Biliary Phospholipids Sustain Enterocyte Proliferation and Intestinal Tumor Progression via Nuclear Receptor Lrh1 in mice

Sci Rep. 2016 Dec 20:6:39278. doi: 10.1038/srep39278.

Abstract

The proliferative-crypt compartment of the intestinal epithelium is enriched in phospholipids and accumulation of phospholipids has been described in colorectal tumors. Here we hypothesize that biliary phospholipid flow could directly contribute to the proliferative power of normal and dysplastic enterocytes. We used Abcb4-/- mice which lack biliary phospholipid secretion. We first show that Abcb4-/- mice are protected against intestinal tumorigenesis. At the molecular level, the transcriptional activity of the nuclear receptor Liver Receptor Homolog-1 (Lrh1) is reduced in Abcb4-/- mice and its re-activation re-establishes a tumor burden comparable to control mice. Feeding Abcb4-/- mice a diet supplemented with phospholipids completely overcomes the intestinal tumor protective phenotype, thus corroborating the hypothesis that the absence of biliary phospholipids and not lack of Abcb4 gene per se is responsible for the protection. In turn, phospholipids cannot re-establish intestinal tumorigenesis in Abcb4-/- mice crossed with mice with intestinal specific ablation of Lrh1, a nuclear hormone receptor that is activates by phospholipids. Our data identify the key role of biliary phospholipids in sustaining intestinal mucosa proliferation and tumor progression through the activation of nuclear receptor Lrh1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics*
  • ATP-Binding Cassette Sub-Family B Member 4
  • Animals
  • Biliary Tract / metabolism
  • Carcinogenesis / pathology*
  • Cell Proliferation
  • Cyclin D1 / biosynthesis
  • Enterocytes / metabolism*
  • Intestinal Mucosa / cytology
  • Intestinal Mucosa / metabolism
  • Intestinal Neoplasms / pathology*
  • Male
  • Mice
  • Mice, Knockout
  • Phospholipids / metabolism*
  • Proliferating Cell Nuclear Antigen / biosynthesis
  • Receptors, Cytoplasmic and Nuclear / genetics
  • Receptors, Cytoplasmic and Nuclear / metabolism*

Substances

  • ATP Binding Cassette Transporter, Subfamily B
  • Ccnd1 protein, mouse
  • Nr5a2 protein, mouse
  • Phospholipids
  • Proliferating Cell Nuclear Antigen
  • Receptors, Cytoplasmic and Nuclear
  • Cyclin D1