PMID- 35167910 OWN - NLM STAT- MEDLINE DCOM- 20220621 LR - 20221004 IS - 1600-0641 (Electronic) IS - 0168-8278 (Linking) VI - 77 IP - 1 DP - 2022 Jul TI - Inhibition of carnitine palmitoyltransferase 1A in hepatic stellate cells protects against fibrosis. PG - 15-28 LID - S0168-8278(22)00077-0 [pii] LID - 10.1016/j.jhep.2022.02.003 [doi] AB - BACKGROUND & AIMS: The pathogenesis of liver fibrosis requires activation of hepatic stellate cells (HSCs); once activated, HSCs lose intracellular fatty acids but the role of fatty acid oxidation and carnitine palmitoyltransferase 1A (CPT1A) in this process remains largely unexplored. METHODS: CPT1A was found in HSCs of patients with fibrosis. Pharmacological and genetic manipulation of CPT1A were performed in human HSC cell lines and primary HCSs. Finally, we induced fibrosis in mice lacking CPT1A specifically in HSCs. RESULTS: Herein, we show that CPT1A expression is elevated in HSCs of patients with non-alcoholic steatohepatitis, showing a positive correlation with the fibrosis score. This was corroborated in rodents with fibrosis, as well as in primary human HSCs and LX-2 cells activated by transforming growth factor beta1 (TGFbeta1) and fetal bovine serum (FBS). Furthermore, both pharmacological and genetic silencing of CPT1A prevent TGFbeta1- and FBS-induced HSC activation by reducing mitochondrial activity. The overexpression of CPT1A, induced by saturated fatty acids and reactive oxygen species, triggers mitochondrial activity and the expression of fibrogenic markers. Finally, mice lacking CPT1A specifically in HSCs are protected against fibrosis induced by a choline-deficient high-fat diet, a methionine- and choline-deficient diet, or treatment with carbon tetrachloride. CONCLUSIONS: These results indicate that CPT1A plays a critical role in the activation of HSCs and is implicated in the development of liver fibrosis, making it a potentially actionable target for fibrosis treatment. LAY SUMMARY: We show that the enzyme carnitine palmitoyltransferase 1A (CPT1A) is elevated in hepatic stellate cells (HSCs) in patients with fibrosis and mouse models of fibrosis, and that CPT1A induces the activation of these cells. Inhibition of CPT1A ameliorates fibrosis by preventing the activation of HSCs. CI - Copyright (c) 2022 The Author(s). Published by Elsevier B.V. All rights reserved. FAU - Fondevila, Marcos F AU - Fondevila MF AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain. Electronic address: marcos.fernandez.fondevila@gmail.com. FAU - Fernandez, Uxia AU - Fernandez U AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain. FAU - Heras, Violeta AU - Heras V AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Parracho, Tamara AU - Parracho T AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Gonzalez-Rellan, Maria J AU - Gonzalez-Rellan MJ AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Novoa, Eva AU - Novoa E AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Porteiro, Begona AU - Porteiro B AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Alonso, Cristina AU - Alonso C AD - OWL Metabolomics, Technology Park of Bizkaia, Derio, Bizkaia, Spain. FAU - Mayo, Rebeca AU - Mayo R AD - OWL Metabolomics, Technology Park of Bizkaia, Derio, Bizkaia, Spain. FAU - da Silva Lima, Natalia AU - da Silva Lima N AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Iglesias, Cristina AU - Iglesias C AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Filliol, Aveline A AU - Filliol AA AD - Department of Medicine, Columbia University, New York, NY, USA. FAU - Senra, Ana AU - Senra A AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain. FAU - Delgado, Teresa C AU - Delgado TC AD - Liver Disease Lab, Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), 48160 Derio, Bizkaia, Spain; CIBER Enfermedades Hepaticas y Digestivas (CIBERehd), Spain. FAU - Woodhoo, Ashwin AU - Woodhoo A AD - Gene Regulatory Control in Disease, CIMUS, University of Santiago de Compostela, Santiago de Compostela, Spain. FAU - Herrero, Laura AU - Herrero L AD - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain; Department of Biochemistry and Physiology, School of Pharmacy