RT Journal Article T1 Dysregulation of the Splicing Machinery Is Associated to the Development of Nonalcoholic Fatty Liver Disease. A1 Del Rio-Moreno, Mercedes A1 Alors-Perez, Emilia A1 Gonzalez-Rubio, Sandra A1 Ferrin, Gustavo A1 Reyes, Oscar A1 Rodriguez-Peralvarez, Manuel A1 Sanchez-Frias, Marina E A1 Sanchez-Sanchez, Rafael A1 Ventura, Sebastian A1 Lopez-Miranda, Jose A1 Kineman, Rhonda D A1 de la Mata, Manuel A1 Castaño, Justo P A1 Gahete, Manuel D A1 Luque, Raul M K1 Non-alcoholic Fatty Liver Disease K1 Obesity K1 Polypyrimidine Tract-Binding Protein K1 Postoperative Period K1 RNA Splicing K1 RNA-Binding Proteins AB Nonalcoholic fatty liver disease (NAFLD) is a common obesity-associated pathology characterized by hepatic fat accumulation, which can progress to fibrosis, cirrhosis, and hepatocellular carcinoma. Obesity is associated with profound changes in gene-expression patterns of the liver, which could contribute to the onset of comorbidities. As these alterations might be linked to a dysregulation of the splicing process, we aimed to determine whether the dysregulation in the expression of splicing machinery components could be associated with NAFLD. We collected 41 liver biopsies from nonalcoholic individuals with obesity, with or without hepatic steatosis, who underwent bariatric surgery. The expression pattern of splicing machinery components was determined using a microfluidic quantitative PCR-based array. An in vitro approximation to determine lipid accumulation using HepG2 cells was also implemented. The liver of patients with obesity and steatosis exhibited a severe dysregulation of certain splicing machinery components compared with patients with obesity without steatosis. Nonsupervised clustering analysis allowed the identification of three molecular phenotypes of NAFLD with a unique fingerprint of alterations in splicing machinery components, which also presented distinctive hepatic and clinical-metabolic alterations and a differential response to bariatric surgery after 1 year. In addition, in vitro silencing of certain splicing machinery components (i.e., PTBP1, RBM45, SND1) reduced fat accumulation and modulated the expression of key de novo lipogenesis enzymes, whereas conversely, fat accumulation did not alter spliceosome components expression. There is a close relationship between splicing machinery dysregulation and NAFLD development, which should be further investigated to identify alternative therapeutic targets. PB Oxford University Press YR 2019 FD 2019 LK http://hdl.handle.net/10668/13749 UL http://hdl.handle.net/10668/13749 LA en NO Del Río-Moreno M, Alors-Pérez E, González-Rubio S, Ferrín G, Reyes O, Rodríguez-Perálvarez M, et al. Dysregulation of the Splicing Machinery Is Associated to the Development of Nonalcoholic Fatty Liver Disease. J Clin Endocrinol Metab. 2019 Aug 1;104(8):3389-3402 NO This work was funded by Instituto de Salud Carlos III and co-funded by European Union (ERDF/ESF, “Investing in your future,” PI17/002287, PI16/00264, PIE14/00005, CP15/00156); MINECO (BFU2016-80360-R,TIN2017-83445-P); Junta de Andaluc´ıa (BIO-0139, CTS1406, PI-0541-2013); and CIBERehd and CIBERobn. (CIBER is an initiative of Instituto de Salud Carlos III,Ministerio de Sanidad, Servicios Sociales e Igualdad, Spain.) Financialsupport was also provided by Development Merit Award (BX001114) and U.S. National Institutes of Health (Grant R01DK088133 to R.D.K.). DS RISalud RD Apr 4, 2025