Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease

Abstract Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in the world. High levels of free fatty acids in the liver impair hepatic lysosomal acidification and reduce autophagic flux. We investigate whether restoration of lysosomal function in NAFLD recovers autophagic flux...

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Main Authors: Jialiu Zeng, Rebeca Acin-Perez, Essam A. Assali, Andrew Martin, Alexandra J. Brownstein, Anton Petcherski, Lucía Fernández-del-Rio, Ruiqing Xiao, Chih Hung Lo, Michaël Shum, Marc Liesa, Xue Han, Orian S. Shirihai, Mark W. Grinstaff
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-38165-6
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author Jialiu Zeng
Rebeca Acin-Perez
Essam A. Assali
Andrew Martin
Alexandra J. Brownstein
Anton Petcherski
Lucía Fernández-del-Rio
Ruiqing Xiao
Chih Hung Lo
Michaël Shum
Marc Liesa
Xue Han
Orian S. Shirihai
Mark W. Grinstaff
author_facet Jialiu Zeng
Rebeca Acin-Perez
Essam A. Assali
Andrew Martin
Alexandra J. Brownstein
Anton Petcherski
Lucía Fernández-del-Rio
Ruiqing Xiao
Chih Hung Lo
Michaël Shum
Marc Liesa
Xue Han
Orian S. Shirihai
Mark W. Grinstaff
author_sort Jialiu Zeng
collection DOAJ
description Abstract Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in the world. High levels of free fatty acids in the liver impair hepatic lysosomal acidification and reduce autophagic flux. We investigate whether restoration of lysosomal function in NAFLD recovers autophagic flux, mitochondrial function, and insulin sensitivity. Here, we report the synthesis of novel biodegradable acid-activated acidifying nanoparticles (acNPs) as a lysosome targeting treatment to restore lysosomal acidity and autophagy. The acNPs, composed of fluorinated polyesters, remain inactive at plasma pH, and only become activated in lysosomes after endocytosis. Specifically, they degrade at pH of ~6 characteristic of dysfunctional lysosomes, to further acidify and enhance the function of lysosomes. In established in vivo high fat diet mouse models of NAFLD, re-acidification of lysosomes via acNP treatment restores autophagy and mitochondria function to lean, healthy levels. This restoration, concurrent with reversal of fasting hyperglycemia and hepatic steatosis, indicates the potential use of acNPs as a first-in-kind therapeutic for NAFLD.
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spelling doaj.art-7d8571474b5446d88e1e67b698c99e4f2023-05-28T11:20:52ZengNature PortfolioNature Communications2041-17232023-05-0114111710.1038/s41467-023-38165-6Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver diseaseJialiu Zeng0Rebeca Acin-Perez1Essam A. Assali2Andrew Martin3Alexandra J. Brownstein4Anton Petcherski5Lucía Fernández-del-Rio6Ruiqing Xiao7Chih Hung Lo8Michaël Shum9Marc Liesa10Xue Han11Orian S. Shirihai12Mark W. Grinstaff13Department of Biomedical Engineering, Boston UniversityDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDepartment of Biomedical Engineering, Boston UniversityDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDepartment of Chemistry, Boston UniversityLee Kong Chian School of Medicine, Nanyang Technological University, SingaporeDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDepartment of Biomedical Engineering, Boston UniversityDivision of Endocrinology, Department of Medicine, David Geffen School of Medicine, University of California, Los AngelesDepartment of Biomedical Engineering, Boston UniversityAbstract Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in the world. High levels of free fatty acids in the liver impair hepatic lysosomal acidification and reduce autophagic flux. We investigate whether restoration of lysosomal function in NAFLD recovers autophagic flux, mitochondrial function, and insulin sensitivity. Here, we report the synthesis of novel biodegradable acid-activated acidifying nanoparticles (acNPs) as a lysosome targeting treatment to restore lysosomal acidity and autophagy. The acNPs, composed of fluorinated polyesters, remain inactive at plasma pH, and only become activated in lysosomes after endocytosis. Specifically, they degrade at pH of ~6 characteristic of dysfunctional lysosomes, to further acidify and enhance the function of lysosomes. In established in vivo high fat diet mouse models of NAFLD, re-acidification of lysosomes via acNP treatment restores autophagy and mitochondria function to lean, healthy levels. This restoration, concurrent with reversal of fasting hyperglycemia and hepatic steatosis, indicates the potential use of acNPs as a first-in-kind therapeutic for NAFLD.https://doi.org/10.1038/s41467-023-38165-6
spellingShingle Jialiu Zeng
Rebeca Acin-Perez
Essam A. Assali
Andrew Martin
Alexandra J. Brownstein
Anton Petcherski
Lucía Fernández-del-Rio
Ruiqing Xiao
Chih Hung Lo
Michaël Shum
Marc Liesa
Xue Han
Orian S. Shirihai
Mark W. Grinstaff
Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease
Nature Communications
title Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease
title_full Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease
title_fullStr Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease
title_full_unstemmed Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease
title_short Restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non-alcoholic fatty liver disease
title_sort restoration of lysosomal acidification rescues autophagy and metabolic dysfunction in non alcoholic fatty liver disease
url https://doi.org/10.1038/s41467-023-38165-6
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