GLP-1 and GIP agonism has no direct actions in human hepatocytes or hepatic stellate cells

The use of incretin agonists for managing metabolic dysfunction-associated steatohepatitis (MASH) is currently experiencing considerable interest. However, whether these compounds have a direct action on MASH is still under debate. This study aims to investigate whether GLP-1R/GIPR agonists act directly in hepatocytes and hepatic stellate cells (HSCs). For this, human hepatocyte and HSCs lines, as well as primary human hepatocytes and HSCs treated with Liraglutide, Acyl-GIP or the GLP-1/GIP dual agonist (MAR709) were used. We show that the concentrations of each compound, which were effective in insulin release, did not induce discernible alterations in either hepatocytes or HSCs. In hepatocytes displaying elevated fatty acid content after the treatment with oleic acid and palmitic acid, none of the three compounds reduced lipid concentration. Similarly, in HSCs activated with transforming growth factor-β (TGFb), Liraglutide, Acyl-GIP and MAR709 failed to ameliorate the elevated expression of fibrotic markers. The three compounds were also ineffective in phosphorylating CREB, which mediates insulinotropic actions, in both hepatocytes and HSCs. These findings indicate that incretin agonists have no direct actions in human hepatocytes or hepatic stellate cells, suggesting that their beneficial effects in patients with MASH are likely mediated indirectly, potentially through improvements in body weight, insulin resistance and glycemic control.

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Publication Details

Journal
Cellular and Molecular Life Sciences
Published
2024-11-28
DOI
https://doi.org/10.1007/s00018-024-05507-6
Citations
17
Primary Topic
Liver Disease Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
6.57

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article

GLP-1 and GIP agonism has no direct actions in human hepatocytes or hepatic stellate cells

Jonathan D. Douros, Markus Schwaninger, Natália da Silva Lima, Rubén Nogueiras et al.
17 citations
Cellular and Molecular Life Sciences
Liver Disease Diagnosis and Treatment
6.57
article

GLP-1 and GIP agonism has no direct actions in human hepatocytes or hepatic stellate cells

Jonathan D. Douros, Markus Schwaninger, Natália da Silva Lima, Rubén Nogueiras, Patrick J. Knerr, Ismael González‐García, Carlos Diéguez, Marta Varela‐Rey, Timo D. Müller, Alba Cabaleiro, Cristina Riobello, Vincent Prévot, Eva M. Esquinas-Román, Miguel López, Yantao He, Eva Nóvoa
article en
17 citations

Abstract

The use of incretin agonists for managing metabolic dysfunction-associated steatohepatitis (MASH) is currently experiencing considerable interest. However, whether these compounds have a direct action on MASH is still under debate. This study aims to investigate whether GLP-1R/GIPR agonists act directly in hepatocytes and hepatic stellate cells (HSCs). For this, human hepatocyte and HSCs lines, as well as primary human hepatocytes and HSCs treated with Liraglutide, Acyl-GIP or the GLP-1/GIP dual agonist (MAR709) were used. We show that the concentrations of each compound, which were effective in insulin release, did not induce discernible alterations in either hepatocytes or HSCs. In hepatocytes displaying elevated fatty acid content after the treatment with oleic acid and palmitic acid, none of the three compounds reduced lipid concentration. Similarly, in HSCs activated with transforming growth factor-β (TGFb), Liraglutide, Acyl-GIP and MAR709 failed to ameliorate the elevated expression of fibrotic markers. The three compounds were also ineffective in phosphorylating CREB, which mediates insulinotropic actions, in both hepatocytes and HSCs. These findings indicate that incretin agonists have no direct actions in human hepatocytes or hepatic stellate cells, suggesting that their beneficial effects in patients with MASH are likely mediated indirectly, potentially through improvements in body weight, insulin resistance and glycemic control.

Cellular and Molecular Life SciencesVol. 81(1)
Inserm (FR), Universidade de Santiago de Compostela (ES), Université de Lille (FR), Xunta de Galicia (ES), Instituto de Salud Carlos III (ES), Indiana Biosciences Research Institute (US), Helmholtz Zentrum München (DE), Centre Hospitalier Universitaire de Lille (FR), Novo Nordisk (United States) (US), Center for Research in Molecular Medicine and Chronic Diseases (ES), Centro de Investigación Biomédica en Red (ES), Deutsches Diabetes-Zentrum e.V. (DE), German Center for Diabetes Research (DE), European Genomic Institute for Diabetes (FR), Heinrich Heine University Düsseldorf (DE), Ludwig-Maximilians-Universität München (DE), University of Lübeck (DE)
Ministerio de Ciencia e Innovación, Consellería de Cultura, Educación e Ordenación Universitaria, Xunta de Galicia, European Research Council
Good health and well-being
Openalex Percentile: Top 3%
Liver Disease Diagnosis and Treatment
6.57
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