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2018 ; 9
(2
): 51
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Ethanol sensitizes hepatocytes for TGF-?-triggered apoptosis
#MMPMID29352207
Gaitantzi H
; Meyer C
; Rakoczy P
; Thomas M
; Wahl K
; Wandrer F
; Bantel H
; Alborzinia H
; Wölfl S
; Ehnert S
; Nüssler A
; Bergheim I
; Ciuclan L
; Ebert M
; Breitkopf-Heinlein K
; Dooley S
Cell Death Dis
2018[Jan]; 9
(2
): 51
PMID29352207
show ga
Alcohol abuse is a global health problem causing a substantial fraction of
chronic liver diseases. Abundant TGF-?-a potent pro-fibrogenic cytokine-leads to
disease progression. Our aim was to elucidate the crosstalk of TGF-? and alcohol
on hepatocytes. Primary murine hepatocytes were challenged with ethanol and TGF-?
and cell fate was determined. Fluidigm RNA analyses revealed transcriptional
effects that regulate survival and apoptosis. Mechanistic insights were derived
from enzyme/pathway inhibition experiments and modulation of oxidative stress
levels. To substantiate findings, animal model specimens and human liver tissue
cultures were investigated. RESULTS: On its own, ethanol had no effect on
hepatocyte apoptosis, whereas TGF-? increased cell death. Combined treatment led
to massive hepatocyte apoptosis, which could also be recapitulated in human HCC
liver tissue treated ex vivo. Alcohol boosted the TGF-? pro-apoptotic gene
signature. The underlying mechanism of pathway crosstalk involves SMAD and
non-SMAD/AKT signaling. Blunting CYP2E1 and ADH activities did not prevent this
effect, implying that it was not a consequence of alcohol metabolism. In line
with this, the ethanol metabolite acetaldehyde did not mimic the effect and
glutathione supplementation did not prevent the super-induction of cell death. In
contrast, blocking GSK-3? activity, a downstream mediator of AKT signaling,
rescued the strong apoptotic response triggered by ethanol and TGF-?. This study
provides novel information on the crosstalk between ethanol and TGF-?. We give
evidence that ethanol directly leads to a boost of TGF-?'s pro-apoptotic function
in hepatocytes, which may have implications for patients with chronic alcoholic
liver disease.