AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway

Abstract Obesity and diabetes are risk factors for hepatocellular carcinoma (HCC); however, the underlying mechanisms are yet to be elucidated. Adeno‐associated virus (AAV) frequently infects humans and has been widely used in gene therapy, but the risk of AAV infection such as HCC should be further...

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Main Authors: Yalan Cheng, Zhentong Zhang, Peidong Gao, Hejin Lai, Wuling Zhong, Ning Feng, Yale Yang, Huimin Yu, Yali Zhang, Yumo Han, Jieya Dong, Zhishui He, Rui Huang, Qiwei Zhai
Format: Article
Language:English
Published: Springer Nature 2023-07-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.202217230
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author Yalan Cheng
Zhentong Zhang
Peidong Gao
Hejin Lai
Wuling Zhong
Ning Feng
Yale Yang
Huimin Yu
Yali Zhang
Yumo Han
Jieya Dong
Zhishui He
Rui Huang
Qiwei Zhai
author_facet Yalan Cheng
Zhentong Zhang
Peidong Gao
Hejin Lai
Wuling Zhong
Ning Feng
Yale Yang
Huimin Yu
Yali Zhang
Yumo Han
Jieya Dong
Zhishui He
Rui Huang
Qiwei Zhai
author_sort Yalan Cheng
collection DOAJ
description Abstract Obesity and diabetes are risk factors for hepatocellular carcinoma (HCC); however, the underlying mechanisms are yet to be elucidated. Adeno‐associated virus (AAV) frequently infects humans and has been widely used in gene therapy, but the risk of AAV infection such as HCC should be further evaluated. Here, we show that recombinant AAV injection caused liver injury, hepatic necroptosis, and HCC in db/db or high‐fat diet‐induced hyperglycemic and obese mice, but not in mice with only hyperglycemia or obesity. Prednisone administration or knockdown of Pebp1, highly expressed in db/db mice, alleviated hepatic injury and necroptosis induced by recombinant AAV in mice with diabetes and obesity. Inhibition of Pebp1 pathway also attenuated inflammation and necroptosis in vitro. Our findings show that AAV infection is a critical risk factor for HCC in patients with diabetes and obesity, and AAV gene therapy for these patients should be carefully evaluated. Both prednisone treatment and targeting Pebp1 pathway are promising strategies to alleviate inflammation and necroptosis that occurred in AAV gene therapy or related diseases.
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spelling doaj.art-2bb4f6a424834de9b7725d4368343ee22024-03-03T06:39:20ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842023-07-01157n/an/a10.15252/emmm.202217230AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathwayYalan Cheng0Zhentong Zhang1Peidong Gao2Hejin Lai3Wuling Zhong4Ning Feng5Yale Yang6Huimin Yu7Yali Zhang8Yumo Han9Jieya Dong10Zhishui He11Rui Huang12Qiwei Zhai13CAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaSchool of Life Science and Technology ShanghaiTech University Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaCAS Key Laboratory of Nutrition, Metabolism and Food Safety, Shanghai Institute of Nutrition and Health University of Chinese Academy of Sciences, Chinese Academy of Sciences Shanghai ChinaAbstract Obesity and diabetes are risk factors for hepatocellular carcinoma (HCC); however, the underlying mechanisms are yet to be elucidated. Adeno‐associated virus (AAV) frequently infects humans and has been widely used in gene therapy, but the risk of AAV infection such as HCC should be further evaluated. Here, we show that recombinant AAV injection caused liver injury, hepatic necroptosis, and HCC in db/db or high‐fat diet‐induced hyperglycemic and obese mice, but not in mice with only hyperglycemia or obesity. Prednisone administration or knockdown of Pebp1, highly expressed in db/db mice, alleviated hepatic injury and necroptosis induced by recombinant AAV in mice with diabetes and obesity. Inhibition of Pebp1 pathway also attenuated inflammation and necroptosis in vitro. Our findings show that AAV infection is a critical risk factor for HCC in patients with diabetes and obesity, and AAV gene therapy for these patients should be carefully evaluated. Both prednisone treatment and targeting Pebp1 pathway are promising strategies to alleviate inflammation and necroptosis that occurred in AAV gene therapy or related diseases.https://doi.org/10.15252/emmm.202217230diabetesHCCnecroptosisobesityrAAV
spellingShingle Yalan Cheng
Zhentong Zhang
Peidong Gao
Hejin Lai
Wuling Zhong
Ning Feng
Yale Yang
Huimin Yu
Yali Zhang
Yumo Han
Jieya Dong
Zhishui He
Rui Huang
Qiwei Zhai
AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway
EMBO Molecular Medicine
diabetes
HCC
necroptosis
obesity
rAAV
title AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway
title_full AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway
title_fullStr AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway
title_full_unstemmed AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway
title_short AAV induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on Pebp1 pathway
title_sort aav induces hepatic necroptosis and carcinoma in diabetic and obese mice dependent on pebp1 pathway
topic diabetes
HCC
necroptosis
obesity
rAAV
url https://doi.org/10.15252/emmm.202217230
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