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FGF21 mimetic agonist antibody bFKB1 attenuates pre-existent metabolic dysfunction-associated steatohepatitis and atherosclerosis in Ldlr-/-.Leiden mice

ABSTRACT: - Background: Fibroblast growth factor 21 (FGF21) is considered a promising target for treatment of obesity-associated metabolic diseases including metabolic dysfunction-associated steatohepatitis (MASH) and atherosclerosis. Here, we evaluated the effects of a humanized bispecific anti-FGFR1/KLB agonist antibody (bFKB1) that specifically targets FGFR1c and β-klotho, in a translational preclinical model that develops MASH and atherosclerosis. - Methods: Ldlr-/-.Leiden mice were fed a high-fat diet (HFD) for 20 weeks, after which mice were treated with an isotype control antibody or bFKB1 for 12 weeks. Effects on pre-existent MASH and atherosclerosis were assessed histopathologically and biochemically. Underlying mechanisms of bFKB1 treatment were investigated by hepatic transcriptomics analysis (NGS). Results: bFKB1 lowered body weight and adipose tissue mass without reducing food intake. bFKB1 intervention reduced plasma insulin, cholesterol, triglycerides, ALT and liver weight. liver steatosis, inflammation and NAS score were significantly lowered. Histological measurement of fibrosis was not significantly affected by the treatment, but new collagen formation was significantly inhibited by bFKB1. Correspondingly, hepatic inflammatory and profibrotic transcriptional programs were broadly inactivated by the treatment. In epididymal white adipose tissue, bFKB1 intervention reduced adipocyte size and inflammation and induced browning, signified by increased UCP1 expression. In the vasculature, bFKB1 had anti-atherogenic effects, lowering total atherosclerotic lesion area, that could be attributed to a reduction In severe type V lesions. - Conclusion: The bispecific anti-FGFR1/KLB agonist antibody bFKB1 has strong beneficial metabolic effects in HFD-fed Ldlr-/-.Leiden mice that are associated with a reduction in liver steatosis, inflammation and atherosclerosis. Liver fibrosis was not affected, yet analysis of new collagen formation and profibrotic transcriptional programs indicate that bFKB1 treatment may have antifibrotic potential in a longer treatment duration, consistent with a recent clinical study using a FGF21 mimetic.

ORGANISM(S): Mus musculus

PROVIDER: GSE255321 | GEO | 2025/01/01

REPOSITORIES: GEO

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Project description:Non-alcoholic steatohepatitis (NASH) represents a significant and growing public health concern worldwide, characterized by hepatic steatosis, inflammation, and varying degrees of fibrosis. In vitro models of NASH play a crucial role in elucidating the underlying mechanisms of disease pathogenesis, identifying potential therapeutic targets, and evaluating the efficacy of pharmacological interventions. Several preclinical models of MASH have been developed and are being used extensively to study these areas. While standard cell culture models allow for elucidation of certain molecular pathways involved in MASH pathogenesis, they lack three-dimensional architecture and cellular heterogeneity observed in native liver tissue, potentially limiting their physiological relevance and inability to fully capture the multifactorial nature of the disease Precision cut liver slices from MASH livers retain the complex multicellular architecture of the liver including hepatocyte arrangement, sinusoidal structure, and cellular interactions, but the metabolism deteriorates over a short period of time (usually reported as 2 days). Human liver organoids from iPSCs (induced pluripotent stem cells) retain the genetics of the patients but fail to fully differentiate into hepatocytes or have the liver architecture. Human liver spheroids incubated in a MASH cocktail develop several phenotypic characteristics of a MASH liver, but the small spheroid size precludes extensive histological comparisons to MASH livers. Microphysiological systems (MPS) or “liver on a chip” in which 3D cultures are perfused, maintain many of the physiological functions of the liver owing to precise control over microenvironmental parameters, including fluid flow, nutrient gradients, and mechanical cues. However, MPS are difficult to scale up and have not been developed to reproduce a MASH phenotype. In comparison, bioprinted liver tissues for MASH have many advantages. Organovo’s 3D bioprinted liver tissues are comprised of all major primary liver cells including hepatocytes, endothelial cells, stellates and Kupffer cells, mixed in physiologically relevant ratios. These cells are then bioprinted in precise pre-defined liver specific geometries to recapitulate complexity of the hepatic microenvironment.. This mimicking of tissue architecture enables more accurate representation of cellular interactions, spatial organization, and microenvironmental cues crucial for MASH pathogenesis. The liver tissues developed using this method maintain differentiation and metabolism over several weeks. In this paper, we further demonstrated that upon treatment with a MASH induction cocktail, these liver tissues respond accurately by developing steatosis and fibrosis Tissue response varies depending in response to the complexity of the MASH cocktail.

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FGF21 mimetic agonist antibody bFKB1 attenuates pre-existent metabolic dysfunction-associated steatohepatitis and atherosclerosis in Ldlr-/-.Leiden mice

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