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Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Hepatol 2021 ; 75 (1): 34-45 Nephropedia Template TP
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Magnesium accumulation upon cyclin M4 silencing activates microsomal triglyceride transfer protein improving NASH #MMPMID33571553
Simon J; Goikoetxea-Usandizaga N; Serrano-Macia M; Fernandez-Ramos D; Saenz de Urturi D; Gruskos JJ; Fernandez-Tussy P; Lachiondo-Ortega S; Gonzalez-Recio I; Rodriguez-Agudo R; Gutierrez-de-Juan V; Rodriguez-Iruretagoyena B; Varela-Rey M; Gimenez-Mascarell P; Mercado-Gomez M; Gomez-Santos B; Fernandez-Rodriguez C; Lopitz-Otsoa F; Bizkarguenaga M; Dames S; Schaeper U; Martin F; Sabio G; Iruzubieta P; Crespo J; Aspichueta P; Chu KH; Buccella D; Martin C; Delgado TC; Martinez-Cruz LA; Martinez-Chantar ML
J Hepatol 2021[Jul]; 75 (1): 34-45 PMID33571553show ga
BACKGROUND & AIMS: Perturbations of intracellular magnesium (Mg(2+)) homeostasis have implications for cell physiology. The cyclin M family, CNNM, perform key functions in the transport of Mg(2+) across cell membranes. Herein, we aimed to elucidate the role of CNNM4 in the development of non-alcoholic steatohepatitis (NASH). METHODS: Serum Mg(2+) levels and hepatic CNNM4 expression were characterised in clinical samples. Primary hepatocytes were cultured under methionine and choline deprivation. A 0.1% methionine and choline-deficient diet, or a choline-deficient high-fat diet were used to induce NASH in our in vivo rodent models. Cnnm4 was silenced using siRNA, in vitro with DharmaFECT and in vivo with Invivofectamine(R) or conjugated to N-acetylgalactosamine. RESULTS: Patients with NASH showed hepatic CNNM4 overexpression and dysregulated Mg(2+) levels in the serum. Cnnm4 silencing ameliorated hepatic lipid accumulation, inflammation and fibrosis in the rodent NASH models. Mechanistically, CNNM4 knockdown in hepatocytes induced cellular Mg(2+) accumulation, reduced endoplasmic reticulum stress, and increased microsomal triglyceride transfer activity, which promoted hepatic lipid clearance by increasing the secretion of VLDLs. CONCLUSIONS: CNNM4 is overexpressed in patients with NASH and is responsible for dysregulated Mg(2+) transport. Hepatic CNNM4 is a promising therapeutic target for the treatment of NASH. LAY SUMMARY: Cyclin M4 (CNNM4) is overexpressed in non-alcoholic steatohepatitis (NASH) and promotes the export of magnesium from the liver. The liver-specific silencing of Cnnm4 ameliorates NASH by reducing endoplasmic reticulum stress and promoting the activity of microsomal triglyceride transfer protein.