A Villin-Driven Fxr Transgene Modulates Enterohepatic Bile Acid Homeostasis and Response to an n-6-Enriched High-Fat Diet

A diet high in n-6 polyunsaturated fatty acids (PUFAs) may contribute to inflammation and tissue damage associated with obesity and pathologies of the colon and liver. One contributing factor may be dysregulation by n-6 fatty acids of enterohepatic bile acid (BA) metabolism. The farnesoid X receptor (FXR) is a nuclear receptor that regulates BA homeostasis in the liver and intestine. This study aims to compare the effects on FXR regulation and BA metabolism of a palm oil-based diet providing 28% energy (28%E) from fat and low n-6 linoleic acid (LA, 2.5%E) (CNTL) with those of a soybean oil-based diet providing 50%E from fat and high (28%E) in LA (n-6HFD). Wild-type (WT) littermates and a transgenic mouse line overexpressing the Fxrα1 isoform under the control of the intestine-specific Villin promoter (Fxrα1TG) were fed the CNTL or n-6HFD starting at weaning through 16 weeks of age. Compared to the CNTL diet, the n-6HFD supports higher weight gain in both WT and FxrαTG littermates; increases the expression of Fxrα1/2, and peroxisome proliferator-activated receptor-γ1 (Pparγ1) in the small intestine, Fxrα1/2 in the colon, and cytochrome P4507A1 (Cyp7a1) and small heterodimer protein (Shp) in the liver; and augments the levels of total BA in the liver, and primary chenodeoxycholic (CDCA), cholic (CA), and β-muricholic (βMCA) acid in the cecum. Intestinal overexpression of the Fxra1TG augments expression of Shp and ileal bile acid-binding protein (Ibabp) in the small intestine and Ibabp in the proximal colon. Conversely, it antagonizes n-6HFD-dependent accumulation of intestinal and hepatic CDCA and CA; hepatic levels of Cyp7a1; and expression of Pparγ in the small intestine. We conclude that intestinal Fxrα1 overexpression represses hepatic de novo BA synthesis and protects against n-6HFD-induced accumulation of human-specific primary bile acids in the cecum.


Introduction
The consumption of n-6 compared to other (e.g., n-3) polyunsaturated fatty acids (PUFAs) has increased considerably in the United States during recent decades. This increase in n-6 PUFA intake is attributed to the prevalence in modern diets of vegetable oils rich in linoleic acid (LA) [1]. The rise in PUFA consumption is consistent with recommendations to reduce intake of saturated fatty acids (SFAs) [2,3]. This is in spite of evidence about the potential intestinal proinflammatory [4,5] and

Fxrα1 TG Mice Have Increased Expression of FXR in the Small Intestine
In the Nr1h4 gene, transcription of the Fxrα1 and -α2 isoforms initiates on exon 1 but splices out exon 3. Further, the Fxrα1 harbors a 12 bp nucleotide sequence encoding for a methionine-tyrosine-threonine-glycine (MYTG) insert between exon 5 and exon 6, which is spliced out in the Fxrα2 isoform. Conversely, transcription of the Fxrα3 and -α4 isoforms initiates on exon 3 [31] ( Figure 1A). In mice carrying the Fxrα1 TG ( Figure 1B) the expression of total FXR in the small intestine is increased compared to wild-type (WT) littermates ( Figure 1C) providing a control for the activity of the Fxrα1 TG construct in transgenic mice.

An n-6HFD Increases Body Weight in WT and Fxrα1 TG Mice
To analyze the combined effects of an n-6HFD and overexpression of an Fxrα1 TG on end points of BA homeostasis, we fed WT and Fxrα1 TG littermates a CNTL diet and an n-6HFD enriched with 20% soybean oil by weight (Table 1) post-weaning until 16 weeks of age. Starting at 4 weeks of age and throughout the length of this study, weekly recording of body weight indicates that the n-6HFD sustains greater weight gain compared to the isocaloric CNTL diet ( Figure 2) in both WT and Fxrα1 TG mice. There are no differences in body weight gain between the WT and Fxrα1 TG littermates assigned to either dietary group.

An n-6HFD Increases Body Weight in WT and Fxrα1 TG Mice
To analyze the combined effects of an n-6HFD and overexpression of an Fxrα1 TG on end points of BA homeostasis, we fed WT and Fxrα1 TG littermates a CNTL diet and an n-6HFD enriched with 20% soybean oil by weight (Table 1) post-weaning until 16 weeks of age. Starting at 4 weeks of age and throughout the length of this study, weekly recording of body weight indicates that the n-6HFD sustains greater weight gain compared to the isocaloric CNTL diet ( Figure 2) in both WT and Fxrα1 TG mice. There are no differences in body weight gain between the WT and Fxrα1 TG littermates assigned to either dietary group.

n-6HFD and Fxrα1 TG Coordinate Enterohepatic Gene Expression
Because the oligonucleotides used to amplify FXR expression flank exon 2 (forward) and exon 4 (reverse) ( Figure 1A), we measured the combined expression of the Fxrα1 and -α2 isoforms without the confounding effects of the Fxr-α3/4 isoforms using RT-PCR. In the small intestine of WT littermates, the n-6HFD increases by only ~50% (p < 0.05) expression of Fxrα1/2 compared with CNTL diet ( Figure 3A). In the proximal colon, however, baseline Fxrα1/2expression is 2.5-fold higher in CNTL mice and it increases ~6.5-fold in response to the n-6HFD.  An n-6HFD increases body weight in WT and Fxrα1 TG littermates. Data points represent sample means ± SEM from 19 individual samples. Brackets on right side of graph show no statistical difference (ns) between WT and Fxrα1 TG littermates on same diet. Asterisks indicate significant difference between isocaloric CNTL-and n-6HFD-fed WT (top) or n-6HFD-fed Fxrα1 TG mice (bottom) (*, p < 0.05; **, p < 0.01; ***, p < 0.001).

