Trabajo presentado en el Annual Meeting of the American-Association-for-the-Study-of-Liver-Diseases (AASLD) / Liver Meeting, celebrado en San Francisco del 9 al 13 de noviembre de 2018[Background] Alcoholic liver disease (ALD) is a spectrum
of disorders that begin with hepatic steatosis, which can
progress to alcoholic steatohepatitis (ASH) and cirrhosis.
The incomplete understanding of mechanisms contributing
to ALD progression has limited the availability of effective
therapy. Mitochondrial dysfunction is a hallmark of ALD.
Altered mitochondrial morphology in human ALD and indirect
metabolic determinations suggested impaired mitochondrial
function in ALD patients. In experimental models, impaired
mitochondrial respiration seems to be species-dependent
(rats vs. mice), with evidence in mice showing a correlation
between increased mitochondrial respiration and ALD
severity. Therefore, we examined the mitochondrial function
from alcohol-fed FRG mice xenotransplanted with human
adult hepatocytes (HH).[Methods] FRG mice were injected
with HH through the spleen followed by controlled cycles of
NTBC withdrawal. Humanized FRG mice were fed an alcohol
(5%, ethanol; 36% calories) or control liquid diets for 10 days
after 5 days of acclimation. HH were isolated and oxygen
consumption rates (OCR) determined by a flux analyzer to
examine respiratory parameters. In parallel, hepatocyte
mitochondrial respiration was determined in wild type mice fed
alcohol diet for comparison. In some cases, perivenous (PV)
and periportal (PP) hepatocytes were isolated from wild type
mice fed alcohol.[Results] FRG mice were repopulated with
HH by 80-85%, as estimated by the determination of serum
human albumin levels and expression of fumaroylacetoacetate
by immunohistochemistry. OCR significantly increased in HH
from FRG mice fed alcohol compared to FRG mice fed control
diet. This outcome translated in a significant increase (2-fold)
in basal OCR, ATP production and maximal respiration, without
changes in proton leak, coupling efficiency or mitochondrial
mass (cytochrome c immunostaining). Interestingly, these
findings in OCR and respiratory parameters were similar
to those found in mitochondrial respiration from wild type
mice fed alcohol for the same period of time. Moreover, the
mitochondrial respiratory alterations reflected predominant
changes in PV rather than PP hepatocytes from wild type
mice fed alcohol. Conclusion: Using this subrogate model
of humanized ALD, our findings show that alcohol feeding
increases mitochondrial respiration in human hepatocytes
metabolizing alcohol, suggesting that increased mitochondrial
respiration may contribute to human ALD.Peer reviewe