Bone morphogenetic protein 8B promotes the progression of non-alcoholic steatohepatitis

被引:48
作者
Vacca, Michele [1 ,2 ,3 ]
Leslie, Jack [4 ]
Virtue, Samuel [1 ]
Lam, Brian Y. H. [5 ]
Govaere, Olivier [6 ]
Tiniakos, Dina [6 ,7 ]
Snow, Sophie [8 ]
Davies, Susan [9 ]
Petkevicius, Kasparas [1 ]
Tong, Zhen [10 ]
Peirce, Vivian [1 ]
Nielsen, Mette Juul [11 ]
Ament, Zsuzsanna [2 ,3 ]
Li, Wei [10 ]
Kostrzewski, Tomasz [8 ]
Leeming, Diana Julie [11 ]
Ratziu, Vlad [12 ]
Allison, Michael E. D. [9 ]
Anstee, Quentin M. [6 ,13 ]
Griffin, Julian L. [2 ,3 ,14 ]
Oakley, Fiona [4 ]
Vidal-Puig, Antonio [1 ,15 ,16 ]
机构
[1] Univ Cambridge, WT MRC Inst Metab Sci, MRC Metab Dis Unit, TVP Lab,Metab Res Labs, Cambridge, England
[2] Univ Cambridge, Dept Biochem, Cambridge, England
[3] Univ Cambridge, Cambridge Syst Biol Ctr, Cambridge, England
[4] Newcastle Univ, Fac Med Sci, Biosci Inst, Newcastle Fibrosis Res Grp, Newcastle Upon Tyne, Tyne & Wear, England
[5] Univ Cambridge, WT MRC Inst Metab Sci, Yeo Grp & Genom & Transcript Core, Cambridge, England
[6] Newcastle Univ, Fac Med Sci, Translat & Clin Res Inst, Newcastle Upon Tyne, Tyne & Wear, England
[7] Natl & Kapodistrian Univ Athens, Aretaie Hosp, Med Sch, Dept Pathol, Athens, Greece
[8] CN Bio Innovat Ltd, Cambridge, England
[9] Cambridge Univ Hosp, Cambridge Biomed Res Ctr, Dept Med, Liver Unit, Cambridge, England
[10] Univ Cambridge, Dept Med, Cambridge, England
[11] Nordic Biosci AS, Herlev, Denmark
[12] Sorbonne Univ, Inst Cardiometab & Nutr ICAN, Hop Pitie Salpetriere, Paris, France
[13] Newcastle Tyne Hosp NHS Fdn Trust, Newcastle NIHR Biomed Res Ctr, Newcastle Upon Tyne, Tyne & Wear, England
[14] Imperial Coll London, Dept Metab Digest & Reprod, Syst Med, Biomol Med, London, England
[15] Welcome Trust Sanger Inst, Hinxton, England
[16] Cambridge Univ Nanjing Ctr Technol & Innovat, Nanjing, Peoples R China
基金
英国医学研究理事会;
关键词
LIVER-INJURY; GENE-EXPRESSION; SCORING SYSTEM; FATTY-ACID; FIBROSIS; BMP8B; OSTEOPROTEGERIN; GROWTH; BLOOD; MODEL;
D O I
10.1038/s42255-020-0214-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non-alcoholic steatohepatitis (NASH) is characterized by lipotoxicity, inflammation and fibrosis, ultimately leading to end-stage liver disease. The molecular mechanisms promoting NASH are poorly understood, and treatment options are limited. Here, we demonstrate that hepatic expression of bone morphogenetic protein 8B (BMP8B), a member of the transforming growth factor beta (TGF beta)-BMP superfamily, increases proportionally to disease stage in people and animal models with NASH. BMP8B signals via both SMAD2/3 and SMAD1/5/9 branches of the TGF beta-BMP pathway in hepatic stellate cells (HSCs), promoting their proinflammatory phenotype. In vivo, the absence of BMP8B prevents HSC activation, reduces inflammation and affects the wound-healing responses, thereby limiting NASH progression. Evidence is featured in primary human 3D microtissues modelling NASH, when challenged with recombinant BMP8. Our data show that BMP8B is a major contributor to NASH progression. Owing to the near absence of BMP8B in healthy livers, inhibition of BMP8B may represent a promising new therapeutic avenue for NASH treatment.
引用
收藏
页码:514 / +
页数:26
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