RT Journal Article SR Electronic T1 TGR5-dependent hepatoprotection through the regulation of biliary epithelium barrier function JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP gutjnl-2018-316975 DO 10.1136/gutjnl-2018-316975 A1 Grégory Merlen A1 Nicolas Kahale A1 Jose Ursic-Bedoya A1 Valeska Bidault-Jourdainne A1 Hayat Simerabet A1 Isabelle Doignon A1 Zahra Tanfin A1 Isabelle Garcin A1 Noémie Péan A1 Julien Gautherot A1 Anne Davit-Spraul A1 Catherine Guettier A1 Lydie Humbert A1 Dominique Rainteau A1 Klaus Ebnet A1 Christoph Ullmer A1 Doris Cassio A1 Thierry Tordjmann YR 2019 UL http://gut.bmj.com/content/early/2019/02/05/gutjnl-2018-316975.abstract AB Objective We explored the hypothesis that TGR5, the bile acid (BA) G-protein-coupled receptor highly expressed in biliary epithelial cells, protects the liver against BA overload through the regulation of biliary epithelium permeability.Design Experiments were performed under basal and TGR5 agonist treatment. In vitro transepithelial electric resistance (TER) and FITC-dextran diffusion were measured in different cell lines. In vivo FITC-dextran was injected in the gallbladder (GB) lumen and traced in plasma. Tight junction proteins and TGR5-induced signalling were investigated in vitro and in vivo (wild-type [WT] and TGR5-KO livers and GB). WT and TGR5-KO mice were submitted to bile duct ligation or alpha-naphtylisothiocyanate intoxication under vehicle or TGR5 agonist treatment, and liver injury was studied.Results In vitro TGR5 stimulation increased TER and reduced paracellular permeability for dextran. In vivo dextran diffusion after GB injection was increased in TGR5-knock-out (KO) as compared with WT mice and decreased on TGR5 stimulation. In TGR5-KO bile ducts and GB, junctional adhesion molecule A (JAM-A) was hypophosphorylated and selectively downregulated among TJP analysed. TGR5 stimulation induced JAM-A phosphorylation and stabilisation both in vitro and in vivo, associated with protein kinase C-ζ activation. TGR5 agonist-induced TER increase as well as JAM-A protein stabilisation was dependent on JAM-A Ser285 phosphorylation. TGR5 agonist-treated mice were protected from cholestasis-induced liver injury, and this protection was significantly impaired in JAM-A-KO mice.Conclusion The BA receptor TGR5 regulates biliary epithelial barrier function in vitro and in vivo through an impact on JAM-A expression and phosphorylation, thereby protecting liver parenchyma against bile leakage.