n-6HFD and Fxrα1 TG Coordinate Enterohepatic Gene Expression
Because the oligonucleotides used to amplify FXR expression flank exon 2 (forward) and exon 4 (reverse) ( Figure 1A), we measured the combined expression of the Fxrα1 and -α2 isoforms without the confounding effects of the Fxr-α3/4 isoforms using RT-PCR. In the small intestine of WT littermates, the n-6HFD increases by only~50% (p < 0.05) expression of Fxrα1/2 compared with CNTL diet ( Figure 3A). In the proximal colon, however, baseline Fxrα1/2expression is 2.5-fold higher in CNTL mice and it increases~6.5-fold in response to the n-6HFD.
Compared to WT littermates, Fxrα1 TG offspring ( Figure 3B) exhibit a constitutive increase in Fxrα1/2 ranging from~82.0 to 120-fold in the small intestine, and from~66.0-to 62.0-fold in the proximal colon in mice fed the CNTL and n-6HFD, respectively. These large increases are specifically attributed to overexpression of the Fxrα1 TG .
In the liver, there is no difference in baseline Fxrα1/2 expression between WT and Fxrα1 TG mice on the CNTL diet ( Figure 4). These expression data provide a control for intestine-specific activity of the Villin promoter. In contrast, hepatic Fxrα1/2 mRNA increases significantly in response to the n-6HFD in WT (~4.0-fold) mice and augments further (6.5-fold) in Fxrα1 TG compared to WT mice fed the CNTL diet. Overall, these data provide evidence of increased intestinal and hepatic expression of Fxra1/2 in response to the n-6HFD and the Fxrα1 TG .  Compared to WT littermates, Fxrα1 TG offspring ( Figure 3B) exhibit a constitutive increase in Fxrα1/2 ranging from ~82.0 to 120-fold in the small intestine, and from ~66.0-to 62.0-fold in the proximal colon in mice fed the CNTL and n-6HFD, respectively. These large increases are specifically attributed to overexpression of the Fxrα1 TG .
In the liver, there is no difference in baseline Fxrα1/2 expression between WT and Fxrα1 TG mice on the CNTL diet ( Figure 4). These expression data provide a control for intestine-specific activity of the Villin promoter. In contrast, hepatic Fxrα1/2 mRNA increases significantly in response to the n-6HFD in WT (~4.0-fold) mice and augments further (6.5-fold) in Fxrα1 TG compared to WT mice fed the CNTL diet. Overall, these data provide evidence of increased intestinal and hepatic expression of Fxra1/2 in response to the n-6HFD and the Fxrα1 TG . An n-6HFD diet does not influence the expression of FXR target genes Shp and Ibabp in the small intestine ( Figure 5A and Figure 5B, respectively), or Ibabp in the proximal colon ( Figure 5C). The n-6HFD only slightly decreases Ibabp mRNA in the proximal colon of WT mice. As expected, in association with the CNTL diet, the Fxrα1 TG supports the accumulation in the small intestine of Shp and Ibabp (~4.0-fold), and of Ibabp (2.7-fold) in the proximal colon. However, compared to CNTL diet,  Compared to WT littermates, Fxrα1 TG offspring ( Figure 3B) exhibit a constitutive increase in Fxrα1/2 ranging from ~82.0 to 120-fold in the small intestine, and from ~66.0-to 62.0-fold in the proximal colon in mice fed the CNTL and n-6HFD, respectively. These large increases are specifically attributed to overexpression of the Fxrα1 TG .
In the liver, there is no difference in baseline Fxrα1/2 expression between WT and Fxrα1 TG mice on the CNTL diet ( Figure 4). These expression data provide a control for intestine-specific activity of the Villin promoter. In contrast, hepatic Fxrα1/2 mRNA increases significantly in response to the n-6HFD in WT (~4.0-fold) mice and augments further (6.5-fold) in Fxrα1 TG compared to WT mice fed the CNTL diet. Overall, these data provide evidence of increased intestinal and hepatic expression of Fxra1/2 in response to the n-6HFD and the Fxrα1 TG . An n-6HFD diet does not influence the expression of FXR target genes Shp and Ibabp in the small intestine ( Figure 5A and Figure 5B, respectively), or Ibabp in the proximal colon ( Figure 5C). The n-6HFD only slightly decreases Ibabp mRNA in the proximal colon of WT mice. As expected, in association with the CNTL diet, the Fxrα1 TG supports the accumulation in the small intestine of Shp and Ibabp (~4.0-fold), and of Ibabp (2.7-fold) in the proximal colon. However, compared to CNTL diet, An n-6HFD diet does not influence the expression of FXR target genes Shp and Ibabp in the small intestine ( Figure 5A,B, respectively), or Ibabp in the proximal colon ( Figure 5C). The n-6HFD only slightly decreases Ibabp mRNA in the proximal colon of WT mice. As expected, in association with the CNTL diet, the Fxrα1 TG supports the accumulation in the small intestine of Shp and Ibabp (~4.0-fold), and of Ibabp (2.7-fold) in the proximal colon. However, compared to CNTL diet, in the Fxra1 TG animals, the n-6HFD antagonizes the stimulation of Shp and Ibabp in the small intestine, and of Ibabp in the proximal colon.
The expression of FXR impacts also on expression of factors involved in fatty acid metabolism including peroxisome-proliferator-activated receptor-γ (Pparγ) [32]. Previously, we [33] and others [34] have reported that a HFD increases the expression of Pparγ1 in the small intestine. Analysis of Pparγ1 mRNA expression in the small intestine shows no difference between WT and Fxrα1 TG mice on the CNTL diet; however, the n-6HFD increases Pparγ1 in WT (~6.4-fold) and Fxrα1 TG littermates (~4.1-fold, Figure 6). These data provide a positive control for the effects of the n-6HFD on lipid metabolism in the small intestine and evidence for the attenuating effects of the Fxrα1 TG . in the Fxra1 TG animals, the n-6HFD antagonizes the stimulation of Shp and Ibabp in the small intestine, and of Ibabp in the proximal colon. The expression of FXR impacts also on expression of factors involved in fatty acid metabolism including peroxisome-proliferator-activated receptor-γ (Pparγ) [32]. Previously, we [33] and others [34] have reported that a HFD increases the expression of Pparγ1 in the small intestine. Analysis of Pparγ1 mRNA expression in the small intestine shows no difference between WT and Fxrα1 TG mice on the CNTL diet; however, the n-6HFD increases Pparγ1 in WT (~6.4-fold) and Fxrα1 TG littermates (~4.1-fold, Figure 6). These data provide a positive control for the effects of the n-6HFD on lipid metabolism in the small intestine and evidence for the attenuating effects of the Fxrα1 TG . Overall, these expression data indicate that the Fxrα1 TG leads to activation of downstream targets for the FXR in the small intestine (i.e., Shp, Ibabp) and proximal colon (Ibabp) on the CNTL diet. These effects are hampered by an n-6HFD. Moreover, the feeding of an n-6HFD enhances hepatic Fxrα1/2 expression, which is amplified in association with the transgenic overexpression of Fxrα1 TG in the intestine.

