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n - 3 polyunsaturated fatty acids mediate hyodeoxycholic acid-FXR signaling to ameliorate metabolic dysfunction-associated fatty liver disease

Wang Y, Chen YF, Cong YX, Wang YP, Liu P, Du YP, Zhang J, Wang XC et al.

The Journal of nutritional biochemistry, 2026

Abstract

Accumulating evidence has shown that n - 3 polyunsaturated fatty acids (PUFA) intervention contributes to ameliorating metabolic dysfunction-associated fatty liver disease (MAFLD); however, the underlying mechanism through which n - 3 PUFA alleviate MAFLD remains elusive. Critical gut microbiota-modified metabolites and host targets have been implicated in the initiation and development of MAFLD. Here, a case-control study was performed which indicated that gut microbiota-modified bile acids, notably serum hydeoxycholic acid (HDCA) species, were significantly lower in MAFLD subjects compared with the healthy controls and were negatively associated with n - 3 PUFA proportions in red blood phospholipids, suggesting a link between n - 3 PUFA, HDCA and MAFLD. The causality was further confirmed by a double-blind, randomized placebo-controlled trial which showed that n - 3 PUFA supplementation significantly increased serum HDCA concentrations in MAFLD subjects in comparison with the control group. The MAFLD mouse model showed that administration of n - 3 PUFA mediated hepatic peroxisome proliferator-activated receptor alpha signaling to upregulate oxysterol 7α-hydroxylase (CYP7B1)-centered alternative bile acids synthetic pathway, contributing to increased HDCA concentrations. Administering HDCA to high-fat diet (HFD)-fed mice demonstrated that HDCA acts as an intestinal farnesoid X receptor (FXR) antagonist that decreased intestinal and hepatic ceramide accumulation, thereby…

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