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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 855A<br />

also offer potential for novel biomarkers and therapeutic targets.<br />

Disclosures:<br />

Puneet Puri - Advisory Committees or Review Panels: Health Diagnostic Laboratory<br />

Inc.; Consulting: NPS Pharmaceuticals Inc.<br />

Andrew R. Joyce - Independent Contractor: Venebio Group, LLC, algorithmRx,<br />

LLC; Management Position: Venebio Group, LLC, algorithmRx, LLC<br />

Richard K. Sterling - Advisory Committees or Review Panels: Merck, Vertex, Salix,<br />

Bayer, BMS, Abbott, Gilead, Baxter, Jansen; Grant/Research Support: Merck,<br />

Roche/Genentech, Pfizer, Gilead, Boehringer Ingelheim, Bayer, BMS, Abbott<br />

Arun J. Sanyal - Advisory Committees or Review Panels: Bristol Myers, Gilead,<br />

Genfit, Abbott, Ikaria, Exhalenz; Consulting: Salix, Immuron, Exhalenz, Nimbus,<br />

Genentech, Echosens, Takeda, Merck, Enanta, Zafgen, JD Pharma, Islet<br />

Sciences; Grant/Research Support: Salix, Genentech, Intercept, Ikaria, Takeda,<br />

GalMed, Novartis, Gilead, Tobira; Independent Contractor: UpToDate, Elsevier<br />

The following authors have nothing to disclose: Amon Asgharpour, Mohammad<br />

S. Siddiqui, R. Todd Stravitz, Velimir A. Luketic, Scott C. Matherly, Kalyani Daita,<br />

Susan A. Walker, Stephanie Taylor, Christian E. Ammons, Faridoddin Mirshahi<br />