An n-6HFD and Fxrα1 TG Coordinate Enterohepatic Ba Homeostasis
To detail the impact of the n-6HFD and Fxrα1 TG alone or in combination on regulation of BA homeostasis, we measured BA levels in cecal pellets and hepatic tissue. Results of HPLC/MS depicted  The expression of FXR impacts also on expression of factors involved in fatty acid metabolism including peroxisome-proliferator-activated receptor-γ (Pparγ) [32]. Previously, we [33] and others [34] have reported that a HFD increases the expression of Pparγ1 in the small intestine. Analysis of Pparγ1 mRNA expression in the small intestine shows no difference between WT and Fxrα1 TG mice on the CNTL diet; however, the n-6HFD increases Pparγ1 in WT (~6.4-fold) and Fxrα1 TG littermates (~4.1-fold, Figure 6). These data provide a positive control for the effects of the n-6HFD on lipid metabolism in the small intestine and evidence for the attenuating effects of the Fxrα1 TG . Overall, these expression data indicate that the Fxrα1 TG leads to activation of downstream targets for the FXR in the small intestine (i.e., Shp, Ibabp) and proximal colon (Ibabp) on the CNTL diet. These effects are hampered by an n-6HFD. Moreover, the feeding of an n-6HFD enhances hepatic Fxrα1/2 expression, which is amplified in association with the transgenic overexpression of Fxrα1 TG in the intestine.

An n-6HFD and Fxrα1 TG Coordinate Enterohepatic Ba Homeostasis
To detail the impact of the n-6HFD and Fxrα1 TG alone or in combination on regulation of BA homeostasis, we measured BA levels in cecal pellets and hepatic tissue. Results of HPLC/MS depicted Figure 6. An n-6HFD and Fxrα1 TG regulate Pparγ1 expression in the small intestine. WT and Fxrα1 TG littermates were fed an isocaloric CNTL diet or an n-6HFD for 13 weeks. Bars represent sample means ± SEM of Pparγ1 mRNA quantitation (fold-change of control) from five individual animals. Means without common letters (a < b < c) differ (p < 0.05).
Overall, these expression data indicate that the Fxrα1 TG leads to activation of downstream targets for the FXR in the small intestine (i.e., Shp, Ibabp) and proximal colon (Ibabp) on the CNTL diet. These effects are hampered by an n-6HFD. Moreover, the feeding of an n-6HFD enhances hepatic Fxrα1/2 expression, which is amplified in association with the transgenic overexpression of Fxrα1 TG in the intestine.

