CMPF, a Metabolite Formed Upon Prescription Omega-3-Acid Ethyl Ester Supplementation, Prevents and Reverses Steatosis.
EBioMedicine 2017;
27:200-213. [PMID:
29290411 PMCID:
PMC5828468 DOI:
10.1016/j.ebiom.2017.12.019]
[Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 12/14/2017] [Accepted: 12/15/2017] [Indexed: 11/19/2022] Open
Abstract
Prescription ω-3 fatty acid ethyl ester supplements are commonly used for the treatment of hypertriglyceridemia. However, the metabolic profile and effect of the metabolites formed by these treatments remain unknown. Here we utilized unbiased metabolomics to identify 3-carboxy-4-methyl-5-propyl-2-furanpropanoic acid (CMPF) as a significant metabolite of the ω-3-acid ethyl ester prescription Lovaza™ in humans. Administration of CMPF to mice before or after high-fat diet feeding at exposures equivalent to those observed in humans increased whole-body lipid metabolism, improved insulin sensitivity, increased beta-oxidation, reduced lipogenic gene expression, and ameliorated steatosis. Mechanistically, we find that CMPF acutely inhibits ACC activity, and induces long-term loss of SREBP1c and ACC1/2 expression. This corresponds to an induction of FGF21, which is required for long-term steatosis protection, as FGF21KO mice are refractory to the improved metabolic effects. Thus, CMPF treatment in mice parallels the effects of human Lovaza™ supplementation, revealing that CMPF may contribute to the improved metabolic effects observed with ω-3 fatty acid prescriptions.
CMPF is an abundant metabolite resultant from supplementation with the ω-3-acid ethyl ester prescription Lovaza™ in humans
Treatment with CMPF reverses hepatic lipid accumulation in diet-induced and genetically obese mouse models
CMPF treatment prior to high fat diet feeding prevents development of steatosis through an FGF21-dependent mechanism
Fish oil is commonly prescribed for treating dyslipidemia and metabolic syndrome. Here, we identify CMPF as a significant metabolite in humans supplemented with ω-3-acid ethyl esters. CMPF treatment reversed liver lipid accumulation and improved insulin sensitivity in obese mice, while treatment of lean mice prior to high fat diet feeding prevented the development of fatty liver and insulin resistance. We find that CMPF acutely enhances fatty acid utilization and decreases lipid synthesis in the liver, while the preventative action is dependent on FGF21, which potentiates a feedback loop activated by CMPF. Thus, CMPF may contribute to the improved metabolic effects associated with fish oil supplementation.
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