1. Metabolic adaptation allows Amacr-deficient mice to remain symptom-free despite low levels of mature bile acids
- Author
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Ari-Pekka Kvist, J. Kalervo Hiltunen, Kaija J. Autio, Werner Schmitz, Markku J. Savolainen, Matti Jauhiainen, Stefan E.H. Alexson, Päivi Pirilä, Tiina Kotti, Tuire Salonurmi, Eija M. Selkälä, Ernst Conzelmann, and Sanna Kuusisto
- Subjects
medicine.medical_specialty ,medicine.drug_class ,Longevity ,Racemases and Epimerases ,Biology ,Cholesterol 7 alpha-hydroxylase ,Bile Acids and Salts ,Mice ,chemistry.chemical_compound ,Internal medicine ,CYP27A1 ,medicine ,Animals ,Molecular Biology ,Mice, Knockout ,Bile acid ,Cholesterol ,Reverse cholesterol transport ,Lipid metabolism ,Cell Biology ,Lipid Metabolism ,Endocrinology ,Liver ,chemistry ,Biochemistry ,Intestinal cholesterol absorption ,lipids (amino acids, peptides, and proteins) ,CYP8B1 - Abstract
Bile acids play multiple roles in the physiology of vertebrates; they facilitate lipid absorption, serve as signaling molecules to control carbohydrate and lipid metabolism, and provide a disposal route for cholesterol. Unexpectedly, the α-methylacyl-CoA racemase (Amacr) deficient mice, which are unable to complete the peroxisomal cleavage of C27-precursors to the mature C24-bile acids, are physiologically asymptomatic when maintained on a standard laboratory diet. The aim of this study was to uncover the underlying adaptive mechanism with special reference to cholesterol and bile acid metabolism that allows these mice to have a normal life span. Intestinal cholesterol absorption in Amacr −/− mice is decreased resulting in a 2-fold increase in daily cholesterol excretion. Also fecal excretion of bile acids (mainly C27-sterols) is enhanced 3-fold. However, the body cholesterol pool remains unchanged, although Amacr-deficiency accelerates hepatic sterol synthesis 5-fold. Changes in lipoprotein profiles are mainly due to decreased phospholipid transfer protein activity. Thus Amacr-deficient mice provide a unique example of metabolic regulation, which allows them to have a normal lifespan in spite of the disruption of a major metabolic pathway. This metabolic adjustment can be mainly explained by setting cholesterol and bile acid metabolism to a new balanced level in the Amacr-deficient mouse.
- Published
- 2013
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