PMID- 36280140 OWN - NLM STAT- MEDLINE DCOM- 20230321 LR - 20230323 IS - 2352-345X (Electronic) IS - 2352-345X (Linking) VI - 15 IP - 4 DP - 2023 TI - Vitamin D Receptor Activation Targets ROS-Mediated Crosstalk Between Autophagy and Apoptosis in Hepatocytes in Cholestasic Mice. PG - 887-901 LID - S2352-345X(22)00222-3 [pii] LID - 10.1016/j.jcmgh.2022.10.011 [doi] AB - BACKGROUND & AIMS: Observational epidemiologic studies have associated vitamin D deficiency with cholestasis. We reported previously that activation of the vitamin D/vitamin D receptor (VDR) axis in cholangiocytes mitigates cholestatic liver injury by remodeling the damaged bile duct. However, the function of VDR in hepatocytes during cholestasis remains unclear. METHODS: Paricalcitol (VDR agonist, 200 ng/kg) was injected intraperitoneally into bile duct-ligated mice every other day for 5 days. Primary hepatocytes and HepG2 hepatoma cells were transfected with Vdr short hairpin RNA, control short hairpin RNA, Vdr plasmid, control vector, Atg5 small interfering RNA (siRNA), and control siRNA. Liver histology, cell proliferation, and autophagy were evaluated. RESULTS: Treatment with the VDR agonist paricalcitol improved liver injury in bile duct-ligated mice by up-regulating VDR expression in hepatocytes, which in turn reduced hepatocyte apoptosis by inhibiting reactive oxygen species (ROS) generation via suppressing the Ras-related C3 botulinum toxin substrate 1/reduced nicotinamide adenine dinucleotide phosphate oxidase 1 pathway. Mechanistically, upon exposure to an ROS-inducing compound, Vdr siRNA contributed to apoptosis, whereas the Vdr overexpression caused resistance to apoptosis. Interestingly, up-regulated VDR expression also increased the generation of autophagosomes and macroautophagic/autophagic flux, which was the underlying mechanism for reduced apoptosis following VDR activation. Autophagy depletion impaired the positive effects of VDR overexpression, whereas autophagy induction was synergystic with VDR overexpression. Importantly, up-regulation of VDR promoted autophagy activation by suppressing the activation of the extracellular signal-regulated kinase (ERK)/p38 mitogen-activated protein kinase (p38MAPK) pathway. Thus, a p38MAPK inhibitor abrogated the Vdr siRNA-induced decrease in autophagy and the Vdr siRNA-induced increase in apoptosis. In contrast, a Mitogen-activated protein kinase kinase (MEK)/ERK activator prevented the enhancement of autophagy and decreased apoptosis following Vdr overexpression. Moreover, the ROS inhibitor N-acetylcystein (NAC) blocked Vdr siRNA-enhanced activation of the ERK/p38MAPK pathway. CONCLUSIONS: VDR activation mitigated liver cholestatic injury by reducing autophagy-dependent hepatocyte apoptosis and suppressing the activation of the ROS-dependent ERK/p38MAPK pathway. Thus, VDR activation may be a potential target for the treatment of cholestatic liver disease. CI - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Zheng, Zhijian AU - Zheng Z AD - Department of General Surgery, Affiliated Wenling First People's Hospital, Taizhou University, Taizhou, Zhejiang Province, P R China. FAU - Xie, Jing AU - Xie J AD - Department of Cell Biology, School of Medicine, Taizhou University, Taizhou, Zhejiang Province, P R China. FAU - Ma, Liman AU - Ma L AD - Department of Cell Biology, School of Medicine, Taizhou University, Taizhou, Zhejiang Province, P R China. FAU - Hao, Zhiqing AU - Hao Z AD - Department of Pathophysiology, School of Basic Medicine, Shenyang Medical College, Shenyang, Liaoning Province, PR China. FAU - Zhang, Weiwei AU - Zhang W AD - Department of Pathophysiology, School of Basic Medicine, Shenyang Medical College, Shenyang, Liaoning Province, PR China. FAU - Li, Lihua AU - Li L AD - Department of General Surgery, Affiliated Wenling First People's Hospital, Taizhou University, Taizhou, Zhejiang Province, P R China. Electronic address: lilihua1018@sina.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221022 PL - United States TA - Cell Mol Gastroenterol Hepatol JT - Cellular and molecular gastroenterology and hepatology JID - 101648302 RN - 0 (Reactive Oxygen Species) RN - 0 (Receptors, Calcitriol) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) RN - EC 2.7.12.2 (Mitogen-Activated Protein Kinase Kinases) RN - 0 (RNA, Small Interfering) SB - IM MH - Mice MH - Animals MH - Reactive Oxygen Species/metabolism MH - *Receptors, Calcitriol/metabolism MH - Hepatocytes/metabolism MH - Apoptosis MH - Extracellular Signal-Regulated MAP Kinases/metabolism MH - *Cholestasis/pathology MH - Autophagy/genetics MH - Mitogen-Activated Protein Kinase Kinases/metabolism MH - RNA, Small Interfering/metabolism PMC - PMC9972562 OTO - NOTNLM OT - Apoptosis OT - Autophagy OT - ERK/p38MAPK Pathway OT - ROS Generation OT - Vitamin D-Receptor Activation EDAT- 2022/10/25 06:00 MHDA- 2023/03/22 06:00 PMCR- 2022/10/22 CRDT- 2022/10/24 19:27 PHST- 2022/05/31 00:00 [received] PHST- 2022/10/17 00:00 [revised] PHST- 2022/10/17 00:00 [accepted] PHST- 2022/10/25 06:00 [pubmed] PHST- 2023/03/22 06:00 [medline] PHST- 2022/10/24 19:27 [entrez] PHST- 2022/10/22 00:00 [pmc-release] AID - S2352-345X(22)00222-3 [pii] AID - 10.1016/j.jcmgh.2022.10.011 [doi] PST - ppublish SO - Cell Mol Gastroenterol Hepatol. 2023;15(4):887-901. doi: 10.1016/j.jcmgh.2022.10.011. Epub 2022 Oct 22.