Comparative Proteomic Study Reveals 17Β-HSD13 As a Pathogenic Protein in Nonalcoholic Fatty Liver Disease
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Comparative proteomic study reveals 17β-HSD13 as a pathogenic protein in nonalcoholic fatty liver disease Wen Sua,1, Yang Wangb,c,1, Xiao Jiaa,1, Wenhan Wud, Linghai Lib, Xiaodong Tiand, Sha Lia, Chunjiong Wanga, Huamin Xua, Jiaqi Caoa, Qifei Hana, Shimeng Xub,c, Yong Chenb, Yanfeng Zhonge,f, Xiaoyan Zhangg, Pingsheng Liub,2, Jan-Åke Gustafssonh,2, and Youfei Guana,g,2 aDepartment of Physiology and Pathophysiology, Key Laboratory of Molecular Cardiovascular Science, Peking University Health Science Center, Beijing, 100191, China; bNational Laboratory of Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing, 100101, China; cUniversity of Chinese Academy of Sciences, Beijing, 100049, China; dDepartment of Surgery, Peking University First Hospital, Beijing, 100044, China; fDepartment of Pathology, Health Science Center and eBeijing Autopsy Center, Peking University, Beijing, 100191, China; gDepartment of Physiology, Shenzhen University Health Science Center, Shenzhen, 518060, China; and hCenter for Nuclear Receptors and Cell Signaling, University of Houston, Houston, TX 77204 Contributed by Jan-Åke Gustafsson, June 9, 2014 (sent for review May 24, 2014; reviewed by Yu Huang, Xiong Ruan, and Tianxin Yang) Nonalcoholic fatty liver disease (NAFLD) is characterized by a massive atherosclerosis. In addition to a monolayer of phospholipids, accumulation of lipid droplets (LDs). The aim of this study was to LDs are also covered by many proteins (12), which have been determine the function of 17β-hydroxysteroid dehydrogenase-13 considered to play an important role in the dynamic regulation of (17β-HSD13), one of our newly identified LD-associated proteins in the size and lipid contents of LDs (13). human subjects with normal liver histology and simple steatosis, in The hallmark feature of the pathogenesis of NAFLD is the NAFLD development. LDs were isolated from 21 human liver biop- accumulation of TGs in the liver, which results in large hepatic sies, including 9 cases with normal liver histology (group 1) and 12 LDs (14). Although a number of studies have provided useful cases with simple steatosis (group 2). A complete set of LD-associ- information about the protein composition of LDs in many dif- ated proteins from three liver samples of group 1 or group 2 were ferent species, ranging from bacteria to mammals (12), there has determined by 2D LC-MS/MS. By comparing the LD-associated pro- yet to be a report detailing the proteome of human liver LDs. In tein profiles between subjects with or without NAFLD, 54 up-regu- the present study, we performed a proteomic study of human liver lated and 35 down-regulated LD-associated proteins were found LDs purified from human subjects with or without simple stea- β MEDICAL SCIENCES in NAFLD patients. Among them, 17 -HSD13 represents a previously tosis. We also compared protein profiles of LDs of human livers unidentified LD-associated protein with a significant up-regulation with or without simple fatty liver. Among many differentially in NAFLD. Because the 17β-HSD family plays an important role in β β β expressed proteins, 17 -hydroxysteroid dehydrogenase-13 (17 - lipid metabolism, 17 -HSD13 was selected for validating the proteo- HSD13) represents a previously unidentified human liver LD-as- mic findings and exploring its role in the pathogenesis of NAFLD. sociated protein, which is significantly up-regulated in the hepatic Increased hepatic 17β-HSD13 and its LD surface location were con- LDs of patients with fatty liver and enhances hepatic lipogenesis in firmed in db/db (diabetic) and high-fat diet-fed mice. Adenovirus- normal mouse liver and cultured human hepatocytes. mediated hepatic overexpression of human 17β-HSD13 induced a fatty liver phenotype in C57BL/6 mice, with a significant increase Results in mature sterol regulatory element-binding protein 1 and fatty acid Histological and Morphological Analyses of the Livers of Human synthase levels. The present study reports an extensive set of hu- Subjects With or Without Simple Steatosis. man liver LD proteins and an array of proteins differentially Histological and mor- expressed in human NAFLD. We also identified 17β-HSD13 as a path- phological examination showed typical hepatocellular steatosis ogenic protein in the development of NAFLD. and ballooning, without inflammation and fibrosis in patients lipogenesis | SCDR9 | HSDI7β13 Significance onalcoholic fatty liver disease (NAFLD) has become a major Nonalcoholic fatty liver disease (NAFLD) is a common chronic Nhealth concern worldwide (1). NAFLD comprises a morpho- hepatic disease affecting up to 25% of subjects in the de- logical spectrum of liver lesions ranging from simple triglyceride veloped world, and represents a progressive illness eventually (TG) accumulation in hepatocytes (simple steatosis) to inflam- leading to liver fibrosis and cirrhosis. This study reports an matory and hepatocellular ballooning injury (nonalcoholic stea- extensive set of human liver lipid