1. Acetylation of lactate dehydrogenase B drives NAFLD progression by impairing lactate clearance
- Author
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Jun Xia, Weilei Yao, Longshan Qin, Kai Chen, Qiongyu He, Yafei Shao, Juan Li, Mingming Xu, Li Zhang, Feiruo Huang, Ruilong Zheng, Zhen Li, Lu Huang, Dingyu Pan, Tongxin Wang, and Zheng Zhang
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Cell Line ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Acetyltransferases ,Non-alcoholic Fatty Liver Disease ,Internal medicine ,medicine ,Animals ,Humans ,Tissue Distribution ,p300-CBP Transcription Factors ,Lactic Acid ,chemistry.chemical_classification ,L-Lactate Dehydrogenase ,Hepatology ,biology ,Chemistry ,Fatty liver ,nutritional and metabolic diseases ,Acetylation ,medicine.disease ,digestive system diseases ,Hepatobiliary Elimination ,Isoenzymes ,030104 developmental biology ,Histone ,Enzyme ,Endocrinology ,Liver ,PCAF ,Cell culture ,Acetyltransferase ,Disease Progression ,biology.protein ,030211 gastroenterology & hepatology ,Steatohepatitis - Abstract
Background & Aims Lactate has recently been reported to accumulate in the livers of patients progressing from simple steatosis to non-alcoholic steatohepatitis (NASH). However, the underlying mechanism(s) of lactate accumulation and the role of lactate in the progression of non-alcoholic fatty liver disease (NAFLD) are essentially unknown. Methods We compared the acetylome in liver samples taken from healthy individuals, patients with simple steatosis and patients with NASH to identify potential targets of acetylation with a role in lactate metabolism. Interactions between the acetylated target and acetyltransferases were measured in multiple cell lines. An acetyltransferase inhibitor was injected into high-fat diet (HFD)-fed mice to determine the role of lactate on NAFLD progression in vivo. Results Hyperacetylation of lactate dehydrogenase B (LDHB) was found to be associated with lactate accumulation in NAFL and NASH livers in humans and mice. P300/CBP-associated factor (PCAF)-mediated acetylation of LDHB K82 was found to significantly decrease LDHB activity and impair hepatic lactate clearance, resulting in lactate accumulation. Acetylated LDHB induced lactate accumulation which exacerbated lipid deposition and inflammatory responses by activating histone hyperacetylation in HFD-induced NASH. The administration of embelin, a PCAF inhibitor, and the generation of an acetylation-deficient mutant of LDHB ameliorated NASH. Conclusion PCAF-dependent LDHB acetylation plays a key role in hepatic lipid accumulation and inflammatory responses by impairing lactate clearance; this process might be a potential therapeutic target for the treatment of NASH. Lay summary Lactate is known to accumulate in the livers of patients during the progression of non-alcoholic fatty liver disease (NAFLD); however, the underlying mechanism(s) of this accumulation and its importance in disease progression are unknown. Herein, we show that the acetylation of an enzyme involved in lactate metabolism leads to impaired lactate clearance and exacerbates NAFLD progression.
- Published
- 2021
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