RT Journal Article T1 The outcome of boosting mitochondrial activity in alcohol-associated liver disease is organ-dependent A1 Goikoetxea Usandizaga, Naroa A1 Bravo, Miren A1 Egia Mendikute, Leire A1 Abecia, Leticia A1 Serrano Maciá, Marina A1 Urdinguio, Rocío G. A1 Clos García, Marc A1 Rodríguez Agudo, Rubén A1 Araujo Legido, Raquel A1 López Bermudo, Lucía A1 Delgado, Teresa C. A1 Lachiondo Ortega, Sofía A1 González Recio, Irene A1 Gil Pitarch, Clàudia A1 Peña Cearra, Ainize A1 Simón, Jorge A1 Benede Ubieto, Raquel A1 Ariño, Silvia A1 Herranz, Jose M. A1 Azkargorta, Mikel A1 Salazar Bermeo, Julio A1 Martí, Nuria A1 Varela Rey, Marta A1 Falcón Pérez, Juan M. A1 Lorenzo, Óscar A1 Nogueiras, Rubén A1 Elortza, Félix A1 Nevzorova, Yulia A1 Cubero Palero, Francisco Javier A1 Saura, Domingo A1 Martínez Cruz, Luis Alfonso A1 Sabio, Guadalupe A1 Palazón, Asís A1 Sancho Bru, Pau A1 Elguezabal, Natalia A1 Fraga, Mario F. A1 Ávila, Matías A. A1 Bataller, Ramón A1 Marín, José J.G. A1 Martín, Franz A1 Martínez Chantar, María Luz AB Background and Aims: Alcohol-associated liver disease (ALD) accounts for 70% of liver-related deaths in Europe, with no effective approved therapies. Although mitochondrial dysfunction is one of the earliest manifestations of alcohol-induced injury, restoring mitochondrial activity remains a problematic strategy due to oxidative stress. Here, we identify methylation-controlled J protein (MCJ) as a mediator for ALD progression and hypothesize that targeting MCJ may help in recovering mitochondrial fitness without collateral oxidative damage.Approach and Results: C57BL/6 mice [wild-type (Wt)] Mcj knockout and Mcj liver-specific silencing (MCJ-LSS) underwent the NIAAA dietary protocol (Lieber-DeCarli diet containing 5% (vol/vol) ethanol for 10 days, plus a single binge ethanol feeding at day 11). To evaluate the impact of a restored mitochondrial activity in ALD, the liver, gut, and pancreas were characterized, focusing on lipid metabolism, glucose homeostasis, intestinal permeability, and microbiota composition. MCJ, a protein acting as an endogenous negative regulator of mitochondrial respiration, is downregulated in the early stages of ALD and increases with the severity of the disease. Whole-body deficiency of MCJ is detrimental during ALD because it exacerbates the systemic effects of alcohol abuse through altered intestinal permeability, increased endotoxemia, and dysregulation of pancreatic function, which overall worsens liver injury. On the other hand, liver-specific Mcj silencing prevents main ALD hallmarks, that is, mitochondrial dysfunction, steatosis, inflammation, and oxidative stress, as it restores the NAD+/NADH ratio and SIRT1 function, hence preventing de novo lipogenesis and improving lipid oxidation.Conclusions: Improving mitochondrial respiration by liver-specific Mcj silencing might become a novel therapeutic approach for treating ALD. PB Wolters Kluwer Health Inc. / American Association for the Study of Liver Diseases SN 0270-9139 YR 2023 FD 2023 LK https://hdl.handle.net/20.500.14352/121429 UL https://hdl.handle.net/20.500.14352/121429 LA eng NO Goikoetxea-Usandizaga N, Bravo M, Egia-Mendikute L, Abecia L, SerranoMaciá M, Urdinguio RG, et al. The outcome of boosting mitochondrial activity in alcohol-associated liver disease is organ-dependent. Hepatology. 