Downregulation of the MARC1 p.A165 risk allele reduces hepatocyte lipid content by increasing beta-oxidation

Ester Ciociola1, Tanmoy Dutta1, Kavitha Sasidharan1

  • 1Department of Molecular and Clinical Medicine, Institute of Medicine, The Sahlgrenska Academy, Wallenberg Laboratory, University of Gothenburg, Gothenburg, Sweden.

PubMed
Abstract

Insights

Downregulating the MARC1 gene lowers liver fat in individuals with metabolic dysfunction-associated steatotic liver disease (MASLD) by increasing fatty acid burning. This protective effect is linked to the rs2642438 variant and enhances cell survival pathways.

Area of Science:

  • Hepatology
  • Genetics
  • Metabolic Disorders

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) is a widespread condition with a significant genetic influence.
  • A common variant in the MARC1 gene (rs2642438) is associated with protection against MASLD, but the underlying mechanisms are debated.

Purpose of the Study:

  • To investigate the protective mechanisms of the rs2642438 variant in the MARC1 gene against MASLD.
  • To determine how MARC1 influences lipid metabolism and cellular pathways in hepatocytes.

Main Methods:

  • Short interfering RNA (siRNA) was used to reduce MARC1 expression in primary human hepatocytes (PHHs).
  • Neutral lipid content was assessed using Oil-Red O staining, and fatty acid oxidation was measured with radiolabeled tracers.
  • RNA-sequencing, LC-MS proteomic analysis, and UK Biobank data from 239,075 participants were utilized.

Main Results:

  • MARC1 downregulation decreased neutral lipid content in wild-type PHHs (p.A165, risk allele) but not in mutant PHHs (p.T165, protective allele).
  • This reduction was attributed to enhanced fatty acid utilization via β-oxidation, supported by higher 3-hydroxybutyrate levels in UK Biobank participants carrying the protective rs2642438 minor allele.
  • Downregulating the MARC1 p.A165 variant reduced ferroptosis and reactive oxygen species, indicating a more favorable cellular phenotype.

Conclusions:

  • MARC1 downregulation in individuals with the MASLD risk allele lowers hepatocyte neutral lipid content by boosting β-oxidation.
  • This process also activates beneficial cell survival pathways, offering a potential therapeutic strategy for MASLD.