Mice lacking ARV1 have reduced signs of metabolic syndrome and non-alcoholic fatty liver disease

Metabolic syndrome (MetS) is a term used to characterize individuals having at least three of the following diseases: obesity, dyslipidemia, hyperglycemia, insulin resistance, hypertension, and nonalcoholic fatty liver disease (NAFLD). It is widespread, and the number of individuals with MetS is increasing. However, the events leading to the manifestation of MetS are not well-understood. Here, we show that loss of murine ARV1 (mARV1) results in resistance to acquiring diseases associated with MetS. Arv1−/− animals fed a high-fat diet were resistant to diet-induced obesity, had lower blood cholesterol and triglyceride levels, and retained glucose tolerance and insulin sensitivity. Livers showed no gross morphological changes, contained lower levels of cholesterol, triglycerides, and fatty acids, and showed fewer signs of NAFLD. Knockout animals had elevated levels of liver farnesol X receptor (FXR) protein and its target, small heterodimer protein (SHP). They also had decreased levels of CYP7α1, CYP8β1, and mature SREBP1 protein, evidence suggesting that liver FXR signaling was activated. Strengthening this hypothesis was the fact that peroxisome proliferator-activating receptor α (PPARα) protein was elevated, along with its target, fibroblast growth factor 21 (FGF21). Arv1−/− animals excreted more fecal cholesterol, free fatty acids, and bile acids. Their small intestines had 1) changes in bile acid composition, 2) an increase in the level of the intestinal FXR antagonist, tauromuricholic acid, and 3) showed signs of attenuated FXR signaling. Overall, we believe that ARV1 function is deleterious when consuming a high-fat diet. We further hypothesize that ARV1 is critical for initiating events required for the progression of diseases associated with MetS and NAFLD.

amide-B, suggesting a mislocalization of phosphatidylserine to the plasma membrane (17). They contain fragmented vacuoles and a disrupted organelle phenotype (17), which most likely activates the unfolded protein response (18). Null cells are hypersensitive to fatty acid supplementation (19), suggesting that Arv1 also regulates fatty acid metabolism. Thus, yeast Arv1 has a major role in regulating lipid synthesis, metabolism, and homeostasis and is needed to rescue cells when these processes become perturbed.
There is evidence that ARV1 regulates lipid distribution and metabolism in mammals. Knockdown of Arv1 in HepG2 cells results in the accumulation of cholesterol in the endoplasmic reticulum and a reduction in the plasma membrane, suggesting defective sterol transport in the liver (20). Mice treated with antisense oligonucleotides (ASOs) to Arv1 have increases in plasma and liver bile acid levels that contain hydrophilic bile acid salts (20). The same authors observed that early loss of Arv1 caused increases in plasma PL, cholesterol, and low-density apolipoprotein-cholesterol levels and a decrease in highdensity apolipoprotein-cholesterol levels (20). Interestingly, human ARV1 possesses in vitro lipid binding activity, as it binds sterol intermediates (21), several fatty acid species (22), and specific phospholipids and cholesterol. 3 Recent mouse model studies have presented data exploring the neurological and metabolic phenotypes of neuronal knockout (NKO) and whole-body Arv1 Ϫ / Ϫ animals (23,24). Palmer et al. (24) found that NKO Arv1 Ϫ/Ϫ animals suffered from seizures and epileptic encephalopathy. Lagor et al. (23) discovered that Arv1 Ϫ/Ϫ animals displayed multiple beneficial metabolic changes, including lack of weight gain, improved glucose tolerance, elevated adiponectin secretion, increased energy expenditure, and a decrease in white adipose tissue. These studies strongly suggest that Arv1 plays a critical role in maintaining brain function and metabolic homeostasis. Here, we asked how Arv1 Ϫ/Ϫ animals responded to a high-fat diet. Our results indicate that ARV1 function is needed for progressing diseases associated with MetS.

Results
Arv1 ؊/؊ mice lack any detectable ARV1 protein C57BL/6J-derived ES cells were used to generate Arv1 Ϫ/Ϫ animals. They were maintained on the identical C57BL/6J background, making backcrossing unnecessary. To generate knockout animals, we excised exon 5 from the Arv1 gene locus (Fig. 1A). To test for proper deletion, Arv1 mRNA transcripts were quantified by quantitative real-time PCR, and ARV1 protein levels were determined by Western blot analysis. Tissues analyzed were liver, brain, small intestine (SI), lung, kidney, and adipose.
The Arv1 gene encodes an mRNA containing six exons (271 amino acids; 31 kDa) (Fig. 1, B and C), which expresses a protein that in our hands migrates at 31 kDa by Western blot analysis (Fig. 2). To determine whether Arv1 Ϫ/Ϫ animals expressed any mRNA transcripts, we designed primers able to quantify the levels of exon 1, exon 4, intragenic regions between exons 4 and 5, exon 5, and the contiguous junction between exons 4 and 5 (Fig. 1B). We found that Arv1 Ϫ/Ϫ animals expressed a mRNA in liver that contained exons 1-4, along with a portion of downstream intragenic sequences between exons 4 and 5 (Fig. 1D, [1][2][3][4][5]. However, we did not detect an mRNA expressing exon 5 (Fig. 1D, 6 and 7) or sequences coding for the contiguous junction between exons 4 and 5 (Fig. 1D, 8). On the other hand, WT animals expressed an mRNA containing exons 1-5 (Fig. 1B). Presumably, this WT mRNA is a full-length transcript that contains exon 6 and downstream sequences containing the 3Ј-UTR and poly(A) tail. These sequences would be absent in the truncated Arv1 transcript detected in Arv1 Ϫ/Ϫ animals. All other tissues analyzed gave identical results (data not shown).
Based on the quantitative real-time PCR data, Arv1 Ϫ/Ϫ animals could be expressing a truncated form of the ARV1 protein (Fig. 1C). We addressed this question by determining the levels of ARV1 protein in several tissues using Western blot analysis. Arv1 Ϫ/Ϫ mice did not express either a full-length or truncated form of ARV1 in any tissue tested, with the exception of one animal, which expressed a low level of full-length ARV1 in the SI ( Fig. 2 and Fig. S1). Western blot analysis using SIs from all other knockout animals used in our studies did not show any full-length or truncated ARV1 protein expression (not shown). WT animals expressed ARV1 protein in the liver and SI, but we

ARV1 regulates MetS
could not detect the protein in brain, lung, adipose, or kidney tissue ( Fig. 2A and Fig. S1). Densitometry values correlated with band intensities for each organ (Fig. 2B).
Thus, Arv1 Ϫ/Ϫ animals express a stable truncated Arv1 mRNA containing exons 1-4, which is not translated into a truncated form of the ARV1 protein. Based on these results, we conclude that Arv1 Ϫ/Ϫ mice are devoid of any form of ARV1 protein.
In all of our studies, we tested WT, Arv1 ϩ/Ϫ , and Arv1 Ϫ/Ϫ animals. We only presented data from Arv1 ϩ/Ϫ animals when they deviated from what we observed for WT animals.

