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Apobec1 complementation factor overexpression promotes hepatic steatosis, fibrosis, and hepatocellular cancer
Valerie Blanc, Jesse D. Riordan, Saeed Soleymanjahi, Joseph H. Nadeau, ILKe Nalbantoglu, Yan Xie, Elizabeth A. Molitor, Blair B. Madison, Elizabeth M. Brunt, Jason C. Mills, Deborah C. Rubin, Irene O. Ng, Yeonjung Ha, Lewis R. Roberts, Nicholas O. Davidson
Valerie Blanc, Jesse D. Riordan, Saeed Soleymanjahi, Joseph H. Nadeau, ILKe Nalbantoglu, Yan Xie, Elizabeth A. Molitor, Blair B. Madison, Elizabeth M. Brunt, Jason C. Mills, Deborah C. Rubin, Irene O. Ng, Yeonjung Ha, Lewis R. Roberts, Nicholas O. Davidson
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Research Article Hepatology Metabolism

Apobec1 complementation factor overexpression promotes hepatic steatosis, fibrosis, and hepatocellular cancer

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Abstract

The RNA-binding protein Apobec1 complementation factor (A1CF) regulates posttranscriptional ApoB mRNA editing, but the range of RNA targets and the long-term effect of altered A1CF expression on liver function are unknown. Here we studied hepatocyte-specific A1cf-transgenic (A1cf+/Tg), A1cf+/Tg Apobec1–/–, and A1cf–/– mice fed chow or high-fat/high-fructose diets using RNA-Seq, RNA CLIP-Seq, and tissue microarrays from human hepatocellular cancer (HCC). A1cf+/Tg mice exhibited increased hepatic proliferation and steatosis, with increased lipogenic gene expression (Mogat1, Mogat2, Cidea, Cd36) associated with shifts in polysomal RNA distribution. Aged A1cf+/Tg mice developed spontaneous fibrosis, dysplasia, and HCC, and this development was accelerated on a high-fat/high-fructose diet and was independent of Apobec1. RNA-Seq revealed increased expression of mRNAs involved in oxidative stress (Gstm3, Gpx3, Cbr3), inflammatory response (Il19, Cxcl14, Tnfα, Ly6c), extracellular matrix organization (Mmp2, Col1a1, Col4a1), and proliferation (Kif20a, Mcm2, Mcm4, Mcm6), and a subset of mRNAs (including Sox4, Sox9, Cdh1) were identified in RNA CLIP-Seq. Increased A1CF expression in human HCC correlated with advanced fibrosis and with reduced survival in a subset with nonalcoholic fatty liver disease. In conclusion, we show that hepatic A1CF overexpression selectively alters polysomal distribution and mRNA expression, promoting lipogenic, proliferative, and inflammatory pathways leading to HCC.

Authors

Valerie Blanc, Jesse D. Riordan, Saeed Soleymanjahi, Joseph H. Nadeau, ILKe Nalbantoglu, Yan Xie, Elizabeth A. Molitor, Blair B. Madison, Elizabeth M. Brunt, Jason C. Mills, Deborah C. Rubin, Irene O. Ng, Yeonjung Ha, Lewis R. Roberts, Nicholas O. Davidson

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Figure 14

A1CF expression inferred from immunohistochemical staining in human HCC tissue microarray.

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A1CF expression inferred from immunohistochemical staining in human HCC ...
(A) Top: A1CF staining of normal human liver showing homogeneous strong nuclear expression. Scale bars: 50 μm. Bottom: A1CF in cirrhotic and HCC tissue. Staining shows a gradient of expression with strong nuclear A1CF staining at the edge of cirrhotic nodules and tumor (arrowheads). Scale bars: 50 μm (first 3 panels) and 20 μm (last panel). (B) A1CF expression in 137 human samples from a tissue microarray. Samples were categorized according to A1CF staining evaluated by quantitation of pixels (see Methods). A representative image of each category is shown. Scale bars: 50 μm. (C) A1CF expression and comparison among fibrosis categories in uninvolved and tumor tissues from all patients. Data represent mean ± SEM (unpaired t test). (D) A1CF expression in uninvolved tissue and comparison among patients with low and high levels of AFP, represented as mean ± SEM (unpaired t test). (E) Kaplan-Meier plots of the overall survival rates in HCC subjects with underlying NAFLD, stratified by A1CF staining intensity. Patients were divided into 4 quartiles based on A1CF total expression in uninvolved tissue. Patients with highest A1CF staining (quartile 4) show significantly reduced survival compared with patients with lower A1CF staining intensity (quartiles 1–3). Inset shows Cox proportional hazard values.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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