An n-6HFD and Fxrα1 TG Coordinate Enterohepatic Ba Homeostasis
To detail the impact of the n-6HFD and Fxrα1 TG alone or in combination on regulation of BA homeostasis, we measured BA levels in cecal pellets and hepatic tissue. Results of HPLC/MS depicted in Figure 7A indicate that the cecal concentration of the primary CDCA and CA is not different between WT and Fxrα1 TG littermates on the CNTL diet. Conversely, the n-6HFD increases the cecal levels of CDCA and CA ( Figure 7B). Interestingly, cecal CDCA and CA are reduced to CNTL levels in Fxrα1 TG mice ( Figure 7A,B). Because bile acids in mice are conjugated predominantly with the amino acid taurine, we measured the levels of taurine-CDCA (T-CDCA) and -CA (T-CA). Similar to unconjugated CDCA and CA, levels of T-CDCA ( Figure 7C) and T-CA ( Figure 7D) are increased in cecal pellets from mice fed the n-6HFD, and this effect is antagonized by expression of the Fxrα1 TG . between WT and Fxrα1 TG littermates on the CNTL diet. Conversely, the n-6HFD increases the cecal levels of CDCA and CA ( Figure 7B). Interestingly, cecal CDCA and CA are reduced to CNTL levels in Fxrα1 TG mice ( Figure 7A,B). Because bile acids in mice are conjugated predominantly with the amino acid taurine, we measured the levels of taurine-CDCA (T-CDCA) and -CA (T-CA). Similar to unconjugated CDCA and CA, levels of T-CDCA ( Figure 7C) and T-CA ( Figure 7D) are increased in cecal pellets from mice fed the n-6HFD, and this effect is antagonized by expression of the Fxrα1 TG . These results suggest that intestinal expression of the Fxrα1 TG attenuates the levels of primary and conjugated BA that escape reabsorption in the small intestine as a result of feeding the n-6HFD.
In mice, both βMCA and UDCA are considered as primary BA synthesized from CDCA [19]. Our results ( Figure 8A) show that the cecal concentration of βMCA exceeds by ~100-fold that of CDCA and is not different in mice fed the CNTL diet regardless of genotype (i.e., WT vs. Fxrα1 TG ). These results are in agreement with the notion that in mice most CDCA is transformed in the liver into βMCA [15]. However, the concentration of βMCA nearly doubles in cecal pellets from mice fed the n-6HFD. In contrast to what seen for primary CDCA and CA, the expression of the Fxra1 TG does not impact on the cecal levels of βMCA. Conversely, levels of UDCA in cecum are reduced by the Fxrα1 TG compared to WT littermates on the CNTL diet, and to a larger degree in association with the n-6HFD ( Figure 8B). These results suggest that intestinal expression of the Fxrα1 TG attenuates the levels of primary and conjugated BA that escape reabsorption in the small intestine as a result of feeding the n-6HFD.
In mice, both βMCA and UDCA are considered as primary BA synthesized from CDCA [19]. Our results ( Figure 8A) show that the cecal concentration of βMCA exceeds by~100-fold that of CDCA and is not different in mice fed the CNTL diet regardless of genotype (i.e., WT vs. Fxrα1 TG ). These results are in agreement with the notion that in mice most CDCA is transformed in the liver into βMCA [15]. However, the concentration of βMCA nearly doubles in cecal pellets from mice fed the n-6HFD. In contrast to what seen for primary CDCA and CA, the expression of the Fxra1 TG does not impact on the cecal levels of βMCA. Conversely, levels of UDCA in cecum are reduced by the Fxrα1 TG compared to WT littermates on the CNTL diet, and to a larger degree in association with the n-6HFD ( Figure 8B).
Analysis of liver homogenates suggests no difference in the concentration of total BA between WT and Fxrα1 TG mice on the CNTL diet ( Figure 9A). On the other hand, WT animals fed the n-6HFD exhibit an increase (~40%) in total BA compared to CNTL-fed mice, which are lowered to near CNTL levels in Fxrα1 TG mice. These data suggest that overexpression of the Fxrα1 TG in the intestine attenuates the n-6HFD-mediated increase in total BA in the liver. Analysis of liver homogenates suggests no difference in the concentration of total BA between WT and Fxrα1 TG mice on the CNTL diet ( Figure 9A). On the other hand, WT animals fed the n-6HFD exhibit an increase (~40%) in total BA compared to CNTL-fed mice, which are lowered to near CNTL levels in Fxrα1 TG mice. These data suggest that overexpression of the Fxrα1 TG in the intestine attenuates the n-6HFD-mediated increase in total BA in the liver. Similarly, the liver concentration of CDCA shows no difference between WT and Fxrα1 TG littermates on the CNTL diet; however, treatment with the n-6HFD increases the concentrations of  Analysis of liver homogenates suggests no difference in the concentration of total BA between WT and Fxrα1 TG mice on the CNTL diet ( Figure 9A). On the other hand, WT animals fed the n-6HFD exhibit an increase (~40%) in total BA compared to CNTL-fed mice, which are lowered to near CNTL levels in Fxrα1 TG mice. These data suggest that overexpression of the Fxrα1 TG in the intestine attenuates the n-6HFD-mediated increase in total BA in the liver. Similarly, the liver concentration of CDCA shows no difference between WT and Fxrα1 TG littermates on the CNTL diet; however, treatment with the n-6HFD increases the concentrations of Similarly, the liver concentration of CDCA shows no difference between WT and Fxrα1 TG littermates on the CNTL diet; however, treatment with the n-6HFD increases the concentrations of CDCA ( Figure 9B) and T-CDCA ( Figure 9C) in WT mice, which are attenuated in Fxrα1 TG littermates ( Figure 9B,C). We can see that in transgenic mice on the CNTL diet, the CA and T-CA are lower compared to WT mice ( Figure 9D,E). These data support the notion that Fxra1/2 negatively affects CA and T-CA in the liver, and this repression is augmented by n-6HFD diet, as expected, since n-6HFD induces overexpression of Fxra1/2 in the small intestine ( Figure 3B). The concentration of βMCA in the liver mirrors that of the cecum, increasing with the n-6HFD, with no effects due to genotype ( Figure 10A).
( Figure 9B,C). We can see that in transgenic mice on the CNTL diet, the CA and T-CA are lower compared to WT mice ( Figure 9D,E). These data support the notion that Fxra1/2 negatively affects CA and T-CA in the liver, and this repression is augmented by n-6HFD diet, as expected, since n-6HFD induces overexpression of Fxra1/2 in the small intestine ( Figure 3B). The concentration of βMCA in the liver mirrors that of the cecum, increasing with the n-6HFD, with no effects due to genotype ( Figure 10A). For UDCA, higher levels are seen in WT mice compared to Fxrα1 TG littermates fed either the CNTL or n-6HFD diet ( Figure 10B). Taken together, these data suggest that an n-6HFD increases the levels of total BA, and primary CDCA and T-CDCA in the liver, and that the intestinal overexpression of the Fxrα1 TG attenuates these effects. However, the Fxrα1 TG does not impact on the hepatic concentration of murine-specific βMCA irrespective of type of diet.
We then measured the cecal levels of DCA and LCA because in humans they represent the majority of secondary BA. The concentration of LCA is considerably lower (~20-fold) ( Figure 11A) compared to that of DCA ( Figure 11B) likely due to the fact most CDCA, the precursor for the synthesis of LCA, is transformed in mice into βMCA. The cecal concentration of DCA is about 2.5 times higher than that of CA and similar to βMCA, in contrast with the 4:4:2 CA/CDCA/DCA distribution generally seen in humans [35]. Levels of LCA are increased in Fxrα1 TG mice on the CNTL diet; however, Fxrα1 overexpression has a negative effect on cecal DCA in CNTL diet mice, whereas the n-6HFD negatively influences LCA and DCA levels in both WT and transgenic mice. Taken together, these data suggest a differential effect between n-6HFD and Fxrα1 TG overexpression on the relative production of secondary LCA and DCA in the cecum. For UDCA, higher levels are seen in WT mice compared to Fxrα1 TG littermates fed either the CNTL or n-6HFD diet ( Figure 10B). Taken together, these data suggest that an n-6HFD increases the levels of total BA, and primary CDCA and T-CDCA in the liver, and that the intestinal overexpression of the Fxrα1 TG attenuates these effects. However, the Fxrα1 TG does not impact on the hepatic concentration of murine-specific βMCA irrespective of type of diet.
We then measured the cecal levels of DCA and LCA because in humans they represent the majority of secondary BA. The concentration of LCA is considerably lower (~20-fold) ( Figure 11A) compared to that of DCA ( Figure 11B) likely due to the fact most CDCA, the precursor for the synthesis of LCA, is transformed in mice into βMCA. The cecal concentration of DCA is about 2.5 times higher than that of CA and similar to βMCA, in contrast with the 4:4:2 CA/CDCA/DCA distribution generally seen in humans [35]. Levels of LCA are increased in Fxrα1 TG mice on the CNTL diet; however, Fxrα1 overexpression has a negative effect on cecal DCA in CNTL diet mice, whereas the n-6HFD negatively influences LCA and DCA levels in both WT and transgenic mice. Taken together, these data suggest a differential effect between n-6HFD and Fxrα1 TG overexpression on the relative production of secondary LCA and DCA in the cecum. compared to WT mice ( Figure 9D,E). These data support the notion that Fxra1/2 negatively affects CA and T-CA in the liver, and this repression is augmented by n-6HFD diet, as expected, since n-6HFD induces overexpression of Fxra1/2 in the small intestine ( Figure 3B). The concentration of βMCA in the liver mirrors that of the cecum, increasing with the n-6HFD, with no effects due to genotype ( Figure 10A). For UDCA, higher levels are seen in WT mice compared to Fxrα1 TG littermates fed either the CNTL or n-6HFD diet ( Figure 10B). Taken together, these data suggest that an n-6HFD increases the levels of total BA, and primary CDCA and T-CDCA in the liver, and that the intestinal overexpression of the Fxrα1 TG attenuates these effects. However, the Fxrα1 TG does not impact on the hepatic concentration of murine-specific βMCA irrespective of type of diet.
We then measured the cecal levels of DCA and LCA because in humans they represent the majority of secondary BA. The concentration of LCA is considerably lower (~20-fold) ( Figure 11A) compared to that of DCA ( Figure 11B) likely due to the fact most CDCA, the precursor for the synthesis of LCA, is transformed in mice into βMCA. The cecal concentration of DCA is about 2.5 times higher than that of CA and similar to βMCA, in contrast with the 4:4:2 CA/CDCA/DCA distribution generally seen in humans [35]. Levels of LCA are increased in Fxrα1 TG mice on the CNTL diet; however, Fxrα1 overexpression has a negative effect on cecal DCA in CNTL diet mice, whereas the n-6HFD negatively influences LCA and DCA levels in both WT and transgenic mice. Taken together, these data suggest a differential effect between n-6HFD and Fxrα1 TG overexpression on the relative production of secondary LCA and DCA in the cecum. Figure 11. An n-6HFD reduces the cecal levels of secondary LCA and DCA. Concentration (ng/mL) of (A) LCA and (B) DCA in cecal contents. Bars represent sample means ± SEM from seven individual animals fed an isocaloric CNTL diet or an n-6HFD for 13 weeks. Means without common letter (a < b < c) differ (p < 0.05).

