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Published on: March 11, 2017
Roles of Activin A and Gpnmb in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
Huan Liu1,2, Armen Yerevanian3, Maria Westerhoff4
1Cardiovascular Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Abstract:
Metabolic dysfunction-associated steatotic liver disease (MASLD, formerly known as nonalcoholic fatty liver disease [NAFLD]) and metabolic dysfunction-associated steatohepatitis (MASH, formerly known as nonalcoholic steatohepatitis [NASH]) are leading chronic liver diseases, driving cirrhosis, hepatocellular carcinoma, and mortality. MASLD/MASH is associated with increased senescence proteins, including Activin A, and senolytics have been proposed as a therapeutic approach. To test the role of Activin A, we induced hepatic expression of Activin A in a murine MASLD/MASH model. Surprisingly, overexpression of hepatic Activin A dramatically mitigated MASLD, reducing liver steatosis and inflammation as well as systemic fat accumulation, while improving insulin sensitivity. Further studies identified a dramatic decrease in the lipid-associated macrophages marker glycoprotein NMB (Gpnmb) by Activin A, and Gpnmb knockdown in the same model produced similar benefits and transcriptional changes to Activin A expression. These studies reveal a surprising protective role for Activin A in MASLD and the potential for SASP proteins to have context-specific beneficial effects. Moreover, they implicate both Activin A and Gpnmb as potential therapeutic targets for this condition.
Insights
Metabolic dysfunction-associated steatotic liver disease (MASLD) is unexpectedly improved by Activin A, a senescence protein. This study reveals Activin A and Gpnmb as potential therapeutic targets for MASLD.
Area of Science:
- Hepatology
- Metabolic Diseases
- Cellular Senescence
Background:
- Metabolic dysfunction-associated steatotic liver disease (MASLD) and metabolic dysfunction-associated steatohepatitis (MASH) are major causes of chronic liver disease, cirrhosis, and liver cancer.
- These conditions are linked to increased senescence proteins, such as Activin A, and senolytics are being explored as treatments.
Purpose of the Study:
- To investigate the role of hepatic Activin A in a mouse model of MASLD/MASH.
- To explore the potential of senescence-associated secretory phenotype (SASP) proteins as therapeutic targets.
Main Methods:
- Hepatic expression of Activin A was induced in a murine MASLD/MASH model.
- The study analyzed liver steatosis, inflammation, systemic fat accumulation, and insulin sensitivity.
- The expression of glycoprotein NMB (Gpnmb), a marker for lipid-associated macrophages, was investigated in relation to Activin A.
Main Results:
- Overexpression of hepatic Activin A significantly reduced liver steatosis, inflammation, and systemic fat accumulation.
- Activin A improved insulin sensitivity in the MASLD/MASH model.
- Activin A decreased Gpnmb expression, and Gpnmb knockdown mimicked the beneficial effects of Activin A.
Conclusions:
- Activin A exhibits a protective role in MASLD, contrary to expectations.
- SASP proteins can have context-specific beneficial effects.
- Activin A and Gpnmb are identified as potential therapeutic targets for MASLD.
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