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Incorporation of a Survivable Liver Biopsy Procedure in Mice to Assess Non-alcoholic Steatohepatitis NASH Resolution
Published on: April 16, 2019
NIK/MAP3K14 in hepatocytes orchestrates NASH to hepatocellular carcinoma progression via JAK2/STAT5 inhibition
Anna Juliane Vesting1, Alexander Jais2, Paul Klemm1
1Max Planck Institute for Metabolism Research, Gleueler Strasse 50, 50931 Cologne, Germany, Center for Endocrinology, Diabetes and Preventive Medicine (CEDP), University Hospital Cologne, Kerpener Strasse 26, 50924 Cologne, Germany, Excellence Cluster on Cellular Stress Responses in Aging Associated Diseases (CECAD) and Center of Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany.
Objective:
Nonalcoholic fatty liver disease (NAFLD) ranges from steatosis to nonalcoholic steatohepatitis (NASH), which often progresses to hepatocellular carcinoma (HCC) through a largely undefined mechanism. NASH and HCC depend on inflammatory signaling, whose master regulator is the NFκB transcription factor family, activated by canonical and non-canonical pathways.
Methods:
Here, we investigated non-canonical NFκB-inducing kinase (NIK/MAP3K14) in metabolic NASH, NASH to HCC transition, and DEN-induced HCC. To this end, we performed dietary and chemical interventions in mice that were analyzed via single nucleus sequencing, gene expression and histochemical methods. Ultimately, we verified our mouse results in human patient samples.
Results:
We revealed that hepatocyte-specific NIK deficiency (NIKLKO) ameliorated metabolic NASH complications and reduced hepatocarcinogenesis, independent of its role in the NFκB pathway. Instead, hepatic NIK attenuated hepatoprotective JAK2/STAT5 signaling that is a prerequisite for NASH and NASH to HCC progression in mice and humans.
Conclusions:
Our data suggest NIK-mediated inhibitory JAK2 phosphorylation at serine 633 that might be amenable for future therapeutic interventions in patients.
Insights
Nonalcoholic fatty liver disease (NAFLD) progression to liver cancer involves NIK, a kinase that inhibits protective JAK2/STAT5 signaling. Targeting NIK may offer new therapies for NASH and HCC.
Area of Science:
- Hepatology
- Molecular Biology
- Oncology
Background:
- Nonalcoholic fatty liver disease (NAFLD) encompasses steatosis and nonalcoholic steatohepatitis (NASH), potentially progressing to hepatocellular carcinoma (HCC).
- Inflammatory signaling, regulated by NFκB, is crucial in NASH and HCC pathogenesis.
- The precise mechanisms driving NASH and HCC progression remain largely undefined.
Purpose of the Study:
- To investigate the role of non-canonical NFκB-inducing kinase (NIK/MAP3K14) in metabolic NASH, the transition from NASH to HCC, and diethylnitrosamine (DEN)-induced HCC.
- To elucidate NIK's mechanism of action in liver disease progression, independent of canonical NFκB pathways.
Main Methods:
- Dietary and chemical interventions were performed in mice.
- Analyses included single nucleus sequencing, gene expression, and histochemical methods.
- Findings from mouse models were validated using human patient samples.
Main Results:
- Hepatocyte-specific NIK deficiency (NIKLKO) ameliorated metabolic NASH complications and reduced hepatocarcinogenesis.
- NIK's effects were independent of its role in the NFκB pathway.
- Hepatic NIK was found to attenuate the hepatoprotective JAK2/STAT5 signaling pathway, which is essential for NASH and HCC progression in both mice and humans.
Conclusions:
- NIK plays a critical role in NASH and HCC progression by inhibiting JAK2/STAT5 signaling.
- NIK-mediated inhibitory JAK2 phosphorylation at serine 633 presents a potential therapeutic target for NASH and HCC.
- Targeting NIK may offer novel therapeutic strategies for patients with liver disease.
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