Department of Pharmacology, Toxicology, and Therapeutics, University of Kansas Medical Center, Kansas City, Kansas 66160.
Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah 84108.
J Biol Chem. 2020 Jan 24;295(4):994-1008. doi: 10.1074/jbc.RA119.010233. Epub 2019 Dec 12.
Nonalcoholic steatohepatitis (NASH) is a leading cause of chronic liver disease worldwide and is characterized by steatosis, inflammation, and fibrosis. The molecular mechanisms underlying NASH development remain obscure. The nuclear receptor small heterodimer partner () plays a complex role in lipid metabolism and inflammation. Here, we sought to determine SHP's role in regulating steatosis and inflammation in NASH. deletion in murine hepatocytes () resulted in massive infiltration of macrophages and CD4 T cells in the liver. mice developed reduced steatosis, but surprisingly increased hepatic inflammation and fibrosis after being fed a high-fat, -cholesterol, and -fructose (HFCF) diet. RNA-Seq analysis revealed that pathways involved in inflammation and fibrosis are significantly activated in the liver of mice fed a chow diet. After having been fed the HFCF diet, WT mice displayed up-regulated peroxisome proliferator-activated receptor γ () signaling in the liver; however, this response was completely abolished in the mice. In contrast, livers of mice had consistent NF-κB activation. To further characterize the role of specifically in the transition of steatosis to NASH, mice were fed the HFCF diet for 4 weeks, followed by deletion. Surprisingly, deletion after steatosis development exacerbated hepatic inflammation and fibrosis without affecting liver steatosis. Together, our results indicate that, depending on NASH stage, hepatic plays an opposing role in steatosis and inflammation. Mechanistically, deletion in hepatocytes activated NF-κB and impaired activation, leading to the dissociation of steatosis, inflammation, and fibrosis in NASH development.
非酒精性脂肪性肝炎(NASH)是全球慢性肝病的主要原因,其特征为脂肪变性、炎症和纤维化。NASH 发展的分子机制仍不清楚。核受体小异二聚体伴侣(SHP)在脂质代谢和炎症中发挥复杂作用。在这里,我们试图确定 SHP 在调节 NASH 中脂肪变性和炎症中的作用。在小鼠肝细胞中缺失 SHP()导致肝脏中巨噬细胞和 CD4 T 细胞的大量浸润。SHP 缺失的小鼠发生脂肪变性减少,但令人惊讶的是,在用高脂肪、高胆固醇和高果糖(HFCF)饮食喂养后,肝脏炎症和纤维化增加。RNA-Seq 分析显示,在接受标准饮食喂养的 SHP 缺失小鼠的肝脏中,参与炎症和纤维化的途径显著激活。在用 HFCF 饮食喂养后,WT 小鼠肝脏中过氧化物酶体增殖物激活受体 γ(PPARγ)信号通路上调;然而,这种反应在 SHP 缺失小鼠中完全被消除。相比之下,SHP 缺失小鼠的肝脏中 NF-κB 持续激活。为了进一步描述 SHP 特异性在脂肪变性向 NASH 转变中的作用,小鼠接受 HFCF 饮食喂养 4 周,然后进行 SHP 缺失。令人惊讶的是,在脂肪变性发展后进行 SHP 缺失加剧了肝炎症和纤维化,而不影响肝脏脂肪变性。总之,我们的结果表明,根据 NASH 阶段的不同,肝脏中的 SHP 在脂肪变性和炎症中发挥相反的作用。从机制上讲,肝细胞中的 SHP 缺失激活了 NF-κB 并损害了 PPARγ 的激活,导致 NASH 发展中脂肪变性、炎症和纤维化的分离。
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