SPARC inhibition accelerates NAFLD-associated hepatocellular carcinoma development by dysregulating hepatic lipid

Agostina M Onorato1, Esteban Fiore1, Juan Bayo1

  • 1Gene Therapy Laboratory, Instituto de Investigaciones en Medicina Traslacional, Facultad de Ciencias Biomédicas, CONICET- Universidad Austral, Buenos Aires, Argentina.

Abstract

Insights

The absence of SPARC protein accelerates non-alcoholic fatty liver disease (NAFLD)-related liver cancer (HCC) by altering hepatic lipid metabolism. SPARC deficiency promotes lipid accumulation and tumor development in NAFLD models.

Area of Science:

  • Hepatology and Cancer Biology
  • Molecular Metabolism

Background:

  • Non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis are significant risk factors for hepatocellular carcinoma (HCC).
  • The precise role of lipid metabolic alterations in HCC development remains incompletely understood.
  • SPARC (Secreted Protein, Acidic and Rich in Cysteine) is implicated in lipid metabolism and diabetes, but its specific function in NAFLD-associated HCC is unknown.

Purpose of the Study:

  • To investigate the role of SPARC in the development of HCC within the context of NAFLD.
  • To elucidate the impact of SPARC on hepatic lipid metabolism and its correlation with HCC progression.

Main Methods:

  • Primary hepatocyte cultures (SPARC knockout vs. wild-type mice) and HepG2 cells were used to assess lipid accumulation and lipogenic gene expression.
  • A murine model of NAFLD-associated HCC was established using SPARC knockout and wild-type mice.
  • Human HCC gene expression datasets were analyzed to correlate SPARC expression with lipid metabolism genes and patient survival.

Main Results:

  • SPARC deficiency led to increased hepatic lipid deposits, triglyceride synthesis, and expression of lipogenic genes in hepatocytes.
  • Absence of SPARC accelerated HCC development in the NAFLD murine model.
  • SPARC negatively correlated with lipid metabolism genes and poor survival in human HCC datasets, with upregulated lipid metabolism, detoxification, and proliferation pathways observed in SPARC-deficient tumors.

Conclusions:

  • SPARC deficiency is linked to dysregulated hepatic lipid metabolism.
  • The absence of SPARC accelerates the development of NAFLD-related HCC, highlighting SPARC as a potential therapeutic target.