Serum transferrin as a biomarker of hepatocyte nuclear factor 4 alpha activity and hepatocyte function in liver diseases

Background: Serum transferrin levels represent an independent predictor of mortality in patients with liver failure. Hepatocyte nuclear factor 4 alpha (HNF4α) is a master regulator of hepatocyte functions. The aim of this study was to explore whether serum transferrin reflects HNF4α activity. Method...

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Autores: Guldiken, N. (Nurdan)|||/items/d09d7f1a-ba3d-45b7-bbf8-f4e90982204d, Argemí, J. (Josepmaria)|||/items/cc37a6af-13a2-4fe0-846c-4725cca0ae72, Gurbuz, B. (Berivan)|||/items/43215ce4-54a5-48b3-a2d3-7ab48bbe446b, Atkinson, S.R. (Stephen R.)|||/items/8b751fd8-eeb7-41cc-a5c4-75f9257ddb53, Oliverius, M. (Martin)|||/items/6dbe8948-9c65-4cfc-ab00-80d815ab5f07, Fila, P. (Petr)|||/items/697151dd-16b6-4b32-b9b2-c498b5d3a276, Hamesch, K. (Karim)|||/items/cd379a53-d765-47c4-a2bd-7d738143ff86, Bruns, T. (Tony)|||/items/f8c1cf3c-7bd9-48b5-9dad-9d0437a8d8e4, Cabezas, J. (Joaquín)|||/items/f3d8d3e7-d1cb-4ffe-8502-62ffb713e997, Lozano, J.J. (Juan J.)|||/items/16ab84f4-d236-4b74-8ae6-7aed1c5f99e5, Mann, J. (Jelena)|||/items/62541d21-a7b1-4e3b-a579-eb63b7469880, Cao, S. (Sheng)|||/items/6791febc-83df-4eba-839b-e2e0d14ce1b0, Mathurin, P. (Philippe)|||/items/7adee2eb-664a-44e8-9f45-26c0d710849e, Shah, V.H. (Vijay H.)|||/items/d8bdc6d4-63ee-42fe-b4d2-27c16f01e077, Trautwein, C. (Christian)|||/items/6c4097a6-dad0-4734-87e0-ab4772ab2446, Thursz, M.R. (Mark R.)|||/items/820ae838-e8ac-4ee5-ab72-59a26d682a3c, Bataller, R. (Ramón)|||/items/3aa26118-7542-46cc-a8df-57e869a7e310, Strnad, P. (Pavel)|||/items/3495f99d-5adc-4cb0-860e-2bf33015f305
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/114753
Acceso en línea:https://hdl.handle.net/10171/114753
Access Level:acceso abierto
Palabra clave:Alcoholic hepatitis
Cirrhosis
End-stage liver disease
HNF4alpha
Transferrin
Descripción
Sumario:Background: Serum transferrin levels represent an independent predictor of mortality in patients with liver failure. Hepatocyte nuclear factor 4 alpha (HNF4α) is a master regulator of hepatocyte functions. The aim of this study was to explore whether serum transferrin reflects HNF4α activity. Methods: Factors regulating transferrin expression in alcoholic hepatitis (AH) were assessed via transcriptomic/methylomic analysis as well as chromatin immunoprecipitation coupled to DNA sequencing. The findings were corroborated in primary hepatocytes. Serum and liver samples from 40 patients with advanced liver disease of multiple etiologies were also studied. Results: In patients with advanced liver disease, serum transferrin levels correlated with hepatic transferrin expression (r = 0.51, p = 0.01). Immunohistochemical and biochemical tests confirmed reduced HNF4α and transferrin protein levels in individuals with cirrhosis. In AH, hepatic gene-gene correlation analysis in liver transcriptome revealed an enrichment of HNF4α signature in transferrin-correlated transcriptome while transforming growth factor beta 1 (TGFβ1), tumor necrosis factor α (TNFα), interleukin 1 beta (IL-1β), and interleukin 6 (IL-6) negatively associated with transferrin signature. A key regulatory region in transferrin promoter was hypermethylated in patients with AH. In primary hepatocytes, treatment with TGFβ1 or the HNF4α inhibitor BI6015 suppressed transferrin production, while exposure to TNFα, IL-1β, and IL-6 had no effect. The correlation between hepatic HNF4A and transferrin mRNA levels was also seen in advanced liver disease. Conclusions: Serum transferrin levels constitute a prognostic and mechanistic biomarker. Consequently, they may serve as a surrogate of impaired hepatic HNF4α signaling and liver failure.

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