RT Journal Article SR Electronic T1 Liver microRNA-21 is overexpressed in non-alcoholic steatohepatitis and contributes to the disease in experimental models by inhibiting PPARα expression JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 1882 OP 1894 DO 10.1136/gutjnl-2014-308883 VO 65 IS 11 A1 Xavier Loyer A1 Valérie Paradis A1 Carole Hénique A1 Anne-Clémence Vion A1 Nathalie Colnot A1 Coralie L Guerin A1 Cécile Devue A1 Sissi On A1 Jérémy Scetbun A1 Mélissa Romain A1 Jean-Louis Paul A1 Marc E Rothenberg A1 Patrick Marcellin A1 François Durand A1 Pierre Bedossa A1 Carina Prip-Buus A1 Eric Baugé A1 Bart Staels A1 Chantal M Boulanger A1 Alain Tedgui A1 Pierre-Emmanuel Rautou YR 2016 UL http://gut.bmj.com/content/65/11/1882.abstract AB Objective Previous studies suggested that microRNA-21 may be upregulated in the liver in non-alcoholic steatohepatitis (NASH), but its role in the development of this disease remains unknown. This study aimed to determine the role of microRNA-21 in NASH.Design We inhibited or suppressed microRNA-21 in different mouse models of NASH: (a) low-density lipoprotein receptor-deficient (Ldlr−/−) mice fed a high-fat diet and treated with antagomir-21 or antagomir control; (b) microRNA-21-deficient and wild-type mice fed a methionine-choline-deficient (MCD) diet; (c) peroxisome proliferation-activator receptor α (PPARα)-deficient mice fed an MCD diet and treated with antagomir-21 or antagomir control. We assessed features of NASH and determined liver microRNA-21 levels and cell localisation. MicroRNA-21 levels were also quantified in the liver of patients with NASH, bland steatosis or normal liver and localisation was determined.Results Inhibiting or suppressing liver microRNA-21 expression reduced liver cell injury, inflammation and fibrogenesis without affecting liver lipid accumulation in Ldlr−/− fed a high-fat diet and in wild-type mice fed an MCD diet. Liver microRNA-21 was overexpressed, primarily in biliary and inflammatory cells, in mouse models as well as in patients with NASH, but not in patients with bland steatosis. PPARα, a known microRNA-21 target, implicated in NASH, was decreased in the liver of mice with NASH and restored following microRNA-21 inhibition or suppression. The effect of antagomir-21 was lost in PPARα-deficient mice.Conclusions MicroRNA-21 inhibition or suppression decreases liver injury, inflammation and fibrosis, by restoring PPARα expression. Antagomir-21 might be a future therapeutic strategy for NASH.