Targeting CASP8 and FADD-like apoptosis regulator ameliorates nonalcoholic steatohepatitis in mice and nonhuman

Pi-Xiao Wang1,2,3,4, Yan-Xiao Ji2,3,4, Xiao-Jing Zhang1,2,3,4

  • 1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.

Nature Medicine
|February 21, 2017
PubMed

Insights

CASP8 and FADD-like apoptosis regulator (CFLAR) suppresses nonalcoholic steatohepatitis (NASH) by blocking ASK1 signaling. A CFLAR-derived peptide shows therapeutic potential for NASH and metabolic disorders.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Drug Discovery

Background:

  • Nonalcoholic steatohepatitis (NASH) is a progressive liver disease linked to metabolic syndrome, with no current effective pharmacological treatments.
  • NASH carries a high risk of severe liver damage, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To identify key molecular suppressors of steatohepatitis and associated metabolic disorders.
  • To investigate the role of CASP8 and FADD-like apoptosis regulator (CFLAR) in NASH pathogenesis.
  • To explore therapeutic strategies targeting CFLAR-mediated pathways.

Main Methods:

  • Mechanistic studies to elucidate CFLAR's interaction with MAP3K5 (ASK1) and its downstream signaling.
  • In vivo studies using mouse and monkey models to assess the therapeutic efficacy of a CFLAR-derived peptide delivered via adeno-associated virus 8 vectors.
  • Biochemical assays to analyze ASK1 N-terminus-mediated dimerization inhibition.

Main Results:

  • CFLAR acts as a crucial suppressor of steatohepatitis and metabolic disorders.
  • CFLAR directly targets MAP3K5 (ASK1), inhibiting its N-terminus-mediated dimerization and blocking ASK1/JNK1 signaling.
  • A small peptide segment of CFLAR, delivered via AAV8, effectively attenuated NASH and metabolic disorder progression in preclinical models.

Conclusions:

  • CFLAR is a key suppressor of nonalcoholic steatohepatitis and its metabolic complications.
  • Targeting ASK1 dimerization presents a novel therapeutic avenue for NASH.
  • CFLAR-peptide mimicking drugs and small-molecule inhibitors of ASK1 dimerization offer promising strategies for NASH treatment.