Haga Sanae, Ozawa Takeaki, Yamada Yuma, Morita Naoki, Nagashima Izuru, Inoue Hiroshi, Inaba Yuka, Noda Natsumi, Abe Riichiro, Umezawa Kazuo, Ozaki Michitaka
1 Laboratory of Molecular and Functional Bio-imaging, Faculty of Health Sciences, Hokkaido University , Sapporo, Japan .
Antioxid Redox Signal. 2014 Dec 20;21(18):2515-30. doi: 10.1089/ars.2013.5391. Epub 2014 Jul 30.
Liver injury and regeneration involve complicated processes and are affected by various physio-pathological factors. We investigated the mechanisms of steatosis-associated liver injury and delayed regeneration in a mouse model of partial hepatectomy.
Initial regeneration of the steatotic liver was significantly delayed after hepatectomy. Although hepatocyte proliferation was not significantly suppressed, severe liver injury with oxidative stress (OS) occurred immediately after hepatectomy in the steatotic liver. Fas-ligand (FasL)/Fas expression was upregulated in the steatotic liver, whereas the expression of antioxidant and anti-apoptotic molecules (catalase/MnSOD/Ref-1 and Bcl-2/Bcl-xL/FLIP, respectively) and p62/SQSTM1, a steatosis-associated protein, was downregulated. Interestingly, pro-survival Akt was not activated in response to hepatectomy, although it was sufficiently expressed even before hepatectomy. Suppression of p62/SQSTM1 increased FasL/Fas expression and reduced nuclear factor erythroid 2-related factor-2 (Nrf-2)-dependent antioxidant response elements activity and antioxidant responses in steatotic and nonsteatotic hepatocytes. Exogenously added FasL induced severe cellular OS and necrosis/apoptosis in steatotic hepatocytes, with only the necrosis being inhibited by pretreatment with antioxidants, suggesting that FasL/Fas-induced OS mainly leads to necrosis. Furthermore, p62/SQSTM1 re-expression in the steatotic liver markedly reduced liver injury and improved liver regeneration.
This study is the first which demonstrates that reduced expression of p62/SQSTM1 plays a crucial role in posthepatectomy acute injury and delayed regeneration of steatotic liver, mainly via redox-dependent mechanisms.
In the steatotic liver, reduced expression of p62/SQSTM1 induced FasL/Fas overexpression and suppressed antioxidant genes, mainly through Nrf-2 inactivation, which, along with the hypo-responsiveness of Akt, caused posthepatectomy necrotic/apoptotic liver injury and delayed regeneration, both mainly via a redox-dependent mechanism.
肝损伤和再生涉及复杂的过程,并受多种生理病理因素影响。我们在部分肝切除小鼠模型中研究了脂肪变性相关肝损伤和再生延迟的机制。
肝切除后,脂肪变性肝脏的初始再生明显延迟。虽然肝细胞增殖未受到显著抑制,但脂肪变性肝脏在肝切除后立即出现伴有氧化应激(OS)的严重肝损伤。脂肪变性肝脏中Fas配体(FasL)/Fas表达上调,而抗氧化和抗凋亡分子(分别为过氧化氢酶/MnSOD/Ref-1和Bcl-2/Bcl-xL/FLIP)以及脂肪变性相关蛋白p62/SQSTM1的表达下调。有趣的是,尽管在肝切除前Akt就已充分表达,但肝切除后其促生存作用未被激活。抑制p62/SQSTM1会增加FasL/Fas表达,并降低脂肪变性和非脂肪变性肝细胞中核因子红细胞2相关因子2(Nrf-2)依赖性抗氧化反应元件活性及抗氧化反应。外源性添加的FasL在脂肪变性肝细胞中诱导严重的细胞OS和坏死/凋亡,只有坏死可被抗氧化剂预处理所抑制,这表明FasL/Fas诱导的OS主要导致坏死。此外,脂肪变性肝脏中p62/SQSTM1的重新表达显著减轻了肝损伤并改善了肝再生。
本研究首次证明p62/SQSTM1表达降低在脂肪变性肝脏肝切除术后急性损伤和再生延迟中起关键作用,主要通过氧化还原依赖性机制。
在脂肪变性肝脏中,p62/SQSTM1表达降低主要通过Nrf-2失活诱导FasL/Fas过表达并抑制抗氧化基因,这与Akt反应性降低一起,通过氧化还原依赖性机制导致肝切除术后坏死/凋亡性肝损伤和再生延迟。