1310<br />

Ethanol Exposure Inhibits Hepatocellular Lipophagy by<br />

Inactivating the Small Regulatory GTPase Rab7<br />

Ryan J. Schulze 1 , Shaun Weller 1 , Micah B. Schott 1 , Karuna<br />

Rasineni 2 , Barbara Schroeder 1 , Carol A. Casey 2 , Mark A.<br />

McNiven 1 ; 1 Biochemistry and Molecular Biology, Mayo Clinic,<br />

Rochester, MN; 2 University of Nebraska Medical Center, Omaha,<br />

NE<br />

Alcohol consumption is a well-established risk factor for the<br />

onset and progression of fatty liver disease, in which an estimated<br />

90% of heavy drinkers are thought to develop significant<br />

liver steatosis. For these reasons, an increased understanding<br />

of the molecular basis for alcohol-induced hepatic steatosis<br />

is urgently required. Recently, it has become clear that autophagy,<br />

a catabolic process of intracellular degradation and<br />

recycling, plays a key role in hepatic lipid metabolism. We<br />

have previously shown that the small GTPase Rab7, known<br />

to regulate membrane trafficking and fusion events in the late<br />

endocytic pathway, also acts as a central orchestrator of hepatocellular<br />

lipophagy, a selective form of autophagy in which<br />

lipid droplets (LDs) are specifically targeted for turnover by<br />

the autophagic machinery (Schroeder et al., 2015 and article<br />

highlight by Carmona-Gutierrez et al., 2015). Nutrient starvation<br />

resulted in Rab7 activation on the surface of the LD as<br />

well as on degradative compartments such as the lysosome.<br />

This activation resulted in the mobilization of triglycerides<br />

stored within the LDs for energy production. The GOAL of<br />

this study was to test whether the steatotic effects of alcohol<br />

exposure are a result of perturbations in the Rab7-mediated<br />

lipophagic pathway. Rats fed a 6-week Lieber-DeCarli ethanol-containing<br />

diet accumulated a significantly higher amount<br />

of fat in their hepatocytes. Interestingly, primary hepatocytes<br />

isolated from either these ethanol-fed rats or cultured VA-13<br />

hepatocytes (HepG2 cells expressing alcohol dehydrogenase)<br />

contained enlarged and juxtanuclear-localized multivesicular<br />

bodies (MVBs) and lysosomes that exhibited impaired motility<br />

and fewer productive interactions with LDs. Importantly, similar<br />

morphological changes in these organelles are observed<br />

in hepatocytes subjected to an siRNA-mediated knockdown<br />

of Rab7. Consistent with these defects in the MVB and lysosomal<br />

compartments, we observed a marked 80% reduction<br />

in Rab7 activity in cultured hepatocytes as well as a complete<br />

block in starvation-induced Rab7 activation in primary hepatocytes<br />

isolated from chronic ethanol-fed animals. In summary,<br />

these findings support a direct mechanism whereby acute or<br />

chronic ethanol exposure inhibits Rab7 activity, resulting in<br />

the impaired transport, targeting, and fusion of the autophagic<br />

machinery with LDs, leading to an accumulation of hepatocellular<br />

lipids and hepatic steatosis. This study was generously supported<br />

by funding from the NIDDK [5R37DK044650 (MAM)],<br />

the NIAAA [5R01AA020735 (MAM and CAC)], the Mayo<br />

Clinic Center for Cell Signaling in Gastroenterology, and the<br />

Robert and Arlene Kogod Center on Aging.<br />

Disclosures:<br />

The following authors have nothing to disclose: Ryan J. Schulze, Shaun Weller,<br />

Micah B. Schott, Karuna Rasineni, Barbara Schroeder, Carol A. Casey, Mark<br />

A. McNiven<br />

1311<br />

Alcohol modifies the composition of the intrahepatic<br />

macrophage pool through FOXO3-dependent and cell<br />

type specific apoptosis<br />

Zhuan Li, Jie Zhao, Steven A. Weinman; Department of Internal<br />

Medicine, University of Kansas Medical Center, Kansas City, KS<br />

Hepatic macrophages are a heterogeneous population consisting<br />

of both resident and infiltrating macrophages that carry<br />

out diverse pro- and anti-inflammatory functions necessary<br />

for homeostasis, disease progression and injury repair. The<br />

mechanisms that regulate macrophage subsets in alcoholic<br />

liver disease are not yet understand. We recently showed that<br />

FOXO3 protects the liver from alcohol-induced inflammation.<br />

It also induces S574 phosphorylation of FOXO3 which selectively<br />

enhances expression of pro-apoptotic genes and induces<br />

apoptosis. FOXO3-dependent apoptosis was induced in macrophages<br />

by LPS. The AIMS of this study were to determine<br />

whether FOXO3-dependent macrophage apoptosis protects<br />

the liver from alcohol through changes in intrahepatic macrophage<br />

populations. METHODS: ChIP assays assessed promoter<br />

binding. qPCR was used to measure gene expression. Mouse<br />

peritoneal macrophages were treated with LPS for 24 hours or<br />

differentiated with INF-γ or IL-4 before LPS treatment. Mice were<br />

gavaged once with alcohol or fed a Lieber-DiCarli alcohol diet<br />

for 3 wks. RESULTS: LPS treatment of THP-1 monocytes induced<br />

FOXO3 S574 phosphorylation, enhanced expression of TRAIL,<br />

suppressed Bcl-2 and induced apoptosis. A similar result was<br />

obtained with peritoneal macrophages from wild-type (wt)<br />

mice but none of these effects occurred in FOXO3 -/- macrophages.<br />

To determine if apoptosis was selective for macrophage<br />

type, we separately measured LPS-induced apoptosis in<br />

INF-γ differentiated macrophages (M1) and IL-4 differentiated<br />

macrophages (M2). Only M1 macrophages underwent apoptosis<br />

and this was FOXO3 dependent. Acute alcohol gavage<br />

resulted in nearly a 50% decrease of hepatic macrophage<br />

number by 9 hours in wt but not FOXO3 -/- mice and this loss<br />

of macrophages was selective for cells with M1 markers.<br />

Unlike acute gavage, chronic ethanol feeding had no effect<br />

on hepatic macrophage number or M1/M2 ratio in wt mice<br />

but increased the M1/M2 ratio by 50% in FOXO3 -/- mice.<br />

In the FOXO3 -/- mice there was a strong positive correlation<br />

between M1 pro-inframammary macrophage number and ALT<br />

(P

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