Article

Acid-sensing ion channel 1a promotes alcohol-associated liver disease in mice via regulating endoplasmic reticulum autophagy

Yue-qin Zhu1,2, Li-li Wang3, Zi-hao Li3, Shi-shun Qian3, Zhou Xu3, Jin Zhang4, Yong-hu Song4, Xue-sheng Pan5, Na Du6, Amira Abou-Elnour3, Lynn Jia Tay3, Jing-rong Zhang3, Meng-xue Li3, Yu-xian Shen7, Yan Huang3
1 Department of Pharmacy, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China
2 Office of Clinical Trial Institution, Anhui Provincial Cancer Hospital, Hefei 230031, China
3 Anhui Province Key Laboratory of Major Autoimmune Diseases, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, Hefei 230032, China
4 The First Affiliated Hospital of Anhui Medical University, Hefei 230032, China
5 Department of Immunology, School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
6 Department of Pharmacy, Shanghai Songjiang District Central Hospital, Shanghai 201600, China
7 Department of Pharmacology, School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
Correspondence to: Yu-xian Shen: shenyx@ahmu.edu.cn, Yan Huang: huangyan_@ahmu.edu.cn,
DOI: 10.1038/s41401-024-01423-4
Received: 16 June 2024
Accepted: 5 November 2024
Advance online: 26 November 2024

Abstract

Alcohol-associated liver disease (ALD) is a hepatocyte dysfunction disease caused by chronic or excessive alcohol consumption, which can lead to extensive hepatocyte necrosis and even liver failure. Currently, the pathogenesis of ALD and the anti-ALD mechanisms have not been fully elucidated yet. In this study, we investigated the effects of endoplasmic reticulum autophagy (ER-phagy) in ALD and the role of acid-sensing ion channel 1a (ASIC1a) in ER stress-mediated ER-phagy. A mouse model of ALD was established using the Gao-Binge method and the AML12 cell line treated with alcohol was used as an in vitro model. We showed that ASIC1a expression was significantly increased and ER-phagy was activated in both the in vivo and in vitro models. In alcohol-treated AML12 cells, we showed that blockade of ASIC1a with PcTx-1 or knockdown of ASIC1a reduced alcohol-induced intracellular Ca2+ accumulation and ER stress. In addition, inhibition of ER stress with 4-PBA reduced the level of ER-phagy. Furthermore, knockdown of the ER-phagy receptor family with sequence similarity 134 member B (FAM134B) alleviated alcohol-triggered hepatocyte injury and apoptosis. In conclusion, this study demonstrates that alcohol activates ER stress-induced ER-phagy and liver injury by increasing ASIC1a expression and ASIC1a-mediated Ca2+ influx, providing a novel strategy for the treatment of ALD.

Keywords: alcohol-associated liver disease; ASIC1a; Ca2+ influx; ER-phagy; ER stress; apoptosis

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