Hepatic TM6SF2 Is Required for Lipidation of VLDL in a Pre-Golgi Compartment in Mice and Rats

Fei Luo1, Eriks Smagris2, Sarah A Martin2

  • 1Department of Molecular Genetics, Dallas, Texas; Department of Cardiovascular Medicine, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

Abstract

Insights

Transmembrane 6 superfamily member 2 (TM6SF2) deficiency causes fatty liver by impairing very low-density lipoprotein (VLDL) lipidation. TM6SF2 functions in the endoplasmic reticulum to facilitate VLDL secretion, preventing lipid accumulation.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Genetics

Background:

  • A specific mutation in Transmembrane 6 superfamily member 2 (TM6SF2) is linked to fatty liver disease and altered plasma lipid levels.
  • While Tm6sf2 knockout mice show similar phenotypes, they are not ideal for detailed mechanistic studies.
  • Tm6sf2 knockout rats were developed to investigate the subcellular localization and function of TM6SF2.

Purpose of the Study:

  • To determine the subcellular localization of TM6SF2.
  • To elucidate the function of TM6SF2 in lipid metabolism and very low-density lipoprotein (VLDL) secretion.
  • To understand the molecular mechanisms underlying TM6SF2-associated fatty liver disease.

Main Methods:

  • Gene editing was used to create two lines of Tm6sf2 knockout rats.
  • Lipid quantification in tissues and secreted VLDL was performed using enzymatic assays and mass spectrometry.
  • Intracellular localization of TM6SF2 was determined via cell fractionation, and interacting proteins were identified through immunoprecipitation.

Main Results:

  • Tm6sf2 knockout rats exhibited significantly higher hepatic triglyceride content and lower plasma cholesterol levels compared to wild-type littermates.
  • The secretion rates of dietary and hepatic triglycerides into the blood were markedly reduced in Tm6sf2 knockout rats.
  • TM6SF2 was localized to the smooth endoplasmic reticulum and ER-Golgi intermediate compartments, interacting with apolipoprotein B-48 and acyl-CoA synthetase long chain family member 5.

Conclusions:

  • TM6SF2 plays a crucial role in the smooth endoplasmic reticulum for the lipidation of apolipoprotein B-containing lipoproteins.
  • Proper functioning of TM6SF2 is essential for preventing hepatic lipid accumulation and fatty liver disease.
  • The findings provide mechanistic insights into how TM6SF2 deficiency leads to fatty liver disease.