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载脂蛋白 L3(PNPLA3)、甘油三酯合成/水解/储存的困境与非酒精性脂肪性肝病。

PNPLA3, the triacylglycerol synthesis/hydrolysis/storage dilemma, and nonalcoholic fatty liver disease.

机构信息

Department of Clinical and Molecular Hepatology, Institute of Medical Research A Lanari-IDIM, University of Buenos Aires, National Council of Scientific and Technological Research-CONICET, Autonomous City of Buenos Aires 1427, Argentina.

出版信息

World J Gastroenterol. 2012 Nov 14;18(42):6018-26. doi: 10.3748/wjg.v18.i42.6018.

DOI:10.3748/wjg.v18.i42.6018
PMID:23155331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3496879/
Abstract

Genome-wide and candidate gene association studies have identified several variants that predispose individuals to developing nonalcoholic fatty liver disease (NAFLD). However, the gene that has been consistently involved in the genetic susceptibility of NAFLD in humans is patatin-like phospholipase domain containing 3 (PNPLA3, also known as adiponutrin). A nonsynonymous single nucleotide polymorphism in PNPLA3 (rs738409 C/G, a coding variant that encodes an amino acid substitution  I148M) is significantly associated with fatty liver and histological disease severity, not only in adults but also in children. Nevertheless, how PNPLA3 influences the biology of fatty liver disease is still an open question. A recent article describes new aspects about PNPLA3 gene/protein function and suggests that the  I148M variant promotes hepatic lipid synthesis due to a gain of function. We revise here the published data about the role of the  I148M variant in lipogenesis/lipolysis, and suggest putative areas of future research. For instance we explored in silico whether the rs738409 C or G alleles have the ability to modify miRNA binding sites and miRNA gene regulation, and we found that prediction of PNPLA3 target miRNAs shows two miRNAs potentially interacting in the 3'UTR region (hsa-miR-769-3p and hsa-miR-516a-3p). In addition, interesting unanswered questions remain to be explored. For example, PNPLA3 lies between two CCCTC-binding factor-bound sites that could be tested for insulator activity, and an intronic histone 3 lysine 4 trimethylation peak predicts an enhancer element, corroborated by the DNase I hypersensitivity site peak. Finally, an interaction between PNPLA3 and glycerol-3-phosphate acyltransferase 2 is suggested by data miming.

摘要

全基因组和候选基因关联研究已经确定了几个变体,这些变体使个体易患非酒精性脂肪性肝病 (NAFLD)。然而,在人类中一直涉及 NAFLD 遗传易感性的基因是 patatin 样磷脂酶结构域包含 3 号(PNPLA3,也称为 adiponutrin)。PNPLA3 中的非同义单核苷酸多态性(rs738409 C/G,一种编码氨基酸取代 I148M 的编码变体)与脂肪肝和组织学疾病严重程度显著相关,不仅在成人中,而且在儿童中也如此。然而,PNPLA3 如何影响脂肪肝的生物学仍然是一个悬而未决的问题。最近的一篇文章描述了 PNPLA3 基因/蛋白功能的新方面,并表明 I148M 变体由于功能获得而促进肝内脂质合成。我们在这里修订了关于 I148M 变体在脂肪生成/脂肪分解中的作用的已发表数据,并提出了未来研究的可能领域。例如,我们在计算机上探索了 rs738409 的 C 或 G 等位基因是否有能力修饰 miRNA 结合位点和 miRNA 基因调控,我们发现 PNPLA3 靶 miRNA 的预测显示两个 miRNA 可能在 3'UTR 区域相互作用(hsa-miR-769-3p 和 hsa-miR-516a-3p)。此外,还有一些有趣的未解决的问题有待探索。例如,PNPLA3 位于两个 CCCTC 结合因子结合位点之间,这些位点可以测试其作为绝缘子的活性,并且内含子组蛋白 3 赖氨酸 4 三甲基化峰预测了一个增强子元件,这与 DNA 酶 I 超敏位点峰相吻合。最后,通过数据模拟提示 PNPLA3 与甘油-3-磷酸酰基转移酶 2 之间存在相互作用。

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The genetic epidemiology of nonalcoholic fatty liver disease: toward a personalized medicine.非酒精性脂肪性肝病的遗传流行病学:迈向个性化医学。
Clin Liver Dis. 2012 Aug;16(3):467-85. doi: 10.1016/j.cld.2012.05.011. Epub 2012 Jun 20.
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Adiponutrin functions as a nutritionally regulated lysophosphatidic acid acyltransferase.脂联素作为一种营养调节的溶血磷脂酸酰基转移酶发挥作用。
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PNPLA3 is regulated by glucose in human hepatocytes, and its I148M mutant slows down triglyceride hydrolysis.载脂蛋白 L3 在人肝细胞中受葡萄糖调控,其 I148M 突变可减缓甘油三酯水解。
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The PNPLA3 rs738409 148M/M genotype is a risk factor for liver cancer in alcoholic cirrhosis but shows no or weak association in hepatitis C cirrhosis.载脂蛋白 L3(PNPLA3)rs738409 148M/M 基因型是酒精性肝硬化肝癌的危险因素,但在丙型肝炎肝硬化中无关联或关联较弱。
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Expression and characterization of a PNPLA3 protein isoform (I148M) associated with nonalcoholic fatty liver disease.表达和鉴定与非酒精性脂肪性肝病相关的 PNPLA3 蛋白同工型(I148M)。
J Biol Chem. 2011 Oct 28;286(43):37085-93. doi: 10.1074/jbc.M111.290114. Epub 2011 Aug 30.
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PNPLA3 rs738409C/G polymorphism in cirrhosis: relationship with the aetiology of liver disease and hepatocellular carcinoma occurrence.载脂蛋白基因 PNPLA3 rs738409C/G 多态性与肝硬化:与肝病病因及肝细胞癌发生的关系。
Liver Int. 2011 Sep;31(8):1137-43. doi: 10.1111/j.1478-3231.2011.02534.x. Epub 2011 Apr 19.
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Association of PNPLA3 SNP rs738409 with liver density in African Americans with type 2 diabetes mellitus.载脂蛋白 L3 基因单核苷酸多态性 rs738409 与 2 型糖尿病非洲裔美国人肝脏密度的相关性。
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Mammalian triacylglycerol metabolism: synthesis, lipolysis, and signaling.哺乳动物的三酰甘油代谢:合成、脂解及信号传导。
Chem Rev. 2011 Oct 12;111(10):6359-86. doi: 10.1021/cr100404w. Epub 2011 Jun 1.
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Meta-analysis of the influence of I148M variant of patatin-like phospholipase domain containing 3 gene (PNPLA3) on the susceptibility and histological severity of nonalcoholic fatty liver disease.PNPLA3 基因 patatin 样磷脂酶结构域包含 3 基因(PNPLA3)I148M 变体对非酒精性脂肪性肝病易感性和组织学严重程度影响的荟萃分析。
Hepatology. 2011 Jun;53(6):1883-94. doi: 10.1002/hep.24283. Epub 2011 May 14.
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Common polymorphism in the PNPLA3/adiponutrin gene confers higher risk of cirrhosis and liver damage in alcoholic liver disease.载脂蛋白 PNPLA3/ adiponutrin 基因常见多态性可增加酒精性肝病患者发生肝硬化和肝损伤的风险。
J Hepatol. 2011 Oct;55(4):906-12. doi: 10.1016/j.jhep.2011.01.028. Epub 2011 Feb 18.