An n-6HFD and Fxrα1 TG Regulate Expression of Genes Involved in BA Homeostasis
The activation of FXR in the intestine represses the de novo synthesis of BA in the liver through a feedback loop [22]. In the small intestine, FXR induces the expression of FGF15, which signals back to the liver to activate FXR. The latter induces the hepatic expression of SHP that prevents liver related homolog-1 (LRH-1) and hepatocyte nuclear factor 4α (HNF4α) from promoting the transcription of Cyp7a1 [36]. The CYP7A1 enzyme participates in the de novo synthesis of BAs. Our results show that the n-6HFD triggers an increase in both hepatic Cyp7a1 and Shp mRNA expression ( Figure 12). However, intestinal overexpression of Fxra1 TG does not affect Shp levels in mice fed the CNTL diet, but attenuates Cyp7a1 expression in association with n-6HFD diet. In line with these observations, hepatic Shp expression is upregulated~2.8-and~4.4-fold respectively in WT and Fxrα1 TG mice on the n-6HFD.
animals fed an isocaloric CNTL diet or an n-6HFD for 13 weeks. Means without common letter (a < b < c) differ (p < 0.05).

An n-6HFD and Fxrα1 TG Regulate Expression of Genes Involved in BA Homeostasis
The activation of FXR in the intestine represses the de novo synthesis of BA in the liver through a feedback loop [22]. In the small intestine, FXR induces the expression of FGF15, which signals back to the liver to activate FXR. The latter induces the hepatic expression of SHP that prevents liver related homolog-1 (LRH-1) and hepatocyte nuclear factor 4α (HNF4α) from promoting the transcription of Cyp7a1 [36]. The CYP7A1 enzyme participates in the de novo synthesis of BAs. Our results show that the n-6HFD triggers an increase in both hepatic Cyp7a1 and Shp mRNA expression ( Figure 12). However, intestinal overexpression of Fxra1 TG does not affect Shp levels in mice fed the CNTL diet, but attenuates Cyp7a1 expression in association with n-6HFD diet. In line with these observations, hepatic Shp expression is upregulated ~2.8-and ~4.4-fold respectively in WT and Fxrα1 TG mice on the n-6HFD. In summary, these data suggest that intestinal overexpression of Fxrα1 reduces the amounts of primary BA that escape reabsorption, and triggers a negative feedback response in the liver mediated by FXR via SHP leading to suppression of Cyp7a1 expression thus attenuating de novo synthesis and the consequent accumulation of BA.

Summary
Overall, the results illustrated in this study indicate that an n-6HFD (~50%E from fat) increases body weight ( Figure 2) and affects BA metabolism. Key findings of this study are: 1. An n-6HFD diet moderately affects Fxrα1/2 expression in the small intestine ( Figure 3A) and to a larger extent in the proximal colon ( Figure 3A) and liver (Figure 4). 2. Compared to a CNTL diet (~28%E from fat), an n-6HFD diet does not influence the expression of FXR target genes Shp and Ibabp in the small intestine ( Figure 5A,B), or Ibabp in the proximal colon ( Figure 5C). 3. An n-6HFD diet induces hepatic Cyp7a1 and Shp expression (Figure 12), which may contribute to the de novo synthesis of BAs ( Figure 9A-C). In summary, these data suggest that intestinal overexpression of Fxrα1 reduces the amounts of primary BA that escape reabsorption, and triggers a negative feedback response in the liver mediated by FXR via SHP leading to suppression of Cyp7a1 expression thus attenuating de novo synthesis and the consequent accumulation of BA.

Summary
Overall, the results illustrated in this study indicate that an n-6HFD (~50%E from fat) increases body weight ( Figure 2) and affects BA metabolism. Key findings of this study are:

8.
Intestinal Fxrα1 overexpression, either under the CNTL or n-6HFD diet, does not seem to affect cecal CDCA or CA levels ( Figure 7A,B) or liver total BA concentration ( Figure 9A), particularly CDCA ( Figure 9B).

