A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis

Abstract Only ~20% of heavy drinkers develop alcohol cirrhosis (AC). While differences in metabolism, inflammation, signaling, microbiome signatures and genetic variations have been tied to the pathogenesis of AC, the key underlying mechanisms for this interindividual variability, remain to be fully...

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Main Authors: Bani Mukhopadhyay, Cheryl Marietta, Pei-Hong Shen, Abdul Oiseni, Faridoddin Mirshahi, Maria Mazzu, Colin Hodgkinson, Eli Winkler, Qiaoping Yuan, Daniel Miranda, George Kunos, Arun J. Sanyal, David Goldman
Format: Article
Language:English
Published: Nature Portfolio 2024-05-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-47085-y
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author Bani Mukhopadhyay
Cheryl Marietta
Pei-Hong Shen
Abdul Oiseni
Faridoddin Mirshahi
Maria Mazzu
Colin Hodgkinson
Eli Winkler
Qiaoping Yuan
Daniel Miranda
George Kunos
Arun J. Sanyal
David Goldman
author_facet Bani Mukhopadhyay
Cheryl Marietta
Pei-Hong Shen
Abdul Oiseni
Faridoddin Mirshahi
Maria Mazzu
Colin Hodgkinson
Eli Winkler
Qiaoping Yuan
Daniel Miranda
George Kunos
Arun J. Sanyal
David Goldman
author_sort Bani Mukhopadhyay
collection DOAJ
description Abstract Only ~20% of heavy drinkers develop alcohol cirrhosis (AC). While differences in metabolism, inflammation, signaling, microbiome signatures and genetic variations have been tied to the pathogenesis of AC, the key underlying mechanisms for this interindividual variability, remain to be fully elucidated. Induced pluripotent stem cell-derived hepatocytes (iHLCs) from patients with AC and healthy controls differ transcriptomically, bioenergetically and histologically. They include a greater number of lipid droplets (LDs) and LD-associated mitochondria compared to control cells. These pre-pathologic indicators are effectively reversed by Aramchol, an inhibitor of stearoyl-CoA desaturase. Bioenergetically, AC iHLCs have lower spare capacity, slower ATP production and their mitochondrial fuel flexibility towards fatty acids and glutamate is weakened. MARC1 and PNPLA3, genes implicated by GWAS in alcohol cirrhosis, show to correlate with lipid droplet-associated and mitochondria-mediated oxidative damage in AC iHLCs. Knockdown of PNPLA3 expression exacerbates mitochondrial deficits and leads to lipid droplets alterations. These findings suggest that differences in mitochondrial bioenergetics and lipid droplet formation are intrinsic to AC hepatocytes and can play a role in its pathogenesis.
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spelling doaj-art-5e94a80be9ff4499a96a3e21c2c7338e2025-02-02T12:30:58ZengNature PortfolioNature Communications2041-17232024-05-0115111910.1038/s41467-024-47085-yA patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesisBani Mukhopadhyay0Cheryl Marietta1Pei-Hong Shen2Abdul Oiseni3Faridoddin Mirshahi4Maria Mazzu5Colin Hodgkinson6Eli Winkler7Qiaoping Yuan8Daniel Miranda9George Kunos10Arun J. Sanyal11David Goldman12Laboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHDivision of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of MedicineDivision of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of MedicineLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHAivia Machine Learning Team, Leica Microsystems, IncLaboratory of Physiologic Studies, National Institute on Alcohol Abuse and Alcoholism, NIHDivision of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University School of MedicineLaboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, NIHAbstract Only ~20% of heavy drinkers develop alcohol cirrhosis (AC). While differences in metabolism, inflammation, signaling, microbiome signatures and genetic variations have been tied to the pathogenesis of AC, the key underlying mechanisms for this interindividual variability, remain to be fully elucidated. Induced pluripotent stem cell-derived hepatocytes (iHLCs) from patients with AC and healthy controls differ transcriptomically, bioenergetically and histologically. They include a greater number of lipid droplets (LDs) and LD-associated mitochondria compared to control cells. These pre-pathologic indicators are effectively reversed by Aramchol, an inhibitor of stearoyl-CoA desaturase. Bioenergetically, AC iHLCs have lower spare capacity, slower ATP production and their mitochondrial fuel flexibility towards fatty acids and glutamate is weakened. MARC1 and PNPLA3, genes implicated by GWAS in alcohol cirrhosis, show to correlate with lipid droplet-associated and mitochondria-mediated oxidative damage in AC iHLCs. Knockdown of PNPLA3 expression exacerbates mitochondrial deficits and leads to lipid droplets alterations. These findings suggest that differences in mitochondrial bioenergetics and lipid droplet formation are intrinsic to AC hepatocytes and can play a role in its pathogenesis.https://doi.org/10.1038/s41467-024-47085-y
spellingShingle Bani Mukhopadhyay
Cheryl Marietta
Pei-Hong Shen
Abdul Oiseni
Faridoddin Mirshahi
Maria Mazzu
Colin Hodgkinson
Eli Winkler
Qiaoping Yuan
Daniel Miranda
George Kunos
Arun J. Sanyal
David Goldman
A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis
Nature Communications
title A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis
title_full A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis
title_fullStr A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis
title_full_unstemmed A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis
title_short A patient-based iPSC-derived hepatocyte model of alcohol-associated cirrhosis reveals bioenergetic insights into disease pathogenesis
title_sort patient based ipsc derived hepatocyte model of alcohol associated cirrhosis reveals bioenergetic insights into disease pathogenesis
url https://doi.org/10.1038/s41467-024-47085-y
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