Related Experiment Video
Updated: Jun 22, 2026

Mechanism of Regulation of Adipocyte Numbers in Adult Organisms Through Differentiation and Apoptosis Homeostasis
Published on: June 3, 2016
Down-regulation of FoxO-dependent c-FLIP expression mediates TRAIL-induced apoptosis in activated hepatic stellate
Soo-Jung Park1, Hee-Young Sohn, Jeongsook Yoon
1Division of Intractable Diseases, Center for Biomedical Sciences, National Institute of Health, Seoul 122-701, South Korea.
Abstract:
Activated hepatic stellate cells which contribute to liver fibrosis have represented an important target for antifibrotic therapy. In this study, we found that TRAIL inhibited PI3K/Akt-dependent FoxO phosphorylation and relocated FoxO proteins into the nucleus from the cytosol in activated human hepatic stellate LX-2 cells. The accumulated FoxO proteins in the nucleus led to down-regulation of c-FLIP(L/S) expression, resulting in the activation of apoptosis-related signaling molecules including the activation of caspase-8, -3, and Bid, as well as mitochondrial cytochrome c release. These results were supported by showing that siRNA-mediated knockdown of FoxO led to restoration of c-FLIP(L/S) expression and resistance to TRAIL-induced apoptosis after treatment of LX-2 cells with TRAIL. Furthermore, c-FLIP(L/S)-transfected LX-2 cells showed the decreased sensitivity to TRAIL-induced apoptosis. Collectively, our data suggest that sequential activation of FoxO proteins under conditions of suppressed PI3K/Akt signaling by TRAIL can down-regulate c-FLIP(L/S), consequently promoting TRAIL-induced apoptosis in LX-2 cells. Therefore, the present study suggests TRAIL may be an effective strategy for antifibrotic therapy in liver fibrosis.
Insights
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) triggers apoptosis in activated hepatic stellate cells by inhibiting PI3K/Akt signaling, leading to FoxO nuclear accumulation and reduced c-FLIP expression. This mechanism supports TRAIL as a potential antifibrotic therapy for liver fibrosis.
Area of Science:
- Hepatology
- Cell Biology
- Molecular Biology
Background:
- Activated hepatic stellate cells (HSCs) are key drivers of liver fibrosis.
- Targeting activated HSCs is crucial for antifibrotic therapies.
Purpose of the Study:
- To investigate the mechanism by which TRAIL induces apoptosis in activated human HSCs (LX-2 cells).
- To explore the role of the PI3K/Akt/FoxO signaling pathway in TRAIL-mediated apoptosis of LX-2 cells.
Main Methods:
- Treatment of LX-2 cells with TRAIL.
- Analysis of FoxO protein localization and phosphorylation.
- Assessment of apoptosis-related signaling molecules (caspase-8, -3, Bid, cytochrome c).
- siRNA-mediated knockdown of FoxO and c-FLIP expression analysis.
- Transfection of LX-2 cells with c-FLIP.
Main Results:
- TRAIL inhibited PI3K/Akt-dependent FoxO phosphorylation, promoting FoxO nuclear translocation in LX-2 cells.
- Nuclear FoxO accumulation led to decreased c-FLIP(L/S) expression.
- This resulted in activation of apoptosis pathways (caspase-8, -3, Bid) and cytochrome c release.
- FoxO knockdown or c-FLIP overexpression conferred resistance to TRAIL-induced apoptosis.
Conclusions:
- TRAIL-induced apoptosis in LX-2 cells is mediated by PI3K/Akt suppression, FoxO activation, and subsequent c-FLIP downregulation.
- This pathway highlights TRAIL as a promising therapeutic strategy for liver fibrosis.
Related Concept Videos
The Extrinsic Apoptotic Pathway
The Intrinsic Apoptotic Pathway
Apoptosis
Cirrhosis II: Pathophysiology
Liver Regeneration
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are large...
PI3K/mTOR/AKT Signaling Pathway