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Free fatty acids sensitise hepatocytes to TRAIL mediated cytotoxicity
  1. Harmeet Malhi,
  2. Fernando J Barreyro,
  3. Hajime Isomoto,
  4. Steven F Bronk,
  5. Gregory J Gores
  1. Miles and Shirley Fiterman Center for Digestive Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA
  1. Correspondence to:
    Dr Gregory J Gores
    Miles and Shirley Fiterman Center for Digestive Diseases, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA; gores.gregory{at}


Background: Elevated circulating free fatty acids (FFA) contribute to the development of hepatic steatosis and promote hepatocyte apoptosis by incompletely defined mechanisms. Although the death ligand TRAIL has been implicated in a variety of pathological liver diseases, the role of TRAIL in mediating apoptosis of FFA induced steatotic hepatocytes is unknown.

Aim: We examined TRAIL cytotoxicity in an in vitro model of hepatocyte steatosis induced by FFA.

Methods: Hepatocytes (Huh 7 cells, HepG2 cells, and primary rat hepatocytes) were rendered steatotic by incubation with oleic acid. Apoptosis was assessed morphologically and biochemically by caspase activity. TRAIL receptor regulation was examined using immunoblot analysis and siRNA for targeted knockdown. c-jun N-terminal kinase (JNK) inhibition was attained with SP600125.

Results: Oleic acid sensitised the cells to TRAIL but not TNF-α cytotoxicity. FFA sensitisation to TRAIL occurred at much lower concentrations than required for FFA mediated sensitisation to Fas, or FFA induced lipoapoptosis. Oleic acid treatment led to upregulation of the cognate TRAIL receptor death receptor 5 (DR5) but not death receptor 4 (DR4). The upregulation of DR5 was JNK dependent. siRNA targeted knockdown of either DR5 or DR4 demonstrated that DR5 was responsible for FFA sensitisation to TRAIL killing. DR5 expression was enhanced in steatotic human liver samples.

Conclusion: Our results suggest that FFA induced hepatocyte steatosis sensitises to TRAIL by a DR5 mediated JNK dependent mechanism.

  • ALD, alcohol induced liver disease
  • DAPI, 4′,6-diamidino-2-phenylindole
  • DISC, death inducing signalling complex
  • DR, death receptor
  • EPA, eicosapentaenoic acid
  • FFA, free fatty acid
  • HCV, hepatitis C virus
  • JNK, C-jun N-terminal kinase
  • MAPK, mitogen activated protein kinase
  • NAFLD, non-alcoholic fatty liver disease
  • NASH, non-alcoholic steatohepatitis
  • OA, oleic acid
  • PCR, polymerase chain reaction
  • PVDF, poly(vinylidene) fluoride
  • siRNA, small interfering RNA
  • TNF-α, tumour necrosis factor alfa
  • TRAIL, tumour necrosis factor related apoptosis inducing ligand
  • cellular steatosis
  • death receptor
  • SP600125

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  • Published Online First 30 April 2007

  • Competing interests: None.

  • This work was supported by NIH grant DK 41876 and the Mayo and Palumbo.