State Key Laboratory of Agrobiotechnology, College of Biological Sciences, China Agricultural University, Beijing, 100193, China.
MD Department of Plastic Surgery, Peking University Third Hospital, Beijing, 100191, China.
Int J Biol Sci. 2021 Oct 3;17(15):4108-4121. doi: 10.7150/ijbs.64894. eCollection 2021.
Laron syndrome (LS) is an autosomal recessive genetic disease mainly caused by mutations in the human growth hormone receptor () gene. Previous studies have focused on mutant mice, but compared with LS patients, knockout (KO) mice exhibit differential lipid metabolism. To elucidate the relationship between mutation and lipid metabolism, the role of GHR in lipid metabolism was examined in KO pigs and hepatocytes transfected with si. We observed high levels of free fatty acids and hepatic steatosis in KO pigs, which recapitulates the abnormal lipid metabolism in LS patients. RNAseq analysis revealed that genes related to the fatty acid oxidation pathway were significantly altered in KO pigs. AHR, a transcription factor related to lipid metabolism, was significantly downregulated in GHR KO pigs and sitreated human hepatocytes. We found that AHR directly regulated fatty acid oxidation by directly binding to the promoters of ACOX1 and CPT1A and activating their expression. These data indicate that loss of GHR disturbs the ERK-AHR-ACOX1/CPT1A pathway and consequently leads to hepatic steatosis. Our results established AHR as a modulator of hepatic steatosis, thereby providing a therapeutic target for lipid metabolism disorder.
拉隆综合征(LS)是一种常染色体隐性遗传疾病,主要由生长激素受体(GHR)基因突变引起。先前的研究主要集中在突变型小鼠上,但与 LS 患者相比,敲除(KO)小鼠表现出不同的脂质代谢。为了阐明突变与脂质代谢之间的关系,本研究在 GHR KO 猪和转染 si 的肝细胞中检查了 GHR 在脂质代谢中的作用。我们观察到 GHR KO 猪体内游离脂肪酸水平升高和肝脂肪变性,这重现了 LS 患者异常的脂质代谢。RNAseq 分析显示,GHR KO 猪中与脂肪酸氧化途径相关的基因显著改变。与脂质代谢相关的转录因子 AHR 在 GHR KO 猪和 si 处理的人肝细胞中显著下调。我们发现 AHR 通过直接结合 ACOX1 和 CPT1A 启动子并激活其表达,直接调节脂肪酸氧化。这些数据表明,GHR 的缺失扰乱了 ERK-AHR-ACOX1/CPT1A 途径,从而导致肝脂肪变性。我们的研究结果确立了 AHR 作为肝脂肪变性的调节剂,为脂质代谢紊乱提供了治疗靶点。