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LncRNA H19 promoted alcohol-associated liver disease through dysregulation of alternative splicing and methionine metabolism

ABSTRACT: Long non-coding RNAs (lncRNAs) constitute a significant portion of the human genome. LncRNA H19 is among the first identified lncRNAs and is highly expressed during fetal development but decreases in the liver shortly after birth. H19 is reactivated during the development of various liver diseases; however, the role of H19 in the pathogenesis of alcohol-associated liver disease (ALD) remains elusive. Elevated levels of H19 were observed in human peripheral blood and livers of patients with alcohol-associated cirrhosis and alcohol-associated hepatitis. Similar observations were also seen in the livers of ethanol-fed mice. Hepatic overexpression of H19 promoted ethanol-induced liver steatosis and injury. Metabolomics analysis revealed a significant decrease in methionine levels in H19-overexpressed mouse livers. H19 was found to inhibit Betaine-homocysteine methyltransferase (BHMT), a key enzyme in methionine synthesis. H19 regulated the alternative splicing process of Bhmt through Polypyrimidine tract-binding protein 1 (PTBP1), resulting in a decrease in the Bhmt protein-coding variant. Maternally specific knockout of H19 (H19Mat+/-) or liver-specific knockout of the H19 differentially methylation domain (H19DMDHep-/-) in ethanol-fed mice led to an increase in BHMT expression and improvement in hepatic steatosis. Additionally, restoration of BHMT rescued H19 overexpression-mediated ethanol-induced fatty liver. In summary, we identified a novel mechanism of H19 regulating BHMT alternative splicing and methionine metabolism through PTBP1 in ALD. Targeting the H19-PTBP1-BHMT pathway could be a potential therapeutic intervention in patients with ALD.

ORGANISM(S): Mus musculus

PROVIDER: GSE267404 | GEO | 2025/05/01

REPOSITORIES: GEO

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Project description:Background: Exposure to pollutants including the ubiquitous ‘forever chemical’, Perfluorooctane sulfonate (PFOS) has increasingly been associated with metabolic dysfunction-associated steatotic liver disease (MASLD). Recent epidemiological evidence has identified associations between Per- and polyfluoroalkyl substances (PFAS) exposure and increased liver injury in alcohol consumers, suggesting potential interactions between these exposures. However, the intersection of pollutant exposures and alcohol-associated liver disease (ALD) is not well studied. We hypothesize that pollutants may disrupt hepatic metabolism to modify ALD severity. Recently, we developed a two-hit (ethanol plus pollutant) mouse model, enabling testing of this hypothesis. Here, we elucidate the metabolic and disease-modifying effects of PFOS in this model. Methods: Male C57BL/6J mice were fed isocaloric control or 5% Ethanol (EtOH) Lieber-DeCarli diet for 15 days. From day 6 of feeding, mice were concurrently gavaged with 1 mg/kg PFOS or 2% tween-80 vehicle for 10 days, followed by a 5 g/kg EtOH binge dose and euthanized 5-6 hours later. Results: Approximately 60% of the administered PFOS dose accumulated in liver. PFOS exacerbated EtOH-induced hepatic steatosis and was associated by higher levels of plasma very low-density lipoprotein (vLDL) and alanine aminotransferase (ALT). PFOS upregulated hepatic ethanol-metabolizing enzymes and lowered blood alcohol levels. Ingenuity Pathway Analysis (IPA) Top Toxicity Functions/Lists associated with hepatic gene expression following PFOS co-exposure in EtOH-fed mice included: fatty acid metabolism and liver steatosis; nuclear receptor activation, cytochrome P450, and reactive oxygen species (ROS); apoptosis; liver fibrosis; and hepatocellular carcinoma (HCC). GO/KEGG analyses similarly revealed enrichment in fatty acid, xenobiotic, alcohol, or glutathione metabolic processes; and Peroxisome proliferator-activated receptor (PPAR) signaling. PFOS upregulated hepatic expression of several nuclear receptors (e.g., Pparα, Car, and Pxr) and their P450 target genes (e.g., Cyp4a10, Cyp2b10, and Cyp3a11) by RT-PCR or Western blot, confirming key IPA predictions. Conclusions: PFOS is a metabolism disrupting chemical that worsened ALD severity. PFOS activated hepatic nuclear receptors and enriched hepatic transcriptional pathways associated with steatosis, xenobiotic metabolism, oxidative stress, cell death, fibrosis, and HCC. These data demonstrate a novel mechanism whereby PFOS exacerbates ALD through coordinated dysregulation of lipid homeostasis and liver injury, potentially mediated by nuclear receptor activation. The identification of PFOS as an ALD risk modifier highlight the critical need to evaluate environmental pollutants as potential contributors to liver disease progression in vulnerable populations. More data are required on environmental pollution as a disease modifying factor in ALD.

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LncRNA H19 promoted alcohol-associated liver disease through dysregulation of alternative splicing and methionine metabolism

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