The overarching theme of this project is to address the mechanisms underlying gut derived extracellular vesicles (EVs)-induced liver inflammation/injury in Non-alcoholic fatty liver disease (NAFLD). We will determine the role of sphingolipid metabolites, specifically; Sphingosine 1-phosphate (S1P)-enriched gut EVs and pathway CSN8/SphK1 in the development of NAFLD. The current proposal links gut-derived EVs to macrophage- mediated inflammation by proposing that extracellular vesicles from gut recruit macrophages to the liver, resulting in liver injury and inflammation. Our recent work has begun to identify intestinal inflammation-induced alterations in EVs, and shows that gut-derived EVs play a critical role in the regulation of NKT cells and Th17 cells in the development of liver inflammation and colon cancer via gut-liver axis. Our preliminary data shows that LPS promotes Intestinal epithelial cells (IECs) release sphingolipid metabolites-enriched pro-inflammatory EVs including ceramide and S1P. Our preliminary findings also indicate that CSN8/SphK1 signaling pathway plays a crucial role in the production of S1P-enriched EVs. Chronic high fat diet consumption leads to increased gut permeability and expose the liver to gut-derived products including EVs of IECs. Increased S1P-enriched EVs activate its receptor S1P1 on hepatic macrophages, which may promote macrophage chemotaxis into the liver. This has led to the central hypothesis that gut microbiota regulate sphingolipid metabolites- enriched EVs biogenesis and release via gut CSN8/SphK1 pathway and gut EVs carrying sphingolipid metabolites (ceramide and S1P) translocate to liver, which in turn attract macrophages into the liver promoting liver injury in NAFLD. Importantly, the proposal also pursues translational studies that examine the efficacy of nutrition-nanoparticles based therapeutic interventions targeted at gut microbiota and SphK1-S1PR1 inhibition in mitigating gut-liver axis changes. To address our hypothesis, we propose the following specific aims:
Aim 1 : Determine whether gut-derived EVs-S1P regulate liver inflammation and injury via CSN8/SphK1 pathway in NAFLD.
Aim 2 : Determine whether gut-derived EVs-S1P contribute to liver macrophages recruitment/activation by S1PR1-STAT3 in NAFLD.
Aim 3 : Define molecular mechanisms underlying CSN8 and SphK1 reciprocal regulation and modulation of the CSN8/S1P-S1PR1 signal will prevent macrophages mediated-liver injury in NAFLD. The proposal will provide a better understanding of diet-gut-liver interactions and molecular mechanisms contributing to the pathogenesis of EVs-S1P-induced liver inflammation and injury. The study will lead to identification of new therapeutic targets and potential dietary interventions for treating NAFLD.

Public Health Relevance

This proposal underscores the importance of investigating S1P-enriched extracellular vesicles as a critical gut- derived factor for the development of nonalcoholic fatty liver diseases by regulating the recruitment/activation of hepatic macrophages. We anticipate that we can abrogate their local and/or distant activities by targeting CSN8/SphK1-S1PR1/Stat3 pathway.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK115406-02
Application #
9745597
Study Section
Hepatobiliary Pathophysiology Study Section (HBPP)
Program Officer
Doo, Edward
Project Start
2018-07-20
Project End
2023-04-30
Budget Start
2019-05-01
Budget End
2020-04-30
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Louisville
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
057588857
City
Louisville
State
KY
Country
United States
Zip Code
40292