Arv1 ؊/؊ mice have a reduced survival rate and display neurological and behavioral deficits
Lagor and colleagues (23,24) have reported that Arv1 Ϫ/Ϫ whole-body and nestin-Cre-mediated NKOs of Arv1 had reduced survival rates. We tested for this phenotype in our Arv1 Ϫ/Ϫ animals by recording survival of a group of 16 males of each genotype beginning at 8 weeks of age until over 20 weeks of age. The first death on the normal chow (NC) was recorded at 12 weeks of age, and by 18 weeks of age, 60% of the Arv1 Ϫ/Ϫ animals were dead (Fig. 3, WT (closed circles) and KO (open Total protein was extracted from the indicated tissues. Proteins were resolved by SDS-PAGE, and ARV1 protein levels were determined by Western blot analysis using anti-ARV1 polyclonal antibodies (Abgent, catalog no. AP10655a). ARV1 protein runs as a 31-kDa protein (arrow). Ponceau S staining and the Bradford method were used to load the same amount of protein in each well of all gels (92,93). WT levels of ARV1 protein density in each tissue were set at a relative value of 1, and ARV1 levels in other tissues were compared with WT. ***, p Ͻ 0.001. Error bars, S.E.

ARV1 regulates MetS
circles)). The survival rate on the high-fat diet (HFD) was similar, with 60% of the mice dead by 17 weeks of age.
During the survival study, we observed that a subset of adult Arv1 Ϫ/Ϫ males suffered from seizures. In the case of the Arv1 Ϫ/Ϫ males tested, one animal had to be euthanized because of the severity of the event. Palmer et al. (24) have also reported that NKO animals suffered seizures.
We next determined whether Arv1 Ϫ/Ϫ animals displayed other neurological deficits. We compared the motor coordination between WT and Arv1 Ϫ/Ϫ animals using a rotarod test (25). During this test, animals are placed on an accelerated rotating horizontal rod, and the mice must coordinate paw movement to remain on the rod. Ten sequential trials were performed, and latency before the mice fell off of the rod was measured.
WT animals increased their length of time on the rod as the number of trials increased, indicating that they adapted by learning how to remain on the rod. Arv1 Ϫ/Ϫ animals fell off the rod sooner than WT animals but had the same increase in time as WT animals (Fig. 4A, trials 3 and 6, WT (closed circles) and KO (open circles)), demonstrating an impaired locomotor coordination but retaining some ability to improve performance. However, later trials revealed there was a significant decrease in time on the rod compared with WT animals (Fig. 4A, trials 9 and 10, WT (closed circles) and KO (open circles)). Thus, Arv1 Ϫ/Ϫ animals display impaired motor coordination.
To complement the rotarod studies, we determined the activity levels of Arv1 Ϫ/Ϫ animals using an open field test (26). Arv1 Ϫ/Ϫ animals had a higher level of activity than their WT littermates at all time points monitored (Fig. 4B, WT (closed circles) and KO (open circles)). Moreover, the total path length traveled by knockouts was nearly double that of WT animals (Fig. 4C, WT (closed circles) and KO (open circles)).
Finally, we tested for male and female fertility, as it has been noted that Arv1 Ϫ/Ϫ mice have lower fertility rates (23).
Homozygous male and female Arv1 Ϫ/Ϫ mice were mated to Institute of Cancer Research (ICR) mice, and we quantified 1) successful mating by the appearance of a mating plug, 2) the average litter size, and 3) the number of successful litters. ICR mice have been used to examine fertility, as they display excellent reproduction rates (27,28).
During mating, male mice deposit a mating (copulation/ sperm) plug into the female genital tract, which is a gelatinous substance containing lipids and sperm (29). The mating plug solidifies and closes the vaginal tract, which helps in sperm retention. We found that female Arv1 Ϫ/Ϫ mice retained mating plugs with a frequency that was similar to their WT littermates ( Upon further examination, we found that all pups produced by female Arv1 Ϫ/Ϫ animals died within 4 days due to maternal neglect.

Loss of mARV1 reduces high-fat diet-induced obesity
Our Arv1 Ϫ/Ϫ mice are maintained on the C57BL/6J mouse background, which is a diet-induced obesity (DIO)-sensitive strain. It has been shown that Arv1 Ϫ/Ϫ mice display a lean phenotype (23). To test whether our Arv1 Ϫ/Ϫ animals shared this phenotype, we fed them an HFD and determined its effects on weight gain. Animals were fed either NC or an HFD, and body weights were measured weekly for 15 weeks (Fig. 6). When fed an NC diet, both groups of animals more or less maintained their body weight throughout the study (Fig. 7A, WT (closed circles) and KO (open circles)). When fed an HFD, WT mice nearly doubled their body weight over the 15 weeks, whereas Arv1 Ϫ/Ϫ mice fed the same diet showed only a slight weight gain that was not statistically significantly different from mutant animals fed NC (Fig. 7A, WT (closed boxes) and KO (open boxes)). WT animals fed an HFD increased their body weight by 160%, whereas the percentage of weight gained for  . Arv1 ؊/؊ animals display neurological deficits. Male WT and Arv1 Ϫ/Ϫ animals were between the ages of 9 and 14 weeks and were individually housed before initiation of the study. Mice were acclimated to the testing room for at least 30 min. A, the assay was carried out using EzRod test chambers. For the accelerating rotarod study, mice were given 10 trials with a maximum duration of 3 min with a 30-s intertrial interval. The time of latency to fall was recorded for all trials.

