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672A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

C57BL6 wild-type or RIP3-deficient (RIP3 -/- ) mice were fed highfat<br />

choline-deficient (HFCD) or methionine and choline-deficient<br />

(MCD) diets, with subsequent histological and biochemical<br />

analysis of hepatic damage. In primary murine hepatocytes,<br />

necroptosis and oxidative stress were also assessed after necrostatin-1<br />

treatment or RIP3 silencing. We show that in chronic<br />

liver disease patients, RIP3 levels were significantly increased<br />

and correlated with steatohepatitis histological severity (at least<br />

p < 0.05). Circulating markers of necrosis and TNF-α, as well<br />

as liver MLKL phosphorylation were increased in NAFLD (at<br />

least p < 0.05). Likewise, RIP3 and MLKL protein levels and<br />

TNF-α expression were increased in the liver of HFCD and<br />

MCD diet-fed mice (at least p < 0.05). Moreover, RIP3 and<br />

MLKL sequestration in the insoluble protein fraction of NASH<br />

mice liver lysates, strongly suggesting necroptosis activation,<br />

represented an early event during stetatohepatitis progression<br />

(at least p < 0.05). Functional <strong>studies</strong> in primary murine hepatocytes<br />

established the association between TNF-α-induced RIP3<br />

expression, activation of necroptosis and oxidative stress (p <<br />

0.05). Strikingly, RIP3 deficiency attenuated MCD diet-induced<br />

liver injury, steatosis, inflammation, fibrosis and oxidative stress<br />

(at least p < 0.05). In conclusion, necroptosis is increased in<br />

the liver of NAFLD patients and in experimental models of<br />

NASH. Further, TNF-α triggers RIP3-dependent oxidative stress<br />

during hepatocyte necroptosis. As such, targeting necroptosis<br />

appears to arrest or at least impair NAFLD progression.<br />

Disclosures:<br />

Helena Cortez-Pinto - Advisory Committees or Review Panels: Norgine, Lundbeck;<br />

Speaking and Teaching: Janssen, Gilead Janssen<br />

The following authors have nothing to disclose: Marta B. Afonso, Pedro M.<br />

Rodrigues, Tânia Carvalho, Marta Caridade, Paula Borralho Nunes, Rui E. Castro,<br />