and Food Sciences, Institut de Biomedicina de la Universitat de Barcelona (IBUB), Barcelona, Spain. FAU - Serra, Dolors AU - Serra D AD - CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain; Department of Biochemistry and Physiology, School of Pharmacy and Food Sciences, Institut de Biomedicina de la Universitat de Barcelona (IBUB), Barcelona, Spain. FAU - Prevot, Vincent AU - Prevot V AD - Univ. Lille, Inserm, CHU Lille, Laboratory of Development and Plasticity of the Neuroendocrine Brain, Lille Neuroscience & Cognition, UMR-S 1172, European Genomic Institute for Diabetes (EGID), F-59000 Lille, France. FAU - Schwaninger, Markus AU - Schwaninger M AD - University of Lubeck, Institute for Experimental and Clinical Pharmacology and Toxicology, Lubeck, Germany. FAU - Lopez, Miguel AU - Lopez M AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain. FAU - Dieguez, Carlos AU - Dieguez C AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain. FAU - Millet, Oscar AU - Millet O AD - OWL Metabolomics, Technology Park of Bizkaia, Derio, Bizkaia, Spain; Liver Disease Lab, Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), 48160 Derio, Bizkaia, Spain. FAU - Mato, Jose M AU - Mato JM AD - OWL Metabolomics, Technology Park of Bizkaia, Derio, Bizkaia, Spain; Liver Disease Lab, Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), 48160 Derio, Bizkaia, Spain. FAU - Cubero, Francisco J AU - Cubero FJ AD - Department of Immunology, Ophthalmology & ENT, Complutense University School of Medicine, 28040 Madrid, Spain; Health Research Institute Gregorio Maranon (IiSGM), 28007 Madrid, Spain. FAU - Varela-Rey, Marta AU - Varela-Rey M AD - Gene Regulatory Control in Disease, CIMUS, University of Santiago de Compostela, Santiago de Compostela, Spain. FAU - Iruzubieta, Paula AU - Iruzubieta P AD - Gastroenterology and Hepatology Department, Marques de Valdecilla University Hospital. Clinical and Translational Digestive Research Group, IDIVAL, Santander, Spain. FAU - Crespo, Javier AU - Crespo J AD - Gastroenterology and Hepatology Department, Marques de Valdecilla University Hospital. Clinical and Translational Digestive Research Group, IDIVAL, Santander, Spain. FAU - Martinez-Chantar, Maria L AU - Martinez-Chantar ML AD - Liver Disease Lab, Center for Cooperative Research in Biosciences (CIC bioGUNE), Basque Research and Technology Alliance (BRTA), 48160 Derio, Bizkaia, Spain; CIBER Enfermedades Hepaticas y Digestivas (CIBERehd), Spain. FAU - Schwabe, Robert F AU - Schwabe RF AD - Department of Medicine, Columbia University, New York, NY, USA. FAU - Nogueiras, Ruben AU - Nogueiras R AD - Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigacion Sanitaria, Santiago de Compostela, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion (CIBEROBN), Instituto de Salud Carlos III, Spain; Galician Agency of Innovation (GAIN), Xunta de Galicia, Santiago de Compostela, Spain. Electronic address: ruben.nogueiras@usc.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220212 PL - Netherlands TA - J Hepatol JT - Journal of hepatology JID - 8503886 RN - 0 (Fatty Acids) RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) RN - N91BDP6H0X (Choline) SB - IM MH - Animals MH - *Carnitine O-Palmitoyltransferase/genetics/metabolism MH - Choline MH - Fatty Acids/metabolism MH - Fibrosis MH - *Hepatic Stellate Cells/metabolism MH - Humans MH - Liver/pathology MH - Liver Cirrhosis/metabolism/prevention & control MH - Mice OTO - NOTNLM OT - CPT1A OT - NASH OT - beta oxidation OT - fatty acids OT - fibrosis OT - metabolism COIS- Conflict of interest The authors declare that they have no conflicts of interest related to the study. Please refer to the accompanying ICMJE disclosure forms for further details. EDAT- 2022/02/16 06:00 MHDA- 2022/06/22 06:00 CRDT- 2022/02/15 20:12 PHST- 2021/09/27 00:00 [received] PHST- 2022/02/02 00:00 [revised] PHST- 2022/02/03 00:00 [accepted] PHST- 2022/02/16 06:00 [pubmed] PHST- 2022/06/22 06:00 [medline] PHST- 2022/02/15 20:12 [entrez] AID - S0168-8278(22)00077-0 [pii] AID - 10.1016/j.jhep.2022.02.003 [doi] PST - ppublish SO - J Hepatol. 2022 Jul;77(1):15-28. doi: 10.1016/j.jhep.2022.02.003. Epub 2022 Feb 12.