Study2018Open access

Carnitine palmitoyltransferase gene upregulation by linoleic acid induces CD4+ T cell apoptosis promoting HCC development

Brown ZJ, Fu Q, Ma C, Kruhlak M, Zhang H, Luo J, Heinrich B, Yu SJ, Zhang Q, Wilson A, Shi ZD, Swenson R, Greten TF

Cell death & disease · 120 citations

How it was studied

Design
Animal study (classified by our AI screen)
Studied in
Animals
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding
Government
National Institutes of Health
Government
National Cancer Institute

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2018-05-23 · Cell Death Dis · vol. 9 · issue 6 · p. 620
Publisher
Springer Nature
Cited
144 citations · more than 97% of similar papers · 6.1× the field average
Impact
Top 10% most cited in its field
References
45 works
Access
Open access (journal) · CC-BY
Research areas
Liver Disease Diagnosis and Treatment · Peroxisome Proliferator-Activated Receptors · Cancer, Lipids, and Metabolism
Keywords
Downregulation and upregulation, Biology, Fatty liver, Beta oxidation, Endocrinology, Cancer research, Carnitine, Internal medicine, Apoptosis, Biochemistry, Medicine, Metabolism
MeSH
cd4-positive t-lymphocytes, 3t3 cells, mitochondria, animals, mice, inbred c57bl, humans, mice, carcinoma, hepatocellular, liver neoplasms, reactive oxygen species, perhexiline, carnitine o-palmitoyltransferase, linoleic acid, ppar alpha, enzyme inhibitors, apoptosis, up-regulation, models, biological, carcinogenesis, non-alcoholic fatty liver disease

13 authors

From US, KR

  • Zachary J. BrownNational Institutes of Health; National Cancer Institute; Center for Cancer Research
  • Qiong FuNational Institutes of Health; National Cancer Institute; Center for Cancer Research
  • Chi MaNational Institutes of Health; National Cancer Institute; Center for Cancer Research
  • Michael J. KruhlakNational Institutes of Health; National Cancer Institute; Center for Cancer Research
  • Haibo ZhangNational Institutes of Health; National Cancer Institute; Center for Cancer Research
  • Ji LuoNational Institutes of Health; National Cancer Institute; Center for Cancer Research

Abstract

Hepatocellular carcinoma (HCC) is a common cause of cancer-related death worldwide. As obesity and diabetes become more prevalent, the contribution of non-alcoholic fatty liver disease (NAFLD) to HCC is rising. Recently, we reported intrahepatic CD4+ T cells are critical for anti-tumor surveillance in NAFLD. Lipid accumulation in the liver is the hallmark of NAFLD, which may perturb T cell function. We sought to investigate how the lipid-rich liver environment influences CD4+ T cells by focusing on carnitine palmitoyltransferase (CPT) family members, which control the mitochondrial β-oxidation of fatty acids and act as key molecules in lipid catabolism. Linoleic acid (C18:2) co-localized within the mitochondria along with a corresponding increase in CPT gene upregulation. This CPT upregulation can be recapitulated by feeding mice with a high-C18:2 diet or the NAFLD promoting methionine-choline-deficient (MCD) diet. Using an agonist and antagonist, the induction of CPT genes was found to be mediated by peroxisome proliferator-activated receptor alpha (PPAR-α). CPT gene upregulation increased mitochondrial reactive oxygen species (ROS) and led to cell apoptosis. In vivo, using liver-specific inducible MYC transgenic mice fed MCD diet, blocking CPT with the pharmacological inhibitor perhexiline decreased apoptosis of intrahepatic CD4+ T cells and inhibited HCC tumor formation. These results provide useful information for potentially targeting the CPT family to rescue intrahepatic CD4+ T cells and to aid immunotherapy for NAFLD-promoted HCC.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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