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The bile acid glycochenodeoxycholate induces trail-receptor 2/DR5 expression and apoptosis

H Higuchi1, S F Bronk, Y Takikawa

  • 1Division of Gastroenterology and Hepatology, Mayo Medical School, Clinic, and Foundation, Rochester, Minnesota 55905, USA.

Insights

Toxic bile salts trigger hepatocyte apoptosis via Fas-independent pathways. Glycochenodeoxycholate (GCDC) upregulates TRAIL-R2/DR5, inducing cell death, offering new insights into liver injury mechanisms.

Area of Science:

  • Hepatology
  • Cell Biology
  • Molecular Toxicology

Background:

  • Toxic bile acids induce hepatocyte apoptosis through both Fas-dependent and -independent pathways.
  • Understanding the precise mechanisms of Fas-independent apoptosis is crucial for liver disease research.

Purpose of the Study:

  • To investigate the cellular mechanisms underlying Fas-independent, bile acid-mediated hepatocyte apoptosis.
  • To elucidate the role of death receptors in bile acid-induced liver cell death.

Main Methods:

  • HuH-7 cells, deficient in Fas, were transfected with a bile acid transporter.
  • Cells were treated with glycochenodeoxycholate (GCDC) and analyzed for apoptosis, cytochrome c release, and death receptor expression.
  • Techniques included dominant-negative FADD transfection, CrmA transfection, caspase 8 inhibition, and RT-PCR.

Main Results:

  • GCDC induced time- and concentration-dependent apoptosis and mitochondrial cytochrome c release in HuH-7 cells.
  • Apoptosis was inhibited by blocking FADD, CrmA, or caspase 8, indicating death receptor involvement.
  • GCDC treatment significantly increased TRAIL-R2/DR5 mRNA and protein expression, leading to receptor aggregation.

Conclusions:

  • Fas-independent hepatocyte apoptosis induced by bile acids is mediated through death receptors, specifically TRAIL-R2/DR5.
  • Bile acids regulate TRAIL-R2/DR5 expression, providing novel insights into mechanisms of hepatocyte apoptosis and liver injury.

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