Beta-Hydroxybutyrate Suppresses Hepatic Production of the Ghrelin Receptor Antagonist LEAP2

IntroductionLiver-expressed antimicrobial peptide-2 (LEAP2) is an endogenous ghrelin receptor antagonist, which is upregulated in the fed state and downregulated during fasting. We hypothesized that the ketone body beta-hydroxybutyrate (BHB) is involved in the downregulation of LEAP2 during conditio...

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Veröffentlicht in:Endocrinology (Philadelphia) 2022-06, Vol.163 (6), p.1
Hauptverfasser: Holm, Stephanie, Husted, Anna S, Skov, Louise J, Morville, Thomas H, Hagemann, Christoffer A, Jorsal, Tina, Dall, Morten, Jakobsen, Alexander, Klein, Anders B, Treebak, Jonas T, Knop, Filip K, Schwartz, Thue W, Clemmensen, Christoffer, Holst, Birgitte
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container_issue 6
container_start_page 1
container_title Endocrinology (Philadelphia)
container_volume 163
creator Holm, Stephanie
Husted, Anna S
Skov, Louise J
Morville, Thomas H
Hagemann, Christoffer A
Jorsal, Tina
Dall, Morten
Jakobsen, Alexander
Klein, Anders B
Treebak, Jonas T
Knop, Filip K
Schwartz, Thue W
Clemmensen, Christoffer
Holst, Birgitte
description IntroductionLiver-expressed antimicrobial peptide-2 (LEAP2) is an endogenous ghrelin receptor antagonist, which is upregulated in the fed state and downregulated during fasting. We hypothesized that the ketone body beta-hydroxybutyrate (BHB) is involved in the downregulation of LEAP2 during conditions with high circulating levels of BHB. MethodsHepatic and intestinal Leap2 expression were determined in 3 groups of mice with increasing circulating levels of BHB: prolonged fasting, prolonged ketogenic diet, and oral BHB treatment. LEAP2 levels were measured in lean and obese individuals, in human individuals following endurance exercise, and in mice after BHB treatment. Lastly, we investigated Leap2 expression in isolated murine hepatocytes challenged with BHB. ResultsWe confirmed increased circulating LEAP2 levels in individuals with obesity compared to lean individuals. The recovery period after endurance exercise was associated with increased plasma levels of BHB levels and decreased LEAP2 levels in humans. Leap2 expression was selectively decreased in the liver after fasting and after exposure to a ketogenic diet for 3 weeks. Importantly, we found that oral administration of BHB increased circulating levels of BHB in mice and decreased Leap2 expression levels and circulating LEAP2 plasma levels, as did Leap2 expression after direct exposure to BHB in isolated murine hepatocytes. ConclusionFrom our data, we suggest that LEAP2 is downregulated during different states of energy deprivation in both humans and rodents. Furthermore, we here provide evidence that the ketone body, BHB, which is highly upregulated during fasting metabolism, directly downregulates LEAP2 levels. This may be relevant in ghrelin receptor–induced hunger signaling during energy deprivation.
