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. 2022 Mar:202:111630.
doi: 10.1016/j.mad.2022.111630. Epub 2022 Jan 10.

Ileal FXR-FGF15/19 signaling activation improves skeletal muscle loss in aged mice

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Ileal FXR-FGF15/19 signaling activation improves skeletal muscle loss in aged mice

Yixuan Qiu et al. Mech Ageing Dev. 2022 Mar.

Abstract

Sarcopenia is the age-related decrease in skeletal muscle mass, and current therapies for this disease are ineffective. We previously showed that ileal farnesoid X receptor (FXR)-fibroblast growth factor 15/19 (FGF15/19) signaling acts as a regulator of gut microbiota to mediate host skeletal muscle. However, the therapeutic potential of this pathway for sarcopenia is unknown. This study showed that ileal FXR-FGF15/19 signaling was downregulated in older men and aged male mice due to changes in the gut microbiota and microbial bile acid metabolism during aging. In addition, the intestine-specific FXR agonist fexaramine increased skeletal muscle mass and improve muscle performance in aged mice. Ileal FXR activation increased skeletal muscle protein synthesis in a FGF15/19-dependent way, indicating that ileal FXR-FGF15/19 signaling is a potential therapeutic target for sarcopenia.

Keywords: Bile acid; FGF15/19; FXR; Fexaramine; Skeletal muscle.

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