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2015 ; 5
(ä): 18017
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Lysosomal Cholesterol Accumulation Sensitizes To Acetaminophen Hepatotoxicity by
Impairing Mitophagy
#MMPMID26657973
Baulies A
; Ribas V
; Núñez S
; Torres S
; Alarcón-Vila C
; Martínez L
; Suda J
; Ybanez MD
; Kaplowitz N
; García-Ruiz C
; Fernández-Checa JC
Sci Rep
2015[Dec]; 5
(ä): 18017
PMID26657973
show ga
The role of lysosomes in acetaminophen (APAP) hepatotoxicity is poorly
understood. Here, we investigated the impact of genetic and drug-induced
lysosomal cholesterol (LC) accumulation in APAP hepatotoxicity. Acid
sphingomyelinase (ASMase)(-/-) mice exhibit LC accumulation and higher mortality
after APAP overdose compared to ASMase(+/+) littermates. ASMase(-/-) hepatocytes
display lower threshold for APAP-induced cell death and defective fusion of
mitochondria-containing autophagosomes with lysosomes, which decreased
mitochondrial quality control. LC accumulation in ASMase(+/+) hepatocytes caused
by U18666A reproduces the susceptibility of ASMase(-/-) hepatocytes to APAP and
the impairment in the formation of mitochondria-containing autolysosomes. LC
extraction by 25-hydroxycholesterol increased APAP-mediated mitophagy and
protected ASMase(-/-) mice and hepatocytes against APAP hepatotoxicity, effects
that were reversed by chloroquine to disrupt autophagy. The regulation of LC by
U18666A or 25-hydroxycholesterol did not affect total cellular sphingomyelin
content or its lysosomal distribution. Of relevance, amitriptyline-induced ASMase
inhibition in human hepatocytes caused LC accumulation, impaired mitophagy and
increased susceptibility to APAP. Similar results were observed upon
glucocerebrosidase inhibition by conduritol ?-epoxide, a cellular model of
Gaucher disease. These findings indicate that LC accumulation determines
susceptibility to APAP hepatotoxicity by modulating mitophagy, and imply that
genetic or drug-mediated ASMase disruption sensitizes to APAP-induced liver
injury.