Abstract

FAT10 expression is highly up-regulated by pro-inflammatory cytokines IFNγ and TNFα in all cell types and tissues. Increased FAT10 expression may induce increasing mitotic non-disjunction and chromosome instability, leading to tumorigenesis. In this review, we summarized others’ and our work on FAT10 expression in liver biopsy samples from patients with alcoholic hepatitis (AH). FAT10 is essential to maintain the function of liver cell protein quality control and Mallory–Denk body (MDB) formation. FAT10 overexpression in AH leads to balloon degeneration and MDB aggregation formation, all of which is prevented in fat10-/- mice. FAT10 causes the proteins’ accumulation, overexpression, and forming MDBs through modulating 26s proteasome’s proteases. The pathway that increases FAT10 expression includes TNFα/IFNγ and the interferon sequence response element (ISRE), followed by NFκB and STAT3, which were all up-regulated in AH. FAT10 was only reported in human and mouse specimens but plays critical role for the development of alcoholic hepatitis. Flavanone derivatives of milk thistle inhibit TNFα/IFNγ, NFκB, and STAT3, then inhibit the expression of FAT10. NFκB is the key nodal hub of the IFNα/TNFα-response genes. Studies on Silibinin and other milk thistle derivatives to treat AH confirms that overexpressed FAT10 is the major key molecule in these networks.

Highlights

  • In developed countries, it’s reported that the toxicity of alcohol is dose-related at an individual level and at a population level, as reported in different European countries over the last few decades

  • We summarized our and other researchers’ work to present the human leukocyte antigen (HLA)-F-adjacent transcript 10 (FAT10, known as ubiquitin D (UBD)) and explain that F adjacent transcript 10 (FAT10) may be useful to study the spectrum of alcohol-related liver diseases, including finding out what is the low-dose effect of alcohol in liver

  • FAT10 is essential to maintain the function of cell protein quality control and Mallory–Denk body (MDB) formation

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Summary

Introduction

It’s reported that the toxicity of alcohol is dose-related at an individual level and at a population level, as reported in different European countries over the last few decades. A prospective monitoring of alcohol consumption, studying the rate of development of cirrhosis per unit of time, could be the ideal study design, but is not feasible It is not well established what is the low-dose effect of alcohol in liver clinically, morphologically, or molecularly. FAT10 expression is highly up-regulated by pro-inflammatory cytokines IFNγ and TNFα in all cell types and tissues [10]. It interacts with and influences downstream targets, such as MAD2, p53, or β-catenin, leading to enhanced survival, proliferation, invasion, and metastasis of cancer, as well as non-malignant cells [10]. The FAT10 gene expression is up-regulated in 90% of HCCs [5]

Role of FAT10 in Alcoholic Liver
Other Findings
Role of MDB and Its Modulation in Animal Studies
Role of FAT10 and MDB in Human Studies
Interaction of FAT10 and SUMO
Modulation of Proteasome by FAT10
Molecular Pathways of FAT10 in Liver
Studies in FAT10 Knockout Animal
Treatment for Alcoholic Hepatitis
Conclusions
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