Abstract
Alcohol-induced cirrhosis results partially from the excessive production of collagen matrix proteins, which, predominantly αI(I) collagen, are produced and secreted by activated hepatic stellate cells (HSC). The accumulation of αI(I) collagen in HSC during cirrhosis is largely due to an increase in αI(I) collagen gene expression. Acetaldehyde, the major active metabolite of alcohol, is known to stimulate αI(I) collagen production in HSC. However, the mechanisms responsible for it remain unknown. The aim of this study was to elucidate the mechanisms by which αI(I) collagen gene expression is induced by acetaldehyde in rat HSC. In the present study, the acetaldehyde response element was located in a distal GC box, previously described as the UV response element, in the promoter of the αI(I) collagen gene (−1484 to −1476). The GC box was predominantly bound by the DNA binding transcription factor BTEB (basic transcription element binding protein), expression of which was acetaldehyde and UV inducible. Blocking BTEB protein expression significantly reduced the steady-state levels of the acetaldehyde-induced αI(I) collagen mRNA, suggesting that BTEB is required for this gene expression. Further studies found that acetaldehyde activated Jun N-terminal kinase (JNK) 1 and 2 and activator protein 1 (AP-1) transactivating activity. Inhibition of JNK activation resulted in the reduction of the acetaldehyde-induced BTEB protein abundance and αI(I) collagen mRNA levels, indicating that the expression of both genes is JNK dependent in HSC. Taken together, these studies demonstrate that BTEB mediates acetaldehyde-induced, JNK-dependent αI(I) collagen gene expression in HSC.

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