Transcriptional and non-transcriptional function of IRF3 in ALD - ABSTRACT
Alcohol consumption is a leading cause of preventable morbidity and mortality worldwide. Chronic alcohol abuse
underlies the pathogenesis of alcoholic liver disease (ALD), encompassed by a spectrum of pathologies, ranging
from steatosis, to more severe forms of liver injury, including alcoholic hepatitis (AH), fibrosis, and cirrhosis.
There is a growing appreciation of a dynamic and complex role of the innate immune system in the progression
of ALD, as well as the resolution of hepatocellular injury and fibrosis. The controlled and appropriate resolution
of inflammation is an essential feature of the innate immune response. This dynamic interplay between injury
and repair is mediated, at least in part, by the tremendous plasticity of resident tissue macrophages and
infiltrating monocytes as they respond to signals within their microenvironment.
Signaling via IRF3 is an important element in the dynamic regulation of pro-survival vs pro-death pathways in
immune cells. While several studies have implicated IRF3 in the progression of ALD, the mechanisms by which
IRF3 contributes to liver injury are not well understood. Classically, IRF3 is known as a transcription factor
essential for the induction of interferon- (IFN-) and antiviral genes. Recently, members of our team discovered
that, in addition to its transcriptional functions, IRF3 directly triggers a pro-apoptotic pathway, termed RIG-I-
like receptors (RLR)-induced IRF-3-mediated pathway of apoptosis (RIPA) via a non-transcriptional
mechanism. In IRF3-mediated apoptosis, IRF3 is activated by linear ubiquitination on two lysine residues,
resulting in the interaction of IRF3 with the pro-apoptotic protein Bax. The IRF3/BAX complex then translocates
to the mitochondria where it triggers apoptosis. In order to study this pathway, we have generated a novel
knock-in mouse that expresses an IRF3 protein that only exhibits non-transcriptional functions.
Importantly, in preliminary experiments, we discovered that IRF3-mediated apoptosis of innate immune cells
recruited to the liver in response to Gao-binge ethanol exposure dynamically exacerbates inflammation and
contributes to murine alcoholic hepatitis (mAH). Here we propose to investigate the mechanisms by which the
non-transcriptional activity of IRF3 contributes to both hepatic inflammation and fibrosis in models of mAH and
fibrosis in 2 specific aims: SA1) Determine the contribution of the non-transcriptional function of IRF3 in mediating
ethanol-induced liver injury in the Gao-binge model of mAH and a murine model of acceleration of fibrosis by
ethanol and SA2) Investigate the mechanisms of IRF3 activation in immune cells during mAH or fibrosis. In
summary, our studies will reveal novel roles for the non-transcriptional activity of IRF3 in exacerbating innate
immune responses to alcohol, as well as identify potential therapeutic targets that would prevent and/or improve
the resolution of inflammation and fibrosis in patients with ALD.