Replication stress triggered by nucleotide pool imbalance drives DNA damage and cGAS-STING pathway activation in NAFLD

Romain Donne, Maëva Saroul-Ainama, Pierre Cordier, Adel Hammoutene, Christelle Kabore, Mira Stadler, Ivan Nemazanyy, Isabelle Galy-Fauroux, Mounia Herrag, Tobias Riedl, Marie Chansel-Da Cruz, Stefano Caruso, Stéphanie Bonnafous, Rupert Öllinger, Roland Rad, Kristian Unger, Albert Tran, Jean Pierre Couty, Philippe Gual, Valérie ParadisSéverine Celton-Morizur, Mathias Heikenwalder, Patrick Revy, Chantal Desdouets

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Non-alcoholic steatotic liver disease (NAFLD) is the most common cause of chronic liver disease worldwide. NAFLD has a major effect on the intrinsic proliferative properties of hepatocytes. Here, we investigated the mechanisms underlying the activation of DNA damage response during NAFLD. Proliferating mouse NAFLD hepatocytes harbor replication stress (RS) with an alteration of the replication fork's speed and activation of ATR pathway, which is sufficient to cause DNA breaks. Nucleotide pool imbalance occurring during NAFLD is the key driver of RS. Remarkably, DNA lesions drive cGAS/STING pathway activation, a major component of cells’ intrinsic immune response. The translational significance of this study was reiterated by showing that lipid overload in proliferating HepaRG was sufficient to induce RS and nucleotide pool imbalance. Moreover, livers from NAFLD patients displayed nucleotide pathway deregulation and cGAS/STING gene alteration. Altogether, our findings shed light on the mechanisms by which damaged NAFLD hepatocytes might promote disease progression.

Original languageEnglish
Pages (from-to)1728-1741.e6
JournalDevelopmental Cell
Volume57
Issue number14
DOIs
StatePublished - 25 Jul 2022
Externally publishedYes

Keywords

  • DNA damage
  • cGAS/STING
  • cell proliferation
  • dNTP pools
  • hepatocyte
  • non-alcoholic fatty liver disease
  • replication stress

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