2023;78:878–895. https://doi.org/10.1097/ HEP.0000000000000303 NO This work was supported by grants from Ministerio de Ciencia e Innovación, Programa Retos-Colaboración RTC2019-007125-1 (for Jorge Simon and Maria Luz Martinez-Chantar); Ministerio de Economía, Industria y Competitividad, Retos a la Sociedad AGL2017-86927R (for F.M.); Instituto de Salud Carlos III, Proyectos de Investigación en Salud DTS20/00138 and DTS21/00094 (for Jorge Simon and Maria Luz Martinez-Chantar, and Asis Palazon. respectively); Instituto de Salud Carlos III, Fondo de Investigaciones Sanitarias co-founded by European Regional Development Fund/European Social Fund, “Investing in your future” PI19/00819, “Una manera de hacer Europa” FIS PI20/00765, and PI21/01067 (for Jose J. G. Marin., Pau Sancho-Bru,. and Mario F. Fraga respectively); Departamento de Industria del Gobierno Vasco (for Maria Luz Martinez-Chantar); Asturias Government (PCTI) co-funding 2018-2023/FEDER IDI/2021/000077 (for Mario F. Fraga.); Ministerio de Ciencia, Innovación y Universidades MICINN: PID2020-117116RB-I00, CEX2021-001136-S PID2020-117941RB-I00, PID2020-11827RB-I00 and PID2019-107956RA-100 integrado en el Plan Estatal de Investigación Científica y Técnica y Innovación, cofinanciado con Fondos FEDER (for Maria Luz Martinez-Chantar, Francisco J Cubero., Yulia A Nevzorova and Asis Palazon); Ayudas Ramón y Cajal de la Agencia Estatal de Investigación RY2013-13666 and RYC2018-024183-I (for Leticia Abecia and Asis Palazon); European Research Council Starting Grant 804236 NEXTGEN-IO (for Asis Palazon); The German Research Foundation SFB/TRR57/P04, SFB1382-403224013/A02 and DFG NE 2128/2-1 (for Francisco J Cubero and Yulia A Nevzorova); National Institute of Health (NIH)/National Institute of Alcohol Abuse and Alcoholism (NIAAA) 1U01AA026972-01 (For Pau Sancho-Bru); Junta de Castilla y León SA074P20 (for Jose J. G. Marin); Junta de Andalucía, Grupo PAIDI BIO311 (for Franz Martin); CIBERER Acciones Cooperativas y Complementarias Intramurales ACCI20-35 (for Mario F. Fraga); Ministerio de Educación, Cultura y Deporte FPU17/04992 (for Silvia Ariño); Fundació Marato TV3 201916-31 (for Jose J. G. Marin.); Ainize Pena-Cearra is a fellow of the University of the Basque Country (UPV/EHU); BIOEF (Basque Foundation for Innovation and Health Research); Asociación Española contra el Cáncer (Maria Luz Martinez-Chantar and Teresa C. Delgado.); Fundación Científica de la Asociación Española Contra el Cáncer (AECC Scientific Foundation) Rare Tumor Calls 2017 (for Maria Luz Martinez-Chantar); La Caixa Foundation Program (for Maria Luz Martinez-Chantar); Proyecto Desarrollo Tecnologico CIBERehd (for Maria Luz Martinez-Chantar); Ciberehd_ISCIII_MINECO is funded by the Instituto de Salud Carlos III. NO Ministerio de Ciencia e Innovación (España) NO Ministerio de Economía y Competitividad (España) NO Instituto de Salud Carlos III NO European Commission NO Gobierno Vasco NO Principado de Asturias NO German Research Foundation NO National Institute of Health (EEUU) NO National Institute of Alcohol Abuse and Alcoholism (EEUU) NO Junta de Castilla y León NO Junta de Andalucía NO Centro de Investigación Biomédica en Red de Enfermedades Raras NO Ministerio de Educación, Cultura y Deporte NO Fundació Marato NO Universidad del País Vasco NO Fundación Vasca de Innovación e Investigación Sanitarias NO Asociación Española contra el Cáncer NO Fundación Científica de la Asociación Española Contra el Cáncer NO Fundación La Caixa DS Docta Complutense RD 31 mar 2026