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- W4224744484 abstract "Abstract Alcohol-associated liver disease is a major cause of alcohol-related mortality. However, the mechanisms underlying disease progression are not fully understood. Recently we found that liver molecular pathways are altered by alcohol consumption differently in males and females. We were able to associate these sex-specific pathways with two upstream regulators: H3K4-specific demethylase enzymes KDM5B and KDM5C. Mice were fed the Lieber-DeCarli alcohol liquid diet for 3 weeks or a combination of a high-fat diet with alcohol in water for 16 weeks (western diet alcohol model [WDA] model). To assess the role of histone demethylases, mice were treated with AAV-shControl, AAV-shKdm5b, and/or AAV-shKdm5c and/or AAV-shAhR vectors. Gene expression and epigenetic changes after Kdm5b/5c knockdown were assessed by RNA-sequencing and H3K4me3 chromatin immunoprecipitation analysis. We found that less than 5% of genes affected by Kdm5b / Kdm5c knockdown were common between males and females. In females, Kdm5b / Kdm5c knockdown prevented fibrosis development in mice fed the WDA alcohol diet for 16 weeks and decreased fibrosis-associated gene expression in mice fed the Lieber-DeCarli alcohol liquid diet. In contrast, fibrosis was not affected by Kdm5b / Kdm5c knockdown in males. We found that KDM5B and KDM5C promote fibrosis in females through down-regulation of the aryl hydrocarbon receptor (AhR) pathway components in hepatic stellate cells. Kdm5b / Kdm5c knockdown resulted in an up-regulation of Ahr, Arnt , and Aip in female but not in male mice, thus preventing fibrosis development. Ahr knockdown in combination with Kdm5b/Kdm5c knockdown restored profibrotic gene expression. Conclusion: KDM5 demethylases contribute to differences between males and females in the alcohol response in the liver. The KDM5/AhR axis is a female-specific mechanism of fibrosis development in alcohol-fed mice. In this study we report that in female mice, alcohol induces KDM5B and KDM5C in hepatic stellate cells to promote AhR downregulation and fibrosis development; liver knockdown of Kdm5b and Kdm5c can prevent AhR downregulation and fibrosis development in females but not in males. Relationship between KDM5 demethylases and fibrosis is female specific in humans as well. Potentially our study is the first step to future sex-specific therapy for Alcohol-associated Liver Disease." @default.
- W4224744484 created "2022-04-27" @default.
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- W4224744484 date "2022-08-01" @default.
- W4224744484 modified "2023-10-12" @default.
- W4224744484 title "Alcohol-associated fibrosis in females is mediated by female-specific activation of lysine demethylases KDM5B and KDM5C" @default.
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- W4224744484 doi "https://doi.org/10.1002/hep4.1967" @default.
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