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Increased CHCHD2 expression promotes liver fibrosis in nonalcoholic steatohepatitis via Notch/osteopontin signaling
Yue Li, … , Qi Wang, Chunjiong Wang
Yue Li, … , Qi Wang, Chunjiong Wang
Published December 8, 2022
Citation Information: JCI Insight. 2022;7(23):e162402. https://doi.org/10.1172/jci.insight.162402.
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Research Article Gastroenterology Hepatology

Increased CHCHD2 expression promotes liver fibrosis in nonalcoholic steatohepatitis via Notch/osteopontin signaling

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Abstract

Nonalcoholic steatohepatitis (NASH) is closely related to liver fibrosis. The role of coiled-coil-helix-coiled-coil-helix domain-containing 2 (CHCHD2) in NASH remains unknown. CHCHD2’s functions as a transcription factor have received much less attention than those in mitochondria. Herein, we systematically characterized the role of CHCHD2 as a transcription factor by chromatin immunoprecipitation sequencing and found its target genes were enriched in nonalcoholic fatty liver disease (NAFLD). Overall, CHCHD2 expression was found to be increased in the livers of patients with NAFLD and those of NASH mice. In line with these findings, CHCHD2 deficiency ameliorated NASH- and thioacetamide-induced liver fibrosis, whereas hepatocyte-specific CHCHD2 overexpression promoted liver fibrosis in NASH mice via Notch signaling. Specifically, CHCHD2-overexpressing hepatocytes activated hepatic stellate cells by upregulating osteopontin levels, a downstream mediator of Notch signals. Moreover, Notch inhibition attenuated CHCHD2 overexpression–induced liver fibrosis in vivo and in vitro. Then we found lipopolysaccharide-induced CHCHD2 expression in hepatocytes was reverted by verteporfin, an inhibitor that disrupts the interaction between Yes-associated protein (YAP) and transcriptional enhanced associate domains (TEADs). In addition, CHCHD2 levels were positively correlated with those of TEAD1 in human samples. In conclusion, CHCHD2 is upregulated via YAP/TAZ-TEAD in NASH livers and consequently promotes liver fibrosis by activating the Notch pathway and enhancing osteopontin production.

Authors

Yue Li, Wenjing Xiu, Jingwen Xu, Xiangmei Chen, Guangyan Wang, Jinjie Duan, Lei Sun, Ben Liu, Wen Xie, Guangyin Pu, Qi Wang, Chunjiong Wang

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Figure 1

ChIP-sequencing analysis of CHCHD2 and the CHCHD2 expression in patients with NAFLD.

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ChIP-sequencing analysis of CHCHD2 and the CHCHD2 expression in patients...
(A–E) CHCHD2 was overexpressed in primary mouse hepatocytes by adenovirus. (A) Western blot analysis of protein level of CHCHD2; ChIP sequencing was performed by anti-CHCHD2 antibody in CHCHD2-overexpressed primary mouse hepatocytes. (B) Density plot and heatmap of CHCHD2 peak locations in relation to the transcriptional start site (TSS), (C) peak distribution, and (D) the CHCHD2 motif were analyzed. TES, transcription end site. (E) KEGG enrichment of annotated peaks and top 15 enriched KEGG pathways based on P value. (F) H&E and Masson’s trichome staining of liver sections of healthy controls and patients with NAFLD at different stages of fibrosis. (G) Representative immunohistochemical staining of CHCHD2 of liver sections of healthy controls (n = 4) and NAFLD patients (n = 38) at different stages of fibrosis. Red arrow, representative hepatocyte; blue arrow, representative nonparenchymal cell. Inset original magnification, ×25. (H–J) Quantification of integrated optical density of CHCHD2. (H) Integrated optical density (IOD) of CHCHD2 of liver sections from patients with NAFLD and healthy controls. (I) IOD of CHCHD2 of liver sections from healthy controls (n = 4) and NAFLD patients with NAS score ≤ 4 (n = 15) or ≥ 5 (n = 23). (J) IOD of CHCHD2 of liver sections from healthy controls (n = 4) and NAFLD patients with S0 (n = 6), S1–2 (n = 13), and S3–4 (n = 19) fibrosis. *P < 0.05. NC, normal control. (H) P value was from unpaired t test; (I and J) P values were from a 1-way ANOVA with a post hoc Fisher’s least significant difference (LSD) test.

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