Abstract

Autophagy is a catabolic process by which eukaryotic cells eliminate cytosolic materials through vacuole-mediated sequestration and subsequent delivery to lysosomes for degradation, thus maintaining cellular homeostasis and the integrity of organelles. Autophagy has emerged as playing a critical role in the regulation of liver physiology and the balancing of liver metabolism. Conversely, numerous recent studies have indicated that autophagy may disease-dependently participate in the pathogenesis of liver diseases, such as liver hepatitis, steatosis, fibrosis, cirrhosis, and hepatocellular carcinoma. This review summarizes the current knowledge on the functions of autophagy in hepatic metabolism and the contribution of autophagy to the pathophysiology of liver-related diseases. Moreover, the impacts of autophagy modulation on the amelioration of the development and progression of liver diseases are also discussed.

Highlights

  • Autophagy is an evolutionarily conserved process that catabolizes intracellular components through lysosomes to recycle nutrients for supplying energy and regenerating organelles [1,2]

  • Autophagy has been indicated as a disease-associated factor that is modulated in the liver cells of people with liver-related diseases, and it contributes to the development and progression of various liver diseases, including hepatitis, steatosis, fibrosis, cirrhosis, and hepatocellular carcinoma [7,10,11,12]

  • Autophagy plays a critical role in the maintenance of cellular homeostasis and the elimination of unwanted intracellular materials, such as proteins and organelles, in liver physiology

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Summary

Introduction

Autophagy is an evolutionarily conserved process that catabolizes intracellular components through lysosomes to recycle nutrients for supplying energy and regenerating organelles [1,2]. In the past few decades, the homeostatic role of autophagy has emerged in the regulation of liver physiology through promoting the degradations of macromolecules and organelles to support the balance of energy as well as the metabolism and regeneration of organelles [7,8,9]. Autophagy protects liver cells against injury and cell death by eliminating the damaged organelles and proteins that are introduced in those with liver-associated diseases. We summarize the current knowledge on the functional role of autophagy in liver physiology and address how autophagy is regulated by liver-associated diseases to become involved in the prevention or promotion of disease occurrence and pathogenesis

Overview of Autophagy
Three Modes of Autophagy
Stepwise Process of Vacuole Biogenesis for Autophagy
Selective Autophagy and Cargo Recognition
Autophagy as an Alternative Cell-Death Pathway
The Leading Discovery of Autophagy in Liver Tissue
Degradation of intracellular organelles in hepatic cells treated by glucagon
Decomposition of glycogen in the starved liver cells of liver atrophy
Electron micrograph of autophagic vacuoles that engulf organelles
Analysis of autophagic flux by the fluorescent
Analysis of autophagic flux by fluorescence signal of AdmCherry-GFP-LC3
Degradation of peroxisomes by HIF-2α-mediated selective autophagy
Turnover of Macromolecules through Autophagy in the Liver
Selective Degradation of Organelles through Autophagy in the Liver
Liver Injury
Electron micrograph of
Impaired autophagy by ATG7-deficicent
Electron micrograph of autophagic vacuoles
Induction of hepatic autophagy by APAP treatment
Participation of autophagy in the cell death of dysfunctional liver graft
Activation of autophagy through caspase 1-dependent upregulation of Beclin 1
Repressed APAP-induced hepatic cytotoxicity by activated autophagy
Protection of acute liver failure by PPARα-activated autophagy
Limited sepsis-induced liver injury by AMPK activation
Electron micrograph of HIF-1β autophagic vacuoles
Steatosis and Fatty Liver Diseases
Restored autophagy in liver steatosis by hypothermic reconditioning
Immunofluorescence analysis of LC3
Inhibited autophagy by treatment of thymidine analogues
Reduced hepatic steatosis by exendin-4-induced autophagy
Attenuated hepatic lipogenesis and fibrosis by ALCAT1 deficiency
Wild type and liver-specific knockout of Rubicon
Exacerbated LPS-induced ROS production and NF-kB activation by alcohol
Increased liver injury in Parkin knockout cells after alcohol treatment
Increased lipid peroxidation in Parkin knockout cells after alcohol treatment
Induced autophagy by LPS in Kupffer cells from high fat diet-fed mice
Induced reticulophagy in liver cells by oleic acid
Liver Cancer
Less responsiveness of carcinogen-treated rat to amino acid deprivation
Increased autophagy in HIF-2α knockdown tumor spheroids
Rescued EMT and invasion of autophagy-deficient HCC cells by TGF-β
Inhibited tumor nodule formation by ConA in vivo
Inhibited cell growth and induced cell apoptosis by TGF-β-induced autophagy
10. Improved therapeutic efficacy of artocarpin by inducing autophagic cell death
Increased chemoresistance of HCC cells by hypoxia-induced autophagy
Protection of nilotinib-induced HCC against cellular apoptosis by autophagy
Increase chemotherapy-induced cell death by autophagy inhibition
Wild type and mosaic knockout of mosaic deletion of ATG5
Altered metabolic profiling in autophagy-deficient mouse liver
Immunofluorescence analysis loss of YAP
Sustained proliferation and survival of HCC cells by ADRB2
Repressed AMPK activation by ketolysis in nutrient starved HCC cells
Human cholangiocellular carcinoma cell lines
Human cholangiocarcinoma cell lines
Viral Hepatitis
Promotion on viral RNA replication
Colocalization of autophagosomes and lysosomes
Liver specimens of HCV-infected patients
Wild type and liver specific knockout of ATG5
Activated autophagy by HBV through miR-192-2p-XIAP axis
Colocalization of HBV components with
Immunofluorescence analysis of GFP-LC3 death-associated kinase
Fibrosis and Cirrhosis
Impaired autophagic flux by dihydroceramide
Association of loss of LSECs autophagy with insufficient antioxidant response
Increase apoptosis in ATG5-deficcient hepatocytes
Wild type and ATG5 knockout mice
Alleviation of CCl4-induced liver fibrosis by autophagy inhibition
Findings
Conclusions and Future Directions
Full Text
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