Key result
SEMA7A heterozygous mutations significantly increased susceptibility to NAFLD compared to East Asian controls (OR 12.75) and promoted intrahepatic lipid accumulation.
Why the study?
Genetic polymorphisms are associated with NAFLD development, and Sema7a deficiency in mouse peritoneal macrophages reduces fatty acid oxidation, but the role of SEMA7A mutations in NAFLD was unknown.
Does the SEMA7AR148W mutation increase susceptibility to and severity of NAFLD in humans and mice?
Observational (n=470)
Does the SEMA7AR148W mutation increase susceptibility to and severity of NAFLD in humans and mice?
The SEMA7AR148W mutation is a novel genetic determinant of NAFLD that promotes intrahepatic lipid accumulation via enhanced PKC-α signaling.
SEMA7A variants may increase NAFLD susceptibility; hypothesis-generating and requires validation before clinical consideration.
Genetic polymorphisms are associated with the development of nonalcoholic fatty liver disease (NAFLD). Semaphorin7a (Sema7a) deficiency in mouse peritoneal macrophages reduces fatty acid (FA) oxidation. Here, we identified 17 individuals with SEMA7A heterozygous mutations in 470 patients with biopsy-proven NAFLD. SEMA7A heterozygous mutations increased susceptibility to NAFLD, steatosis severity, and NAFLD activity scores in humans and mice. The Sema7aR145W mutation (equivalent to human SEMA7AR148W) significantly induced small lipid droplet accumulation in mouse livers compared with WT mouse livers. Mechanistically, the Sema7aR145W mutation increased N-glycosylated Sema7a and its receptor integrin β1 proteins in the cell membranes of hepatocytes. Furthermore, Sema7aR145W mutation enhanced its protein interaction with integrin β1 and PKC-α and increased PKC-α phosphorylation, which were both abrogated by integrin β1 silencing. Induction of PKCα_WT, but not PKCα_dominant negative, overexpression induced transcriptional factors Srebp1, Chrebp, and Lxr expression and their downstream Acc1, Fasn, and Cd36 expression in primary mouse hepatocytes. Collectively, our findings demonstrate that the SEMA7AR148W mutation is a potentially new strong genetic determinant of NAFLD and promotes intrahepatic lipid accumulation and NAFLD in mice by enhancing PKC-α-stimulated FA and triglyceride synthesis and FA uptake. The inhibition of hepatic PKC-α signaling may lead to novel NAFLD therapies.
No takes yet. Share an insight, caveat, or question.
Zhao et al. (2022) conducted an observational in Nonalcoholic fatty liver disease (NAFLD) (n=470). SEMA7A heterozygous mutations vs. East Asian controls (gnomAD) was evaluated on NAFLD susceptibility (frequency of SEMA7A variants) (OR 12.75, 95% CI 7.33-22.16, p=<0.00001). SEMA7A heterozygous mutations significantly increased susceptibility to NAFLD compared to East Asian controls (OR 12.75) and promoted intrahepatic lipid accumulation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: