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UDP-glucuronate metabolism controls RIPK1-driven liver damage in nonalcoholic steatohepatitis

Tao Zhang, Na Zhang, Jing Xing, Shuhua Zhang, Yulu Chen, Daichao Xu and Jinyang Gu ()
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Tao Zhang: Huazhong University of Science and Technology
Na Zhang: Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences
Jing Xing: Lingang Laboratory
Shuhua Zhang: Huazhong University of Science and Technology
Yulu Chen: Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences
Daichao Xu: Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences
Jinyang Gu: Huazhong University of Science and Technology

Nature Communications, 2023, vol. 14, issue 1, 1-18

Abstract: Abstract Hepatocyte apoptosis plays an essential role in the progression of nonalcoholic steatohepatitis (NASH). However, the molecular mechanisms underlying hepatocyte apoptosis remain unclear. Here, we identify UDP-glucose 6-dehydrogenase (UGDH) as a suppressor of NASH-associated liver damage by inhibiting RIPK1 kinase-dependent hepatocyte apoptosis. UGDH is progressively reduced in proportion to NASH severity. UGDH absence from hepatocytes hastens the development of liver damage in male mice with NASH, which is suppressed by RIPK1 kinase-dead knockin mutation. Mechanistically, UGDH suppresses RIPK1 by converting UDP-glucose to UDP-glucuronate, the latter directly binds to the kinase domain of RIPK1 and inhibits its activation. Recovering UDP-glucuronate levels, even after the onset of NASH, improved liver damage. Our findings reveal a role for UGDH and UDP-glucuronate in NASH pathogenesis and uncover a mechanism by which UDP-glucuronate controls hepatocyte apoptosis by targeting RIPK1 kinase, and suggest UDP-glucuronate metabolism as a feasible target for more specific treatment of NASH-associated liver damage.

Date: 2023
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DOI: 10.1038/s41467-023-38371-2

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