Literature DB >> 24946279

ASMase regulates autophagy and lysosomal membrane permeabilization and its inhibition prevents early stage non-alcoholic steatohepatitis.

Raquel Fucho1, Laura Martínez1, Anna Baulies1, Sandra Torres1, Nuria Tarrats1, Anna Fernandez1, Vicente Ribas1, Alma M Astudillo2, Jesús Balsinde2, Pablo Garcia-Rovés3, Montserrat Elena4, Ina Bergheim5, Sophie Lotersztajn6, Christian Trautwein7, Hanna Appelqvist8, Adrienne W Paton9, James C Paton9, Mark J Czaja10, Neil Kaplowitz11, Jose C Fernandez-Checa12, Carmen García-Ruiz13.   

Abstract

BACKGROUND & AIMS: Acid sphingomyelinase (ASMase) is activated in non-alcoholic steatohepatitis (NASH). However, the contribution of ASMase to NASH is poorly understood and limited to hepatic steatosis and glucose metabolism. Here we examined the role of ASMase in high fat diet (HFD)-induced NASH.
METHODS: Autophagy, endoplasmic reticulum (ER) stress and lysosomal membrane permeabilization (LMP) were determined in ASMase(-/-) mice fed a HFD. The impact of pharmacological ASMase inhibition on NASH was analyzed in wild type mice fed a HFD.
RESULTS: ASMase deficiency determined resistance to hepatic steatosis mediated by a HFD or methionine-choline deficient diet. ASMase(-/-) mice were resistant to HFD-induced hepatic ER stress, but sensitive to tunicamycin-mediated ER stress, indicating selectivity in the resistance of ASMase(-/-) mice to ER stress and steatosis. Autophagic flux, determined in the presence of rapamycin and/or chloroquine, was lower in primary mouse hepatocytes (PMH) from ASMase(-/-) mice and accompanied by increased p62 levels, suggesting autophagic impairment. Moreover, autophagy suppression by chloroquine and brefeldin A caused ER stress in PMH from ASMase(+/+) mice but not in ASMase(-/-) mice. ASMase(-/-) PMH exhibited increased lysosomal cholesterol loading, decreased LMP and apoptosis resistance induced by O-methyl-serine dodecylamide hydrochloride or palmitic acid, effects that were reversed by decreasing cholesterol levels by oxysterol 25-hydroxycholesterol. In vivo pharmacological ASMase inhibition by amitriptyline, a widely used tricyclic antidepressant, protected wild type mice against HFD-induced hepatic steatosis, fibrosis, and liver damage, effects indicative of early-stage NASH.
CONCLUSIONS: These findings underscore a critical role for ASMase in diet-induced NASH and suggest the potential of amitriptyline as a treatment for patients with NASH.
Copyright © 2014 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Autophagy; Ceramide; Endoplasmic reticulum stress; Fatty liver; Lysosomal membrane permeabilization

Mesh:

Substances:

Year:  2014        PMID: 24946279      PMCID: PMC4203709          DOI: 10.1016/j.jhep.2014.06.009

Source DB:  PubMed          Journal:  J Hepatol        ISSN: 0168-8278            Impact factor:   25.083


  43 in total

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Review 6.  Acid sphingomyelinase, cell membranes and human disease: lessons from Niemann-Pick disease.

Authors:  Edward H Schuchman
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