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Global Translational Medicine                                             Angiotensinogen in liver steatosis



            Multiple studies have shown that consumption of a diet rich   were altered by hepatic AGT deficiency during initiation
            in saturated fats has a significant positive correlation with   of WD-induced steatosis.
            steatosis in humans.  Furthermore, there is compelling
                             7,8
            preclinical evidence that feeding with Western diet (WD),   2. Materials and methods
            a laboratory diet enriched in saturated fats, induces liver   2.1. Mice
            steatosis in mice.  Thus, WD feeding in combination
                           9
            with genetic mouse models provides a valuable approach   AGT floxed mice, with and without a transgene expressing
            to investigate specific molecular targets involved in the   Cre under the control of the albumin promoter (Alb-Cre;
            initiation and progression of liver steatosis.     hepAGT  -/-  and hepAGT +/+, respectively), on a low-
                                                               density lipoprotein-receptor deficient (LDLR -/-, #002207,
              Angiotensinogen (AGT) is the unique substrate    The Jackson Laboratory, USA) background were developed
            of the renin-angiotensin system  (RAS) and is derived   and bred as described previously.  Since liver steatosis is
                                                                                          11
            predominantly from hepatocytes. 10-12  AGT exerts a key role   often observed during childhood, with the mean age of
            in WD-induced steatosis. 11,13  Previous preclinical studies   diagnosis being 11 – 13 years old in pediatric cases, the
            demonstrated that global and hepatocyte-specific AGT   present study used mice at 7 weeks of age, comparable to
            deficiency ameliorated WD-induced liver steatosis in both   humans at approximately 13  years of age. 16-20  Mice were
            hypercholesteremic  and  normolipidemic  mice. 11,14   AGT   maintained  in  a  barrier  facility on  a  light:  dark  cycle  of
            hypomorphic mice had a drastic reduction of AGT plasma   14:10 h (ambient temperature of 21°C) and fed a normal
            concentrations and were resistant to WD-induced increases   mouse laboratory diet (fat 6.2% wt/wt; Diet #2918; Inotiv,
            in body weight, liver weight, and liver triglycerides.    USA). Littermates were used for all experiments. Male
                                                         11
            Hepatocyte-specific AGT deficiency decreased plasma   mice were used based on our previous study that found
                                                                                                   11
            AGT concentrations comparable to AGT hypomorphic   no sex-specific differences in hepAGT mice.  To induce
            mice and also conferred resistance to diet-induced body   hypercholesterolemia, mice at 7 weeks of age were fed a diet
            weight gain and liver steatosis. 11,14  Of note, the effect of   supplemented with saturated fat (milk fat 21% wt/wt) and
            AGT  deficiency on  liver  steatosis  was  not  mimicked  by   cholesterol (0.2% wt/wt; Diet #TD.88137, Inotiv, termed
            inhibition of renin or the angiotensin II type 1 receptor   “Western diet”) for 5, 14, or 42 days. Mice were euthanized
            (AT1R), which indicates that the effect is independent of   using a ketamine/xylazine cocktail (90  mg/kg #11695-
            angiotensin II stimulation of AT1R. 11,14,15  Furthermore,   6840-1, 10 mg/kg #11695-4024-1, respectively; Covetrus,
            in hepatocyte-specific AGT-deficient mice, restoration of   USA). To minimize transcriptomic alterations following
            plasma AGT concentrations by infection with an adeno-  euthanasia, cold saline (8 – 10 mL) was perfused from the
            associated virus expressing des(AngI)AGT, a cleaved form   left ventricle, and livers were harvested immediately.
            of AGT that lacks the portion corresponding to angiotensin I   2.2. Histological analyses
            (AngI), resulted in restoration of WD-induced body weight
            gain and liver steatosis comparable to expression of full-  Liver portions from the left lobe were collected and
            length AGT.  Importantly, despite the clear contribution   processed for histological analysis. For hematoxylin
                      11
            of hepatic AGT to development of WD-induced steatosis,   and eosin (H&E) staining, samples were fixed in
            few studies have investigated functions of AGT outside   paraformaldehyde (4%  w/v), incubated with ethanol
            of the production of RAS peptides, and the mechanism   (70% v/v) for 24 h, embedded in paraffin, and sectioned
            by which hepatocyte-specific AGT deletion inhibits liver   (5 µm). Sections were subsequently deparaffinized using
            steatosis remains unclear. Therefore, it is critical to identify   limonene (#183164, Millipore Sigma, Germany) followed
            potential molecules driving WD-induced liver steatosis   by two washes with ethanol (100%  v/v). Sections were
            through AGT.                                       then stained with Eosin Y (#ES709, Azer Scientific) for
                                                               2  min and counterstained with Mayer’s hematoxylin
              In the present study, to identify target pathways   for 10 s (#26043-06, Electron Microscopy Sciences).
            and molecules, we employed a two-armed bulk RNA    Coverslips were applied using Permount (#SP-15, Fisher
            sequencing approach in  mice. First, the  temporal   Scientific, USA). For Oil Red O staining, liver samples
            alteration of hepatic transcriptomes in response to WD   were embedded in optimal cutting temperature compound
            was evaluated at different intervals of WD feeding in   (#4585, Fisher Scientific), frozen at −20°C, and sectioned
            a hypercholesterolemic mouse model. Second, hepatic   (10 µm). Sections were fixed in neutral-buffered formalin
            transcriptomes of hypercholesterolemia were compared   (10% w/v) and dehydrated in isopropanol (60% v/v) for
            between  mice  with  AGT  deletion  in  hepatocytes  and   5 min. Next, sections were stained with filtered Oil Red O
            their wild-type littermates. Last, the two RNA sequencing   (#O0625, Millipore Sigma; 0.15% w/v in 60% isopropanol)
            datasets were integrated to determine key processes that   for 10 min, destained in isopropanol (60% v/v) for 2 min,


            Volume 4 Issue 2 (2025)                         72                              doi: 10.36922/gtm.6027
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