ARV1 regulates MetS
Arv1 Ϫ/Ϫ mice was minimal. We point out that Arv1 Ϫ/Ϫ animals did not lose weight during the entire time of the study whether fed NC or an HFD.
One possibility for this lack of weight gain is that Arv1 Ϫ/Ϫ animals consumed less food. Food consumption was determined over a 72-h time period for animals on NC or an HFD. Arv1 Ϫ/Ϫ animals consumed more chow, whether on NC or an HFD (Fig. 7B, WT (closed circles) and KO (open circles)). Arv1 Ϫ/Ϫ animals fed an HFD consumed ϳ5 times more food per kg of body weight than their WT littermates (Fig. 7B, WT (closed circles) and KO (open circles)). Thus, Arv1 Ϫ/Ϫ animals consume more food but do not gain weight when fed NC or an HFD.
To explore what was the cause of the increased food consumption, we assayed for the levels of several hormones that are known to regulate eating behavior. Ghrelin is secreted by the small intestine and regulates the hunger response by acting as a neuropeptide activating ghrelin receptors in the hypothalamus. There are two forms of ghrelin that differ in acylation status (30). Leptin also regulates hunger and is secreted by adipose tissue, where it functions in the hypothalamus by binding to leptin receptors (31). Leptin acts as an anorexigenic hormone, whereas ghrelin is orexigenic.
Thus, Arv1 Ϫ/Ϫ animals have elevated levels of ghrelin and decreased levels of leptin compared with WT animals. These changes may be causing increased food consumption. However, Arv1 Ϫ/Ϫ animals have high adiponectin levels that are characteristic of a lean phenotype (34).
A higher metabolic rate could help in maintaining the resistance to diet-induced obesity observed for Arv1 Ϫ/Ϫ animals. Several tests were performed to measure metabolic status. Metabolic rate measurements were taken before and after starting an HFD. Measurements were taken every 12 h for 2 days. Before the initiation of the HFD, there were minimal differences in metabolic rates of Arv1 Ϫ/Ϫ mice and WT animals ( Fig. 8 (A-C), WT (closed circles) and KO (open circles)). However, drastic differences were observed when animals were fed an HFD, as Arv1 Ϫ/Ϫ mice had elevated metabolic rates for all parameters tested Thus far, our data strongly suggest that, although Arv1 Ϫ/Ϫ animals consume more food due to elevated ghrelin levels and reduced leptin levels, they are resistant to becoming obese, in part due to a higher metabolic rate and increase in energy expenditure.

Blood cholesterol and triglyceride levels are reduced in Arv1 ؊/؊ mice
We next examined whether there were changes in various blood lipid levels due to the lack of diet-induced weight gain. Cholesterol (Chol), triacylglycerides (TAGs), and apolipoprotein levels were determined. Arv1 Ϫ/Ϫ mice fed either NC or an HFD had reductions in blood cholesterol levels when compared with WT mice (   Taken in sum, our data show that loss of ARV1 correlates with reduced blood cholesterol and HDL levels regardless of diet and reduced TAGs levels in animals fed an HFD.

Arv1 ؊/؊ animals are leaner and have less fat deposition
We used DEXA scanning to analyze total fat and lean mass. Arv1 Ϫ/Ϫ animals had a reduced fat mass when compared with WT mice (Fig. 10A, WT (closed circles) and KO (open circles)). The difference was much more pronounced in Arv1 Ϫ/Ϫ animals fed an HFD (Fig. 10A, WT (closed circles) and KO (open circles)). HFD-fed Arv1 Ϫ/Ϫ animals were leaner than WT mice, but their levels of lean mass were decreased by ϳ30% (data not shown).
Multiple fat depots were dissected, and fat distribution and mass were determined for animals fed an HFD. The levels of fat mass per gram of body weight in Arv1 Ϫ/Ϫ animals were reduced in all fat depots (

ARV1 regulates MetS
They do display higher metabolic rates then WT animals and are unable to gain weight on an HFD.

Arv1 ؊/؊ mice are more glucose-tolerant and have increased insulin sensitivity
The C57BL/6J mouse strain is used as a model for examining how obesity affects the onset of diabetes (35,36). As our Arv1 Ϫ/Ϫ animals showed resistance to diet-induced obesity, we looked at whether there was a correlation between lack of weight gain and reduced signs of prediabetes.
We first performed an oral glucose tolerance test (OGTT) to see whether changes in diet affected glucose tolerance. Glucose excursion rates were similar between WT and Arv1 Ϫ/Ϫ animals fed NC ( . The fact that WT mice fed an HFD had elevated blood glucose levels at the end of the OGTT further validates the glucose intolerance phenotype associated with the DIO model (36). The data also indicate that Arv1 Ϫ / Ϫ animals are resistant to becoming glucose-intolerant when fed an HFD.
We determined insulin secretion during the OGTT. Insulin levels in WT and Arv1 Ϫ/Ϫ animals fed NC peaked coincident with glucose levels (first-phase insulin response) and decreased thereafter ( When fed an HFD, WT mice secreted higher levels of insulin during the first-phase insulin response compared with WT animals fed NC (ϳ9 ng/ml versus 2.2 ng/ml) ( Finally, an insulin tolerance test was performed on animals fed NC or an HFD. WT and Arv1 Ϫ/Ϫ animals responded with normal sensitivity to the low insulin dose (0.5 units/kg) with a

ARV1 regulates MetS
small decrease in blood glucose levels (Fig. 11E, WT (closed circles) and KO (open circles)). WT animals fed an HFD also had a reduction in glucose levels using a much higher insulin dose (1 unit/kg) and recovered as seen by an increase in their glucose levels ( Fig. 11E, WT (closed boxes)). On the other hand, Arv1 Ϫ/Ϫ animals fed an HFD were still highly insulin-sensitive, requiring glucose supplementation by 60 min, at which time they were removed from the study (Fig. 11E, KO (open boxes)).

Arv1 ؊/؊ mice have reduced signs of NAFLD
Insulin resistance is tightly associated with the appearance of NAFLD and leads to the induction of lipogenesis in the liver (10). Accumulation of liver TAGs, cholesterol, and fatty acids contributes to, or is the reason for, the onset of fatty liver (37)(38)(39). Because our Arv1 Ϫ/Ϫ animals remained insulin-sensitive when fed an HFD, we explored whether the insulin sensitivity phenotype correlated with reduced signs of NAFLD.
Visualization of the gross morphology of livers from WT animals revealed that they were enlarged and had a pale color consistent with a high fat content (Fig. 12C). Arv1 Ϫ/Ϫ livers were normal in size and deep pink in color (Fig. 12C). Histological staining of WT livers indicated the presence of micro-and macrosteatosis, hepatocyte ballooning, and the presence of Mallory bodies (Fig. 12D, arrow, portal vein). WT livers had a standard inflammation grade of 3 and a fibrotic stage of 1 (n ϭ 6) (40). Arv1 Ϫ/Ϫ livers displayed reduced histological signs of hepatic steatosis, and all had a standard inflammation grade of 2 and a fibrotic stage of 0 (n ϭ 6).
Finally, we examined hepatic TAG export to begin to understand the physiology underlying the reduction of lipid production and attenuation of NAFLD. Animals were challenged with a bolus of olive oil in the presence of Pluronic F127, an endothelial lipase inhibitor, and blood TAGs levels were determined at the indicated times. Arv1 Ϫ/Ϫ animals had a significant decrease in TAG production compared with WT animals (Fig.  12E, WT (closed circles) and KO (open circles)).
Finally, serum clinical chemistries were analyzed on HFDfed animals. Alkaline phosphatase levels were increased in    4 The lactate dehydrogenase levels in Arv1 Ϫ/Ϫ animals were lower than that seen in NC-fed male C57BL/6 mice (483.50 Ϯ 98.18 IU/liter). Alanine aminotransferase, aspartate aminotransferase, and ␥-glutamyl transferase levels in Arv1 Ϫ/Ϫ animals were similar to values observed for WT animals.
Stearic acid is the precursor for the synthesis of oleic acid and is a substrate for SCD1. SCD1 activity is the rate-limiting step in the production of oleic acid by adding a double bond to stearic acid, which leads to the production of monounsaturated fatty acids.
As SCD1 activity modulates the level of stearic acid, we determined its mRNA expression and protein levels.

