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Global Translational Medicine                                             Angiotensinogen in liver steatosis





































            Figure 5. mRNA abundance of target cell division genes increased concurrently with steatosis in hepAGT +/+ mice. Normalized read count expression
            of target DEGs after 5, 14, and 42 days of WD feeding compared to 0 days in hepAGT +/+ mice. p-values compared against 0 days were calculated by
            Kruskal–Wallis with Dunn’s method for Plk1 and Smpd3 or one-way analysis of variance with Holm–Sidak test for Dtl, Cdc6, Mki67, and Top2a. n = 4 – 5
            mice/group.
            Abbreviations: DEG: Differentially expressed gene; hepAGT +/+: Albumin-Cre 0/0 AGT floxed (f/f) low-density lipoprotein-receptor-deficient
            background; WD: Western diet.
              The present study identified five genes (Smpd3,  Dtl,   while its knockdown attenuates both phenotypes. 46-48
            Cdc6,  Top2a, and  Mki67) as potential mediators in the   Dtl  has been shown to relieve transcriptional repression
            development  of  WD-induced  liver  steatosis.  Smpd3,   in HCC cell lines, indicating that Dtl may be a causative
            encoding neutral sphingomyelinase 2, catalyzes the   mediator in liver cell proliferation.  Cdc6 (encoding cell
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            hydrolysis of the biochemically inert lipid sphingomyelin,   division cycle 6),  Top2a (encoding DNA topoisomerase
            leading to an increased abundance of ceramide. Excess   II alpha), and  Mki67  (encoding Ki67) play critical roles
            ceramide has been implicated in liver inflammation and   in the cell cycle.  Cdc6 functions in the assembly of
            steatosis, potentially by enhancing endoplasmic reticulum   prereplicative complexes at origins of replication and
            stress,  lipid  uptake,  and  triglyceride  production  in  the   participates in checkpoint control before mitosis. Increased
            liver. 35-39  Both pro-  and anti-proliferative functions of   expression of  Cdc6 may promote DNA hyperreplication
            ceramide  have  been  reported,  explained  in  part  by   or oncogenesis.  Overexpression of  Cdc6 in HCC cells
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            contextual differences of cell type, subcellular localization,   promoted cell proliferation and metastatic markers.
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            and fatty-acid chain length. 40-43  The contribution of Smpd3   Top2a is a crucial part of the DNA replisome and regulates
            and ceramide to liver cell proliferation in the context of   chromatin topology by catalyzing transient DNA double-
            WD-induced steatosis remains unclear. However, inhibition   stranded breaks and facilitating the relief of super-helical
            of Smpd3 by genetic or pharmacologic methods attenuates   stress.  In vitro and in vivo knockdown and overexpression
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            hepatocyte lipid accumulation and pathologic features of   of  Top2a  can inhibit or promote HCC proliferation and
            MAFLD  in  vitro. 36,39   Dtl,  which encodes denticleless E3   metastasis,  respectively. Ki67  is  a  well-known  marker
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            ubiquitin protein ligase homolog, plays a key role in the   of cellular proliferation and plays a key role in mitosis
            cell cycle as a substrate receptor for cullin-RING ligases   by preventing aggregation of mitotic chromosomes. 53-57
            and regulates replication licensing, cell cycle control,   Despite its universal expression in proliferative cells, Ki67
            and chromatin modification-associated proteins. 44,45    is dispensable for proliferation using several established
            Overexpression of Dtl promotes hepatocellular carcinoma   cancer cell lines, yet its knockdown reduced tumorigenesis
            (HCC) proliferation and invasion  in  vitro  and  in  vivo,   potentially through altered chromatin accessibility.
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            Volume 4 Issue 2 (2025)                         79                              doi: 10.36922/gtm.6027
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