
- Abstract
Small extracellular vesicles (EVs) are signalling messengers that regulate inter-tissue communication through delivery of their molecular cargo. Here, we show that liver-derived EVs are acute regulators of whole-body glycaemic control in mice. Liver EV secretion into the circulation is increased in response to hyperglycaemia, resulting in increased glucose effectiveness and insulin secretion through direct inter-organ EV signalling to skeletal muscle and the pancreas, respectively. This acute blood glucose lowering effect occurs in healthy and obese mice with non-alcoholic fatty liver disease, despite marked remodelling of the liver-derived EV proteome in obese mice. The EV-mediated blood glucose lowering effects were recapitulated by administration of liver EVs derived from humans with or without progressive non-alcoholic fatty liver disease, suggesting broad functional conservation of liver EV signalling and potential therapeutic utility. Taken together, this work reveals a mechanism whereby liver EVs act on peripheral tissues via endocrine signalling to restore euglycaemia in the postprandial state.
- Published
- 2024