Farnesol X receptor (FXR) protein levels are increased in the livers of Arv1 ؊/؊ mice
It was shown previously that mice treated with ASOs to ARV1 showed signs of liver FXR signaling activation (20). FXR signaling results in both an inhibition of sterol response element-binding protein 1c (SREBP1-c)-dependent transcription and maturation, leading to reductions in the expressions of FAS (fatty acid synthase) and ACC1 (acetyl-CoA carboxylase), and activation of peroxisome proliferator-activating receptor ␣ (PPAR␣)-dependent signaling, resulting in increases in fibroblast growth factor 21 (FGF21) levels and fatty acid ␤-oxidation.
Based on these previous results, we examined the status of FXR signaling in the livers of Arv1 Ϫ/Ϫ animals. We first measured the protein levels of FXR and its downstream target, small heterodimer protein (SHP). FXR protein levels were induced (Fig. 14 (A and B) We next examined the levels of the SHP downstream targets, CYP7␣1 and CYP8␤1. Both CYP7␣1 and CYP8␤1 are required for the synthesis of bile acids, and their expressions are reduced upon FXR activation. We found that the protein levels of both CYP7␣1 and CYP8␤1 were reduced in the livers of Arv1 Ϫ/Ϫ animals when compared with those levels seen in WT livers

PPAR␣ levels are elevated in the livers of Arv1 ؊/؊ mice
We next looked at the status of PPAR␣ signaling by determining FGF21 protein levels. Arv1 Ϫ/Ϫ animals displayed increases in PPAR␣ (Fig. 15 (A and B) Overall, our results strongly suggest that liver FXR and PPAR␣ signaling pathways are activated in Arv1 Ϫ/Ϫ animals, with activation probably contributing to a reduction in liver lipogenesis and reduced signs of NAFLD.

Arv1 ؊/؊ mice have an altered bile acid composition in the SI
Liver cholesterol is a substrate for bile acid synthesis. Bile acids are secreted into the SI for fecal excretion and/or reabsorbed by the portal circulatory system. Any changes in the flux of bile acid transport and/or metabolism could affect liver cholesterol homeostasis. We found that the CYP7␣1 and CYP8␤1 enzymes required for the synthesis of bile acids were downregulated. It is feasible that this may cause defects in bile acid composition in Arv1 Ϫ/Ϫ animals. Thus, we used GC/MS to determine the intestinal bile acid composition of Arv1 Ϫ/Ϫ animals.
We first determined the lipid content in the feces to determine whether there were global changes in overall lipid levels.  WT and Arv1 Ϫ/Ϫ animals were fed an HFD. At the end of the study, total protein was extracted and was resolved by SDS-PAGE (A and C). Protein identification was determined by Western blot analysis using anti-FXR and anti-SHP polyclonal antibodies. Ponceau S staining and the Bradford method were used to load the same amount of protein in each well (92,93). Protein levels were determined using densitometry. B and D, WT (closed circles) and Arv1 Ϫ/Ϫ (open circles). *, p Ͻ 0.01 (n ϭ 8).

The levels of intestinal FXR are induced, but this does not lead to increased SHP protein
TMC is a known antagonist of FXR signaling. Thus, we asked whether there was a relationship between TMC accumulation and decreased FXR effects in the SI of Arv1 Ϫ/Ϫ animals. Interestingly, FXR protein levels were induced when compared with WT animals (Fig. 17 (A and B), WT (closed circles) and KO (open circles), and Fig. S6). However, FXR accumulation did not result in the accumulation of SHP (Fig. 17 (C and D), WT (closed circles) and KO (open circles), and Fig. S6).

Discussion
Arv1 Ϫ/Ϫ animals fed an HFD 1) were resistant to diet-induced obesity (although they (i) consumed more chow, (ii) had higher levels of ghrelin, and (iii) had lower levels of leptin), 2)

