Alcoholic liver disease (ALD) is a chronic condition that affects up to 2 million people in the US, resulting in morbidity and mortality and significant health care expenditures. ALD is characterized by fat accumulation inside liver cells that can lead to inflammation, irreversible cirrhosis and subsequent liver failure. The molecular mechanisms involved in ALD induction are not well understood and there are no effective treatments. This application focuses on the role of the endocannabinoid (EC) signaling pathway in liver development and embryonic and adult models of alcohol-induced hepatic steatosis. A chemical screen conducted in our laboratory revealed this pathway as a positive regulator of liver growth and maturation during development. EC signaling also has important roles in regulating liver lipogenesis and fibrogenesis during chronic liver disease. We will use the zebrafish for our studies, which has advantages as a model organism because of in vivo imaging, time resolution, and chemical screening methods not available or feasible in rodent models. Importantly, zebrafish display disease morphology and pathophysiology that is similar to mammals. We hypothesize that EC signaling impacts cellular metabolism and cell fate during both development and alcohol-induced hepatic steatosis, and these studies can reveal novel drug targets and therapeutic strategies for treating liver damage caused by ALD.
Our first aim i s to characterize the mechanism of EC signaling during embryonic liver development and embryonic alcohol-induced hepatic steatosis. We have recently generated zebrafish mutants for the two cannabinoid receptors, cnr1 and cnr2, using transcription activator-like effector nucleases (TALEN), a novel technique recently optimized for zebrafish. We will use these mutants and chemical modulators of the EC pathway to characterize liver growth, morphology, and physiology during liver development and assess steatosis in an embryonic model of alcohol-induced hepatic injury after EC pathway modulation. Furthermore, we will elucidate the role of the ghrelin signaling pathway as a collaborator of EC signaling during steatosis induction.
Our second aim i s to determine the impact of EC signaling on multiple cell types in the liver using two zebrafish models of ALD. We will establish a physiologically relevant adult model of ALD for use in addition to the existing embryonic model. We will then utilize cnr1 and cnr2 mutants and chemical modulators of the EC signaling pathway to uncover histological changes and identify alterations in hepatic stellate cells, liver macrophages, fat metabolism, and biliary tree morphology after alcohol exposure in zebrafish embryos and adults. We then plan to conduct a chemical screen to discover additional compounds or pathways that impact EC signaling during ALD using co-treatment of alcohol with a library of known bioactive compounds. These studies will not only reveal the mechanisms of EC signaling during ALD, but also seek to identify novel therapeutic targets and drugs for the treatment of patients with ALD.

Public Health Relevance

Alcoholic liver disease is a chronic condition that affects up to 2 million people in the US, resulting in morbidity and mortality and significant health care expenditures. This application will shed light on the role of the endocannabinoid signaling pathway in enhancing liver growth and maturation during development while also having important functions in regulating liver fat content and scar tissue formation during alcoholic live disease. An increased understanding of this pathway can reveal novel drug targets and therapeutic strategies for treating liver damage caused by alcoholic liver disease and other types of liver injury.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31AA022548-01
Application #
8589262
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Gao, Peter
Project Start
2013-09-01
Project End
2016-08-31
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
1
Fiscal Year
2013
Total Cost
$29,576
Indirect Cost
Name
Harvard University
Department
Biology
Type
Schools of Medicine
DUNS #
047006379
City
Boston
State
MA
Country
United States
Zip Code
02115
Liu, Leah Y; Alexa, Kristen; Cortes, Mauricio et al. (2016) Cannabinoid receptor signaling regulates liver development and metabolism. Development 143:609-22