Pub Date : 2026-02-04DOI: 10.1007/s12072-025-11027-7
Shadi Zerehpoosh, Ziyan Pan, Mohammed Eslam
{"title":"Diagnostic criteria for fatty liver disease: lessons from other diseases.","authors":"Shadi Zerehpoosh, Ziyan Pan, Mohammed Eslam","doi":"10.1007/s12072-025-11027-7","DOIUrl":"https://doi.org/10.1007/s12072-025-11027-7","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1007/s12072-026-11040-4
Xuping Zhang, Qian Li, Peipei Zhang
{"title":"Refining the definition of acute autoimmune hepatitis: implications for classification and prognosis.","authors":"Xuping Zhang, Qian Li, Peipei Zhang","doi":"10.1007/s12072-026-11040-4","DOIUrl":"https://doi.org/10.1007/s12072-026-11040-4","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1007/s12072-025-11022-y
Wei Zhong, Zile Shao, Tingting Li, Ziyi Xu, Zhixing Gao, Zhizhong Zheng, Yayu Zhang, Houyu Chen, Gang Song
Background and aims: Liver fibrosis, a wound-healing response to chronic injury, can progress to cirrhosis and hepatocellular carcinoma. We investigated Tripartite motif-containing protein 26 (TRIM26) in liver fibrosis and its mechanisms.
Methods: TRIM26 knockout (Trim26⁻/⁻) mice were generated to study Trim26's role in liver fibrosis. Histological analyses, qPCR, and western blotting were conducted to examine fibrosis markers and macrophage activation. In vitro studies examined macrophage polarization and hepatic stellate cells (HSCs) activation. Co-immunoprecipitation and ubiquitination assays were performed to explore the interaction between TRIM26 and enhancer of zeste homolog 2 (EZH2).
Results: TRIM26 expression was significantly downregulated in human cirrhotic tissues and fibrotic mouse livers. In Trim26⁻/⁻ mice, CCl₄- and BDL-induced fibrosis models exhibited exacerbated collagen deposition, elevated α-smooth muscle actin (α-SMA), and type I collagen (Collagen I) expression, whereas AAV-mediated Trim26 restoration markedly ameliorated these pathological features. Transcriptomic and cellular analyses indicated that Trim26 deficiency increased the pro-inflammatory cytokines, activated NF-κB and STAT1 signaling pathways, enhanced M1 macrophage polarization, and increased inflammatory cell infiltration. In vitro experiments confirmed that conditioned medium from Trim26-deficient macrophages significantly promoted α-SMA and collagen expression in HSCs. Mechanistically, TRIM26 interacts with EZH2, inhibiting TRAF6-mediated K48-linked ubiquitination and degradation to maintain EZH2 stability. EZH2, in turn, suppresses STAT1 transcriptional activity by catalyzing H3K27me3 modification on the STAT1 gene chromatin. EZH2 degradation leads to STAT1 upregulation, exacerbating M1 macrophage polarization.
Conclusion: Trim26 attenuates liver fibrosis by stabilizing EZH2 and regulating macrophage polarization, which reduces HSC activation.
{"title":"TRIM26 deficiency promotes liver fibrosis progression by mediating macrophage polarization via the EZH2-STAT1 axis.","authors":"Wei Zhong, Zile Shao, Tingting Li, Ziyi Xu, Zhixing Gao, Zhizhong Zheng, Yayu Zhang, Houyu Chen, Gang Song","doi":"10.1007/s12072-025-11022-y","DOIUrl":"https://doi.org/10.1007/s12072-025-11022-y","url":null,"abstract":"<p><strong>Background and aims: </strong>Liver fibrosis, a wound-healing response to chronic injury, can progress to cirrhosis and hepatocellular carcinoma. We investigated Tripartite motif-containing protein 26 (TRIM26) in liver fibrosis and its mechanisms.</p><p><strong>Methods: </strong>TRIM26 knockout (Trim26⁻<sup>/</sup>⁻) mice were generated to study Trim26's role in liver fibrosis. Histological analyses, qPCR, and western blotting were conducted to examine fibrosis markers and macrophage activation. In vitro studies examined macrophage polarization and hepatic stellate cells (HSCs) activation. Co-immunoprecipitation and ubiquitination assays were performed to explore the interaction between TRIM26 and enhancer of zeste homolog 2 (EZH2).