PMID- 34768836 OWN - NLM STAT- MEDLINE DCOM- 20220111 LR - 20220111 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 21 DP - 2021 Oct 22 TI - 5-Aminolevulinic Acid Attenuates Glucose-Regulated Protein 78 Expression and Hepatocyte Lipoapoptosis via Heme Oxygenase-1 Induction. LID - 10.3390/ijms222111405 [doi] LID - 11405 AB - Endoplasmic reticulum (ER) stress plays a pivotal role in the progression of steatohepatitis. 5-aminolevulinic acid (5-ALA), a precursor in the heme biosynthetic pathway, has recently been reported to induce heme oxygenase (HO)-1. HO-1 exerts important cytoprotective actions. In this study, we aimed to explore the therapeutic potential of 5-ALA on palmitate-induced ER stress and lipoapoptosis. Huh-7 cells were treated with palmitic acid (PA) (800 muM) to induce steatosis for eight hours. Steatosis was evaluated by Lipi-green staining. 5-ALA (200 muM) was added with PA. The gene expression levels of the nuclear factor erythroid 2-related factor 2 (NRF2), HO-1, Glucose-regulated protein 78 (GRP78), activating transcription factor 6 (ATF6), PKR-like endoplasmic reticulum kinase (PERK), inositol-requiring enzyme 1 (IRE1), C/EBP homologous protein (CHOP), and B-cell lymphoma 2 (BCL-2) were evaluated by RT-PCR. Caspase-3/7 activity was evaluated by fluorescein active Caspase-3/7 staining. Cell death was evaluated by Annexin V/SYTOX green staining. PA significantly induced steatosis and increased GRP78 expression in Huh-7 cells. 5-ALA significantly induced HO-1 and decreased GRP78 expression. ATF6 was subsequently decreased. However, NRF2 and CHOP expression were not altered. Anti-apoptotic BCL-2 expression significantly increased, and Caspase 3/7 activity and cell death also decreased. 5-ALA has a therapeutic potential on hepatic steatosis by suppressing ER stress and lipoapoptosis by attenuating GRP78 via HO-1 induction. FAU - Hashimoto, Takaaki AU - Hashimoto T AD - Faculty of Medicine, School of Medicine, Tottori University, Yonago 683-8503, Japan. FAU - Sugihara, Takaaki AU - Sugihara T AUID- ORCID: 0000-0003-0522-1884 AD - Division of Medicine and Clinical Science, Department of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan. FAU - Kanda, Tsutomu AU - Kanda T AUID- ORCID: 0000-0003-0409-9258 AD - Division of Medicine and Clinical Science, Department of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan. FAU - Takata, Tomoaki AU - Takata T AUID- ORCID: 0000-0003-2959-6015 AD - Division of Medicine and Clinical Science, Department of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan. FAU - Isomoto, Hajime AU - Isomoto H AD - Division of Medicine and Clinical Science, Department of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan. LA - eng PT - Journal Article DEP - 20211022 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (ATF6 protein, human) RN - 0 (Activating Transcription Factor 6) RN - 0 (DDIT3 protein, human) RN - 0 (Endoplasmic Reticulum Chaperone BiP) RN - 0 (HSPA5 protein, human) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 147336-12-7 (Transcription Factor CHOP) RN - 2V16EO95H1 (Palmitic Acid) RN - 88755TAZ87 (Aminolevulinic Acid) RN - EC 1.14.14.18 (HMOX1 protein, human) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 3.4.22.- (CASP3 protein, human) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Activating Transcription Factor 6/metabolism MH - Aminolevulinic Acid/metabolism/*pharmacology MH - Apoptosis/drug effects MH - Caspase 3/metabolism MH - Cell Line, Tumor MH - Endoplasmic Reticulum Chaperone BiP/genetics/*metabolism MH - Endoplasmic Reticulum Stress/drug effects/physiology MH - Fatty Liver/*metabolism/physiopathology MH - Heme Oxygenase-1/metabolism MH - Hepatocytes/drug effects/metabolism MH - Humans MH - Lipid Metabolism/drug effects MH - NF-E2-Related Factor 2/metabolism MH - Palmitic Acid/pharmacology MH - Transcription Factor CHOP/metabolism PMC - PMC8584191 OTO - NOTNLM OT - 5-aminolevulinic acid OT - endoplasmic reticulum stress OT - glucose-regulated protein 78 OT - heme oxygenase-1 OT - steatohepatitis COIS- The authors declare no conflict of interest. EDAT- 2021/11/14 06:00 MHDA- 2022/01/12 06:00 PMCR- 2021/10/22 CRDT- 2021/11/13 01:03 PHST- 2021/09/29 00:00 [received] PHST- 2021/10/13 00:00 [revised] PHST- 2021/10/19 00:00 [accepted] PHST- 2021/11/13 01:03 [entrez] PHST- 2021/11/14 06:00 [pubmed] PHST- 2022/01/12 06:00 [medline] PHST- 2021/10/22 00:00 [pmc-release] AID - ijms222111405 [pii] AID - ijms-22-11405 [pii] AID - 10.3390/ijms222111405 [doi] PST - epublish SO - Int J Mol Sci. 2021 Oct 22;22(21):11405. doi: 10.3390/ijms222111405.