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Am J Physiol Gastrointest Liver Physiol 290: G1339-G1346, 2006. First published February 16, 2006; doi:10.1152/ajpgi.00509.2005
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LIVER AND BILIARY TRACT

Bax inhibition protects against free fatty acid-induced lysosomal permeabilization

Ariel E. Feldstein,1 Nathan W. Werneburg,2 ZhengZheng Li,1 Steven F. Bronk,2 and Gregory J. Gores2

1Department of Pediatric Gastroenterology and Cell Biology, Cleveland Clinic Foundation, Cleveland, Ohio; and 2Mayo Clinic College of Medicine, Rochester, Minnesota

Submitted 27 October 2005 ; accepted in final form 24 January 2006

Lysosomal permeabilization is a key feature of hepatocyte lipotoxicity, yet the mechanisms mediating this critical cellular event are unclear. This study examined the mechanisms involved in free fatty acid (FFA)-induced lysosomal permeabilization and the role of Bax, a Bcl-2 family member, in this event. Exposure of liver cells to palmitate induced Bax activation and translocation to lysosomes. Studies to suppress Bax activation either by pharmacological approaches or small interfering-RNA-mediated inhibition of Bax expression showed that lysosomal permeabilization is Bax dependent. In addition, palmitate treatment resulted in a significant decrease in Bcl-XL, a Bax antagonist. Moreover, forced Bcl-XL expression blocked lysosomal permeabilization. Lysosomal permeabilization by FFA was ceramide and caspase independent. Finally, paradigms that inhibit lysosomal permeabilization also reduced apoptosis. In conclusion, these data strongly support a regulatory role for Bax in FFA-mediated lysosomal permeabilization and subsequent cell death.

nonalcoholic fatty liver disease; lysosomes; Bax; Bcl-2 family; cathepsin B



Address for reprint requests and other correspondence: G. J. Gores, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN 55905 (e-mail: gores.gregory{at}mayo.edu)




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