O-GlcNAc transferase suppresses necroptosis and liver fibrosis

Bichen Zhang1, Min-Dian Li1, Ruonan Yin2

  • 1Department of Cellular and Molecular Physiology and.

JCI Insight
|November 2, 2019
PubMed

Insights

O-linked β-N-acetylglucosamine (O-GlcNAc) modification prevents liver fibrosis by inhibiting necroptosis. Reduced O-GlcNAc levels in liver disease patients and OGT-deficient mice highlight OGT

Area of Science:

  • Hepatology
  • Molecular Biology
  • Biochemistry

Background:

  • Chronic liver diseases affect over a billion people globally, often progressing to fibrosis and cirrhosis.
  • Current treatments for liver fibrosis are experimental due to an unidentified initiating mechanism.
  • Necroptosis, a form of programmed cell death, is implicated in various liver pathologies.

Purpose of the Study:

  • To investigate the role of O-linked β-N-acetylglucosamine (O-GlcNAc) modification in hepatocyte necroptosis and liver fibrosis.
  • To determine if O-GlcNAc modification protects against the initiation of liver fibrosis.
  • To explore the potential of O-GlcNAc transferase (OGT) as a therapeutic target for liver fibrosis.

Main Methods:

  • Analysis of O-GlcNAc levels in patients with alcoholic liver cirrhosis and mice with ethanol-induced liver injury.
  • Generation and characterization of liver-specific O-GlcNAc transferase-knockout (OGT-LKO) mice.
  • Assessment of necroptosis mediators (RIPK3, MLKL) and RIPK3 protein stability in OGT-deficient hepatocytes.

Main Results:

  • Decreased O-GlcNAc levels were observed in patients and mice with liver disease.
  • OGT-LKO mice developed hepatomegaly, ballooning degeneration, liver fibrosis, and portal inflammation.
  • OGT-deficient hepatocytes showed increased necroptosis, elevated RIPK3 and MLKL, and reduced RIPK3 protein stability due to OGT glycosylation.

Conclusions:

  • O-GlcNAc modification, mediated by OGT, is a critical suppressor of hepatocyte necroptosis.
  • Reduced OGT activity promotes liver fibrosis initiation.
  • OGT-LKO mice represent a valuable spontaneous genetic model for studying liver fibrosis.