ARV1 regulates MetS
had increased energy expenditure, 3) had reduced levels of blood cholesterol and TAGs, 4) retained glucose tolerance and insulin sensitivity, 5) had reduced fat deposition in several fat depots, 6) had reduced levels of liver cholesterol, TAGs, and fatty acids, 7) excreted high levels of fecal cholesterol, TAGs, bile acids, and fatty acids, 8) had an altered bile acid composition in the SI and accumulated the FXR antagonist, TMC, 9) showed signs of activated FXR and PPAR␣ signaling in the liver and lack of FXR signaling in the SI, and 10) showed few signs of NAFLD. Our results strongly suggest that complete loss of Arv1 protects mice from acquiring MetS and NAFLD in response to an HFD challenge. Although the function of ARV1 is still up for debate (13)(14)(15)(17)(18)(19), evidence is accumulating that suggests its involvement in maintaining proper sterol distribution (16,20,42,43). As was shown previously (23,24), our Arv1 Ϫ/Ϫ animals had reduced survival rates and suffered from seizures, which occasionally resulted in animals being euthanized. In addition to impaired locomotor coordination, Arv1 Ϫ/Ϫ mice were more active than WT mice in an open field, suggesting a generalized neurological defect. Finally, we found no fertility defects, although pups born to Arv1 Ϫ/Ϫ females all died due to maternal neglect.
Genetic linkage studies have associated SNPs in the hARV1 locus with prostate cancer (44), whereas other SNPs have been identified in searches for loci regulating 1) low-density apolipoprotein-cholesterol and ApoB levels (45), 2) obesity, 3) diabetes, 4) plasma HDL levels, 5) body weight, 6) blood pressure, and 7) fat response to dietary restriction. It is interesting that several of these parameters are perturbed in Arv1 Ϫ/Ϫ animals.
There is also a neurological link between specific mutations in the coding sequence of ARV1 and epileptic encephalopathy (24,46). The mutations identified result in a single amino acid change (Q189R), or a nearly complete deletion of the ARV1 homology domain (Lys 59 -Asn 98 ) (24,46). MRI brain imaging of infants with this disorder shows the appearance of brainstem lesions (24). Mouse model studies using a neuronal knockout of mARV1 found that these mice suffered from seizures and had reduced survival rates (24). Our preliminary histology results looking at brain sections of WT and Arv1 Ϫ/Ϫ animals post-HFD revealed no differences in gross morphology (white and gray matter) and neuron numbers. 5 As loss of ARV1 has now been linked to several disease states, it will be important to uncover the exact molecular function of ARV1 and how this relates to the regulation of lipid homeostasis, neurological function, and possibly cancer progression.
The lack of weight gain of Arv1 Ϫ/Ϫ animals fed an HFD is highly interesting in light of increased food consumption, elevated levels of ghrelin, and lower levels of leptin. The opposite correlation has been seen in obese individuals, where leptin levels are increased and ghrelin levels decreased (32,33). These individuals are considered leptin-resistant (47). Obesity has also been associated with reduced adiponectin secretion (48). Our Arv1 Ϫ/Ϫ animals secreted more adiponectin per gram of fat mass and had a higher adiponectin/leptin ratio (ϳ9:1) than WT animals. A high ratio seems to be critical for establishing good "metabolic" health (49); an adiponectin/leptin ratio Ͼ 1.0 is considered advantageous. Adiponectin activates PPAR␣ signaling through binding to the adiponectin receptor, AdipoR2 (50). FXR signaling also activates PPAR␣. PPAR␣ activation increases FGF21 levels. FGF21 improves energy production by increasing the utilization of fatty acids (51) and is a potent inhibitor of hepatic steatosis (52). Our results showed that FGF21 levels were elevated in Arv1 Ϫ/Ϫ animals. Thus, FGF21 elevation may be involved in the generation of the beneficial phenotypes seen in knockout animals. Elevated FGF21 levels are seen during insulin resistance (53). However, this elevation is thought to be a compensatory mechanism that is activated in response to hyperglycemia, giving rise to a FGF21 resistance phenotype (54).
Arv1 Ϫ/Ϫ animals showed alterations in bile acid composition in the SI. Of particular interest was the increase seen in TMC. TMC is a potent FXR antagonist, and its accumulation decreases FXR signaling in the intestine (55)(56)(57). Intestinal FXR knockout animals have been shown to be resistant to diet-induced obesity, insulin resistance, and NAFLD (58 -60). It has also been shown that loss of intestinal FXR activity leads to induced GLP-1 (glucagon-like peptide 1) production, which leads to improved glucose metabolism (61). We saw a larger bile acid pool with a high hydrophobicity index in the SI of Arv1 Ϫ/Ϫ animals. One possible explanation for the presence of this increased pool size may be related to the status of FXR signaling in the SI. FXR activation in the SI induces the transport of intestinal bile acids into the portal vein for recycling back to the liver (62). The accumulation of TMC in Arv1 Ϫ/Ϫ animals would presumably cause FXR inhibition, which would lead to a reduction in bile acid recycling back to the liver and thus a larger bile acid pool. Studies using FXR knockout animals have shown that their total bile acid pool size is increased compared with WT animals (63). It is interesting that Arv1 ASO treatment in mice activates the FXR pathway in the liver (20). We saw the same in the livers of Arv1 Ϫ/Ϫ animals. This may suggest that Arv1 Ϫ/Ϫ animals have opposing FXR signaling activities, where it exists in an activated state in the liver while being inhibited in the SI.
Our Arv1 Ϫ/Ϫ animals also excreted higher levels of fecal cholesterol and fatty acid but lower levels of TAGs. Our hypothesis is that increased cholesterol excretion may be due to a higher bile acid hydrophobicity index causing less fat solubilization. In the case of the lower TAG excretion, loss of Arv1 may result in monoacylglycerol acyltransferase (MGAT) and/or diacylglycerol acyltransferase (DGAT) inhibition (64). In this scenario, pancreatic lipase would convert TAGs to monoacylglycerol and FFAs (65), which are substrates for intestinal TAG resynthesis by MGAT and DGAT. Inhibition of MGAT and/or DGAT may explain why we see an increase in fecal excretion of FFA. It is important to point out that monoacylglycerol and diacylglycerol are signaling molecules that regulate multiple metabolicrelated events, including fat metabolism in the liver, insulin sensitivity in muscle, and appetite (64).
Drug discovery efforts targeting MGAT inhibition are ongoing for treating metabolic disorders, based on the fact that MGAT2-deficient mice are resistant to diet-induced obesity, NAFLD, hyperlipidemia, and glucose intolerance (66 -69). 5 C. Gallo-Ebert and J. T. Nickels, unpublished data.