Cecília M. Rodrigues<br />

941<br />

Over-expression of HNF4α attenuated lipotoxicity in<br />

non-alcoholic fatty liver disease model<br />

Jai Sun Lee 1 , Dae Won Jun 2 , Seung Min Lee 3 , Yong Kyun Cho 4 ,<br />

Eun Chul Jang 5 , Sang Bong Ahn 6 ; 1 Department translational medicine,<br />

Hanyang University Graduate School of Biomedical Science<br />

and Engineering, Seoul, Korea (the Republic of); 2 Department<br />

of Internal Medicine, Hanyang University College of Medicine,<br />

Seoul, Korea (the Republic of); 3 Department of Food and Nutrition,<br />

Sungshin Women’s University, Seoul, Korea (the Republic<br />

of); 4 Department of Internal Medicine, Kangbuk Samsung Hospital,<br />

Sungkyunkwan University, School of Medicine, Seoul, Korea<br />

(the Republic of); 5 Department of Occupational and Environmental<br />

Medicine, Soonchunhyang University Cheonan Hospital, Cheonan,<br />

Korea (the Republic of); 6 Department of Internal Medicine, Eulji<br />

University School of Medicine, Seoul, Korea (the Republic of)<br />

Background: Hepatocyte nuclear factor 4α (HNF4α) is known<br />

as a master regulator of liver-specific gene expression. The<br />

effects of HNF4α on non-alcohol fatty liver disease (NAFLD)<br />

at transcriptional level are largely unknown. In this study, we<br />

evaluated the role of HNF4α in NAFLD model. Methods: High<br />

fat (HF) diet was fed to rats for 20 weeks to induce NAFLD. To<br />

make vitro NAFLD model, palmatic acid (PA) treated in HepG2<br />

cells for 24 hours. Later, liver-specific gene expressions were<br />

evaluated. Using microporator, a transcription factor, HNF4α<br />

was over-expressed in HepG2 cells. After transfection, MTT<br />

assay, Tunnel assay, FACS, Nile-red staining, and qPCR gene<br />

evaluation were performed. Results: Hepatic gene expression<br />

of Foxa2 and GATA4 were up regulated in HF diet fed rats<br />

compared to control group. But HNF4α mRNA expression was<br />

decreased in diet induced fatty disease model. In HepG2 cells,<br />

palmatic acid treatment also decreased HNF4α mRNA expression;<br />

however, interestingly, the oleic acid treatment did not<br />

affect the HNF4α mRNA expression. HepG2 cells over-expressing<br />

HNF4α through transfection showed a protective effect<br />

against palmatic acid-induced apoptosis. HNF4α over-expression<br />

was also associated with increased fatty acid oxidation<br />

and VLDL secretion. The HepG2 cells over-expressing HNF4α<br />

also exhibited increased the mRNA expression of enzymes<br />

related to VLDL secretion (MTTP and ApoB) and fatty acid oxidation<br />

(ACOX and CYP4A1). Moreover HNF4α over-expression<br />

was also involved in decreased fatty acid uptake. The<br />

HepG2 cells over-expressing HNF4α also exhibited decreased<br />

the mRNA expression of fatty acid uptake mediator (CD36<br />

and FATP2). Conclusions: HNF4α attenuated lipotoxicity by<br />

increased VLDL secretion and fatty acid oxidation in NASH<br />

model.<br />

Disclosures:<br />

The following authors have nothing to disclose: Jai Sun Lee, Dae Won Jun, Seung<br />

Min Lee, Yong Kyun Cho, Eun Chul Jang, Sang Bong Ahn<br />

942<br />

Thioesterase Superfamily Member 2 (Them2) Reduces<br />

Membrane Fluidity and Promotes Endoplasmic Reticulum<br />

(ER) Calcium Loss in Response to Saturated Free<br />

Fatty Acids: Pathogenic Role in Non-Alcoholic Fatty Liver<br />

Disease (NAFLD)<br />

Baran A. Ersoy, Yingxia Li, David E. Cohen; Medicine, Brigham<br />

and Women’s Hospital and Harvard Medical School, Boston, MA<br />

Background: NAFLD is associated with maladaptive increases<br />

in hepatic glucose production in the setting of excessive nutrition<br />

that are due in part to insulin resistance. Saturated free<br />

fatty acids (FFA) contribute by reducing ER membrane fluidity.<br />

This promotes insulin resistance, which is attributable in part to<br />

depletion of ER calcium and ER stress. In addition, increased<br />

cytosolic calcium levels promote hepatic glucose production<br />

by activating calcium/calmodulin-dependent protein kinase 2<br />

(CaMKII) and amp-activated protein kinase (AMPK). Genetic<br />

ablation of Them2, an acyl-CoA thioesterase that preferentially<br />

converts saturated fatty acyl-CoAs to FFA, protects against<br />

depletion of ER calcium and ER stress in cell culture systems and<br />

reduces hepatic glucose production in high fat fed mice. Aim:<br />

This study was designed to determine the molecular mechanism<br />

by which Them2 expression regulates ER calcium homeostasis<br />

and hepatic glucose production. Methods: HEK 293E cells<br />

were exposed for 6 h to 0.5 mM palmitic acid after treatment<br />

with Them2 or scrambled (control) siRNA. ER calcium release<br />

and reuptake were measured using Fluo-4 following treatment<br />

of cells with the re-uptake inhibitor thapsigargin (2 mM). Total<br />

ER calcium stores were measured following treatment of cells<br />

with 5 mM ionomycin, an ionophore that creates calcium-permeable<br />

membrane pores. Membrane fluidity was measured by<br />

polarization anisotropy of diphenylhexatriene, as well as by<br />

formation of pyrenedecanoic acid eximers using fluorescence<br />

spectrometry. Activation of calcium-sensitive phosphoproteins<br />

that promote hepatic glucose production was assessed by<br />

immunoblot analysis. Results: In the absence of palmitic acid<br />

treatment, Them2 knockdown reduced thapsigargin-mediated<br />

loss of ER calcium by 40%. This was not attributable to reduced<br />

ER calcium stores because knockdown of Them2 expression<br />

did not alter ionomycin-mediated calcium release. Palmitic acid<br />

treatment reduced ER membrane fluidity by 58%, reduced ER<br />

calcium uptake by 11% and increased cytosolic calcium by<br />

2-fold. These effects were abrogated by knockdown of Them2.<br />

Moreover, reductions in cytosolic calcium following Them2<br />

knockdown correlated with decreases in activation of both<br />

CaMKII and AMPK. Conclusions: Them2 mediates the effects of<br />

saturated FFA on ER membrane fluidity and calcium depletion,

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