PMID- 24126888 OWN - NLM STAT- MEDLINE DCOM- 20140128 LR - 20230216 IS - 1530-0307 (Electronic) IS - 0023-6837 (Linking) VI - 93 IP - 12 DP - 2013 Dec TI - Excess iron modulates endoplasmic reticulum stress-associated pathways in a mouse model of alcohol and high-fat diet-induced liver injury. PG - 1295-312 LID - 10.1038/labinvest.2013.121 [doi] AB - Endoplasmic reticulum (ER) stress is an important pathogenic mechanism for alcoholic (ALD) and nonalcoholic fatty liver disease (NAFLD). Iron overload is an important cofactor for liver injury in ALD and NAFLD, but its role in ER stress and associated stress signaling pathways is unclear. To investigate this, we developed a murine model of combined liver injury by co-feeding the mildly iron overloaded, the hemochromatosis gene-null (Hfe(-/)) mouse ad libitum with ethanol and a high-fat diet (HFD) for 8 weeks. This co-feeding led to profound steatohepatitis, significant fibrosis, and increased apoptosis in the Hfe(-/-) mice as compared with wild-type (WT) controls. Iron overload also led to induction of unfolded protein response (XBP1 splicing, activation of IRE-1alpha and PERK, as well as sequestration of GRP78) and ER stress (increased CHOP protein expression) following HFD and ethanol. This is associated with a muted autophagic response including reduced LC3-I expression and impaired conjugation to LC3-II, reduced beclin-1 protein, and failure of induction of autophagy-related proteins (Atg) 3, 5, 7, and 12. As a result of the impaired autophagy, levels of the sequestosome protein p62 were most elevated in the Hfe(-/-) group co-fed ethanol and HFD. Iron overload reduces the activation of adenosine monophosphate protein kinase associated with ethanol and HFD feeding. We conclude that iron toxicity may modulate hepatic stress signaling pathways by impairing adaptive cellular compensatory mechanisms in alcohol- and obesity-induced liver injury. FAU - Tan, Terrence C H AU - Tan TC AD - 1] School of Medicine, University of Queensland, Brisbane, QLD, Australia [2] Gallipoli Medical Research Centre, Greenslopes Hospital, Brisbane, QLD, Australia [3] Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, QLD, Australia. FAU - Crawford, Darrell H G AU - Crawford DH FAU - Jaskowski, Lesley A AU - Jaskowski LA FAU - Subramaniam, V Nathan AU - Subramaniam VN FAU - Clouston, Andrew D AU - Clouston AD FAU - Crane, Denis I AU - Crane DI FAU - Bridle, Kim R AU - Bridle KR FAU - Anderson, Gregory J AU - Anderson GJ FAU - Fletcher, Linda M AU - Fletcher LM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131014 PL - United States TA - Lab Invest JT - Laboratory investigation; a journal of technical methods and pathology JID - 0376617 RN - 0 (Endoplasmic Reticulum Chaperone BiP) RN - 0 (Hspa5 protein, mouse) RN - 0 (Toll-Like Receptors) RN - 0 (Trace Elements) RN - E1UOL152H7 (Iron) SB - IM MH - Alcohol Drinking/adverse effects/blood MH - Animals MH - Apoptosis/drug effects MH - Autophagy/drug effects MH - Diet, High-Fat/adverse effects MH - *Disease Models, Animal MH - Endoplasmic Reticulum Chaperone BiP MH - Endoplasmic Reticulum Stress/*drug effects MH - Fatty Liver, Alcoholic/blood/*etiology/pathology MH - Iron/administration & dosage/*adverse effects/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Obesity/blood/*complications MH - Random Allocation MH - Toll-Like Receptors/metabolism MH - Trace Elements/administration & dosage/*adverse effects/metabolism EDAT- 2013/10/16 06:00 MHDA- 2014/01/29 06:00 CRDT- 2013/10/16 06:00 PHST- 2013/06/26 00:00 [received] PHST- 2013/09/16 00:00 [revised] PHST- 2013/09/18 00:00 [accepted] PHST- 2013/10/16 06:00 [entrez] PHST- 2013/10/16 06:00 [pubmed] PHST- 2014/01/29 06:00 [medline] AID - S0023-6837(22)00872-8 [pii] AID - 10.1038/labinvest.2013.121 [doi] PST - ppublish SO - Lab Invest. 2013 Dec;93(12):1295-312. doi: 10.1038/labinvest.2013.121. Epub 2013 Oct 14.