Li Yuan, Fan Weiguo, Lo Tzu-Han, Jiang Joy X, Fish Sarah R, Tomilov Alexey, Chronopoulos Antonios, Bansal Vidushi, Mozes Gergely, Vancza Lorand, Kunimoto Koshi, Ye Jiayu, Becker Laren, Das Suvarthi, Park Hyesuk, Wei Yi, Ranjbarvaziri Sara, Bernstein Daniel, Ramsey Jon, Cortopassi Gino, Török Natalie J
Division of Gastroenterology and Hepatology, Stanford University, Stanford, California; Palo Alto VA Medical Center, Palo Alto, California.
Division of Gastroenterology and Hepatology, UC Davis Medical Center, Sacramento, California.
Am J Pathol. 2025 Mar;195(3):528-541. doi: 10.1016/j.ajpath.2024.10.022. Epub 2024 Dec 20.
Mitochondrial maladaptation and dysfunction contribute to the progression of metabolic dysfunction-associated steatohepatitis (MASH). Induction of Shc is implicated in progressive MASH during aging and the cytoplasmic p52Shc isoform in the activation of redox enzyme NOX2. The mitochondrial Shc isoform p46Shc represses acetyl-coenzyme A acyltransferase 2 (ACAA2) in vitro. ACAA2 is a key enzyme for lipid β-oxidation; however, the metabolic consequences of in vivo p46Shc induction are unknown. In the current study, p46Shc-inducible mice were generated; these and littermate controls were aged and fed chow or fast-food (high-fat and high-fructose) diet. p46Shc induction increased liver injury, inflammation, and lipid peroxidation. p46Shc overexpression did not significantly change liver triglycerides. On electron microscopy studies, mitochondria were swollen with aberrant cristae. p46Shc induction reduced mitochondrial oxygen consumption as measured by Oroboros, as well as suppressed the production of β-hydroxybutyrate, the central metabolite of therapeutic ketosis. Mitochondria exhibited increased production of reactive oxidative species. By contrast, the expression of dominant negative p46Shc reduced ACAA2 thiolase activity, improved β-oxidation, and reduced lipid peroxidation and production of reactive oxidative species. In summary, these studies support the concept that p46Shc induction in aging represses ACAA2, resulting in decreased mitochondrial β-oxidation and increased lipid peroxidation. Maintaining β-oxidation and ketogenesis could prevent liver injury, and targeting Shc-related maladaptive responses could be a successful therapeutic strategy in aging/MASH.
线粒体适应不良和功能障碍促进了代谢功能障碍相关脂肪性肝炎(MASH)的进展。Shc的诱导与衰老过程中进行性MASH以及细胞质p52Shc亚型在氧化还原酶NOX2激活中的作用有关。线粒体Shc亚型p46Shc在体外抑制乙酰辅酶A酰基转移酶2(ACAA2)。ACAA2是脂质β氧化的关键酶;然而,体内诱导p46Shc的代谢后果尚不清楚。在本研究中,构建了p46Shc诱导型小鼠;将这些小鼠及其同窝对照饲养至老年,并给予普通饲料或快餐(高脂肪和高果糖)饮食。诱导p46Shc会增加肝损伤、炎症和脂质过氧化。p46Shc过表达不会显著改变肝脏甘油三酯水平。电子显微镜研究显示,线粒体肿胀,嵴异常。通过Oroboros测量,诱导p46Shc会降低线粒体氧消耗,并抑制β-羟基丁酸(治疗性酮症的中心代谢物)的产生。线粒体活性氧的产生增加。相比之下,显性负性p46Shc的表达降低了ACAA2硫解酶活性,改善了β氧化,减少了脂质过氧化和活性氧的产生。总之,这些研究支持了这样一种概念,即衰老过程中p46Shc的诱导会抑制ACAA2,导致线粒体β氧化减少和脂质过氧化增加。维持β氧化和生酮作用可以预防肝损伤,针对与Shc相关的适应不良反应可能是衰老/MASH中一种成功的治疗策略。