PMID- 37060561 OWN - NLM STAT- MEDLINE DCOM- 20231006 LR - 20231010 IS - 2211-1247 (Electronic) VI - 42 IP - 4 DP - 2023 Apr 25 TI - Complementary gene regulation by NRF1 and NRF2 protects against hepatic cholesterol overload. PG - 112399 LID - S2211-1247(23)00410-2 [pii] LID - 10.1016/j.celrep.2023.112399 [doi] AB - Hepatic cholesterol overload promotes steatohepatitis. Insufficient understanding of liver stress defense impedes therapy development. Here, we elucidate the role of stress defense transcription factors, nuclear factor erythroid 2 related factor-1 (NRF1) and -2 (NRF2), in counteracting cholesterol-linked liver stress. Using a diet that increases liver cholesterol storage, expression profiles and phenotypes of liver from mice with hepatocyte deficiency of NRF1, NRF2, or both are compared with controls, and chromatin immunoprecipitation sequencing is undertaken to identify target genes. Results show NRF1 and NRF2 co-regulate genes that eliminate cholesterol and mitigate inflammation and oxidative damage. Combined deficiency, but not deficiency of either alone, results in severe steatohepatitis, hepatic cholesterol overload and crystallization, altered bile acid metabolism, and decreased biliary cholesterol. Moreover, therapeutic effects of NRF2-activating drug bardoxolone require NRF1 and are supplemented by NRF1 overexpression. Thus, we discover complementary gene programming by NRF1 and NRF2 that counteract cholesterol-associated fatty liver disease progression. CI - Copyright (c) 2023 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Akl, May G AU - Akl MG AD - Department of Anatomy, Physiology, and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada; Department of Physiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. FAU - Li, Lei AU - Li L AD - Department of Anatomy, Physiology, and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Baccetto, Raquel AU - Baccetto R AD - Department of Anatomy, Physiology, and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Phanse, Sadhna AU - Phanse S AD - Department of Chemistry and Biochemistry, University of Regina, Regina, SK, Canada. FAU - Zhang, Qingzhou AU - Zhang Q AD - Department of Chemistry and Biochemistry, University of Regina, Regina, SK, Canada. FAU - Trites, Michael J AU - Trites MJ AD - Department of Anatomy, Physiology, and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - McDonald, Sherin AU - McDonald S AD - Department of Anatomy, Physiology, and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Aoki, Hiroyuki AU - Aoki H AD - Department of Chemistry and Biochemistry, University of Regina, Regina, SK, Canada. FAU - Babu, Mohan AU - Babu M AD - Department of Chemistry and Biochemistry, University of Regina, Regina, SK, Canada. FAU - Widenmaier, Scott B AU - Widenmaier SB AD - Department of Anatomy, Physiology, and Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada. Electronic address: scott.widenmaier@usask.ca. LA - eng GR - CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230414 PL - United States TA - Cell Rep JT - Cell reports JID - 101573691 RN - 97C5T2UQ7J (Cholesterol) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (Nrf1 protein, mouse) SB - IM EIN - Cell Rep. 2023 Jul 25;42(7):112872. PMID: 37454293 MH - Animals MH - Mice MH - Cholesterol/metabolism MH - Gene Expression Regulation MH - Liver/metabolism MH - *NF-E2-Related Factor 2/genetics/metabolism MH - *Non-alcoholic Fatty Liver Disease/metabolism MH - Oxidative Stress OTO - NOTNLM OT - CP: Metabolism OT - cholesterol OT - fatty liver disease OT - immunometabolism OT - steatohepatitis OT - stress defense OT - transcription factor COIS- Declaration of interests The authors declare no competing interests. EDAT- 2023/04/16 06:00 MHDA- 2023/10/04 06:43 CRDT- 2023/04/15 12:36 PHST- 2022/02/10 00:00 [received] PHST- 2022/10/04 00:00 [revised] PHST- 2023/03/30 00:00 [accepted] PHST- 2023/10/04 06:43 [medline] PHST- 2023/04/16 06:00 [pubmed] PHST- 2023/04/15 12:36 [entrez] AID - S2211-1247(23)00410-2 [pii] AID - 10.1016/j.celrep.2023.112399 [doi] PST - ppublish SO - Cell Rep. 2023 Apr 25;42(4):112399. doi: 10.1016/j.celrep.2023.112399. Epub 2023 Apr 14.