A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis

Abstract Liver x receptor alpha (LXRα) functions as an intracellular cholesterol sensor that regulates lipid metabolism at the transcriptional level in response to the direct binding of cholesterol derivatives. We have generated mice with a mutation in LXRα that reduces activity in response to endog...

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Main Authors: Alexis T. Clark, Lillian Russo-Savage, Luke A. Ashton, Niki Haghshenas, Nicolas A. Amselle, Ira G. Schulman
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-56565-8
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author Alexis T. Clark
Lillian Russo-Savage
Luke A. Ashton
Niki Haghshenas
Nicolas A. Amselle
Ira G. Schulman
author_facet Alexis T. Clark
Lillian Russo-Savage
Luke A. Ashton
Niki Haghshenas
Nicolas A. Amselle
Ira G. Schulman
author_sort Alexis T. Clark
collection DOAJ
description Abstract Liver x receptor alpha (LXRα) functions as an intracellular cholesterol sensor that regulates lipid metabolism at the transcriptional level in response to the direct binding of cholesterol derivatives. We have generated mice with a mutation in LXRα that reduces activity in response to endogenous cholesterol derived LXR ligands while still allowing transcriptional activation by synthetic agonists. The mutant LXRα functions as a dominant negative that shuts down cholesterol sensing. When fed a high fat, high cholesterol diet LXRα mutant mice rapidly develop pathologies associated with Metabolic Dysfunction-Associated Steatohepatitis (MASH) including ballooning hepatocytes, liver inflammation, and fibrosis. Strikingly LXRα mutant mice have decreased liver triglycerides but increased liver cholesterol. Therefore, elevated cholesterol in the liver may play a critical role in the development of MASH. Reengaging LXR signaling by treatment with synthetic agonist reverses MASH in LXRα mutant mice suggesting that LXRα normally functions to impede the development of liver disease.
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spelling doaj-art-de71ef4aa78648c1b31a17278d45c0502025-02-02T12:32:25ZengNature PortfolioNature Communications2041-17232025-01-0116111910.1038/s41467-025-56565-8A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitisAlexis T. Clark0Lillian Russo-Savage1Luke A. Ashton2Niki Haghshenas3Nicolas A. Amselle4Ira G. Schulman5Department of Pharmacology, University of Virginia School of MedicineDepartment of Pharmacology, University of Virginia School of MedicineDepartment of Pharmacology, University of Virginia School of MedicineDepartment of Pharmacology, University of Virginia School of MedicineDepartment of Pharmacology, University of Virginia School of MedicineDepartment of Pharmacology, University of Virginia School of MedicineAbstract Liver x receptor alpha (LXRα) functions as an intracellular cholesterol sensor that regulates lipid metabolism at the transcriptional level in response to the direct binding of cholesterol derivatives. We have generated mice with a mutation in LXRα that reduces activity in response to endogenous cholesterol derived LXR ligands while still allowing transcriptional activation by synthetic agonists. The mutant LXRα functions as a dominant negative that shuts down cholesterol sensing. When fed a high fat, high cholesterol diet LXRα mutant mice rapidly develop pathologies associated with Metabolic Dysfunction-Associated Steatohepatitis (MASH) including ballooning hepatocytes, liver inflammation, and fibrosis. Strikingly LXRα mutant mice have decreased liver triglycerides but increased liver cholesterol. Therefore, elevated cholesterol in the liver may play a critical role in the development of MASH. Reengaging LXR signaling by treatment with synthetic agonist reverses MASH in LXRα mutant mice suggesting that LXRα normally functions to impede the development of liver disease.https://doi.org/10.1038/s41467-025-56565-8
spellingShingle Alexis T. Clark
Lillian Russo-Savage
Luke A. Ashton
Niki Haghshenas
Nicolas A. Amselle
Ira G. Schulman
A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis
Nature Communications
title A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis
title_full A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis
title_fullStr A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis
title_full_unstemmed A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis
title_short A mutation in LXRα uncovers a role for cholesterol sensing in limiting metabolic dysfunction-associated steatohepatitis
title_sort mutation in lxrα uncovers a role for cholesterol sensing in limiting metabolic dysfunction associated steatohepatitis
url https://doi.org/10.1038/s41467-025-56565-8
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