Discussion
Bile acids are necessary for intestinal emulsification and absorption of dietary fatty acids. However, excessive BA accumulation in the intestine and liver promotes inflammation and tissue damage [10][11][12]. The nuclear receptor, FXR, regulates BA homeostasis throughout the enterohepatic system [22]. The present study addresses the effects of an n-6HFD enriched in LA on intestinal and hepatic expression of genes involved in BA metabolism, and the modifying role of intestinal FXRα1 TG expression on enterohepatic BA homeostasis.
In modern diets, n-6 LA is described as the primary dietary PUFA [37]. However, the increased intake of n-6 PUFAs at the expense of other fatty acids (i.e., n-3) increases the risk of chronic diseases such as obesity, and cardiovascular and nonalcoholic fatty liver disease (NAFLD) [38]. Additionally, higher consumption of n-6 PUFAs increases the risk of intestinal inflammation [4,5,33] and promotes the development of colon cancer [39][40][41][42]. A contributing factor to these conditions is dysregulation of BA homeostasis. Therefore, in order to model the effects of a dietary pattern rich in n-6 on end points of BA metabolism, we examined the effects of a n-6HFD providing~50%E from total fat, of which~28%E is from n-6 LA, with those of a CNTL palm oil-based containing~28%E from total fat, of which onlỹ 2.5%E is from LA. In accord with previous work by our group [33] and other investigators [34,39,43] with similar n-6 LA-enriched diets, the current study shows that an n-6HFD triggers higher weight gain compared to an isocaloric CNTL diet with a lower fat content.
In the background of control WT mice, the expression of Fxrα1/2 is higher in the proximal colon compared to that of the small intestine and this difference in amplified by the n-6HFD. One possible explanation for this differential expression may relate to tissue-specific regulation of Fxra1/2. For example, transcripts for the Fxrα1/2 isoforms are nearly undetectable in the duodenum but increase in the jejunum and even more in the ileum [31]. Possibly, this expression gradient may extend to the proximal colon since higher expression of FXR in the colon compared to the small intestine has been previously documented in mice [44]. The n-6HFD also increases the expression of endogenous Fxrα1/2 in the liver. These expression changes likely represent adaptive intestinal and hepatic responses to higher intake of fat [22,45]. In support of this interpretation, we observe in the cecal material an increase in unconjugated (CDCA, CA) and conjugated (T-CDCA,T-CA), and murine-specific βMCA, primary BA. These changes are mirrored in the liver by accumulation of total BA, CDCA, βMCA, and UDCA, and increased expression of Cyp7a1 and Shp. The CYP7A1 enzyme catalyzes in the liver the first and rate-limiting step of BA synthesis, converting cholesterol to primary CDCA and CA [46]. Therefore, the n-6HFD sustains de novo hepatic BA synthesis, which correlates with higher risk of developing NAFLD [12], nonalcoholic steatohepatitis [47], and hepatic cancer [48].
The NR1H4 gene encodes four isoforms (FXRα1, -α2, α3, and -α4), which result from tissue-specific alternative transcription and splicing [49]. Both FXRα1 and FXRα2 are expressed at comparable levels in the intestine of mice. Additionally, analysis of murine Fxr gene isoform expression and function shows that FXRα1 and FXRα2 activate transcription of Shp and bile salt export pump to a similar extent [31,50]. Considering the role of FXR in regulating BA metabolism, we developed a transgenic mouse model overexpressing murine Fxrα1 under the control of an intestine-specific Villin promoter. The Fxrα1 TG drives increased expression of Shp and Ibabp, two downstream targets for FXR [51,52]. However, these stimulatory effects on Shp and Ibabp are hampered in the small intestine and proximal colon by the n-6HFD possibly through several, non-mutually exclusive, mechanisms. First, the repression on ShP and Ibabp may occur independent of FXR through transcription factors as has been shown for the vitamin D receptor (VDR) which represses transcription through binding at VDR elements located within the proximal Shp promoter [53]. The VDR can be activated by the secondary LCA [54], whose cecal levels however were reduced by the n-6HFD. Second, the accumulation of βMCA, a known antagonist of the FXR [27] may prevent FXR-dependent activation of Shp and Ibabp, in spite of increased FXR levels. Third, the reduction in expression of Shp and Ibabp associated with the n-6HFD may be related to microbial inhibition of FXR signaling [20,55]. In support of this mechanism, studies have shown that the administration to C57BL/6J male mice of bacterial metabolites from Eubacterium Limosum in combination with an HFD (10 weeks starting at week 5 of age) activates Fxr expression, but opposite to bacterial metabolites from Bacteroides dorei, repress ileal expression of Shp [56]. Therefore, changes in the gut microbia due to an n-6HFD may alter the relative balance in the intestine in favor of FXR-inhibitory BAs and metabolites.
In mice fed the n-6HFD, the intestinal overexpression of the Fxrα1 TG mitigates the increase in total and primary hepatic CDCA and CA observed in WT littermates suggesting that the Fxr TG promotes intestinal primary BA reabsorption. In the enterocyte, FXR induces the expression and subsequent release into the circulation of FGF15, which in turn inhibits hepatic Cyp7a1 [23,57]. In fact, the hepatic expression of Cyp7a1 is attenuated in Fxrα1 TG mice fed the n-6HFD suggesting the Fxrα1 TG is signaling back to the liver to suppress de novo BA synthesis via repression of Cyp7a1. In support of this interpretation, we show that in addition to intestinal overexpression of Fxrα1, transgenic animals on the n-6HFD exhibit higher expression of hepatic Fxrα1/2 mRNA. Similarly, other studies reported increased expression of hepatic Fxrα in response to an HFD [45,58]. Mechanistically, the activation of FXR in the liver drives expression of SHP, which in turn inhibits the transcription of Cyp7a1 via interactions with LRH-1 and HNF4α [36,59]. Therefore, the combined increase in intestinal and hepatic FXR expression seen in Fxrα1 TG littermates operate respectively to increased reabsorption and reduce de novo synthesis.
The PPARγ participates in regulation of lipid and glucose metabolism. Natural and synthetic ligands of the FXR induce PPARγ expression [60]. Activation of FXR by CDCA increases transcription of PPARγ via binding to an FXR-responsive element (FXRE) harbored in the PPARγ promoter [32]. Similar to humans, the mouse Pparγ gene encodes for two isoforms (Pparγ1 and Pparγ2), of which Pparγ1 is expressed at higher levels in adipose tissue and intestine [61]. In keeping with the role of PPARγ in lipid metabolism, we find that in WT littermates the intestinal expression of Pparγ1 is induced by the n-6HFD in association with accumulation of CDCA and upregulation of endogenous Fxrα1/2. On the other hand, Pparγ1 expression is hampered in the small intestine of Fxrα1 TG mice fed the n-6HFD. This reduction may result from lower transactivation activity by the overexpressed Fxrα1 isoform at the Pparγ1 FXRE and other FXR target genes [62] compared to other endogenous FXR isoforms (i.e., FXRα2) [31]. Another factor that may contribute to reducing Pparγ expression in the intestine is the FXR-FGF15/19 axis. Although in the liver this mechanism has been demonstrated for the Pparγ2 isoform [63], it remains unknown whether it is operative for Pparγ1 in the intestine.
Interestingly, overexpression of the Fxrα1 TG does not affect the n-6HFD-associated accumulation of unconjugated βMCA in cecal samples and liver. Further, the levels of secondary LCA and DCA in cecal samples are markedly reduced by the n-6HFD in both WT and Fxrα1 TG littermates. A possible interpretation of these data is that the n-6HFD influences on the microbiota and FXR signaling. For example, studies show that n-6LA is toxic to probiotic Lactobacillus [64][65][66]. A feeding study also shows that there is an increase in Bacteroidetes and a dramatic reduction in Firmicutes in association with a diet rich in LA (safflower oil, 37%E), compared to a low-fat group and an isocaloric lard group [67]. Firmicutes is a bacterial phylum that includes Lactobacillus and Clostridium. The bacteria that produce DCA from CA belong to the genus Clostridium. The lowering of the genera Lactobacillus and Clostridium increases the levels of conjugated βMCA, which with DCA acts as an antagonist on FXR [19,30], and reduces FXR signaling [18,20]. Therefore, the accumulation of βMCA may explain at least in part the lower expression of Shp and Ibabp noted in the small intestine and proximal colon of Fxrα1 TG littermates fed the n-6HFD. Conversely, other studies show an increase in Clostridium in animals fed a high-fat palm oil (45%E) diet compared to safflower oil (45%E), olive oil, and low-fat diets [34]. Based on this background, a diet rich in LA may be toxic to Lactobacillus and Clostridium population in the gut and ameliorate the signaling effects of FXR.

