Excess iron modulates endoplasmic reticulum stress-associated pathways in a mouse model of alcohol and high-fat diet-induced liver injury

Lab Invest. 2013 Dec;93(12):1295-312. doi: 10.1038/labinvest.2013.121. Epub 2013 Oct 14.

Abstract

Endoplasmic reticulum (ER) stress is an important pathogenic mechanism for alcoholic (ALD) and nonalcoholic fatty liver disease (NAFLD). Iron overload is an important cofactor for liver injury in ALD and NAFLD, but its role in ER stress and associated stress signaling pathways is unclear. To investigate this, we developed a murine model of combined liver injury by co-feeding the mildly iron overloaded, the hemochromatosis gene-null (Hfe(-/)) mouse ad libitum with ethanol and a high-fat diet (HFD) for 8 weeks. This co-feeding led to profound steatohepatitis, significant fibrosis, and increased apoptosis in the Hfe(-/-) mice as compared with wild-type (WT) controls. Iron overload also led to induction of unfolded protein response (XBP1 splicing, activation of IRE-1α and PERK, as well as sequestration of GRP78) and ER stress (increased CHOP protein expression) following HFD and ethanol. This is associated with a muted autophagic response including reduced LC3-I expression and impaired conjugation to LC3-II, reduced beclin-1 protein, and failure of induction of autophagy-related proteins (Atg) 3, 5, 7, and 12. As a result of the impaired autophagy, levels of the sequestosome protein p62 were most elevated in the Hfe(-/-) group co-fed ethanol and HFD. Iron overload reduces the activation of adenosine monophosphate protein kinase associated with ethanol and HFD feeding. We conclude that iron toxicity may modulate hepatic stress signaling pathways by impairing adaptive cellular compensatory mechanisms in alcohol- and obesity-induced liver injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / blood
  • Animals
  • Apoptosis / drug effects
  • Autophagy / drug effects
  • Diet, High-Fat / adverse effects
  • Disease Models, Animal*
  • Endoplasmic Reticulum Chaperone BiP
  • Endoplasmic Reticulum Stress / drug effects*
  • Fatty Liver, Alcoholic / blood
  • Fatty Liver, Alcoholic / etiology*
  • Fatty Liver, Alcoholic / pathology
  • Iron / administration & dosage
  • Iron / adverse effects*
  • Iron / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Obesity / blood
  • Obesity / complications*
  • Random Allocation
  • Toll-Like Receptors / metabolism
  • Trace Elements / administration & dosage
  • Trace Elements / adverse effects*
  • Trace Elements / metabolism

Substances

  • Endoplasmic Reticulum Chaperone BiP
  • Hspa5 protein, mouse
  • Toll-Like Receptors
  • Trace Elements
  • Iron