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Obesity disrupts the pituitary-hepatic UPR communication leading to NAFLD progression
Journal article   Peer reviewed

Obesity disrupts the pituitary-hepatic UPR communication leading to NAFLD progression

Qingwen Qian, Mark Li, Zeyuan Zhang, Shannon W. Davis, Kamal Rahmouni, Andrew W. Norris, Huojun Cao, Wen-Xing Ding, Gökhan S. Hotamisligil and Ling Yang
Cell metabolism, Vol.36(7), pp.1550-1565.e9
05/03/2024
DOI: 10.1016/j.cmet.2024.04.014
PMCID: PMC11222033
PMID: 38718793
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC11222033/pdf/nihms-1989928.pdfView
Open Access

Abstract

Obesity alters levels of pituitary hormones that govern hepatic immune-metabolic homeostasis, dysregulation of which leads to nonalcoholic fatty liver disease (NAFLD). However, the impact of obesity on intra-pituitary homeostasis is largely unknown. Here, we uncovered a blunted unfolded protein response (UPR) but elevated inflammatory signatures in pituitary glands of obese mice and humans. Furthermore, we found that obesity inflames the pituitary gland, leading to impaired pituitary inositol-requiring enzyme 1α (IRE1α)-X-box-binding protein 1 (XBP1) UPR branch, which is essential for protecting against pituitary endocrine defects and NAFLD progression. Intriguingly, pituitary IRE1-deletion resulted in hypothyroidism and suppressed the thyroid hormone receptor B (THRB)-mediated activation of Xbp1 in the liver. Conversely, activation of the hepatic THRB-XBP1 axis improved NAFLD in mice with pituitary UPR defect. Our study provides the first evidence and mechanism of obesity-induced intra-pituitary cellular defects and the pathophysiological role of pituitary-liver UPR communication in NAFLD progression. [Display omitted] •Obesity impairs the IRE1α-sXBP1 UPR branch in the pituitary gland•The pituitary IRE1α-sXBP1 axis-regulated endocrine output protects against NAFLD•Obesity suppresses THRB-activated Xbp1 in the liver•The hepatic THRB-XBP1 axis improves NAFLD in mice with defective pituitary UPR NAFLD is associated with abnormal levels of pituitary-derived hormones. Qian et al. found that obesity impairs pituitary UPR-regulated endocrine outputs. Disruption of the pituitary UPR leads to defective hepatic UPR and NAFLD progression. These data demonstrate the pathological relevance of integrated organelle crosstalk across organs in the context of NAFLD.
Obesity IRE1 NAFLD pituitary gland thyroid hormone UPR

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