HuR expression was downregulated in hepatic steatosis
To explore the function of HuR in hepatic steatosis, we evaluated its expression in liver of mice fed with HFD for 24 weeks. qPCR, western blot analysis, and immunohistochemistry showed that HuR level was significantly decreased in livers of mice fed with HFD as compared with controls (Fig. 1a, b, c). Therefore, HuR could play a role in the development of NAFLD. Similarly, in HepG2 cells and primary hepatocytes stressed with palmitic acid and oleic acid (PO), HuR protein level was also downregulated (Fig. 1d, e). However, the mRNA level of HuR was not significantly regulated in primary hepatocytes stimulated with PO (Fig. 1f), which suggests that the downregulation of HuR protein might be a post-translational regulation mechanism. To verify this hypothesis, primary hepatocytes were treated with PO and the proteasome inhibitor MG132 or the lysosome inhibitor chloroquine (CQ). Downregulation of HuR under PO stimulation was prevented by CQ treatment (Fig. 1g), suggesting that PO induced HuR reduction via lysosomal degradation in hepatocytes.
Liver specific HuR deletion aggravated HFD-induced hepatic steatosis
To assess the role of HuR specifically in liver, liver specific HuR-knockout (HuRLKO) mice were generated (Fig. 2a). The lack of HuR in mouse liver tissue was confirmed by qPCR (Fig. 2b). HuR protein expression was significantly decreased in liver but not in other tissues from HuRLKO mice (Fig. 2c), which was further confirmed by immunohistochemistry assay (Fig. 2d).
The 8-week old control and HuRLKO mice were fed a normal chow diet (NCD) or HFD for 24 weeks. HuRLKO mice did not show overt abnormalities with the NCD (Fig.3a-f). However, under the HFD, HuRLKO mice gained less body weight, but greater liver weight/body weight (LW/BW) ratio compared with controls (Fig. 3a, b). Importantly, HuRLKO mice showed exacerbated HFD-induced hepatic steatosis, as indicated by lipid content (TG, NEFAs, and TC) (Fig. 3c, d, e). The greater lipid accumulation in HuRLKO with the HFD was evident by H&E and Oil-red O staining (Fig. 3f).
In addition, the mRNA levels of lipid metabolism-associated markers were measured. HuR deletion increased the mRNA levels of fatty acid uptake markers such as CD36 and Fabp1, and lipogenesis markers including Fas, Acca, PPARr and Srebf1 (Fig. 3g). The levels of the key enzymes controlling liver fatty acid β-oxidation (PPARα and UCP2) were reduced (Fig. 3g). Meanwhile, HuR deficiency increased the expression of the cholesterol metabolism molecule, Hmgcr and the inflammatory cytokines such as interleukin 1 beta (IL-1β), interleukin 6 (IL-6) and tumor necrosis factor α (TNFα) (Fig. 3g). Besides, the serum ALT and AST levels were increased in HuRLKO mice compared with controls under HFD (Fig. 3h). These data suggested that HFD-induced lipid accumulation and inflammation were exaggerated after HuR deletion in the liver.
Hepatic specific HuR deletion alleviated HFD-impaired glucose tolerance
Hepatosteatosis is usually closely related to impaired glucose tolerance. However, fasting glucose and insulin levels were significantly decreased in HuRLKO mice compared with controls under HFD (Fig. 4a, b). Glucose tolerance tests (GTT) and insulin tolerance tests (ITT) also indicated that HuRLKO mice exhibited improved glucose and insulin tolerance under HFD (Fig. 4c, d), which was confirmed by insulin-stimulated Akt Ser473 analysis in liver, skeletal muscle, and adipose tissue (Fig. 4e, f). Furthermore, HuR deletion increased the mRNA levels of glycolysis markers including Gck, Pkm2 and Hk2, but decreased the expression of gluconeogenesis markers such as Pepck, Fbp1, and G6pase (Fig. 4h). However, the liver glycogen content was not affected by HuR knockout (Fig. 4g). Taken together, hepatic specific HuR deletion alleviated HFD-impaired glucose tolerance.
HuR inhibited lipid accumulation in hepatocytes
To determine the role of HuR in lipid accumulation in vitro, hepG2 cells were infected with adenovirus expressing HuR followed by PO treatment. PO-induced lipid accumulation was attenuated by HuR over-expression (Fig. 5a, b). Consistently, primary hepatocytes from HuR-knockout mice aggravated PO-induced lipid accumulation compared with controls (Fig. 5c, d). In primary hepatocytes stimulated with PO, HuR knockout significantly increased lipogenesis, fatty acid uptake, and inflammation and decreased fatty acid β-oxidation (Fig. 5e), which was consistent with the data from HuRLKO mice under the HFD. Thus, HuR regulates lipid metabolism in hepatocytes in vitro.
HuR regulates PTEN mRNA stability
HuR knockout in liver impaired lipid metabolism and aggravated the fatty liver but improved insulin resistance in mice, the phenotype of which was similar with that from hepatic specific PTEN knockout mice[7,14]. Thus, we examined whether PTEN is a target gene of HuR. The expression of PTEN was decreased in HFD mice and PO-stimulated primary hepatocytes (Fig. 6a, b), which was consistent with HuR expression pattern. HuR deficiency reduced the level of PTEN mature mRNA but not affect its pre-mRNA level (Fig. 6c, d, e). Besides, PTEN protein level was decreased by HuR knockout and increased by HuR over-expression (Fig. 6f). We examined the PTEN mRNA sequence and identified 34 conserved adenylateuridylate-rich elements (AREs) in the 3′-UTR of mouse PTEN mRNA. The interaction between HuR and its target mRNAs could be disrupted by CMLD-2, which reduced the PTEN protein level (Fig. 6g). RNA immunoprecipitation assay demonstrated that HuR could bind to PTEN mRNA (Fig. 6h). Also, half-life assay further confirmed that HuR over-expression increased PTEN mRNA stability (Fig. 6i). Taken together, HuR could bind to PTEN mRNA and regulate its stability.
HuR regulates hepatocyte steatosis through PTEN
To examine whether HuR regulates hepatocyte steatosis through PTEN, control and HuRLKO mice were injected with the lentivirus encoding LacZ (Lenti-LacZ) or PTEN (Lenti-PTEN) at week 8 of HFD. PTEN protein level was significantly increased in Lenti-PTEN groups (Fig. 7a). As expected, body weight and fasting blood glucose and insulin levels were significantly increased in HuRLKO mice treated with Lenti-PTEN compared with Lenti-LacZ (Fig. 7b, c, d). Moreover, PTEN over-expression significantly decreased the LW/BW ratio, TG, NEFA and TC levels in HuRLKO mice (Fig. 7e, f, g, h). H&E and Oil-red O staining revealed greatly decreased lipid deposition in liver of HuRLKO mice treated with Lenti-PTEN (Fig. 7i). Also, Lenti-PTEN decreased the mRNA levels of genes associated with lipogenesis, FA uptake, cholesterol synthesis and glycolysis, and increased the expression of genes related to FA β-oxidation and gluconeogenesis in HuRLKO mice (Fig. 7j). In addition, PTEN over-expression significantly attenuated PO-induced lipid deposition in hepatocytes (Fig. 7l), which further support the in vivo conclusion. In summary, hepatic HuR may modulate lipid and glucose metabolism by regulating the expression of PTEN.