Elevated Hepatic MRP3/ABCC3 Expression in Human Obstructive Cholestasis Is Mediated through TNFα and JNK/SAPK Signaling Pathway

摘要

Multidrug resistance-associated protein 3 (MRP3, ABCC3) plays an important role in protecting hepatocytes and other tissues by excreting an array of toxic organic anion conjugates, including bile salts. MRP3/ABCC3 expression is increased in the liver of some cholestatic patients, but the molecular mechanism of this up-regulation remains elusive. In this report, we assessed liver MRP3/ABCC3 expression in patients (n=22) with obstructive cholestasis due to gallstones blockage of bile ducts and non-cholestatic patient controls (n=22). MRP3/ABCC3 mRNA and protein expression were significantly increased 3.4- and 4.6- fold, respectively in these cholestatic patients where elevated plasma TNFα (4.7-fold, P<0.01) and hepatic SP1 and LRH-1 expression (3.1- and 2.1-fold at mRNA level, 3.5- and 2.5-fold at protein level, respectively) were also observed. The induction of hepatic MRP3/ABCC3 mRNA expression is significantly positively correlated with the level of plasma TNFα in these patients. In HepG2 cells, TNFα treatment induced SP1 and MRP3/ABCC3 expression in a dose- and time-dependent manner, where increased phosphorylation of JNK/SAPK was also detected. These inductions were significantly reduced in the presence of the JNK inhibitor SP600125. TNFα treatment enhanced HepG2 cell nuclear extract binding activity to the MRP3/ABCC3 promoter, but was abolished by SP600125 as demonstrated by EMSA. An increase in nuclear protein binding activity to the MRP3/ABCC3 promoter consisting primarily of SP1 was also seen in liver samples from cholestatic patients as assessed by supershift EMSA assays.ConclusionsOur findings indicate that up-regulation of hepatic MRP3/ABCC3 expression in human obstructive cholestasis is likely triggered by TNFα, mediated by activations of JNK/SAPK and SP1.