ARV1 regulates MetS
DGAT1-deficient mice are also resistant to high-fat dietinduced obesity (70,71), whereas ASO silencing of DGAT2 results in reduced liver TAGs levels (72). Targeting DGAT1 has met with some difficulty due to severe gastrointestinal side effects (73)(74)(75), whereas targeting DGAT2 has been gaining traction (76). Determining whether it is feasible to target ARV1 inhibition for treating MetS awaits further investigation into defining its molecular function.
Lipodystrophy is associated with a deficiency in adipose tissue mass (77). Arv1 Ϫ/Ϫ animals are lipodystrophic, as they have severely reduced fat stores, including brown fat. However, these animals show little sign of the hepatic steatosis, insulin resistance, T2D, and hypertriglyceridemia associated with this phenotype (78,79). They are, however, hyperphagic, but this may be caused by increased energy expenditure. Adipose tissue deficiency leads to the reduced secretion of leptin and adiponectin. Whereas Arv1 Ϫ/Ϫ animals do secrete less leptin, they secrete elevated levels of adiponectin. Thus, Arv1 Ϫ/Ϫ animals may represent a unique type of lipodystrophy model that is resistant to acquiring multiple metabolic pathologies.
Finally, our Arv1 Ϫ/Ϫ animals had reduced levels of HDL whether fed NC or an HFD. Diets high in fat can cause HDL levels to rise in the mouse (80 -82), and we observed this in WT animals. In addition to dietary modulation, genetic mouse models have shown that overexpression of human cholesterol ester transfer protein (83) and reductions in apolipoprotein A-I (apoA-I) (84) or apoA-II levels (85,86) can cause reductions in HDL levels. Interestingly, the C57BL/6J mouse strain used to generate our Arv1 Ϫ/Ϫ animals carries the Ath-1 susceptibility allele that causes reductions in HDL levels when animals are fed an atherogenic diet (87,88), so differences in dietary content and genetic background can greatly influence HDL metabolism. Interestingly, although HDL levels were reduced in Arv1 Ϫ/Ϫ animals, their aortas showed less fatty infiltrate and retained plasticity. 6 Labor et al. (23) have recently examined the metabolic effects brought about by complete loss of ARV1. Their Arv1 Ϫ /Arv1 Ϫ mice did not gain weight, had improved glucose tolerance, secreted elevated adiponectin levels, had a high metabolic rate, and had less white adipose tissue. A subset of the data presented in this study was obtained using animals fed NC. Here, we examined how Arv1 Ϫ / Ϫ animals responded metabolically to being fed an HFD. We point out that the KO line described in our paper was generated using a different strain of ES cells and gene targeting strategy as compared with the Arv1 KO mice described previously (23,24), indicating that the observed phenotypes are robust and indeed related to the inactivation of the Arv1 gene. Thus, the current study describes the contribution of Arv1 to the DIO model phenotypes. Moreover, the model used was congenic to the C57BL/6J strain, the standard mouse strain used for the DIO models commercially available.
Overall, our results strongly suggest that FXR signaling is activated in the livers of Arv1 Ϫ/Ϫ animals, which leads to resistance to acquiring diseases associated with MetS and NAFLD under conditions of excess fat consumption (Fig. 18). First, knockout livers had decreased SREBP1-c maturation, possibly leading to the decreases in fatty acid and triglyceride levels observed. Second, liver CYP7␣1 and CYP8␤1 expressions were attenuated, and these decreases were accompanied by changes in intestinal bile acid composition. In particular, we observed the accumulation of the FXR antagonist, TMC. Interestingly, Cyp7a1 Ϫ/Ϫ mice are protected from diet-induced onset of MetS disorders, have an up-regulated alternative bile acid synthetic pathway, and show a moderate increase in TMC (89). TMC accumulation may be the reason for the lack of intestinal FXR signaling observed. Beneficial metabolic effects have been seen when both FXR signaling is inhibited in the intestines but activated in the liver (55,90).
Third, PPAR␣ protein levels were increased and there was a concomitant increase in its target, FGF21. Elevated FGF21 levels are thought to attenuate the severity of NAFLD progression (91). Finally, and more speculatively, Arv1 Ϫ/Ϫ animals may harbor a malabsorption defect that causes a decrease in dietary fat intake. Arv1 Ϫ/Ϫ animals excrete more cholesterol, bile acids, and free fatty acids, and they have an indirect correlation between increased excretion and lower cholesterol and triglycerides blood levels.
In conclusion, we hypothesize that ARV1 plays a critical role in the development of MetS and NAFLD during conditions of lipid toxicity, possibly by activating liver FXR signaling. Beyond the scope of this work, studies are under way looking at the metabolic phenotypes of Arv1 Ϫ/Ϫ Fxr Ϫ/Ϫ animals fed an HFD. The availability of liver and intestinal specific Fxr knockouts will precisely define the relationship between ARV1 function and regulation of FXR signaling.

Experimental procedures
Generation of Arv1 ؊/؊ mice GenOway (Jean Jaures Lyon, France) generated whole-body Arv1 Ϫ/Ϫ knockout mice using the Cre-Lox system. Briefly, a homologous recombination targeting construct with a floxed exon 5 and exon 6 was used to produce a stable conditional ARV1 knockout in C57BL/6J ES cells. Recombinant ES cells were then injected into C57BL/6 albino (B6(Cg)-Tyr c-2J ) recipient blastocysts, followed by implantation into pseudo-pregnant albino C56BL/6 females for the purpose of generating chimera offspring (floxed mice). Upon breeding with C57BL/6 Cre deleter mice, exons 5 and 6 of Arv1 flanked by loxP sites were excised, resulting in constitutive whole-body Arv1 Ϫ/Ϫ knockout mice. Mice were bred to the same C57BL/6J strain to maintain congenicity. Heterozygous parents were crossed to produce homozygous Arv1 Ϫ/Ϫ mice. The Invivotek institutional animal care and use committee approved all studies.

Total RNA isolation and quantitative real-time PCR
Total RNA was extracted with TRIzol reagent (Invitrogen). cDNA was synthesized from total RNA using the RT Easy First Strand Kit (Qiagen). Quantitative real-time PCR was carried out using a Stratagene MX3005P (Stratagene). Relative mRNA levels were normalized to levels of glyceraldehyde-3-phosphate dehydrogenase. The data are representative of five independent experiments done in triplicate.

Protein extraction and Western blot analysis
Soon after the mice were euthanized, tissues were dissected and cleaned of adhering fat and soft tissues. They were washed in ice-cold PBS to remove blood from tissues, snap-frozen in liquid nitrogen, and stored at Ϫ80°C until further processing. Tissue lysates were prepared by homogenization in radioimmune precipitation buffer containing phosphatase and protease inhibitors. Tissue debris was removed by centrifugation, and protein concentration was determined using the Bradford assay (Bio-Rad).
For Western blot analysis, we used Ponceau S staining to determine whether the same amount of total protein was loaded and transferred (92,93). Cell lysates to be analyzed were resuspended in protein sample buffer and incubated at 95°C for 10 min. All samples were subjected to 10% SDS-PAGE. Resolved proteins were transferred onto a nitrocellulose membrane. The immunoblot membranes were then blocked for 1 h with 10% milk and washed once with TBST (Tris-buffered saline, 0.1% Tween 20) (n ϭ 8).
The membranes were incubated with primary antibody overnight, at the appropriate dilution. After five washes with TBST for 10 min each, membranes were incubated with appropriate secondary antibody for 1 h. After five washes with TBST for 10 min, each of the membranes was immersed in chemiluminescent agent and exposed for 2-5 min; ␤-actin (Abcam) was also used as a loading control at 1:1,000 dilution (Figs. S1-S6).
ARV1 protein levels were determined by chemiluminescence. Anti-ARV1 polyclonal antibodies were from Abgent (catalog no. AP10655a) and used at a 1:500 dilution; anti-SCD1 polyclonal antibodies were from Abcam (catalog no. ab39969) and used at a 1:500 dilution; anti-FXR polyclonal antibodies were from Novus Biologicals (catalog no. NB00-153) and used at a 1:500 dilution; anti-SHP polyclonal antibodies were from Abcam (catalog no. ab96605) and were used at a 1:500 dilution. anti-CYP7␣1 polyclonal antibodies were from Abcam (catalog no. ab65596) and were used at a 1:1,000 dilution. anti-CYP8␤1 polyclonal antibodies were from Abcam (catalog no. ab191910) and were used at a 1:1,000 dilution. Anti-SREBP1 polyclonal antibodies were from Santa Cruz Biotechnology, Inc. (sc-365513) and were used at a 1:250 dilution. We consistently observed a lot-to-lot variability in the specificity of the Abgent anti-ARV1 antibodies. To circumvent this problem, several lots were tested, and 1 mg of the lot with the highest specificity was purchased and used. The immunoblots shown are representative of three independent Western blot analyses (n ϭ 8).

Survival studies
The age of death was recorded for all males used in the HFD and regular diet branches. Data were graphed using a survival curve and analyzed using the Mantel-Cox test (GraphPad Prism version 5).