Animals
Transgenic Fxrα1 were generated using C57BL/6J zygotes and were subsequently crossed with C57BL/6J mice for several generations until there was stable transmission of the same copy number of the Fxrα1 TG . Two founders, 1R and 3, contained 1 and 2 copies of the transgene, respectively, and produced mice with intestinal overexpression of Fxrα1. Animals from founder 3 were used for the experiments presented here. Oligonucleotides for identification of VP16 positive transgenic mice were, forward: 5 -TGGGCCCTAAAAAGAAGCGT-3 ; reverse: 5 -ATCGAAATCGTCTAGCGCGT-3 . Breeder pairs were assigned to AIN93M Purified Diet (Table 1). Weaned WT and Fxrα1 TG mice at 3 weeks of age were assigned to a CNTL diet containing 27.8%E from fat (11% palm oil by weight) (Figure 13) or an n-6HFD containing 50.3%E from fat (20% soybean oil by weight), until the end of this study (16 weeks of age). The relative energy contribution by SFAs, MUFAs, and PUFAs was 7%, 12%, and 31% for the n-6HFD diet, and~14%, 11.0%, and 3% for the CNTL diet, respectively. Litters were allowed chow and water ad libitum, and weights were measured weekly. population in the gut and ameliorate the signaling effects of FXR.

Animals
Transgenic Fxrα1 were generated using C57BL/6J zygotes and were subsequently crossed with C57BL/6J mice for several generations until there was stable transmission of the same copy number of the Fxrα1 TG . Two founders, 1R and 3, contained 1 and 2 copies of the transgene, respectively, and produced mice with intestinal overexpression of Fxrα1. Animals from founder 3 were used for the experiments presented here. Oligonucleotides for identification of VP16 positive transgenic mice were, forward: 5′-TGGGCCCTAAAAAGAAGCGT-3′; reverse: 5′-ATCGAAATCGTCTAGCGCGT-3′. Breeder pairs were assigned to AIN93M Purified Diet (Table 1). Weaned WT and Fxrα1 TG mice at 3 weeks of age were assigned to a CNTL diet containing 27.8%E from fat (11% palm oil by weight) (Figure 13) or an n-6HFD containing 50.3%E from fat (20% soybean oil by weight), until the end of this study (16 weeks of age). The relative energy contribution by SFAs, MUFAs, and PUFAs was 7%, 12%, and 31% for the n-6HFD diet, and ~14%, 11.0%, and 3% for the CNTL diet, respectively. Litters were allowed chow and water ad libitum, and weights were measured weekly.
At the end of the 16 week experimental period, animals were sacrificed and liver samples, cecal pellets, and mucosa from the small intestine and proximal colon were collected ( Figure 13). The collection of the mucosal cells was performed as previously described [68]. The small intestine and colon were cut longitudinally then rinsed with phosphate buffered saline (PBS) and scraped. The scraped cells were then separated after centrifugation for 10 min at 4 °C. All animal procedures were approved by the Institutional Animal Care and Use Committee program of the University of Arizona (PHS Animal Welfare Assurance Number D16-00159, A3248-01, effective 08-08-2019). Figure 13. Schematics describing experimental design of feeding study. Breeder pairs were fed the AIN-93M Purified Diet throughout gestation and lactation. After weaning, WT and Fxrα1 TG male littermates were assigned to CNTL or n-6HFD for 13 weeks until 16 weeks of age.

mRNA Analysis
Preparation of mRNA from small intestine and proximal colon mucosal cells and liver tissue was performed using the Quick-RNA MiniPrep kit as per the manufacturer's instructions (Zymo, Irvine, CA, USA; Ref. . Briefly, specimens were suspended in RNA lysis buffer and sonicated on ice for 4 pulses of 10 s each. DNA was digested using DNase I and RNA was eluted using RNase-

Gestation Lactation
Post-Weaning At the end of the 16 week experimental period, animals were sacrificed and liver samples, cecal pellets, and mucosa from the small intestine and proximal colon were collected ( Figure 13). The collection of the mucosal cells was performed as previously described [68]. The small intestine and colon were cut longitudinally then rinsed with phosphate buffered saline (PBS) and scraped. The scraped cells were then separated after centrifugation for 10 min at 4 • C. All animal procedures were approved by the Institutional Animal Care and Use Committee program of the University of Arizona (PHS Animal Welfare Assurance Number D16-00159, A3248-01, effective 08-08-2019).

mRNA Analysis
Preparation of mRNA from small intestine and proximal colon mucosal cells and liver tissue was performed using the Quick-RNA MiniPrep kit as per the manufacturer's instructions (Zymo, Irvine, CA, USA; Ref. . Briefly, specimens were suspended in RNA lysis buffer and sonicated on ice for 4 pulses of 10 s each. DNA was digested using DNase I and RNA was eluted using RNase-free water. Purified RNA was stored at −80 • C or used immediately for cDNA synthesis using the qScript cDNA Synthesis Kit as per the manufacturer's instructions (Quantabio, Beverly, MA, USA; Ref. 95047-025). Purified cDNA was stored at −20 • C or used immediately in real-time qPCR assays carried out in a 20 µL volume with a master mix consisting of 10 µL of PerfeCta SYBR Green FastMix with carboxyrhodamine (ROX) (Quantabio), 2 µL of 5 µM forward and reverse primers, 4 µL of RNase-free water, and 2 µL of cDNA template. Reaction parameters for PCR were: 95 • C for 10 min (escalating by 1.6 • C/s), followed by 40 cycles of 95 • C for 15 s, with an annealing temperature of 65 • C for 1 min. Relative mRNA quantities were determined using the relative standard curve method [69] using GAPDH as an internal standard. Mouse primer sequences (Sigma Aldrich, St. Louis, MO, USA) are shown in Table 2. Primers for Fxrα expression designate Fxrα1 and Fxrα2 expression combined, but exclude Fxrα3 and Fxrα4 (Figure 1). Table 2. RT-PCR Oligonucleotide Sequences.

