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Differential TM4SF5-mediated SIRT1 modulation and metabolic signaling in nonalcoholic steatohepatitis progression.

Abstract
Nonalcoholic fatty liver disease is a chronic condition involving steatosis, steatohepatitis and fibrosis, and its progression remains unclear. Although the tetraspanin transmembrane 4 L six family member 5 (TM4SF5) is involved in hepatic fibrosis and cancer, its role in nonalcoholic steatohepatitis (NASH) progression is unknown. We investigated the contribution of TM4SF5 to liver pathology using transgenic and KO mice, diet- or drug-treated mice, in vitro primary cells, and in human tissue. TM4SF5-overexpressing mice exhibited nonalcoholic steatosis and NASH in an age-dependent manner. Initially, TM4SF5-positive hepatocytes and liver tissue exhibited lipid accumulation, decreased Sirtuin 1 (SIRT1), increased sterol regulatory-element binding proteins (SREBPs) and inactive STAT3 via suppressor of cytokine signaling (SOCS)1/3 upregulation. In older mice, TM4SF5 promoted inflammatory factor induction, SIRT1 expression and STAT3 activity, but did not change SOCS or SREBP levels, leading to active STAT3-mediated ECM production for NASH progression. A TM4SF5-associated increase in chemokines promoted SIRT1 expression and progression to NASH with fibrosis. Suppression of the chemokine CCL20 reduced immune cell infiltration and ECM production. Liver tissue from high-fat diet- or CCl4 -treated mice and human patients exhibited TM4SF5-dependent steatotic or steatohepatitic livers with links between TM4SF5-mediated SIRT1 modulation and SREBP or SOCS/STAT3 signaling axes. TM4SF5-mediated STAT3 activation in fibrotic NASH livers increased collagen I and laminin γ2. Both collagen I α1 and laminin γ2 suppression resulted in reduced SIRT1 and active STAT3, but no change in SREBP1 or SOCS, and abolished CCl4 -mediated mouse liver damage. TM4SF5-mediated signaling pathways that involve SIRT1, SREBPs and SOCS/STAT3 promoted progression to NASH. Therefore, TM4SF5 and its downstream effectors may be promising therapeutic targets to treat nonalcoholic fatty liver disease. © 2020 The Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
AuthorsJihye Ryu, Eunmi Kim, Min-Kyung Kang, Dae-Geun Song, Eun-Ae Shin, Haesong Lee, Jae Woo Jung, Seo Hee Nam, Ji Eon Kim, Hye-Jin Kim, Taekwon Son, Semi Kim, Hwi Young Kim, Jung Weon Lee
JournalThe Journal of pathology (J Pathol) Vol. 253 Issue 1 Pg. 55-67 (01 2021) ISSN: 1096-9896 [Electronic] England
PMID32918742 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2020 The Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
Chemical References
  • Membrane Proteins
  • TM4SF5 protein, human
  • TM4SF5 protein, mouse
  • Carbon Tetrachloride
  • SIRT1 protein, human
  • Sirt1 protein, mouse
  • Sirtuin 1
Topics
  • Animals
  • Carbon Tetrachloride
  • Cell Line, Tumor
  • Chemical and Drug Induced Liver Injury (enzymology, etiology, genetics, pathology)
  • Diet, High-Fat
  • Disease Progression
  • Extracellular Matrix (enzymology, pathology)
  • Humans
  • Lipid Metabolism
  • Liver (enzymology, pathology)
  • Liver Cirrhosis, Experimental (chemically induced, enzymology, genetics, pathology)
  • Membrane Proteins (genetics, metabolism)
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Non-alcoholic Fatty Liver Disease (chemically induced, enzymology, genetics, pathology)
  • Signal Transduction
  • Sirtuin 1 (metabolism)
  • Mice

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