doi_str_mv 10.1210/endocr/bqac038
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We hypothesized that the ketone body beta-hydroxybutyrate (BHB) is involved in the downregulation of LEAP2 during conditions with high circulating levels of BHB. MethodsHepatic and intestinal Leap2 expression were determined in 3 groups of mice with increasing circulating levels of BHB: prolonged fasting, prolonged ketogenic diet, and oral BHB treatment. LEAP2 levels were measured in lean and obese individuals, in human individuals following endurance exercise, and in mice after BHB treatment. Lastly, we investigated Leap2 expression in isolated murine hepatocytes challenged with BHB. ResultsWe confirmed increased circulating LEAP2 levels in individuals with obesity compared to lean individuals. The recovery period after endurance exercise was associated with increased plasma levels of BHB levels and decreased LEAP2 levels in humans. Leap2 expression was selectively decreased in the liver after fasting and after exposure to a ketogenic diet for 3 weeks. Importantly, we found that oral administration of BHB increased circulating levels of BHB in mice and decreased Leap2 expression levels and circulating LEAP2 plasma levels, as did Leap2 expression after direct exposure to BHB in isolated murine hepatocytes. ConclusionFrom our data, we suggest that LEAP2 is downregulated during different states of energy deprivation in both humans and rodents. Furthermore, we here provide evidence that the ketone body, BHB, which is highly upregulated during fasting metabolism, directly downregulates LEAP2 levels. This may be relevant in ghrelin receptor–induced hunger signaling during energy deprivation.</description><identifier>ISSN: 0013-7227</identifier><identifier>EISSN: 1945-7170</identifier><identifier>DOI: 10.1210/endocr/bqac038</identifier><identifier>PMID: 35352108</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>3-Hydroxybutyric Acid - metabolism ; Animals ; Antimicrobial peptides ; Aprotinin ; Body weight ; Deprivation ; Diet ; Diet, Ketogenic ; Down-regulation ; Endocrinology ; Endurance ; Energy requirements ; Ethylenediaminetetraacetic acid ; Exercise ; Fasting ; Fatty acids ; Ghrelin ; Ghrelin - metabolism ; Hepatocytes ; High fat diet ; Hunger ; Ketogenesis ; Ketones ; Liver ; Liver - metabolism ; Low carbohydrate diet ; Metabolism ; Mice ; Obesity ; Obesity - metabolism ; Oral administration ; Peptides ; Physiological aspects ; Plasma levels ; Receptors ; Receptors, Ghrelin - metabolism ; Type 2 diabetes ; Tyrosine</subject><ispartof>Endocrinology (Philadelphia), 2022-06, Vol.163 (6), p.1</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. 2022</rights><rights>The Author(s) 2022. 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We hypothesized that the ketone body beta-hydroxybutyrate (BHB) is involved in the downregulation of LEAP2 during conditions with high circulating levels of BHB. MethodsHepatic and intestinal Leap2 expression were determined in 3 groups of mice with increasing circulating levels of BHB: prolonged fasting, prolonged ketogenic diet, and oral BHB treatment. LEAP2 levels were measured in lean and obese individuals, in human individuals following endurance exercise, and in mice after BHB treatment. Lastly, we investigated Leap2 expression in isolated murine hepatocytes challenged with BHB. ResultsWe confirmed increased circulating LEAP2 levels in individuals with obesity compared to lean individuals. The recovery period after endurance exercise was associated with increased plasma levels of BHB levels and decreased LEAP2 levels in humans. Leap2 expression was selectively decreased in the liver after fasting and after exposure to a ketogenic diet for 3 weeks. Importantly, we found that oral administration of BHB increased circulating levels of BHB in mice and decreased Leap2 expression levels and circulating LEAP2 plasma levels, as did Leap2 expression after direct exposure to BHB in isolated murine hepatocytes. ConclusionFrom our data, we suggest that LEAP2 is downregulated during different states of energy deprivation in both humans and rodents. Furthermore, we here provide evidence that the ketone body, BHB, which is highly upregulated during fasting metabolism, directly downregulates LEAP2 levels. This may be relevant in ghrelin receptor–induced hunger signaling during energy deprivation.