RT Journal Article T1 A Shortcut from Metabolic-Associated Fatty Liver Disease (MAFLD) to Hepatocellular Carcinoma (HCC): c-MYC a Promising Target for Preventative Strategies and Individualized Therapy A1 Guo, Feifei A1 Estevez Vázquez, Olga A1 Benedé Ubieto, Raquel A1 Maya Mile, Douglas A1 Zheng, Kang A1 Gallego Durán, Rocío A1 Rojas Ávalos, Ángela A1 Ampuero, Javier A1 Romero Gómez, Manuel A1 Philip, Kaye A1 Egbuniwe, Isioma U. A1 Chen, Chaobo A1 Simon, Jorge A1 Delgado, Teresa C. A1 Martínez Chantar, Maria L. A1 Sun, Jie A1 Reissing, Johanna A1 Bruns, Tony A1 Lamas Paz, Arantza A1 Woitok, Marius Maximilian A1 Regueiro, José R. A1 Liedtke, Christian A1 Trautwein, Christian A1 Bañares Cañizares, Rafael A1 Cubero Palero, Francisco Javier A1 Benede Ubieto, Raquel A1 Gómez Del Moral Martín-Consuegra, Manuel María A1 Vaquero Martín, Francisco Javier A1 Nevzorova, Yulia AB Background: Metabolic-associated fatty liver disease (MAFLD) has risen as one of the leading etiologies for hepatocellular carcinoma (HCC). Oncogenes have been suggested to be responsible for the high risk of MAFLD-related HCC. We analyzed the impact of the proto-oncogene c-MYC in the development of human and murine MAFLD and MAFLD-associated HCC. Methods: alb-myctg mice were studied at baseline conditions and after administration of Western diet (WD) in comparison to WT littermates. c-MYC expression was analyzed in biopsies of patients with MAFLD and MAFLD-associated HCC by immunohistochemistry. Results: Mild obesity, spontaneous hyperlipidaemia, glucose intolerance and insulin resistance were characteristic of 36-week-old alb-myctg mice. Middle-aged alb-myctg exhibited liver steatosis and increased triglyceride content. Liver injury and inflammation were associated with elevated ALT, an upregulation of ER-stress response and increased ROS production, collagen deposition and compensatory proliferation. At 52 weeks, 20% of transgenic mice developed HCC. WD feeding exacerbated metabolic abnormalities, steatohepatitis, fibrogenesis and tumor prevalence. Therapeutic use of metformin partly attenuated the spontaneous MAFLD phenotype of alb-myctg mice. Importantly, upregulation and nuclear localization of c-MYC were characteristic of patients with MAFLD and MAFLD-related HCC. Conclusions: A novel function of c-MYC in MAFLD progression was identified opening new avenues for preventative strategies. PB MDPI SN 2072-6694 YR 2021 FD 2021-12-31 LK https://hdl.handle.net/20.500.14352/71932 UL https://hdl.handle.net/20.500.14352/71932 LA eng NO Ministerio de Economía y Competitividad (MINECO) NO Instituto de Salud Carlos III (ISCIII) NO Fundación La Caixa NO Asociación Española Contra el Cáncer (AECC) NO German Research Foundation NO Fundación Ramón y Cajal NO Universidad Complutense de Madrid / Banco Santander NO Gobierno Andaluz / FEDER DS Docta Complutense RD 21 ago 2024