학술논문

Vitamin B2 enables regulation of fasting glucose availability.
Document Type
article
Source
Subject
Liver
Animals
Mice
Flavin-Adenine Dinucleotide
Glucose
Fatty Acids
Flavoproteins
PPAR alpha
Fasting
Oxidation-Reduction
Non-alcoholic Fatty Liver Disease
FAD
cell biology
gluconeogenesis
inborn errors of metabolism
metabolism
mouse
nuclear receptor
Nutrition
Liver Disease
Digestive Diseases
2.1 Biological and endogenous factors
Aetiology
Metabolic and endocrine
Biochemistry and Cell Biology
Language
Abstract
Flavin adenine dinucleotide (FAD) interacts with flavoproteins to mediate oxidation-reduction reactions required for cellular energy demands. Not surprisingly, mutations that alter FAD binding to flavoproteins cause rare inborn errors of metabolism (IEMs) that disrupt liver function and render fasting intolerance, hepatic steatosis, and lipodystrophy. In our study, depleting FAD pools in mice with a vitamin B2-deficient diet (B2D) caused phenotypes associated with organic acidemias and other IEMs, including reduced body weight, hypoglycemia, and fatty liver disease. Integrated discovery approaches revealed B2D tempered fasting activation of target genes for the nuclear receptor PPARα, including those required for gluconeogenesis. We also found PPARα knockdown in the liver recapitulated B2D effects on glucose excursion and fatty liver disease in mice. Finally, treatment with the PPARα agonist fenofibrate activated the integrated stress response and refilled amino acid substrates to rescue fasting glucose availability and overcome B2D phenotypes. These findings identify metabolic responses to FAD availability and nominate strategies for the management of organic acidemias and other rare IEMs.