Rotarod studies
Individually housed male WT and Arv1 Ϫ/Ϫ mice aged 9 -14 weeks were used for this experiment. Mice were acclimated to the testing room for at least 30 min. The assay was carried out using four EzRod test chambers. For the accelerating rotarod paradigm, mice were given 10 trials with the maximum duration of 3 min and a 30-s intertrial interval. Each mouse was placed on the EZRod machine, and the latency to fall was recorded for all trials. If the mouse fell or 3 min elapsed, the mouse was left in the bottom of the EzRod test chamber for 30 s before starting the next trial.
The latency to fall was compared between the three groups by analysis of variance (ANOVA) with repeated measures using Bonferroni corrected post hoc analysis for pairwise comparisons (GraphPad Prism version 5).

Open field test
Individually housed male WT, and Arv1 Ϫ/Ϫ animals aged 10 -14 weeks were used for this experiment. The assay was performed in a custom-made open field apparatus. Each chamber is a 50 ϫ 50-cm square. The experiment is recorded and tracked by a tracking system obtained from Viewpoint.
The time and the path length in the center of the open field were determined. The center of the open field was defined as a 13.5 ϫ 13.5-cm square in the geometric center of the arena. The percent of path in the center was calculated as follows: Path length in the center ϫ 100%/total path length.
For each mouse, the total path length and path length for 30 min at 5-min intervals were determined as measures of locomotor activity. Each chamber was cleaned between individual tests.
Path lengths for 30 min at 5-min intervals were analyzed by a two-way ANOVA with time as a within-subjects (repeated measures) factor and genotype as a between-groups factor using GraphPad Prism version 5.0. All other parameters were compared using a one-way ANOVA (GraphPad Prism).

ARV1 regulates MetS Fertility assay
Male fertility-Sexually mature males (ϳ3 months old) were paired with two ICR females (6 weeks old) on day 1.
Female fertility-Sexually mature females (6 -7 weeks old) were paired with an ICR male (8 weeks old) on day 1. The presence of a vaginal plug was checked every day for 6 days, and then the male was removed. Females were checked daily, and size and birth dates of litters were recorded. Litter size was analyzed by a one-way ANOVA. The Mann-Whitney test was used to analyze the number of days, and 2 was used to analyze the plug/no plug and litter/no litter data (GraphPad Prism version 5).

Longitudinal body weights and diet challenge
Individually housed male Arv1 Ϫ/Ϫ and WT mice were maintained on a 12-h light/dark cycle with food and water fed ad libitum unless otherwise noted. Mice were initially maintained on a regular chow diet (Purina rodent diet catalog no. 5053, W. F. Fisher and Son, Bound Brook, NJ), and baseline body weights were established when the mice were 8 weeks old. At age 12 weeks, mice were either left on normal chow or switched to an HFD (60% fat, D12492, Research Diets, New Brunswick, NJ), and body weights were collected over an 11-week period (Fig. 6). The mice were divided into three branches with eight males in each. Branch A was fed NC for the entire study. Branch B animals were given normal chow for the first 4 weeks and then switched to an HFD for 11 weeks. Branch C mice were sacrificed at the beginning of the study. In some studies, a Western diet (RD12079B Research Diets, New Brunswick, NJ) was used as the high-fat diet. Body weights were analyzed by a two-way ANOVA with genotype as a between-group factor and the time course as a within-subject factor (repeated measures).

Adiponectin and leptin determination
Blood was collected from the retro-orbital sinus under isoflurane anesthesia from mice fasted overnight. The blood was allowed to coagulate for 30 min at room temperature and centrifuged at 1000 ϫ g for 15 min at 4°C to collect serum. The serum was immediately frozen and stored at Ϫ80°C. Adiponectin concentrations were determined from serum samples by electrochemiluminscence (MA2400 mouse adiponectin kit K152BXC, Meso Scale Discovery). Serum leptin concentrations were determined by electrochemiluminescence according to the manufacturer's recommendations (MS2400 mouse leptin kit, K152BYC-2 Meso Scale Discovery). Data were analyzed by an unpaired t test.

Ghrelin determination
Blood samples were collected in tubes containing EDTA (0.5 mg/ml final, 1:40 dilution) and polyhexamethylene biguanide (0.4 mM final, 1:100 dilution) to prevent degradation of acylated ghrelin by proteases. Samples were centrifuged at 4,000 rpm for 10 min at 4°C, and supernatants were transferred to separate tubes. 1 N HCl was added at a 1:10 dilution. Samples were frozen at Ϫ80°C, and acyl and deacyl ghrelin concentrations in plasma were evaluated by a specific enzyme immunoassay (SPIbio Bertin Pharma): A05118 for the deacylated form and A05117 for the acylated form.

Adipose distribution
Adipose tissue dissections were performed on 18 -21-weekold males following 11 weeks on an HFD. Adipose tissue was from the inguinal fat pad (subcutaneous), and the visceral fat was from the epididymal, renal (retroperitoneal), and mesenteric fat depots. The data were analyzed by an unpaired t test for each adipose depot individually.

Metabolic studies
Metabolic studies were performed using the Comprehensive Cage Monitoring System (Columbus Instruments, Columbus, OH). This system allows for the long-term automated, noninvasive simultaneous collection of nine measurements. The experimental window lasted 48 h, beginning and ending at the start of the dark phase of the light cycle. During that time the following end points were measured: heat (kcal/kg/h (calculated by the Oxymax Software using O 2 consumption, CO 2 production, and body weight)); VO 2 (oxygen consumption in ml/kg/h (calculated by the Oxymax software using O 2 differential and body weight)); VCO 2 (carbon dioxide production in ml/kg/h (calculated by the Oxymax software using CO 2 differential and body weight)); and respiratory exchange ratio (VCO 2 /VO 2 ) (calculated by the Oxymax software).
Oxygen and carbon dioxide concentrations were sequentially measured. The time required for a single round of gas measurements in all of the chambers was defined as an interval. The interval lengths may have varied slightly, depending on the environmental parameters of the room (temperature and humidity) and the physiological parameters of the experimental mice. On average, each interval was 48 min.
For statistical analysis, all data were averaged into individual days. Data were analyzed by a two-way ANOVA. The Bonferroni adjusted post hoc procedure was used for pairwise comparisons. The body weights of the animals were measured before placing the mice in the CCMS chambers and when they were removed after 48 h; the change in body weight was used as a covariate in the ANOVA analysis of VO 2 , VCO 2 , and energy expenditure, as these measures use body weight as a constant in their calculation.

