Abstract

Recently, the numbers of patients with non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) have increased worldwide. NAFLD and NASH are known as risk factors for liver cirrhosis and hepatocellular carcinoma. Because many factors can promote the progression of NAFLD and NASH, the treatment of these patients involves various strategies. Thus, it is desired that drugs for patients with NAFLD and NASH should be developed more easily and rapidly using cultures of primary hepatocytes. However, it is difficult to use hepatocytes as a tool for drug screening, because these cells cannot be functionally maintained in culture. Thus, in this study, we sought to examine whether induced hepatocyte-like (iHep) cells, which were directly induced from mouse dermal fibroblasts by infection with a retrovirus expressing Hnf4α and Foxa3, possess the potential for lipid metabolism, similar to hepatocytes. Our data showed that iHep cells were capable of synthesizing lipids from a cis-unsaturated fatty acid, a trans-unsaturated fatty acid, and a saturated fatty acid, accumulating the synthesized lipids in cellular vesicles, and secreting the lipids into the culture medium. Moreover, the lipid synthesis in iHep cells was significantly inhibited in cultures with lipid metabolism improvers. These results demonstrate that iHep cells could be useful not only for screening of drugs for patients with NAFLD and NASH, but also for elucidation of the mechanisms underlying hereditary lipid metabolism disorders, as an alternative to hepatocytes.

Highlights

  • The recent increase of the number of patients with non-alcoholic fatty liver disease (NAFLD), which often develops through obesity and lipid metabolism disorders, is an issue that has become problematic in liver diseases (Vuppalanchi and Chalasani, 2009)

  • In this study, we investigated the potential for lipid metabolism in induced hepatocyte-like (iHep) cells that were directly induced from mouse dermal fibroblasts (MDFs) by infection with a retrovirus expressing Hnf4α and Foxa3

  • We found that iHep cells were able to synthesize lipids from a cisunsaturated fatty acid, and able to accumulate and secrete the synthesized lipids, similar to hepatocytes

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Summary

Introduction

The recent increase of the number of patients with non-alcoholic fatty liver disease (NAFLD), which often develops through obesity and lipid metabolism disorders, is an issue that has become problematic in liver diseases (Vuppalanchi and Chalasani, 2009). NAFLD can be characterized into simple steatosis and non-alcoholic steatohepatitis (NASH). NASH is associated with the risk of inducing liver cirrhosis and hepatocellular carcinoma, and heart diseases (Hashimoto et al, 2009; Vuppalanchi and Chalasani, 2009). As the cause of NASH developing from fatty liver disease, a “twohit hypothesis” has been proposed (Day and James, 1998). If we are able to develop many drugs for patients with NAFLD and NASH more and rapidly it will become possible to beat the causative factors of these diseases

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