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Publication : Obesity disrupts the pituitary-hepatic UPR communication leading to NAFLD progression.

First Author  Qian Q Year  2024
Journal  Cell Metab PubMed ID  38718793
Mgi Jnum  J:348845 Mgi Id  MGI:7645109
Doi  10.1016/j.cmet.2024.04.014 Citation  Qian Q, et al. (2024) Obesity disrupts the pituitary-hepatic UPR communication leading to NAFLD progression. Cell Metab
abstractText  Obesity alters levels of pituitary hormones that govern hepatic immune-metabolic homeostasis, dysregulation of which leads to nonalcoholic fatty liver disease (NAFLD). However, the impact of obesity on intra-pituitary homeostasis is largely unknown. Here, we uncovered a blunted unfolded protein response (UPR) but elevated inflammatory signatures in pituitary glands of obese mice and humans. Furthermore, we found that obesity inflames the pituitary gland, leading to impaired pituitary inositol-requiring enzyme 1alpha (IRE1alpha)-X-box-binding protein 1 (XBP1) UPR branch, which is essential for protecting against pituitary endocrine defects and NAFLD progression. Intriguingly, pituitary IRE1-deletion resulted in hypothyroidism and suppressed the thyroid hormone receptor B (THRB)-mediated activation of Xbp1 in the liver. Conversely, activation of the hepatic THRB-XBP1 axis improved NAFLD in mice with pituitary UPR defect. Our study provides the first evidence and mechanism of obesity-induced intra-pituitary cellular defects and the pathophysiological role of pituitary-liver UPR communication in NAFLD progression.
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