Chronic and excessive alcohol drinking induces a wide spectrum of hepatic lesions, the most typical of which include steatosis, hepatitis, and fibrosis/cirrhosis (Bajaj, 2019). Alcohol-associated liver disease (ALD) accounts for approximately 3 million deaths per year, and is a major driver of global liver-related morbidity and mortality (Han et al., 2021; Rehm, Samokhvalov, & Shield, 2013). A great deal of research has proved that the principal cause of alcoholic liver injury depends on the concentrations of ethanol and its metabolites in the body (Haseba & Ohno, 2010). For example, excessive ethanol oxidation resulted in the production of large amounts of reactive oxygen species, which further attack hepatocytes, Kupffer cells, stellate cells, and liver sinusoidal endothelial cells, initiating liver injury including steatosis, fibrosis, and cirrhosis in susceptible individuals with specific risk factors (B. Gao, Ahmad, Nagy, & Tsukamoto, 2019; Saikia et al., 2017; Teschke, 2018). Worse yet, acetaldehyde, an oxidation product of alcohol, has capable of initiating carcinogenesis by forming adducts with proteins and DNA and causing mutations (Bhatia, Drake, Miller, & Wells, 2019; Marshall et al., 2018; Rumgay, Murphy, Ferrari, & Soerjomataram, 2021).
Alcohol dehydrogenase (ADH), along with aldehyde dehydrogenase (ALDH), was well known as the primary enzymes responsible for alcohol metabolism in vivo, and the former metabolized ethanol to acetaldehyde, and the latter then metabolized the resulting acetaldehyde to acetic acid (Teschke, 2018). The human ADH genes, including ADH1A, ADH1B, ADH1C, ADH4, ADH5, ADH6, and ADH7, are distributed in a gene cluster on chromosome 4. Currently, considerable efforts have been made about the effects of ADH expression or activity imbalance on health effects (N. Gao et al., 2018; Jelski et al., 2017; Jelski & Szmitkowski, 2008), but the contributors of the ADH expression change have still not been clarified.
MicroRNA (miRNA), a class of 22 nt non-coding RNA, typically functions as epigenetic modulators to regulate gene expression at the post-transcriptional levels. Yet some reports also showed that some miRNAs are present in the nucleus and exert their functions by targeting genomic DNA sequence (Majid et al., 2010; Santovito et al., 2020; Xiao et al., 2017). Many miRNAs, e.g. miR-122 (Satishchandran et al., 2018), miR-155 (Bala et al., 2016), and miR-34a (Iwagami et al., 2018), have been shown to regulate inflammation, lipid accumulation, and fibrosis in ALD. However, few studies focused on the regulatory roles of miRNAs in alcohol metabolism. Our recent study has elucidated a positive regulatory role of has-miR-148a on ADH4 in ethanol exposed hepatic cells (Luo et al., 2021). Furthermore, a few miRNAs have been reported to target enhancer sequences and promote the expression of neighboring genes (Xiao et al., 2017). As ADH genes are present in a gene cluster, this drives us to explore whether miRNAs function as positive regulators in ADH gene cluster expression.
miR-29c, a tumor suppressor, has been shown to be silenced or down-regulated in many different types of cancer (Schmitt, Margue, Behrmann, & Kreis, 2013). Recently, increasing evidences have indicated that miR-29c was highly correlated with the disease severity of ALD (Liu, Chen, Jin, & Li, 2013; Yao et al., 2019), nevertheless, its mechanism of function is rarely understood. In this study, using correlation analysis and in silico prediction, we predicted ADH6 as a target gene of miR-29c and elucidated an unconventional regulatory mechanism of miR-29c on ADH gene cluster expressions by activating enhancer. Thus, we anticipate that the transcriptional activation of the ADH gene cluster by miR-29c may be a novel pathway contributing to ALD.