Role of FoxO1 in Lipid Metabolism

7.项目总结/摘要 候选 本K99/R 00建议书的总体目标是帮助我从培训课程过渡到 （本科，博士和博士后）领导轨道作为一个完全独立的学术研究者。我 K99部分的目标是发展我的研究目标仍然缺乏但必要的技能， 培养一个坚实的知识基础和初步的数据，并获得终身助理 教授职位我已经制定了一个广泛的培训计划，以帮助我实现这些目标。该计划包括 学习新技术，课程，在当地和国际会议上展示我的作品，并学习 成为导师我将由一个宝贵的高级调查小组指导，包括我的导师，三个 科学顾问，三名外部合作者和一名职业发展顾问。我对R 00的目标是 利用我独特的技能，这桥梁两个领域的生物医学研究，推出一个富有成效的和成功的 实验室在这段时间里，我计划招募学生和助手，收集数据，发表我的作品， 在我的新环境中的导师和顾问，发展新的合作，并申请R 01。我的长- 作为一名学术研究者的长期职业目标是推进代谢疾病领域的知识， 为患者开发新的医疗和诊断选择，培训高质量的研究人员， 与同学科和其他学科的研究人员开展富有成效的合作。 环境 哥伦比亚大学是全国最好的学术机构之一，几乎任何措施。的 校园的生产力反映在它在大学，学院和私立机构中排名第11位 联邦研究基金。哥伦比亚大学医学系拥有悠久的科学卓越历史， 目前是我的研究领域的杰出研究人员的家园：脂质代谢， 动脉粥样硬化、糖尿病和肥胖症。有了这个丰富的环境，我可以完全访问所有资源， 进行拟议的研究。我在哥伦比亚和其他地方的导师、顾问和合作者， 这是该提案的一个重要方面。在K99期间，我计划利用他们的专业知识， 在科学和职业方面的指导。 研究 心血管疾病（CVD）仍然是该国死亡和残疾的主要原因。 现有的治疗方法是不够的，部分原因是它们未能纠正许多患者的原发性缺陷， 心血管疾病的高风险。代谢综合征和糖尿病是心血管疾病的两个主要危险因素， 与加速动脉粥样硬化形成的脂质代谢异常的特征性星座相关， 包括高血清甘油三酯、低高密度脂蛋白胆固醇（HDL-C）和 肝脏脂肪，缺陷是对目前的降血脂剂反应不良。了解生理 这些缺陷的分子机制将扩大动脉粥样硬化治疗的靶点 和预防然而，我们的知识存在一个关键的差距：我们不知道为什么甘油三酯升高， HDL-C福尔斯代谢综合征的自然史。肝脏非常重要，因为它 跨越葡萄糖和脂质代谢，并且已经清楚的是，“胰岛素抵抗”的概念可以 无法解释肝脏中存在的所有代谢缺陷我对探索非经典的 驱动肝脏葡萄糖和脂质代谢的信号通路之间的联系，希望 在心血管疾病的治疗方法中招募新的参与者。在初步数据中，我证明了迄今为止 经典Akt-FoxO途径、胆汁酸（BA）组成和脂质合成之间的未知联系。到 为了研究这一通路，我提出了三个目标：在目标1中，我将研究BA受体FXR在 将FoxO依赖性转录与脂肪生成联系起来;在目标2中，我将研究FoxO依赖性转录的需要。 氧固醇受体LXR和胆固醇在这一过程中的作用;在目标3中，我将研究FoxO- 依赖于BA组合物对外周组织中细胞表面BA受体TGR 5的活性的影响， 脂代谢受损的潜在肝外机制。这些数据将提供设计路线图 在快速增长的人口中治疗血脂异常的新治疗干预措施 患有代谢综合症的人

7. Project Summary/Abstract Candidate The overall goal of this K99/R00 proposal is to facilitate my transition from a training track (undergraduate, PhD, and postdoctoral) to a leadership track as a fully independent academic investigator. My goals for the K99 component are to develop skills that are still lacking but necessary to my research goals, cultivate a substantial base of knowledge and preliminary data, and acquire a tenure-track assistant professorship. I have laid out an extensive training plan to help me achieve these goals. This plan includes learning new techniques, coursework, presenting my work at local and international conferences, and learning to be a mentor. I will be guided by an invaluable group of senior investigators, including my mentor, three scientific advisors, three external collaborators, and a career development advisor. My goals for the R00 are to use my unique skill set, which bridges two fields of biomedical research, to launch a productive and successful laboratory. During this time, I plan to recruit students and assistants, collect data, publish my work, identify mentors and advisors in my new environment, develop new collaborations, and apply for an R01. My long- term career goals as an academic investigator are to advance knowledge in the field of metabolic diseases, develop new medical treatment and diagnostic options for patients, train high quality investigators, and to develop fruitful collaborations with investigators in the same and other disciplines. Environment Columbia University is among the finest academic institutions nationwide, by almost any measure. The productivity on campus is reflected in its ranking as #11 among universities, colleges, and private institutions in federal research funding. Columbia's Department of Medicine has a long history of scientific excellence, and is currently home to outstanding investigators in the fields related to my research: lipid metabolism, atherosclerosis, diabetes, and obesity. With this rich environment, I have full access to all of the resources to perform the proposed research. My mentor, advisors, and collaborators, both at Columbia and elsewhere, constitute a crucial aspect of this proposal. During the K99, I plan to take advantage of their expertise and guidance, with regard to science and career. Research Cardiovascular disease (CVD) remains the leading cause of death and disability in the country. Available therapies are inadequate, in part because they fail to redress the primary defects in many patients at high risk for CVD. The metabolic syndrome and diabetes are two major risk factors for CVD, and they are associated with a characteristic constellation of lipid metabolic abnormalities that accelerate atherogenesis, including high serum triglycerides, low high-density lipoprotein cholesterol (HDL-C), and accumulation of liver fat, defects that are poorly responsive to current hypolipidemic agents. Understanding the physiological and molecular mechanisms of these defects will expand the repertoire of targets for atherosclerosis treatment and prevention. However, a crucial gap in our knowledge exists: we do not know why triglycerides rise and HDL-C falls in the natural history of the metabolic syndrome. The liver is of critical interest, because it straddles both glucose and lipid metabolism, and it has become clear that the notion of "insulin resistance" can not explain all of the metabolic defects present in the liver. I am interested in exploring non-canonical connections among signaling pathways that drive hepatic glucose and lipid metabolism, in the hope of enlisting new players in the therapeutic approach to CVD. In preliminary data, I demonstrate a heretofore unknown link between the canonical Akt-FoxO pathway, bile acid (BA) composition, and lipid synthesis. To investigate this pathway, I propose three aims: in Aim 1, I will examine the role of the BA receptor FXR in linking FoxO-dependent transcription with lipogenesis; in Aim 2, I will investigate the requirement for the oxysterol receptor LXR and the role of cholesterol in this process; and in Aim 3, I will study the effect of FoxO- dependent BA composition on the activity of the cell surface BA receptor, TGR5, in peripheral tissues, as a potential extra-hepatic mechanism of impaired lipid metabolism. These data will provide a roadmap to design new therapeutic interventions in the treatment of dyslipidemia within the rapidly growing population of people with the metabolic syndrome.