Medical Science Research Center, Zhongnan Hospital; Basic Medical SchoolWuhan UniversityWuhanChina.
Institute of Model AnimalWuhan UniversityWuhanChina.
Hepatology. 2022 Feb;75(2):403-418. doi: 10.1002/hep.32126. Epub 2021 Dec 12.
Although the prevalence of NAFLD has risen dramatically to 25% of the adult population worldwide, there are as yet no approved pharmacological interventions for the disease because of uncertainty about the underlying molecular mechanisms. It is known that mitochondrial dysfunction is an important factor in the development of NAFLD. Mitochondrial antiviral signaling protein (MAVS) is a critical signaling adaptor for host defenses against viral infection. However, the role of MAVS in mitochondrial metabolism during NAFLD progression remains largely unknown.
Based on expression analysis, we identified a marked down-regulation of MAVS in hepatocytes during NAFLD progression. By using MAVS global knockout and hepatocyte-specific MAVS knockout mice, we found that MAVS is protective against diet-induced NAFLD. MAVS deficiency induces extensive mitochondrial dysfunction during NAFLD pathogenesis, which was confirmed as impaired mitochondrial respiratory capacity and membrane potential. Metabolomics data also showed the extensive metabolic disorders after MAVS deletion. Mechanistically, MAVS interacts with the N-terminal stretch of voltage-dependent anion channel 2 (VDAC2), which is required for the ability of MAVS to influence mitochondrial function and hepatic steatosis.
In hepatocytes, MAVS plays an important role in protecting against NAFLD by helping to regulate healthy mitochondrial function. These findings provide insights regarding the metabolic importance of conventional immune regulators and support the possibility that targeting MAVS may represent an avenue for treating NAFLD.
尽管非酒精性脂肪性肝病(NAFLD)的患病率已急剧上升至全球成年人口的 25%,但由于对潜在分子机制的不确定性,目前尚无针对该疾病的批准的药物干预措施。已知线粒体功能障碍是非酒精性脂肪性肝病发展的一个重要因素。线粒体抗病毒信号蛋白(MAVS)是宿主防御病毒感染的关键信号接头。然而,MAVS 在 NAFLD 进展过程中线粒体代谢中的作用在很大程度上尚不清楚。
基于表达分析,我们在 NAFLD 进展过程中鉴定出肝细胞中 MAVS 的明显下调。通过使用 MAVS 全局敲除和肝细胞特异性 MAVS 敲除小鼠,我们发现 MAVS 可抵抗饮食诱导的 NAFLD。MAVS 缺乏在 NAFLD 发病机制中诱导广泛的线粒体功能障碍,这被证实为线粒体呼吸能力和膜电位受损。代谢组学数据还显示 MAVS 缺失后广泛的代谢紊乱。在机制上,MAVS 与电压依赖性阴离子通道 2(VDAC2)的 N 端伸展相互作用,这是 MAVS 影响线粒体功能和肝脂肪变性的能力所必需的。
在肝细胞中,MAVS 通过帮助调节健康的线粒体功能在预防 NAFLD 方面发挥重要作用。这些发现提供了关于传统免疫调节剂代谢重要性的见解,并支持靶向 MAVS 可能是治疗 NAFLD 的一种途径的可能性。