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Publication : Macrophage-derived Osteopontin (SPP1) Protects From Nonalcoholic Steatohepatitis.

First Author  Han H Year  2023
Journal  Gastroenterology Volume  165
Issue  1 Pages  201-217
PubMed ID  37028770 Mgi Jnum  J:359907
Mgi Id  MGI:7487750 Doi  10.1053/j.gastro.2023.03.228
Citation  Han H, et al. (2023) Macrophage-derived Osteopontin (SPP1) Protects From Nonalcoholic Steatohepatitis. Gastroenterology
abstractText  BACKGROUND & AIMS: Nonalcoholic steatohepatitis (NASH) is characterized by steatosis, lobular inflammation, hepatocyte ballooning degeneration, and fibrosis, all of which increase the risk of progression to end-stage liver disease. Osteopontin (OPN, SPP1) plays an important role in macrophage (MF) biology, but whether MF-derived OPN affects NASH progression is unknown. METHODS: We analyzed publicly available transcriptomic datasets from patients with NASH, and used mice with conditional overexpression or ablation of Spp1 in myeloid cells and liver MFs, and fed them a high-fat, fructose, and cholesterol diet mimicking the Western diet, to induce NASH. RESULTS: This study demonstrated that MFs with high expression of SPP1 are enriched in patients and mice with nonalcoholic fatty liver disease (NAFLD), and show metabolic but not pro-inflammatory properties. Conditional knockin of Spp1 in myeloid cells (Spp1(KI Mye)) or in hepatic macrophages (Spp1(KI LvMF)) conferred protection, whereas conditional knockout of Spp1 in myeloid cells (Spp1(DeltaMye)) worsened NASH. The protective effect was mediated by induction of arginase-2 (ARG2), which enhanced fatty acid oxidation (FAO) in hepatocytes. Induction of ARG2 stemmed from enhanced production of oncostatin-M (OSM) in MFs from Spp1(KI Mye) mice. OSM activated STAT3 signaling, which upregulated ARG2. In addition to hepatic effects, Spp1(KI Mye) also protected through sex-specific extrahepatic mechanisms. CONCLUSION: MF-derived OPN protects from NASH, by upregulating OSM, which increases ARG2 through STAT3 signaling. Further, the ARG2-mediated increase in FAO reduces steatosis. Therefore, enhancing the OPN-OSM-ARG2 crosstalk between MFs and hepatocytes may be beneficial for patients with NASH.
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