Chronic-plus-binge alcohol intake induces production of proinflammatory mtDNA-enriched extracellular vesicles and steatohepatitis via ASK1/p38MAPKα-dependent mechanisms
Jing Ma, … , Jian Sun, Bin Gao
Jing Ma, … , Jian Sun, Bin Gao
Published July 23, 2020; First published June 16, 2020
Citation Information: JCI Insight. 2020;5(14):e136496. https://doi.org/10.1172/jci.insight.136496.
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Research Article Hepatology

Chronic-plus-binge alcohol intake induces production of proinflammatory mtDNA-enriched extracellular vesicles and steatohepatitis via ASK1/p38MAPKα-dependent mechanisms

Abstract

Alcohol-associated liver disease is a spectrum of liver disorders with histopathological changes ranging from simple steatosis to steatohepatitis, cirrhosis, and hepatocellular carcinoma. Recent data suggest that chronic-plus-binge ethanol intake induces steatohepatitis by promoting release by hepatocytes of proinflammatory mitochondrial DNA–enriched (mtDNA-enriched) extracellular vesicles (EVs). The aim of the present study was to investigate the role of the stress kinase apoptosis signal–regulating kinase 1 (ASK1) and p38 mitogen-activated protein kinase (p38) in chronic-plus-binge ethanol–induced steatohepatitis and mtDNA-enriched EV release. Microarray analysis revealed the greatest hepatic upregulation of metallothionein 1 and 2 (Mt1/2), which encode 2 of the most potent antioxidant proteins. Genetic deletion of the Mt1 and Mt2 genes aggravated ethanol-induced liver injury, as evidenced by elevation of serum ALT, neutrophil infiltration, oxidative stress, and ASK1/p38 activation in the liver. Inhibition or genetic deletion of Ask1 or p38 ameliorated ethanol-induced liver injury, inflammation, ROS levels, and expression of phagocytic oxidase and ER stress markers in the liver. In addition, inhibition of ASK1 or p38 also attenuated ethanol-induced mtDNA-enriched EV secretion from hepatocytes. Taken together, these findings indicate that induction of hepatic mtDNA-enriched EVs by ethanol is dependent on ASK1 and p38, thereby promoting alcoholic steatohepatitis.

Authors

Jing Ma, Haixia Cao, Robim M. Rodrigues, Mingjiang Xu, Tianyi Ren, Yong He, Seonghwan Hwang, Dechun Feng, Ruixue Ren, Peixin Yang, Suthat Liangpunsakul, Jian Sun, Bin Gao

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Figure 5

Inhibition of ASK1 ameliorates chronic-plus-binge ethanol–induced hepatic oxidative stress and ER stress.

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Inhibition of ASK1 ameliorates chronic-plus-binge ethanol–induced hepati...
C57BL/6J mice were subjected to E10d+1B feeding and received i.p. injection of ASK1 inhibitors (3 mg/kg GS-4997 or 4 mg/kg NQDI-1) 30 minutes before gavage. Mice were euthanized 9 hours after gavage. (A) Liver tissues were subjected to immunostaining with antibody against MDA or 4-HNE. Representative images (scale bars: 100 μm) and quantification of the area positive for each staining are shown. (B) Western blot analysis of CHOP, BCL2, p-JNK, JNK, and β-actin in the liver. Values represent mean ± SEM (each dot represents one mouse sample). Statistical evaluation was performed by 1-way ANOVA with Tukey’s post hoc test for multiple comparisons. **P < 0.01, ***P < 0.001.