RT Journal Article SR Electronic T1 Retinoids rescue ceruloplasmin secretion and alleviate oxidative stress in Wilson’s disease-specific hepatocytes JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.08.10.455792 DO 10.1101/2021.08.10.455792 A1 Dan Song A1 Gou Takahashi A1 Yun-Wen Zheng A1 Mami Matsuo-Takasaki A1 Jingyue Li A1 Miho Takami A1 Yuri An A1 Yasuko Hemmi A1 Natsumi Miharada A1 Tsuyoshi Fujioka A1 Michiya Noguchi A1 Takashi Nakajima A1 Megumu K. Saito A1 Yukio Nakamura A1 Tatsuya Oda A1 Yuichiro Miyaoka A1 Yohei Hayashi YR 2021 UL http://biorxiv.org/content/early/2021/08/10/2021.08.10.455792.abstract AB Wilson’s disease (WD) is a copper metabolic disorder, which is caused by defective ATP7B function. Here, we have generated induced pluripotent stem cells (iPSCs) from WD patients carrying compound heterozygous mutations on ATP7B. ATP7B loss- and gain-of-functions were further manifested with ATP7B-deficient iPSCs and heterozygously-corrected R778L WD patient-derived iPSCs using CRISPR-Cas9-based gene editing. Transcriptome analysis identified abnormalities of retinoid signaling pathway and lipid metabolism in WD-specific hepatocytes. Although the expression level of ATP7B protein was variable among WD-specific hepatocytes, the expression and secretion of ceruloplasmin (Cp), which is a downstream copper carrier in plasma, were consistently decreased. Cp secretion-based drug screening identified all-trans retinoic acid (ATRA) as promising candidates for rescuing Cp secretion. ATRA also alleviated reactive oxygen species (ROS) production induced by lipid accumulation in WD-specific hepatocytes. Our patient-derived iPSC-based hepatic models provide potential therapeutics for liver steatosis in WD and other fatty liver diseases.