Che Lixiao, Stevenson Camille K, Plas David R, Wang Jiang, Du Chunying
bioRxiv. 2024 Sep 14:2024.09.13.611500. doi: 10.1101/2024.09.13.611500.
Metabolic dysfunction-associated steatotic liver disease (MASLD) is currently the most common liver disease, affecting up to 25% of people worldwide, featuring excessive fat accumulation in hepatocytes. Its advanced form, metabolic dysfunction-associated steatohepatitis (MASH), is a serious disease with hepatic inflammation and fibrosis, increasing the need for liver transplants. However, the pathogenic mechanism of MASLD and MASH is not fully understood. We reported that BRUCE ( is a liver cancer suppressor and is downregulated in MASLD/MASH patient liver specimens, though the functional role of BRUCE in MASLD/MASH remains to be elucidated. To this end, we generated liver-specific double KO (DKO) mice of BRUCE and PTEN, a major tumor suppressor and MASLD/MASH suppressor. By comparing liver histopathology among 2-3-month-old mice, there were no signs of MASLD or MASH in BRUCE liver-KO mice and only onset of steatosis in PTEN liver-KO mice. Interestingly, DKO mice had developed robust hepatic steatosis with inflammation and fibrosis. Further analysis of mitochondrial function with primary hepatocytes found moderate reduction of mitochondrial respiration, ATP production and fatty acid oxidation in BRUCE KO and the greatest reduction in DKO hepatocytes. Moreover, aberrant activation of pro-fibrotic STAT3 signaling was found in hepatic stellate cells (HSCs) in DKO mice which was prevented by administered STAT3-specific inhibitor (TTI-101). Collectively, the data demonstrates by maintaining mitochondrial metabolism BRUCE works in concert with PTEN to suppress the pro-fibrogenic STAT3 activation in HSCs and consequentially prevent MASLD/MASH. The findings highlight BRUCE being a new co-suppressor of MASLD/MASH.
代谢功能障碍相关脂肪性肝病(MASLD)是目前最常见的肝脏疾病,全球高达25%的人受其影响,其特征是肝细胞中脂肪过度蓄积。其晚期形式,即代谢功能障碍相关脂肪性肝炎(MASH),是一种伴有肝脏炎症和纤维化的严重疾病,增加了肝移植的需求。然而,MASLD和MASH的致病机制尚未完全明确。我们报道过BRUCE( )是一种肝癌抑制因子,在MASLD/MASH患者肝脏标本中表达下调,尽管BRUCE在MASLD/MASH中的功能作用仍有待阐明。为此,我们构建了BRUCE和PTEN(一种主要的肿瘤抑制因子和MASLD/MASH抑制因子)的肝脏特异性双敲除(DKO)小鼠。通过比较2至3月龄小鼠的肝脏组织病理学,BRUCE肝脏敲除小鼠未出现MASLD或MASH迹象,PTEN肝脏敲除小鼠仅出现脂肪变性。有趣的是,DKO小鼠出现了严重的肝脏脂肪变性并伴有炎症和纤维化。对原代肝细胞的线粒体功能进行进一步分析发现,BRUCE敲除小鼠的线粒体呼吸、ATP生成和脂肪酸氧化中度降低,而DKO肝细胞中降低最为明显。此外,在DKO小鼠的肝星状细胞(HSC)中发现促纤维化STAT3信号异常激活,而给予STAT3特异性抑制剂(TTI-101)可预防这种激活。总体而言,数据表明BRUCE通过维持线粒体代谢与PTEN协同作用,抑制HSC中促纤维化的STAT3激活,从而预防MASLD/MASH。这些发现突出了BRUCE是MASLD/MASH的一种新的协同抑制因子。