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Item ER Disposal Pathways in Chronic Liver Disease: Protective, Pathogenic, and Potential Therapeutic Targets(Frontiers, 2022-01) Duwaerts, Caroline C.; Maiers, Jessica L.; Medicine, School of MedicineThe endoplasmic reticulum is a central player in liver pathophysiology. Chronic injury to the ER through increased lipid content, alcohol metabolism, or accumulation of misfolded proteins causes ER stress, dysregulated hepatocyte function, inflammation, and worsened disease pathogenesis. A key adaptation of the ER to resolve stress is the removal of excess or misfolded proteins. Degradation of intra-luminal or ER membrane proteins occurs through distinct mechanisms that include ER-associated Degradation (ERAD) and ER-to-lysosome-associated degradation (ERLAD), which includes macro-ER-phagy, micro-ER-phagy, and Atg8/LC-3-dependent vesicular delivery. All three of these processes are critical for removing misfolded or unfolded protein aggregates, and re-establishing ER homeostasis following expansion/stress, which is critical for liver function and adaptation to injury. Despite playing a key role in resolving ER stress, the contribution of these degradative processes to liver physiology and pathophysiology is understudied. Analysis of publicly available datasets from diseased livers revealed that numerous genes involved in ER-related degradative pathways are dysregulated; however, their roles and regulation in disease progression are not well defined. Here we discuss the dynamic regulation of ER-related protein disposal pathways in chronic liver disease and cell-type specific roles, as well as potentially targetable mechanisms for treatment of chronic liver disease.Item FAM134B Regulates Collagen I Processing and Fibrogenesis in Hepatic Stellate Cells(2025-01) Hanquier, Zachary C.; Maiers, Jessica; Wek, Ronald C.; Morral, Nuria; Dong, X. Charlie; Graham, BrettLiver fibrosis is driven by the accumulation of scar tissue in response to liver injury. Activated hepatic stellate cells (HSCs) secrete fibrogenic proteins that deposit into the extracellular matrix, leading to fibrosis, cirrhosis, and liver failure. The increased production and secretion of fibrogenic proteins by HSCs results in ER stress, triggering the Unfolded Protein Response (UPR) to manage protein quality control. The UPR is important in regulating HSC activation and fibrogenesis, but the mechanisms driving this regulation are unclear. A key process regulated by the UPR is degradation of misfolded proteins through various pathways, including ER-to-Lysosome-Associated Degradation (ERLAD). ERLAD targets proteins for lysosomal degradation and can involve the recruitment of the autophagosome to engulf portions of the ER, a process termed ER-phagy. While ER-phagy is implicated in collagen degradation, its role in fibrogenesis is unknown. We show that collagen I levels are regulated by autophagy, and this correlates with changes in ER-phagy receptors. Furthermore, TGFβ-mediated activation of HSCs induces ER-phagic flux and expression of ER-phagy receptors FAM134B and CCPG1 in a process dependent on UPR transducer ATF6α. The loss of FAM134B, but not CCPG1, decreases intracellular collagen I protein levels without affecting COL1A1 mRNA levels or procollagen I protein levels in immortalized human HSCs (LX-2 cells). Moreover, FAM134B deletion blocks TGFβ-induced extracellular collagen I deposition despite increased collagen I secreted into the conditioned media. We conclude that FAM134B is pivotal for collagen I deposition during fibrogenesis, and its loss may promote the secretion of misfolded collagen I that cannot be deposited in the extracellular matrix.