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Damaging mutations in liver X receptor-α are hepatotoxic and implicate cholesterol sensing in liver health

Title: Damaging mutations in liver X receptor-α are hepatotoxic and implicate cholesterol sensing in liver health
Authors: Lockhart SM; Muso M; Zvetkova I; Lam BYH; Ferrari A; Schoenmakers E; Duckett K; Leslie J; Collins A; Romartinez-Alonso B; Tadross JA; Jia R; Gardner EJ; Kentistou K; Zhao Y; Day F; Morseburg A; Rainbow K; Rimmington D; Mastantuoni M; Harrison J; Nus M; Guma'a K; Sherratt-Mayhew S; Jiang X; Smith KR; Paul DS; Jenkins B; Koulman A; Pietzner M; Langenberg C; Wareham N; Yeo GS; Chatterjee K; Schwabe J; Oakley F; Mann DA; Tontonoz P; Coll AP; Ong K; Perry JRB; O'Rahilly S
Source: Nature Metabolism, 2024
Publisher Information: Nature Research
Publication Year: 2024
Collection: Newcastle University Library ePrints Service
Description: © The Author(s) 2024.Liver X receptor-α (LXRα) regulates cellular cholesterol abundance and potently activates hepatic lipogenesis. Here we show that at least 1 in 450 people in the UK Biobank carry functionally impaired mutations in LXRα, which is associated with biochemical evidence of hepatic dysfunction. On a western diet, male and female mice homozygous for a dominant negative mutation in LXRα have elevated liver cholesterol, diffuse cholesterol crystal accumulation and develop severe hepatitis and fibrosis, despite reduced liver triglyceride and no steatosis. This phenotype does not occur on low-cholesterol diets and can be prevented by hepatocyte-specific overexpression of LXRα. LXRα knockout mice exhibit a milder phenotype with regional variation in cholesterol crystal deposition and inflammation inversely correlating with steatosis. In summary, LXRα is necessary for the maintenance of hepatocyte health, likely due to regulation of cellular cholesterol content. The inverse association between steatosis and both inflammation and cholesterol crystallization may represent a protective action of hepatic lipogenesis in the context of excess hepatic cholesterol.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: https://eprints.ncl.ac.uk/301449; https://eprints.ncl.ac.uk/fulltext.aspx?url=301449/FF653CE8-049D-4FCB-B3B8-E8A8D92BCC29.pdf&pub_id=301449
Availability: https://eprints.ncl.ac.uk/301449
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.30238FD9
Database: BASE