Journal of Lipid Research (Jan 2021)

Nonalcoholic fatty liver disease stratification by liver lipidomics

  • Olga Vvedenskaya,
  • Tim Daniel Rose,
  • Oskar Knittelfelder,
  • Alessandra Palladini,
  • Judith Andrea Heidrun Wodke,
  • Kai Schuhmann,
  • Jacobo Miranda Ackerman,
  • Yuting Wang,
  • Canan Has,
  • Mario Brosch,
  • Veera Raghavan Thangapandi,
  • Stephan Buch,
  • Thomas Züllig,
  • Jürgen Hartler,
  • Harald C. Köfeler,
  • Christoph Röcken,
  • Ünal Coskun,
  • Edda Klipp,
  • Witigo von Schoenfels,
  • Justus Gross,
  • Clemens Schafmayer,
  • Jochen Hampe,
  • Josch Konstantin Pauling,
  • Andrej Shevchenko

Journal volume & issue
Vol. 62
p. 100104

Abstract

Read online

Nonalcoholic fatty liver disease (NAFLD) is a common metabolic dysfunction leading to hepatic steatosis. However, NAFLD's global impact on the liver lipidome is poorly understood. Using high-resolution shotgun mass spectrometry, we quantified the molar abundance of 316 species from 22 major lipid classes in liver biopsies of 365 patients, including nonsteatotic patients with normal or excessive weight, patients diagnosed with NAFL (nonalcoholic fatty liver) or NASH (nonalcoholic steatohepatitis), and patients bearing common mutations of NAFLD-related protein factors. We confirmed the progressive accumulation of di- and triacylglycerols and cholesteryl esters in the liver of NAFL and NASH patients, while the bulk composition of glycerophospho- and sphingolipids remained unchanged. Further stratification by biclustering analysis identified sphingomyelin species comprising n24:2 fatty acid moieties as membrane lipid markers of NAFLD. Normalized relative abundance of sphingomyelins SM 43:3;2 and SM 43:1;2 containing n24:2 and n24:0 fatty acid moieties, respectively, showed opposite trends during NAFLD progression and distinguished NAFL and NASH lipidomes from the lipidome of nonsteatotic livers. Together with several glycerophospholipids containing a C22:6 fatty acid moiety, these lipids serve as markers of early and advanced stages of NAFL.

Keywords