</p><p><strong>Results: </strong>TRIM26 expression was significantly downregulated in human cirrhotic tissues and fibrotic mouse livers. In Trim26<sup>⁻/⁻</sup> mice, CCl₄- and BDL-induced fibrosis models exhibited exacerbated collagen deposition, elevated α-smooth muscle actin (α-SMA), and type I collagen (Collagen I) expression, whereas AAV-mediated Trim26 restoration markedly ameliorated these pathological features. Transcriptomic and cellular analyses indicated that Trim26 deficiency increased the pro-inflammatory cytokines, activated NF-κB and STAT1 signaling pathways, enhanced M1 macrophage polarization, and increased inflammatory cell infiltration. In vitro experiments confirmed that conditioned medium from Trim26-deficient macrophages significantly promoted α-SMA and collagen expression in HSCs. Mechanistically, TRIM26 interacts with EZH2, inhibiting TRAF6-mediated K48-linked ubiquitination and degradation to maintain EZH2 stability. EZH2, in turn, suppresses STAT1 transcriptional activity by catalyzing H3K27me3 modification on the STAT1 gene chromatin. EZH2 degradation leads to STAT1 upregulation, exacerbating M1 macrophage polarization.</p><p><strong>Conclusion: </strong>Trim26 attenuates liver fibrosis by stabilizing EZH2 and regulating macrophage polarization, which reduces HSC activation.</p>","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1007/s12072-025-11015-x
Mingjing Xu, Xiyan Jin, Hangyuan Wu, Wenzong Zhu
{"title":"Comment on \"Cirrhotic cardiomyopathy in children with biliary atresia and genetic intrahepatic cholestasis: clinical course and outcomes\".","authors":"Mingjing Xu, Xiyan Jin, Hangyuan Wu, Wenzong Zhu","doi":"10.1007/s12072-025-11015-x","DOIUrl":"https://doi.org/10.1007/s12072-025-11015-x","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1007/s12072-025-11013-z
Binqi Wang, Danna Zheng, Jinshi Zhang
{"title":"Do MASLD subtypes truly diverge in pregnancy risk, or do they reflect the same metabolic burden?","authors":"Binqi Wang, Danna Zheng, Jinshi Zhang","doi":"10.1007/s12072-025-11013-z","DOIUrl":"10.1007/s12072-025-11013-z","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-24DOI: 10.1007/s12072-025-11020-0
Qiongying Xu, Jiehua Han, Jiali Zhu
{"title":"Comment on \"Enhancing post-TIPS hepatic encephalopathy risk stratification: a hybrid TabPFN model leveraging radiomics, deep transfer learning features, and MELD score\".","authors":"Qiongying Xu, Jiehua Han, Jiali Zhu","doi":"10.1007/s12072-025-11020-0","DOIUrl":"10.1007/s12072-025-11020-0","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-24DOI: 10.1007/s12072-025-11030-y
Bhawan Kumar, Govinda Lohano, Gaaitri Lohano
{"title":"Letter to the editor: \"Critical appraisal of the anchor RCT on entecavir, peginterferon Alfa-2b, and GM-CSF combination therapy\".","authors":"Bhawan Kumar, Govinda Lohano, Gaaitri Lohano","doi":"10.1007/s12072-025-11030-y","DOIUrl":"https://doi.org/10.1007/s12072-025-11030-y","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1007/s12072-025-11018-8
Benjian Gao, Xuecheng Bai, Yongfa Liu, Xiaoli Yang, Bo Li
{"title":"Beyond left versus right: from puncture site selection to clinical strategy in TIPS.","authors":"Benjian Gao, Xuecheng Bai, Yongfa Liu, Xiaoli Yang, Bo Li","doi":"10.1007/s12072-025-11018-8","DOIUrl":"https://doi.org/10.1007/s12072-025-11018-8","url":null,"abstract":"","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146029444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-20DOI: 10.1007/s12072-025-10998-x
An Zhang, Yuqi Zhang, Fei Guan, Jinming Shi, Najiya Abudula, Xuemei Shao, Qianwei Qi, Wentao Liu, Tian Xia, Chunwei Shi
Background: Liver fibrosis is characterized by deposition of excessive extracellular matrix (ECM). The major source of ECM is activated hepatic stellate cells (HSCs). NAT10 is the only known acetyltransferase catalyzing ac4C RNA modification. The purpose of this study is to explore the role of NAT10 acting as ac4C acetyltransferase during HSC activation.
Methods: NAT10 was detected in fibrotic liver tissues from S. japonicum infected mice with immunohistochemistry and TGF-β1 stimulated LX-2 human HSC cells with Western blot and immunofluorescent staining. NAT10 was inhibited with specific siRNA in LX-2 cells to detect HSC activation molecular marker with Western blot, cell motility with Transwell assay, cell proliferation with CCK8 assay. ac4C modification was assessed in TGF-β1 stimulated LX-2 cells with immunofluorescent staining. ac4C chemical sequencing and transcriptomic sequencing analysis were performed to analyze ac4C modified genes regulated by NAT10 in TGF-β1 stimulated LX-2 cells. Possible target genes regulated by NAT10 were determined using qPCR, RIP-qPCR, RNA stability assay, and were further verified using primary hepatic stellate cells from mice and using analysis of GEO datasets.
