PMID- 36881564 OWN - NLM STAT- MEDLINE DCOM- 20230811 LR - 20230811 IS - 1522-1547 (Electronic) IS - 0193-1857 (Print) IS - 0193-1857 (Linking) VI - 324 IP - 5 DP - 2023 May 1 TI - Myeloid-specific fatty acid transport protein 4 deficiency induces a sex-dimorphic susceptibility for nonalcoholic steatohepatitis in mice fed a high-fat, high-cholesterol diet. PG - G389-G403 LID - 10.1152/ajpgi.00181.2022 [doi] AB - Newborns with FATP4 mutations exhibit ichthyosis prematurity syndrome (IPS), and adult patients show skin hyperkeratosis, allergies, and eosinophilia. We have previously shown that the polarization of macrophages is altered by FATP4 deficiency; however, the role of myeloid FATP4 in the pathogenesis of nonalcoholic steatohepatitis (NASH) is not known. We herein phenotyped myeloid-specific Fatp4-deficient (Fatp4(M-/-)) mice under chow and high-fat, high-cholesterol (HFHC) diet. Bone-marrow-derived macrophages (BMDMs) from Fatp4(M-/-) mice showed significant reduction in cellular sphingolipids in males and females, and additionally phospholipids in females. BMDMs and Kupffer cells from Fatp4(M-/-) mice exhibited increased LPS-dependent activation of proinflammatory cytokines and transcription factors PPARgamma, CEBPalpha, and p-FoxO1. Correspondingly, these mutants under chow diet displayed thrombocytopenia, splenomegaly, and elevated liver enzymes. After HFHC feeding, Fatp4(M-/-) mice showed increased MCP-1 expression in livers and subcutaneous fat. Plasma MCP-1, IL4, and IL13 levels were elevated in male and female mutants, and female mutants additionally showed elevation of IL5 and IL6. After HFHC feeding, male mutants showed an increase in hepatic steatosis and inflammation, whereas female mutants showed a greater severity in hepatic fibrosis associated with immune cell infiltration. Thus, myeloid-FATP4 deficiency led to steatotic and inflammatory NASH in males and females, respectively. Our work offers some implications for patients with FATP4 mutations and also highlights considerations in the design of sex-targeted therapies for NASH treatment.NEW & NOTEWORTHY FATP4 deficiency in BMDMs and Kupffer cells led to increased proinflammatory response. Fatp4(M-/-) mice displayed thrombocytopenia, splenomegaly, and elevated liver enzymes. In response to HFHC feeding, male mutants were prone to hepatic steatosis, whereas female mutants showed exaggerated fibrosis. Our study provides insights into a sex-dimorphic susceptibility to NASH by myeloid-FATP4 deficiency. FAU - Gocebe, Deniz AU - Gocebe D AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. FAU - Jansakun, Chutima AU - Jansakun C AUID- ORCID: 0000-0002-7892-4436 AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. AD - School of Allied Health Sciences, Walailak University, Nakhonsrithammarat, Thailand. FAU - Zhang, Yuling AU - Zhang Y AUID- ORCID: 0000-0001-8956-2808 AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. FAU - Staffer, Simone AU - Staffer S AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. FAU - Tuma-Kellner, Sabine AU - Tuma-Kellner S AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. FAU - Altamura, Sandro AU - Altamura S AUID- ORCID: 0000-0002-6781-1073 AD - Department of Pediatric Oncology, Hematology and Immunology, University Hospital Heidelberg, Heidelberg, Germany. FAU - Muckenthaler, Martina U AU - Muckenthaler MU AD - Department of Pediatric Oncology, Hematology and Immunology, University Hospital Heidelberg, Heidelberg, Germany. AD - Translational Lung Research Center Heidelberg, German Center for Lung Research (DZL), German Centre for Cardiovascular Research, Partner Site, University of Heidelberg, Heidelberg, Germany. FAU - Merle, Uta AU - Merle U AUID- ORCID: 0000-0003-1386-3350 AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. FAU - Herrmann, Thomas AU - Herrmann T AD - Westkuesten Hospital, Heide, Germany. FAU - Chamulitrat, Walee AU - Chamulitrat W AUID- ORCID: 0000-0002-5999-7664 AD - Department of Internal Medicine IV, University Hospital Heidelberg, Heidelberg, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230307 PL - United States TA - Am J Physiol Gastrointest Liver Physiol JT - American journal of physiology. Gastrointestinal and liver physiology JID - 100901227 RN - 97C5T2UQ7J (Cholesterol) RN - 0 (Fatty Acid Transport Proteins) RN - 0 (Slc27a4 protein, mouse) SB - IM MH - Animals MH - Female MH - Male MH - Mice MH - Cholesterol/metabolism MH - Diet, High-Fat MH - *Fatty Acid Transport Proteins/genetics/metabolism MH - Liver/metabolism MH - *Non-alcoholic Fatty Liver Disease/genetics/complications MH - Splenomegaly/complications/metabolism/pathology PMC - PMC10085558 OTO - NOTNLM OT - fatty acid transport proteins OT - high-cholesterol diets OT - high-fat OT - macrophage polarization OT - monocyte chemoattractant protein-1 OT - nonalcoholic steatohepatitis COIS- No conflicts of interest, financial or otherwise, are declared by the authors. EDAT- 2023/03/08 06:00 MHDA- 2023/04/06 10:16 PMCR- 2023/03/07 CRDT- 2023/03/07 13:23 PHST- 2023/04/06 10:16 [medline] PHST- 2023/03/08 06:00 [pubmed] PHST- 2023/03/07 13:23 [entrez] PHST- 2023/03/07 00:00 [pmc-release] AID - GI-00181-2022 [pii] AID - 10.1152/ajpgi.00181.2022 [doi] PST - ppublish SO - Am J Physiol Gastrointest Liver Physiol. 2023 May 1;324(5):G389-G403. doi: 10.1152/ajpgi.00181.2022. Epub 2023 Mar 7.