J Hepatol. 2024 Jan 16. pii: S0168-8278(24)00036-9. [Epub ahead of print]
Meng-Chao Xiao,
Nan Jiang,
Li-Lin Chen,
Fang Liu,
Shu-Qing Liu,
Chen-Hong Ding,
Si-Han Wu,
Ke-Qi Wang,
Yuan-Yuan Luo,
Yu Peng,
Fang-Zhi Yan,
Xin Zhang,
Hui Qian,
Wei-Fen Xie.
BACKGROUND & AIMS: Endoplasmic reticulum (ER) stress of hepatocytes plays a causative role in non-alcoholic fatty liver disease (NAFLD). Reduced expression of Hepatic nuclear factor 4α (HNF4α) is a critical event in the pathogenesis of NAFLD and other liver diseases. Whether ER stress regulates HNF4α expression remains unknown. The aim of this study was to delineate the machinery of HNF4α protein degradation and explore a therapeutic strategy based on protecting HNF4α stability during NAFLD progression.
METHODS: Correlation of HNF4α and tribbles homologue 3 (TRIB3), an ER stress sensor, was evaluated in human and mouse NAFLD tissues. RNA-sequencing, mass spectrometry analysis, co-immunoprecipitation (Co-IP), in vivo and in vitro ubiquitination assays were used to elucidate the mechanisms of TRIB3-mediated HNF4α degradation. Molecular Docking and Co-IP were performed to identify a cell-penetrating peptide (CPP) ablating TRIB3-HNF4α interaction.
RESULTS: TRIB3 directly interacts with HNF4α and mediates ER stress-induced HNF4α degradation. TRIB3 recruits tripartite motif containing 8 (TRIM8) to form an E3 ligase complex that catalyzes K48-linked polyubiquitination of HNF4α on lysine 470. Abrogating the degradation of HNF4α attenuates the effect of TRIB3 on HFF-induced NAFLD. Moreover, TRIB3 gain-of-function variant p.Q84R is associated with poor NAFLD progression in patients, and induces lower HNF4α levels and more severe hepatic steatosis in mice. Importantly, disrupting TRIB3-HNF4α interaction using a CPP restores HNF4α levels and ameliorates NAFLD progression in mice.
CONCLUSIONS: Our findings unravel the machinery of HNF4α protein degradation and indicate that targeting TRIB3-TRIM8 E3 complex-mediated HNF4α polyubiquitination may be an ideal strategy for NAFLD therapy.
IMPACT AND IMPLICATIONS: Reduced expression of Hepatic nuclear factor 4α (HNF4α) is a critical event in the pathogenesis of NAFLD and other liver diseases. However, the mechanism of HNF4α protein degradation remains unknown. Herein, we reveal that TRIB3-TRIM8 E3 ligase complex is responsible for HNF4α degradation during NAFLD. Inhibiting the TRIB3-HNF4α interaction effectively stabilized HNF4α protein levels and transcription factor activity in liver and ameliorated TRIB3-mediated NAFLD progression. Our findings demonstrate that disturbing TRIM8-TRIB3-HNF4α interaction may provide a novel approach to treat NAFLD and even other liver diseases by stabilizing HNF4α protein.
Keywords: Hepatic nuclear factor 4α; Non-alcoholic fatty liver disease; Tribbles homologue 3; Tripartite motif containing 8; Ubiquitin