PMID- 32094147 OWN - NLM STAT- MEDLINE DCOM- 20210610 LR - 20240229 IS - 1754-8411 (Electronic) IS - 1754-8403 (Print) IS - 1754-8403 (Linking) VI - 13 IP - 4 DP - 2020 Apr 29 TI - Novel defatting strategies reduce lipid accumulation in primary human culture models of liver steatosis. LID - 10.1242/dmm.042663 [doi] LID - dmm042663 AB - Normothermic perfusion provides a means to rescue steatotic liver grafts, including by pharmacological defatting. In this study, we tested the potential of new drug combinations to trigger defatting in three human culture models, primary hepatocytes with induced steatosis, primary hepatocytes isolated from steatotic liver, and precision-cut liver slices (PCLS) of steatotic liver. Forskolin, L-carnitine and a PPARalpha agonist were all combined with rapamycin, an immunosuppressant that induces autophagy, in a D-FAT cocktail. D-FAT was tested alone or in combination with necrosulfonamide, an inhibitor of mixed lineage kinase domain like pseudokinase involved in necroptosis. Within 24 h, in all three models, D-FAT induced a decrease in triglyceride content by 30%, attributable to an upregulation of genes involved in free fatty acid beta-oxidation and autophagy, and a downregulation of those involved in lipogenesis. Defatting was accompanied by a decrease in endoplasmic reticulum stress and in the production of reactive oxygen species. The addition of necrosulfonamide increased the efficacy of defatting by 8%-12% in PCLS, with a trend towards increased autophagy. In conclusion, culture models, notably PCLS, are insightful to design strategies for liver graft rescue. Defatting can be rapidly achieved by combinations of drugs targeting mitochondrial oxidative metabolism, macro-autophagy and lipogenesis. CI - (c) 2020. Published by The Company of Biologists Ltd. FAU - Aoudjehane, Lynda AU - Aoudjehane L AUID- ORCID: 0000-0003-4191-0564 AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France lynda.aoudjehane@inserm.fr. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. FAU - Gautheron, Jeremie AU - Gautheron J AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. FAU - Le Goff, Wilfried AU - Le Goff W AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. FAU - Goumard, Claire AU - Goumard C AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. AD - Department of Hepatobiliary and Liver Transplantation Surgery, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris, Paris 75013, France. FAU - Gilaizeau, Julia AU - Gilaizeau J AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. FAU - Nget, Chan Sonavine AU - Nget CS AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. FAU - Savier, Eric AU - Savier E AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. AD - Department of Hepatobiliary and Liver Transplantation Surgery, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris, Paris 75013, France. FAU - Atif, Muhammad AU - Atif M AD - Centre d'immunologie et maladies infectieuses, Sorbonne Universite, INSERM, U1135, Paris 75013, France. FAU - Lesnik, Philippe AU - Lesnik P AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. FAU - Morichon, Romain AU - Morichon R AD - Production et Analyse des donnees en Sciences de la vie et en Sante (PASS), Sorbonne Universite, INSERM, UMS 37, Paris 75013, France. FAU - Chretien, Yves AU - Chretien Y AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. FAU - Calmus, Yvon AU - Calmus Y AD - Department of Medical Liver Transplantation, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris, Paris 75013, France. FAU - Scatton, Olivier AU - Scatton O AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. AD - Department of Hepatobiliary and Liver Transplantation Surgery, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris, Paris 75013, France. FAU - Housset, Chantal AU - Housset C AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. AD - Department of Hepatology, Reference Center for Inflammatory Biliary Diseases and Autoimmune Hepatitis, Saint-Antoine Hospital, Assistance Publique-Hopitaux de Paris, Paris 75012, France. FAU - Conti, Filomena AU - Conti F AD - Institute of Cardiometabolism and Nutrition (ICAN), Sorbonne Universite, INSERM, Paris 75012, France. AD - Centre de Recherche Saint-Antoine (CRSA), Sorbonne Universite, INSERM, Paris 75013, France. AD - Department of Medical Liver Transplantation, Pitie-Salpetriere Hospital, Assistance Publique-Hopitaux de Paris, Paris 75013, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200429 PL - England TA - Dis Model Mech JT - Disease models & mechanisms JID - 101483332 RN - 0 (Acrylamides) RN - 0 (Fatty Acids) RN - 0 (N-(4-(N-(3-methoxypyrazin-2-yl)sulfamoyl)phenyl)-3-(5-nitrothiophene-2-yl)acrylamide) RN - 0 (Sulfonamides) SB - IM MH - Acrylamides MH - Cells, Cultured MH - Fatty Acids MH - Fatty Liver/*metabolism/*pathology MH - Female MH - Hepatocytes/metabolism/pathology MH - Humans MH - *Lipid Metabolism MH - Male MH - Middle Aged MH - *Models, Biological MH - Signal Transduction MH - Sulfonamides PMC - PMC7197711 OTO - NOTNLM OT - Defatting OT - Human hepatocytes OT - Human precision-cut liver slices OT - Liver transplantation OT - Steatosis OT - Triglycerides COIS- Competing interestsThe authors declare no competing or financial interests. EDAT- 2020/02/26 06:00 MHDA- 2021/06/11 06:00 PMCR- 2020/04/29 CRDT- 2020/02/26 06:00 PHST- 2019/10/04 00:00 [received] PHST- 2020/02/13 00:00 [accepted] PHST- 2020/02/26 06:00 [pubmed] PHST- 2021/06/11 06:00 [medline] PHST- 2020/02/26 06:00 [entrez] PHST- 2020/04/29 00:00 [pmc-release] AID - dmm.042663 [pii] AID - DMM042663 [pii] AID - 10.1242/dmm.042663 [doi] PST - epublish SO - Dis Model Mech. 2020 Apr 29;13(4):dmm042663. doi: 10.1242/dmm.042663.