Case Western Reserve finding could also contribute to an understanding of diseases that produce an overabundance of bile acids
CLEVELAND – July 14, 2015 – Case Western Reserve researchers already demonstrated that a single protein plays a pivotal role in the use of nutrients by major organs that allow for the burning of fat during exercise or regulating the heart’s contractile and electrical activity. Now they have found a new benefit of Kruppel-like Factor 15 (KLF15) — keeping the body in metabolic balance.
The discovery, which highlights how KLF15 affects the availability of nutrients in the body, may also have significant implications for scientists’ ability to understand ways that the body metabolizes different medications. The findings appeared last month in the journal Nature Communications.
“It’s important to understand how nutrients are acquired, how they are made available to tissues, how they are used, and how disease alters the dynamics of the process,” said Mukesh K. Jain, MD, Ellery Sedgwick Jr. Chair & Distinguished Scientist and director of the Case Cardiovascular Research Institute, Case Western Reserve University School of Medicine. “The heart, for example, is a very energy-demanding organ that succumbs to failure if it has insufficient access to nutrients or fails to properly utilize nutrients.”
This latest project emerged from earlier work in the Jain laboratory that revealed KLF15’s role in the metabolism of sugars, fats and proteins, which, in turn, affects cellular energy production. Given how essential this protein is to nutrient use, Jain and his colleagues hypothesized that it also might be important to ensuring nutrient availability.
“The beautiful aspect of this work is that nature designed this very clever molecule to regulate both nutrient availability and use, and the molecule functions broadly across all nutrient classes, which is very exciting. That’s what makes it an important discovery,” said Jain, also the scientific director of the Harrington Discovery Institute, chief research officer of the Harrington Heart & Vascular Institute, and chief scientific officer of University Hospitals Health System.
The researchers elected to focus on KLF15 with regard to bile acids, which aid in the absorption of nutrients. More specifically, they focused on lipid-soluble nutrients, groups of molecules that include fats, vitamins, oils and other elements key to the structure and energy of cells. Lipids were appealing because they are especially dependent on bile acids for absorption.
Investigators studied bile production and lipid absorption in mice deficient in the KLF15 protein. KLF15-deficient mice produced 40 to 50 percent less bile acid than normal mice, making them less capable of absorbing the lipids and the nutrients they contained.
Jain and his colleagues hope to build on this work by exploring how KLF15 could help eliminate bile acids. Fellow investigators, Shuxin (Sean) Han, PhD, and Rongli Zhang, MD, PhD, believe that if nature designed KLF15 to produce bile acids, then perhaps KLF15 also plays a role in bile acid removal through bodily waste elimination.
By understanding how KLF15 regulates bile acid production and elimination, Han explained, “it may be possible to develop therapies that will change the course of diseases where bile acids are overproduced, such as cholestasis or gallstone development.”
The pathways involved in bile acid elimination are also the same required for appropriate metabolism of many drugs.
“If Drs. Han and Zhang’s hypothesis is right, then additional insights into the KLF15 pathway may not only help prevent diseases affected by bile acid amounts, but it could have major implications for drug metabolism,” Jain said. “That’s a future direction.”
Joining Han, Zhang, and Jain in this research were contributing authors Hong Shi, Lilei Zhang, Guangjin Zhou, Panjamaporn Sangwung, Derin Tugal, G. Brandon Atkins, Domenick A. Prosdocimo, Yuan Lu, and Xudong Liao, all of Case Western Reserve; Rajan Jain and Jonathan A. Epstein, both of the University of Pennsylvania; Xiaonan Han, Cincinnati Children’s Hospital Medical Center; and Patrick Tso, University of Cincinnati College of Medicine.
This research was funded by National Institutes of Health grants T32-HL105338-03 and R01-HL119780.
About Case Western Reserve University School of Medicine Founded in 1843, Case Western Reserve University School of Medicine is the largest medical research institution in Ohio and is among the nation’s top medical schools for research funding from the National Institutes of Health. The School of Medicine is recognized throughout the international medical community for outstanding achievements in teaching. The School’s innovative and pioneering Western Reserve2 curriculum interweaves four themes--research and scholarship, clinical mastery, leadership, and civic professionalism—to prepare students for the practice of evidence-based medicine in the rapidly changing health care environment of the 21st century. Nine Nobel Laureates have been affiliated with the School of Medicine.
Annually, the School of Medicine trains more than 800 MD and MD/PhD students and ranks in the top 25 among U.S. research-oriented medical schools as designated by U.S. News & World Report’s “Guide to Graduate Education.”
The School of Medicine’s primary affiliate is University Hospitals Case Medical Center and is additionally affiliated with MetroHealth Medical Center, the Louis Stokes Cleveland Department of Veterans Affairs Medical Center, and the Cleveland Clinic, with which it established the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University in 2002. http://case.edu/medicine
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