Serum cholesterol levels
Serum cholesterol levels were measured in WT and Arv1 Ϫ/Ϫ male mice after an overnight fast (16 h) at the time points shown (Fig. 6). Blood was collected from the retro-orbital sinus, and cholesterol concentrations were determined enzymatically from serum (Thermo DMA, Arlington, TX). An unpaired t test was used to analyze differences between the genotypes.

Triglyceride assay
Triglyceride levels were measured after an overnight fast (16 h) (Fig. 6). Whole blood was collected via the retro-orbital sinus, and triglycerides were assessed using a hand-held meter (CardioChek, PTS Inc., Indianapolis, IN) with test strips specific for triglyceride measurements. An unpaired t test was used to analyze differences between the genotypes.

ARV1 regulates MetS Body composition by DEXA
DEXA was performed at the indicated times (Fig. 6). The body composition was assessed using the PIXImus2 X-ray unit (GE Lunar Corp., Madison, WI), excluding the head region. An unpaired t test was used to analyze any differences between the genotypes for each measurement.

Oral glucose tolerance test and insulin measurements
The OGTT was performed after an overnight fast (ϳ16 h) (Fig. 6). Blood glucose levels were measured using a One-touch Ultra 2 (Lifescan, Johnson & Johnson) glucometer at baseline, just before the mice received 2 g/kg of body weight of 100 mg/ml glucose delivered by oral gavage. Blood glucose was subsequently measured 15, 30, 60, and 120 min after the administration of glucose. Parallel samples for measuring plasma insulin levels were also collected and assayed by electrochemiluminscence (MA2400 Mouse/Rat insulin kit K152BZC, Meso Scale Discovery).
Glucose and insulin results were analyzed by a two-way ANOVA with genotype as a between-group factor and the time course as a within-subject factor (repeated measures). The pregavage blood glucose and insulin levels were used as the baseline values for calculating the AUC for each subject. Baseline blood glucose and plasma insulin levels and AUC data were also analyzed by an unpaired t test comparing results from the diets separately.

Insulin tolerance test
Before testing, the mice were fasted for 4 h. Blood was obtained from a tail cut (by removing the distal 2 mm of the tail) and was assessed for baseline glucose levels using a One-touch Ultra 2 (Lifescan, Johnson & Johnson) glucometer. The mice then received the indicated concentration of normal insulin (Novolin R) by intraperitoneal injection. At 15, 30, 60, 90, and 120 min after the administration of insulin, dried blood and tissue were quickly removed from the tail wound to measure the blood glucose concentration.

Lipid extraction
100 mg of liver, small intestine tissues, or feces was homogenized using a mortar and pestle. The resulting homogenate was extracted with 18 volumes of a mixture of hexane/2-propanol (3:2) for 1 min in 15-ml conical tubes. Samples were vortexed for 20 min at low speed (2,000 rpm) and subsequently centrifuged at 5,000 ϫ g for 4 min at 4°C. The supernatant was transferred to a glass conical tube and subsequently washed with one-fifth volume of 0.9% NaCl. The sample was centrifuged at 5,000 ϫ g for 4 min at 4°C, and the aqueous phase was removed. The lower phase was dried down under a stream of nitrogen and resuspended in isopropyl alcohol until use (94).

Apolipoprotein analysis
HDL, LDL, and very low-density apolipoprotein (VLDL) levels were measured using the LipoPrint LDL system (LipoPrint LDL Subfraction kit, catalog no. 48-7002; Quantimetrix, Redondo Beach, CA) according to the manufacturer's instructions. The results from the LipoPrint system are directly quan-tified as a relative percentage for each sized particle, so absolute amounts of each particle were calculated using the relative percentage from the LipoPrint system and the quantity of total cholesterol measured in the previous total cholesterol assay (percentage of total cholesterol ϫ total cholesterol).

Hepatic triglyceride export assay
Mice fed NC were fasted for 4 h. They were then dosed with 500 mg/kg Pluronic F127 (Polaxamer 404) by intraperitoneal injection. 5 ml/kg olive oil was given to each animal. Blood was then obtained from the tail vein at the indicated times. TAG levels were determined using the L-type triglyceride M microtiter Procedure (WAKO).

Histology
Tissues were fixed in 10% neutral-buffered formalin, processed for 12 h using Thermo Scientific Excelsior ES, embedded in paraffin blocks, and cut on 4 m using a Sakura SRM200 microtome. Leica manufacturing protocols were used for H&E staining. All stains were performed on a Leica ST5020 automated stainer. H&E-processed tissues mounted on glass slides were examined using a Nikon Eclipse 50i clinical microscope. Tissues were examined under ϫ4, ϫ10, and ϫ40 magnification. Pictures were taken with an INFINITY 1-2CB microscope camera. The chronic hepatitis assessment scheme used for this study was the Scheuer Classification for Grading and Staging of Chronic Hepatitis (95).

Serum clinical chemistries
Serum was collected by a cardiac bleed from 18 -21-week-old Arv1 Ϫ/Ϫ (n ϭ 4) and WT (n ϭ 8) mice following 11 weeks on an HFD and analyzed on an ACE Alera (Alfa Wasswerman) for multiple analytes according to the manufacturer's instructions.

Lipid level assays
20 l of sample, calibrator, and control were added to 150 l of reconstituted reagent CC3 in a microplate. The reaction was mixed well by repeated pipetting. The plate was incubated at 37°C for 5 min. 30 l of reagent CC2 was mixed in the reaction. The increase in absorbance after 5 min at 37°C was measured using a plate reader at 540 nm. BA concentration ϭ ((sample A 540 Ϫ blank A 540 )/(calibrator A 540 Ϫ blank A 540 )) ϫ calibrator concentration.
Samples were brought up in assay buffer. 2 l of acyl-CoA synthesis reagent was added to each sample and mixed. Samples were incubated at 37°C for 30 min. A reaction mix containing assay buffer (44 l), fatty acid probe (2 l), enzyme mix (2 l), and enhancer (2 l) was added. Samples were mixed and incubated for 30 min at 37°C in the dark. A 570 was measured in a microplate reader. FFA concentration ϭ FA/Sv (mM), where FA is the fatty acid amount in the well obtained from the standard curve, and Sv is the sample volume added to the sample well. Samples were brought up in assay buffer.

Liver fatty-acid analysis
Fatty acids were extracted from frozen, homogenized tissue and were saponified by a modified Bligh-Dyer method (96). Fatty acids were converted to methyl esters by treatment with ARV1 regulates MetS boron trifluoride and analyzed by GC on a Hewlett-Packard model 6890 gas chromatograph using a 30-m HP-5 column. Instrument conditions were as described previously (97). Identification of fatty acid species was by comparing the retention times with those of authentic standards (Nu-Chek Prep) or by GC/MS analysis.

Small intestine bile acid analysis
Bile acid analysis was performed as described (41).