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Publication : Cholestenoic acids regulate motor neuron survival via liver X receptors.

First Author  Theofilopoulos S Year  2014
Journal  J Clin Invest Volume  124
Issue  11 Pages  4829-42
PubMed ID  25271621 Mgi Jnum  J:329590
Mgi Id  MGI:6843721 Doi  10.1172/JCI68506
Citation  Theofilopoulos S, et al. (2014) Cholestenoic acids regulate motor neuron survival via liver X receptors. J Clin Invest 124(11):4829-42
abstractText  Cholestenoic acids are formed as intermediates in metabolism of cholesterol to bile acids, and the biosynthetic enzymes that generate cholestenoic acids are expressed in the mammalian CNS. Here, we evaluated the cholestenoic acid profile of mammalian cerebrospinal fluid (CSF) and determined that specific cholestenoic acids activate the liver X receptors (LXRs), enhance islet-1 expression in zebrafish, and increase the number of oculomotor neurons in the developing mouse in vitro and in vivo. While 3beta,7alpha-dihydroxycholest-5-en-26-oic acid (3beta,7alpha-diHCA) promoted motor neuron survival in an LXR-dependent manner, 3beta-hydroxy-7-oxocholest-5-en-26-oic acid (3betaH,7O-CA) promoted maturation of precursors into islet-1+ cells. Unlike 3beta,7alpha-diHCA and 3betaH,7O-CA, 3beta-hydroxycholest-5-en-26-oic acid (3beta-HCA) caused motor neuron cell loss in mice. Mutations in CYP7B1 or CYP27A1, which encode enzymes involved in cholestenoic acid metabolism, result in different neurological diseases, hereditary spastic paresis type 5 (SPG5) and cerebrotendinous xanthomatosis (CTX), respectively. SPG5 is characterized by spastic paresis, and similar symptoms may occur in CTX. Analysis of CSF and plasma from patients with SPG5 revealed an excess of the toxic LXR ligand, 3beta-HCA, while patients with CTX and SPG5 exhibited low levels of the survival-promoting LXR ligand 3beta,7alpha-diHCA. Moreover, 3beta,7alpha-diHCA prevented the loss of motor neurons induced by 3beta-HCA in the developing mouse midbrain in vivo.Our results indicate that specific cholestenoic acids selectively work on motor neurons, via LXR, to regulate the balance between survival and death.
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