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KEAP the balance between life and death
Sophie C Cazanave1, Arun J Sanyal1
1Department of Internal Medicine, Division of Gastroenterology, Hepatology and Nutrition; Virginia Commonwealth University School of Medicine ; Richmond, VA USA.
Abstract:
Hepatocyte apoptosis in association with oxidative stress represent key pathogenic factors involved in tumor development in patients with non-alcoholic fatty liver disease (NAFLD). In our recent study, we established that cellular degradation of Kelch-like ECH-associated protein 1 (KEAP1) through sequestrosome (SQSTM)1/p62-dependent autophagy activates c-Jun NH2 terminal kinase (JNK), upregulates expression of Bcl-2-interacting mediator (BIM) and p53 upregulated modulator of apoptosis (PUMA), and contributes to hepatocyte apoptosis induced by saturated free fatty acids. These findings raise the possibility that dysregulation of KEAP1 may contribute to liver cell death and tumorigenesis during chronic inflammatory liver disease.
Insights
Cellular degradation of Kelch-like ECH-associated protein 1 (KEAP1) via autophagy promotes liver cell death. This process, linked to non-alcoholic fatty liver disease (NAFLD) and oxidative stress, may drive liver tumorigenesis.
Area of Science:
- Hepatology
- Molecular Biology
- Cancer Research
Background:
- Oxidative stress and hepatocyte apoptosis are key factors in non-alcoholic fatty liver disease (NAFLD) tumor development.
- Understanding the molecular mechanisms of liver cell death is crucial for NAFLD progression and tumorigenesis.
Purpose of the Study:
- To investigate the role of Kelch-like ECH-associated protein 1 (KEAP1) degradation in hepatocyte apoptosis.
- To elucidate the signaling pathways involved in KEAP1-mediated liver cell death.
Main Methods:
- Utilized autophagy-dependent degradation of KEAP1 via sequestrosome (SQSTM)1/p62.
- Analyzed the activation of c-Jun NH2 terminal kinase (JNK) pathway.
- Measured the expression of apoptosis-related proteins, including Bcl-2-interacting mediator (BIM) and p53 upregulated modulator of apoptosis (PUMA).
Main Results:
- Cellular degradation of KEAP1 through SQSTM1/p62-dependent autophagy activates JNK signaling.
- This process upregulates BIM and PUMA, promoting hepatocyte apoptosis induced by saturated free fatty acids.
- Demonstrated a direct link between KEAP1 degradation and apoptosis.
Conclusions:
- KEAP1 degradation is a critical mediator of hepatocyte apoptosis in response to saturated fatty acids.
- Dysregulation of KEAP1 may contribute to liver cell death and tumorigenesis in chronic inflammatory liver diseases like NAFLD.
- Targeting KEAP1 degradation pathways could offer therapeutic strategies for NAFLD-associated liver cancer.
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