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344A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

257<br />

Hepatic XBP1 deletion promotes endoplasmic reticulum<br />

stress-induced liver injury and apoptosis<br />

Shantel Olivares, Anne Henkel; Medicine, Northwestern University,<br />

Chicago, IL<br />

Endoplasmic reticulum (ER) stress triggers activation of the<br />

unfolded protein response (UPR), a highly conserved signaling<br />

cascade that functions to alleviate stress and promote cell survival.<br />

If, however, the cell is unable to restore homeostasis, the<br />

UPR activates pathways that promote apoptotic cell death. The<br />

molecular mechanisms governing this critical transition from restoration<br />

of homeostasis to initiation of apoptosis remain poorly<br />

understood. We aim to determine the role of hepatic XBP1, a<br />

key regulator of the UPR, in controlling cell fate in response<br />

to ER stress. Liver-specific XBP1 knockout mice (XBP1 LKO ) and<br />

XBP1 fl/fl littermate controls were subjected to varying levels and<br />

duration of pharmacologic ER stress. XBP1 LKO mice and XBP1 fl/<br />

fl<br />

controls showed robust and equal induction of the UPR acutely<br />

as evidenced by equivalent hepatic expression of Grp78/BIP,<br />

CHOP, and ATF4 six hours after exposure to pharmacologic<br />

ER stress. By 72 hours, XBP1 fl/fl control mice showed complete<br />

resolution of UPR activation and no liver injury suggesting complete<br />

restoration of homeostasis. Conversely, XBP1 LKO mice<br />

showed ongoing UPR activation at 3 and 7 days after induction<br />

of ER stress associated with progressive liver injury histologically.<br />

Consistent with enhanced hepatic injury, plasma ALT<br />

levels were markedly elevated in XBP1 LKO mice at days 3 and 7<br />

(283±41 vs 49±12 IU/L at day 3 and 217±3 vs 47±11 IU/L at<br />

day 7 vs XBP1 fl/fl controls, p

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