Loss of apical sodium bile acid transporter alters bile acid circulation and reduces biliary damage in cholangitis

Author:

Meadows Vik1ORCID,Marakovits Corinn1,Ekser Burcin2ORCID,Kundu Debjyoti1,Zhou Tianhao1,Kyritsi Konstantina1,Pham Linh1,Chen Lixian1,Kennedy Lindsey13ORCID,Ceci Ludovica14,Wu Nan1,Carpino Guido5,Zhang Wenjun2ORCID,Isidan Abdulkadir2,Meyer Alison1,Owen Travis1,Gaudio Eugenio4,Onori Paolo4,Alpini Gianfranco13,Francis Heather13ORCID

Affiliation:

1. Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana

2. Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana

3. Richard L. Roudebush Department of Veterans Affairs Medical Center, Indianapolis, Indiana

4. Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, Sapienza University of Rome, Rome, Italy

5. Department of Movement, Human and Health Sciences, University of Rome “Foro Italico,” Rome, Italy

Abstract

We evaluated knockdown of the apical sodium bile acid transporter (ASBT) using Vivo-Morpholino in Mdr2KO mice. ASBT inhibition decreases primary sclerosing cholangitis (PSC) pathogenesis by reducing hepatic mast cell infiltration, altering bile acid species/cholehepatic shunt, and regulating gut inflammation/dysbiosis. Since a large cohort of PSC patients present with IBD, this study is clinically important. We validated findings in human PSC and PSC-IBD along with studies in novel human 3-D organoids formed from human PSC livers.

Funder

HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases

HHS | NIH | National Institute on Alcohol Abuse and Alcoholism

U.S. Department of Veterans Affairs

School of Medicine, Indiana University

PSC Partners Seeking a Cure

Publisher

American Physiological Society

Subject

Physiology (medical),Gastroenterology,Hepatology,Physiology

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