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November 21, 2013Molecular Metabolism91 citationsOpen Access

Angptl4 serves as an endogenous inhibitor of intestinal lipid digestion

FMFrits MattijssenSASheril AlexHSHans J. M. Swarts

Key Result

Angptl4 serves as an endogenous inhibitor of intestinal lipid digestion by inhibiting pancreatic lipase, and its deletion in mice leads to increased fat mass and body weight.

Structured PICO

P
Population
Preclinical study using wild-type and Angptl4 -/- mice, along with human ileostomy output, to investigate the role of Angptl4 in intestinal lipid digestion.
E
Exposure
Angptl4 gene deletion (in vivo mouse model) and recombinant Angptl4 administration (in vitro/ex vivo).
C
Comparator
Wild-type mice (in vivo) and vehicle/control conditions without recombinant Angptl4 (in vitro/ex vivo).
O
Outcome
Intestinal lipid digestion, assessed via fecal fat content, intestinal triglyceride accumulation, and luminal lipase activity.surrogate

Angptl4 acts as an endogenous inhibitor of intestinal pancreatic lipase, revealing a novel feedback mechanism that regulates dietary lipid digestion and may protect against lipid overload.

Limitations

  • The mechanism by which Angptl4 inhibits pancreatic lipase at the biochemical level requires further investigation.
  • Cannot completely exclude a potential effect of Angptl4 deletion on total pancreatic lipase secretion.
  • Cannot completely exclude a potential effect of Angptl4 deletion on total pancreatic lipase secretion

Abstract

Dietary triglycerides are hydrolyzed in the small intestine principally by pancreatic lipase. Following uptake by enterocytes and secretion as chylomicrons, dietary lipids are cleared from the bloodstream via lipoprotein lipase. Whereas lipoprotein lipase is inhibited by several proteins including Angiopoietin-like 4 (Angptl4), no endogenous regulator of pancreatic lipase has yet been identified. Here we present evidence that Angptl4 is an endogenous inhibitor of dietary lipid digestion. Angptl4-/- mice were heavier compared to their wild-type counterparts without any difference in food intake, energy expenditure or locomotor activity. However, Angptl4-/- mice showed decreased lipid content in the stools and increased accumulation of dietary triglycerides in the small intestine, which coincided with elevated luminal lipase activity in Angptl4-/- mice. Furthermore, recombinant Angptl4 reduced the activity of pancreatic lipase as well as the lipase activity in human ileostomy output. In conclusion, our data suggest that Angptl4 is an endogenous inhibitor of intestinal lipase activity.

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Cite This Study

Mattijssen et al. (2013) studied Lipid digestion. Angptl4 deficiency vs. Wild-type was evaluated on Intestinal lipid digestion and body weight. Angptl4 serves as an endogenous inhibitor of intestinal lipid digestion by inhibiting pancreatic lipase, and its deletion in mice leads to increased fat mass and body weight.

synapsesocial.com/papers/6a20e95a920f77b2c049e1echttps://doi.org/10.1016/j.molmet.2013.11.004
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