droplet (LD)-associated pro- teins and an array of proteins differentially expressed in human tohepatitis), eventually leading to fibrosis and cirrhosis (2). NAFLD. We also uncover 17β-hydroxysteroid dehydrogenase-13, NAFLD is a well-documented risk factor for hyperlipidemia (3), a newly identified LD-associated protein, as a pathogenic mole- type 2 diabetes (4), and hepatocarcinoma (5). Histologically, cule in the development of NAFLD. The present study provides NAFLD is characterized by a significant accumulation of lipid a potential link between LD proteins and the pathogenesis of droplets (LDs) (1), subcellular organelles consisting of a neutral hepatic steatosis. lipid core covered by a monolayer of phospholipids and many associated proteins (6–9). LDs provide a temporary storage site Author contributions: W.S., Y.W., X.J., P.L., J.-Å.G., and Y.G. designed research; W.S., Y.W., for accumulated TGs resulting from either enhanced de novo X.J., W.W., L.L., X.T., S.L., C.W., H.X., J.C., Q.H., S.X., Y.C., Y.Z., and X.Z. performed re- synthesis or increased exogenous uptake of fatty acids in hepa- search; P.L., J.-Å.G., and Y.G. contributed new reagents/analytic tools; W.S., Y.W., and X.J. analyzed data; and W.S., Y.W., X.J., P.L., J.-Å.G., and Y.G. wrote the paper. tocytes. Stored TGs in LDs are mobilized for the assembly of Reviewers: Y.H., The Chinese University of Hong Kong; X.R., University College London; very low-density lipoproteins or used for peroxisomal and mi- and T.Y., University of Utah. β tochondrial -oxidation under tight control from multiple nu- The authors declare no conflict of interest. clear transcription factors (10). 1W.S., Y.W., and X.J. contributed equally to this work. An LD is now recognized as an organelle involved in lipid 2To whom correspondence may be addressed. Email: [email protected], [email protected], storage and metabolism, membrane traffic, and signal trans- or [email protected]. duction (11). Increased accumulation of LDs is associated with This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10. many metabolic diseases, including obesity, hepatosteatosis, and 1073/pnas.1410741111/-/DCSupplemental. www.pnas.org/cgi/doi/10.1073/pnas.1410741111 PNAS Early Edition | 1of6 Downloaded by guest on September 29, 2021 with simple steatosis (SI Appendix, Fig. S1 A–C). Electron mi- Analysis of Liver LD Proteome of Human Subjects Without NAFLD. croscopic examination demonstrated the presence of LDs of To obtain a complete set of LD-associated proteins, three liver various sizes in the cytoplasm of hepatocytes of patients with LD preparations isolated from three human subjects without simple steatosis (SI Appendix, Fig. S1D). Clinical features of all NAFLD were separated using gel electrophoresis and silver stain- patients are summarized in SI Appendix, Table S1. ing, showing very similar protein patterns (SI Appendix,Fig.S2A). LD proteins were then analyzed by 2D LC-MS/MS. A total of 596 Isolation and Characterization of LDs from Human Liver. Human liver proteins were identified in the first preparation, 555 in the second LDs were purified using a modification of a method described preparation, and 501 in the third preparation (SI Appendix,Tables previously (15, 16). The quality of the preparation was first exam- S2–S4). Collectively, a total of 713 proteins were found in three ined by fluorescence microscopy using Nile red staining (Fig. 1A). preparations (SI Appendix,TableS5). LDs stained with Nile red showed spherical structures of various To enhance the validity of the data, only proteins with two or sizes. Consistent with a previous report, the sizes of most LDs more unique peptides and present in all three preparations were ranged between 1 and 3 μm, which is smaller than fat cell LDs and considered to be putative human liver LD proteins (SI Appendix, bigger than LDs from skeletal muscle (17). To assess the quality of Fig. S2B). Overall, we identified 148 proteins, which we consider the isolated LDs, equal amounts of proteins from LD, total mem- to be valid constituents of the human liver LD proteome (SI brane, cytosol (Cyto), and postnuclear supernatant (PNS) fractions Appendix, Table S6). Among these proteins, 66 (44.6%) have were separated by SDS/PAGE. Silver staining revealed that the LD been identified in LDs previously, 26 (17.6%) of which have protein profile was quite different from the profiles of the other previously been reported as possible liver LD proteins in human three fractions (Fig. 1B). To assess the purity of the isolated LDs, hepatoma cell lines and mouse livers (19, 20). The remaining 82 subcellular organelle and compartment-specific markers were tested (55.4%) proteins are, to our knowledge, first described here in the four fractions, which included three LD-specific markers in LDs. [adipose differentiation-related protein (ADRP), acyl-CoA synthe- The 148 LD-associated proteins were categorized into 10 tase long-chain family member 1 (ACSL1), and comparative gene groups based on their functional characteristics and subcellular SI Appendix C identification-58 (CGI-58)], one cytoplasmic marker (GAPDH), locations.