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.

Diabetes
|November 7, 2023
PubMed

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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