Target
Primer Sequence

Western Blot Analysis
Western blotting was performed as previously described [33]. Briefly, total protein was extracted from colonic mucosa by suspending~30 mg of tissue in Pierce RIPA Buffer (Thermo Fisher Scientific, Waltham, MA, USA) containing a 1% concentration of protease inhibitor (VWR, Ref. M250). Samples were incubated on ice for~45 min with occasional vortexing. After incubation, samples were centrifuged at 16,000× g for 10 at 4 • C to separate cell debris from the protein lysate. Protein concentration was determined using the Nanodrop1000 Spectrophotometer (Thermo Fisher Scientific, Waltham, MA, USA). Samples were prepared for polyacrylamide gel electrophoresis (PAGE) by heating 100 µg of protein (normalized with water) at 65 • C for 4 min. Following this heating step, an equal volume of Leamlli buffer (Biorad, Hercules, CA, USA; Ref. 161-0737) containing 1% β-mercaptoethanol was added. This mixture was boiled in a hot water bath for 4 min, cooled to room temperature for 4 min, then centrifuged at 10,000× g for 30 s. Proteins were separated on Novex Wedgewell 4-12% tris-glycine gels (Invitrogen, Carlsbad, CA, USA; Ref. XP04120BOX) using a constant voltage (100 V) for~75 min. Proteins were transferred to nitrocellulose membranes (Amersham, Little Chalfont, UK; 10600001) using the Invitrogen Mini Blot Module (B1000) and Mini Gel Tank (A25977) wet-transfer system. Transfer was conducted in tris-glycine transfer buffer (15% methanol) at 15 V for 45 min. Blocking was performed for 1 h at room temperature with a 1% casein blocking buffer dissolved in tris-buffered saline containing 1% NaCl. Immunoblotting was carried out using the primary antibody FXR(C-20):SC-1204 and GAPDH (Santa Cruz Biotechnology, Dallas, TX, USA) and secondary antibodies specific to rabbit (Li-COR, Lincoln, NE, USA). Antibodies were diluted in 1% casein blocking buffer dissolved in TBS + 0.01% tween (TBS-T) and primary incubations were carried out overnight at 4 • C. Following primary incubation, membranes were incubated in secondary antibody for 1 h at room temperature. Immunocomplexes were detected by near-infrared scanning using an Odyssey CLx (Li-COR, Lincoln, NE, USA). Quantitation was performed using ImageStudio Lite.

Total Bile Acids
Total BA determination was carried out using the Diazyme Total Bile Assay kit according to manufacturer instructions (Diazyme Laboratories Inc. cat # DZ042A-K01, Poway, CA, USA). Briefly, total BA were extracted from~30 mg of cecal pellet or liver tissue as follows: after weight measurement, 4 volumes of extraction buffer consisting of 95% ethanol and 0.1 M NaOH were added to each sample which was then homogenized using a hand-held homogenizer (BelArt H-B Instrument, SP Scienceware, Wayne, NJ, USA). Samples were incubated at 80 • C for 1 h, centrifuged at 12,000 rpm for 15 min and 3 µL of the supernatant were used for the assay. The total BA assay was conducted in triplicate for each sample, readings were carried out at 405 nm using a Synergy HT 96 well plate reader using a KC4 software (Bio-teck, Orlando, FL, USA). Concentrations were calculated using BA standards (Diazyme).

Liquid Chromatography and Mass Spectrometry
Cecal pellets and liver tissues were homogenized in 4 volumes of extraction buffer made up of 95% ethanol and 0.1 M NaOH. Free and conjugated BA were extracted from samples as previously described [70]. Briefly, separation was completed with the use of a gradient system of acetonitrile, water and 0.1% formic acid. The detection of BA from the samples was completed as previously described [71]. The detection of free and conjugated BA was completed by measuring negative ions.

Statistical Analysis
Differences between groups were analyzed by two-way ANOVA using a mixed model to correct for differences in group size. Significant differences (p < 0.05) were determined using Tukey's HSD test. Statistical analysis was performed using Prism (Graph-Pad Software, San Diego, CA, USA).

Conclusions
Results from the current study are illustrated in Figure 14 showing that the long-term exposure to an n-6HFD promotes de novo synthesis of BA associated with increased expression of Cyp7a1 and higher levels of primary BA in the cecum in male mice. Conversely, an Fxra1 TG hampers hepatic Cyp7a1 gene expression and reduces the concentration of primary BA in the cecum and liver tissues. These observations suggest that the Fxra1 TG transgenic model may be useful to elucidate the role of intestinal FXR expression and activation for the prevention of enterohepatic diseases. Although this study does not focus on cancer end points, we have shown that inactivation of the adenomatous polyposis Coli (APC) predisposes to epigenetic silencing of FXR in the colon in previous studies [72]. Because~70% of colorectal cancers have CpG hypermethylated APC, the Fxrα1 TG mouse model may be useful for studies of colorectal cancer prevention and treatment linked to HFD and silencing of APC. Finally, future studies should extend these investigations to the female gender for which differences in BA and microbiota related to diet and FXR have been documented [73]. The long-term exposure to an n-6HFD increases hepatic Cyp7a1 and BA accumulation in the intestine and liver. These effects are attenuated in Fxra1 TG mice. Activation of FXR in the intestine promotes expression of FGF15, which activates a signaling cascade in the liver through the FGFR4 to inhibit Cyp7a1 expression [23,74]. Black arrows denote relationships supported by the current data. Red arrows depict relationships characterized previously [22,75].

Conflicts of Interest:
The authors declare no conflict of interest.

APC
Adenomatous polyposis Coli The long-term exposure to an n-6HFD increases hepatic Cyp7a1 and BA accumulation in the intestine and liver. These effects are attenuated in Fxra1 TG mice. Activation of FXR in the intestine promotes expression of FGF15, which activates a signaling cascade in the liver through the FGFR4 to inhibit Cyp7a1 expression [23,74]. Black arrows denote relationships supported by the current data. Red arrows depict relationships characterized previously [22,75].

Conflicts of Interest:
The authors declare no conflict of interest.