</description><subject>3-Hydroxybutyric Acid - metabolism</subject><subject>Animals</subject><subject>Antimicrobial peptides</subject><subject>Aprotinin</subject><subject>Body weight</subject><subject>Deprivation</subject><subject>Diet</subject><subject>Diet, Ketogenic</subject><subject>Down-regulation</subject><subject>Endocrinology</subject><subject>Endurance</subject><subject>Energy requirements</subject><subject>Ethylenediaminetetraacetic acid</subject><subject>Exercise</subject><subject>Fasting</subject><subject>Fatty acids</subject><subject>Ghrelin</subject><subject>Ghrelin - metabolism</subject><subject>Hepatocytes</subject><subject>High fat diet</subject><subject>Hunger</subject><subject>Ketogenesis</subject><subject>Ketones</subject><subject>Liver</subject><subject>Liver - metabolism</subject><subject>Low carbohydrate diet</subject><subject>Metabolism</subject><subject>Mice</subject><subject>Obesity</subject><subject>Obesity - metabolism</subject><subject>Oral administration</subject><subject>Peptides</subject><subject>Physiological aspects</subject><subject>Plasma levels</subject><subject>Receptors</subject><subject>Receptors, Ghrelin - metabolism</subject><subject>Type 2 diabetes</subject><subject>Tyrosine</subject><issn>0013-7227</issn><issn>1945-7170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNqFks1rFDEYxoMotlavHmXAix6mzcdkMrkI21K7woLFj5OHkMm82U2ZTaZJRtz_3pRd6wcFySEk7-99wpP3QeglwaeEEnwGfggmnvW32mDWPULHRDa8FkTgx-gYY8JqQak4Qs9SuinHpmnYU3TEOOOluztG384h63q5G2L4sevnvIs6Q_V5nqYIKUGqljDp7Ex1HcMwm-yCr4Kt8gaqq02E0fnqExiYcojVwme9Dt6lXK0uF9f0OXpi9ZjgxWE_QV_fX365WNarj1cfLhar2nAic00Ga3EvGSVUcAGAW0qGrutJTxmxxaUZhlIG0vYgOO6sbCTri10rLHR9x07Qu73uNPdbGAz4HPWopui2Ou5U0E79XfFuo9bhu5KEyFayIvDmIBDD7Qwpq61LBsZRewhzUrRteCMIb2hBX_-D3oQ5-mJP0U6SljPWit_UWo-gnLehvGvuRNVCCN7JMgBcqNMHqLIG2DoTPFhX7h9qMDGkFMHeeyRY3cVB7eOgDnEoDa_-_Jl7_Nf8C_B2D4R5-p_YT7KvwIE</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Holm, Stephanie</creator><creator>Husted, Anna S</creator><creator>Skov, Louise J</creator><creator>Morville, Thomas H</creator><creator>Hagemann, Christoffer A</creator><creator>Jorsal, Tina</creator><creator>Dall, Morten</creator><creator>Jakobsen, Alexander</creator><creator>Klein, Anders B</creator><creator>Treebak, Jonas T</creator><creator>Knop, Filip K</creator><creator>Schwartz, Thue W</creator><creator>Clemmensen, Christoffer</creator><creator>Holst, Birgitte</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9628-8285</orcidid><orcidid>https://orcid.org/0000-0003-2456-9667</orcidid><orcidid>https://orcid.org/0000-0001-7432-097X</orcidid></search><sort><creationdate>20220601</creationdate><title>Beta-Hydroxybutyrate Suppresses Hepatic Production of the Ghrelin Receptor Antagonist LEAP2</title><author>Holm, Stephanie ; Husted, Anna S ; Skov, Louise J ; Morville, Thomas H ; Hagemann, Christoffer A ; Jorsal, Tina ; Dall, Morten ; Jakobsen, Alexander ; Klein, Anders B ; Treebak, Jonas T ; Knop, Filip K ; Schwartz, Thue W ; Clemmensen, Christoffer ; Holst, Birgitte</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-1dff0b93212757ee0621d88b1b231f121cddb93e16be7508f9493bc03f7fe8b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>3-Hydroxybutyric Acid - metabolism</topic><topic>Animals</topic><topic>Antimicrobial peptides</topic><topic>Aprotinin</topic><topic>Body weight</topic><topic>Deprivation</topic><topic>Diet</topic><topic>Diet, Ketogenic</topic><topic>Down-regulation</topic><topic>Endocrinology</topic><topic>Endurance</topic><topic>Energy requirements</topic><topic>Ethylenediaminetetraacetic acid</topic><topic>Exercise</topic><topic>Fasting</topic><topic>Fatty acids</topic><topic>Ghrelin</topic><topic>Ghrelin - metabolism</topic><topic>Hepatocytes</topic><topic>High fat diet</topic><topic>Hunger</topic><topic>Ketogenesis</topic><topic>Ketones</topic><topic>Liver</topic><topic>Liver - metabolism</topic><topic>Low carbohydrate diet</topic><topic>Metabolism</topic><topic>Mice</topic><topic>Obesity</topic><topic>Obesity - metabolism</topic><topic>Oral administration</topic><topic>Peptides</topic><topic>Physiological aspects</topic><topic>Plasma levels</topic><topic>Receptors</topic><topic>Receptors, Ghrelin - metabolism</topic><topic>Type 2 diabetes</topic><topic>Tyrosine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holm, Stephanie</creatorcontrib><creatorcontrib>Husted, Anna S</creatorcontrib><creatorcontrib>Skov, Louise J</creatorcontrib><creatorcontrib>Morville, Thomas H</creatorcontrib><creatorcontrib>Hagemann, Christoffer A</creatorcontrib><creatorcontrib>Jorsal, Tina</creatorcontrib><creatorcontrib>Dall, Morten</creatorcontrib><creatorcontrib>Jakobsen, Alexander</creatorcontrib><creatorcontrib>Klein, Anders B</creatorcontrib><creatorcontrib>Treebak, Jonas T</creatorcontrib><creatorcontrib>Knop, Filip K</creatorcontrib><creatorcontrib>Schwartz, Thue W</creatorcontrib><creatorcontrib>Clemmensen, Christoffer</creatorcontrib><creatorcontrib>Holst, Birgitte</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium &amp; 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We hypothesized that the ketone body beta-hydroxybutyrate (BHB) is involved in the downregulation of LEAP2 during conditions with high circulating levels of BHB. MethodsHepatic and intestinal Leap2 expression were determined in 3 groups of mice with increasing circulating levels of BHB: prolonged fasting, prolonged ketogenic diet, and oral BHB treatment. LEAP2 levels were measured in lean and obese individuals, in human individuals following endurance exercise, and in mice after BHB treatment. Lastly, we investigated Leap2 expression in isolated murine hepatocytes challenged with BHB. ResultsWe confirmed increased circulating LEAP2 levels in individuals with obesity compared to lean individuals. The recovery period after endurance exercise was associated with increased plasma levels of BHB levels and decreased LEAP2 levels in humans. Leap2 expression was selectively decreased in the liver after fasting and after exposure to a ketogenic diet for 3 weeks. Importantly, we found that oral administration of BHB increased circulating levels of BHB in mice and decreased Leap2 expression levels and circulating LEAP2 plasma levels, as did Leap2 expression after direct exposure to BHB in isolated murine hepatocytes. ConclusionFrom our data, we suggest that LEAP2 is downregulated during different states of energy deprivation in both humans and rodents. Furthermore, we here provide evidence that the ketone body, BHB, which is highly upregulated during fasting metabolism, directly downregulates LEAP2 levels. This may be relevant in ghrelin receptor–induced hunger signaling during energy deprivation.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>35352108</pmid><doi>10.1210/endocr/bqac038</doi><orcidid>https://orcid.org/0000-0002-9628-8285</orcidid><orcidid>https://orcid.org/0000-0003-2456-9667</orcidid><orcidid>https://orcid.org/0000-0001-7432-097X</orcidid><oa>free_for_read</oa></addata></record>
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subjects 3-Hydroxybutyric Acid - metabolism
Animals
Antimicrobial peptides
Aprotinin
Body weight
Deprivation
Diet
Diet, Ketogenic
Down-regulation
Endocrinology
Endurance
Energy requirements
Ethylenediaminetetraacetic acid
Exercise
Fasting
Fatty acids
Ghrelin
Ghrelin - metabolism
Hepatocytes
High fat diet
Hunger
Ketogenesis
Ketones
Liver
Liver - metabolism
Low carbohydrate diet
Metabolism
Mice
Obesity
Obesity - metabolism
Oral administration
Peptides
Physiological aspects
Plasma levels
Receptors
Receptors, Ghrelin - metabolism
Type 2 diabetes
Tyrosine
title Beta-Hydroxybutyrate Suppresses Hepatic Production of the Ghrelin Receptor Antagonist LEAP2
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