4.8 Article

Ketone body receptor GPR43 regulates lipid metabolism under ketogenic conditions

Publisher

NATL ACAD SCIENCES
DOI: 10.1073/pnas.1912573116

Keywords

ketone body; fasting; low carbohydrate; gut microbiota; FFAR2

Funding

  1. Japan Society for the Promotion of Science
  2. Ministry of Education, Culture, Sports, Science and Technology (KAKENHI) [JP15H05344, JP16H01355, JP18K19731, JP18K17920]
  3. Japan Agency for Medical Research and Development [JP17gm1010007]
  4. Lotte Foundation
  5. Institute for Fermentation Osaka
  6. Food Science Institute Foundation
  7. Smoking Research Foundation
  8. Uehara Memorial Foundation

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Ketone bodies, including beta-hydroxybutyrate and acetoacetate, are important alternative energy sources during energy shortage. beta-Hydroxybutyrate also acts as a signaling molecule via specific G protein-coupled receptors (GPCRs); however, the specific associated GPCRs and physiological functions of acetoacetate remain unknown. Here we identified acetoacetate as an endogenous agonist for short-chain fatty acid (SCFA) receptor GPR43 by ligand screening in a heterologous expression system. Under ketogenic conditions, such as starvation and low-carbohydrate diets, plasma acetoacetate levels increased markedly, whereas plasma and cecal SCFA levels decreased dramatically, along with an altered gut microbiota composition. In addition, Gpr43-deficient mice showed reduced weight loss and suppressed plasma lipoprotein lipase activity during fasting and eucaloric ketogenic diet feeding. Moreover, Gpr43-deficient mice exhibited minimal weight decrease after intermittent fasting. These observations provide insight into the role of ketone bodies in energy metabolism under shifts in nutrition and may contribute to the development of preventive medicine via diet and foods.

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