Results: NAT10 increases in S. japonicum infected mice liver and activated HSCs. NAT10 inhibition suppresses HSC activation. NAT10 is correlated with TGFB1 and COL1A1 expression in activated HSCs. NAT10 promotes the ac4C modification and stability of TGFB1 and COL1A1 mRNA, thus enhancing their protein expression.
Conclusions: NAT10 functions as an ac4C acetyltransferase and forms a positive feedback with TGF-β1 in HSCs, thereby modulating the TGF-β1-ac4C-COL1A1 axis, to promote HSC activation and liver fibrosis progression.
背景:肝纤维化以过量细胞外基质(ECM)沉积为特征。ECM的主要来源是活化的肝星状细胞(hsc)。NAT10是唯一已知的催化ac4C RNA修饰的乙酰基转移酶。本研究旨在探讨NAT10作为ac4C乙酰转移酶在HSC活化过程中的作用。方法:采用免疫组化方法检测日本血吸虫感染小鼠纤维化肝组织中NAT10的含量,采用Western blot和免疫荧光染色检测TGF-β1刺激LX-2人HSC细胞中NAT10的含量。用特异性siRNA抑制LX-2细胞NAT10, Western blot检测HSC活化分子标记,Transwell法检测细胞活力,CCK8法检测细胞增殖。免疫荧光染色评价TGF-β1刺激LX-2细胞中ac4C的修饰。通过ac4C化学测序和转录组测序分析,分析TGF-β1刺激LX-2细胞中NAT10调控的ac4C修饰基因。通过qPCR、RIP-qPCR和RNA稳定性实验确定NAT10可能调控的靶基因,并利用小鼠原代肝星状细胞和GEO数据集分析进一步验证。结果:日本血吸虫感染小鼠肝脏及活化的造血干细胞中NAT10升高。抑制NAT10抑制HSC活化。在活化的hsc中,NAT10与TGFB1和COL1A1表达相关。NAT10促进TGFB1和COL1A1 mRNA的ac4C修饰和稳定性,从而增强其蛋白表达。结论:NAT10在HSC中作为ac4C乙酰转移酶,与TGF-β1在HSC中形成正反馈,从而调节TGF-β1-ac4C- col1a1轴,促进HSC活化和肝纤维化进展。
{"title":"NAT10 promotes the activation of hepatic stellate cells by modulating the TGF-β1-ac4C-COL1A1 axis.","authors":"An Zhang, Yuqi Zhang, Fei Guan, Jinming Shi, Najiya Abudula, Xuemei Shao, Qianwei Qi, Wentao Liu, Tian Xia, Chunwei Shi","doi":"10.1007/s12072-025-10998-x","DOIUrl":"https://doi.org/10.1007/s12072-025-10998-x","url":null,"abstract":"<p><strong>Background: </strong>Liver fibrosis is characterized by deposition of excessive extracellular matrix (ECM). The major source of ECM is activated hepatic stellate cells (HSCs). NAT10 is the only known acetyltransferase catalyzing ac4C RNA modification. The purpose of this study is to explore the role of NAT10 acting as ac4C acetyltransferase during HSC activation.</p><p><strong>Methods: </strong>NAT10 was detected in fibrotic liver tissues from S. japonicum infected mice with immunohistochemistry and TGF-β1 stimulated LX-2 human HSC cells with Western blot and immunofluorescent staining. NAT10 was inhibited with specific siRNA in LX-2 cells to detect HSC activation molecular marker with Western blot, cell motility with Transwell assay, cell proliferation with CCK8 assay. ac4C modification was assessed in TGF-β1 stimulated LX-2 cells with immunofluorescent staining. ac4C chemical sequencing and transcriptomic sequencing analysis were performed to analyze ac4C modified genes regulated by NAT10 in TGF-β1 stimulated LX-2 cells. Possible target genes regulated by NAT10 were determined using qPCR, RIP-qPCR, RNA stability assay, and were further verified using primary hepatic stellate cells from mice and using analysis of GEO datasets.</p><p><strong>Results: </strong>NAT10 increases in S. japonicum infected mice liver and activated HSCs. NAT10 inhibition suppresses HSC activation. NAT10 is correlated with TGFB1 and COL1A1 expression in activated HSCs. NAT10 promotes the ac4C modification and stability of TGFB1 and COL1A1 mRNA, thus enhancing their protein expression.</p><p><strong>Conclusions: </strong>NAT10 functions as an ac4C acetyltransferase and forms a positive feedback with TGF-β1 in HSCs, thereby modulating the TGF-β1-ac4C-COL1A1 axis, to promote HSC activation and liver fibrosis progression.</p>","PeriodicalId":12901,"journal":{"name":"Hepatology International","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}