B. Testoni - Academia.edu (original) (raw)
Papers by B. Testoni
Gut, 2015
Caveats in the understanding of ribavirin (RBV) mechanisms of action has somehow prevented the de... more Caveats in the understanding of ribavirin (RBV) mechanisms of action has somehow prevented the development of better analogues able to further improve its therapeutic contribution in interferon (IFN)-based and direct antiviral agent-based regimens for chronic HCV or other indications. Here, we describe a new mechanism by which RBV modulates IFN-stimulated genes (ISGs) and contributes to restore hepatic immune responsiveness. RBV effect on ISG expression was monitored in vitro and in vivo, that is, in non-transformed hepatocytes and in the liver of RBV mono-treated patients, respectively. Modulation of histone modifications and recruitment of histone-modifying enzymes at target promoters was analysed by chromatin immunoprecipitation in RBV-treated primary human hepatocytes and in patients' liver biopsies. RBV decreases the mRNA levels of several abnormally preactivated ISGs in patients with HCV, who are non-responders to IFN therapy. RBV increases G9a histone methyltransferase recruitment and histone-H3 lysine-9 dimethylation/trimethylation at selected ISG promoters in vitro and in vivo. G9a pharmacological blockade abolishes RBV-induced ISG downregulation and severely impairs RBV ability to potentiate IFN antiviral action and induction of ISGs following HCV infection of primary human hepatocytes. RBV-induced epigenetic changes, leading to decreased ISG expression, restore an IFN-responsive hepatic environment in patients with HCV, which may also prove useful in IFN-free regimens.
Cell Death and Disease, 2013
Thyroid iodide accumulation via the sodium/iodide symporter (NIS; SLC5A5) has been the basis for ... more Thyroid iodide accumulation via the sodium/iodide symporter (NIS; SLC5A5) has been the basis for the longtime use of radio-iodide in the diagnosis and treatment of thyroid cancers. NIS is also expressed, but poorly functional, in some non-thyroid human cancers. In particular, it is much more strongly expressed in cholangiocarcinoma (CCA) and hepatocellular carcinoma (HCC) cell lines than in primary human hepatocytes (PHH). The transcription factors and signaling pathways that control NIS overexpression in these cancers is largely unknown. We identified two putative regulatory clusters of p53-responsive elements (p53REs) in the NIS core promoter, and investigated the regulation of NIS transcription by p53-family members in liver cancer cells. NIS promoter activity and endogenous NIS mRNA expression are stimulated by exogenously expressed p53-family members and significantly reduced by member-specific siRNAs. Chromatin immunoprecipitation analysis shows that the p53-REs clusters in the NIS promoter are differentially occupied by the p53-family members to regulate basal and DNA damageinduced NIS transcription. Doxorubicin strongly induces p53 and p73 binding to the NIS promoter, leading to an increased expression of endogenous NIS mRNA and protein in HCC and CCA cells, but not in PHH. Silencing NIS expression reduced doxorubicin-induced apoptosis in HCC cells, pointing to a possible role of a p53-family-dependent expression of NIS in apoptotic cell death. Altogether, these results indicate that the NIS gene is a direct target of the p53 family and suggests that the modulation of NIS by DNA-damaging agents is potentially exploitable to boost NIS upregulation in vivo.
The EMBO Journal, 2006
p63 is a developmentally regulated transcription factor related to p53. It is involved in the dev... more p63 is a developmentally regulated transcription factor related to p53. It is involved in the development of ectodermal tissues, including limb, skin and in general, multilayered epithelia. The DNp63a isoform is thought to play a 'master' role in the asymmetric division of epithelial cells. It is also involved in the pathogenesis of several human diseases, phenotypically characterized by ectodermal dysplasia. Our understanding of transcriptional networks controlled by p63 is limited, owing to the low number of bona fide targets. To screen for new targets, we employed chromatin immunoprecipitation from keratinocytes (KCs) coupled to the microarray technology, using both CpG islands and promoter arrays. The former revealed 96 loci, the latter yielded 85 additional genes. We tested 40 of these targets in several functional assays, including: (i) in vivo binding by p63 in primary KCs; (ii) expression analysis in differentiating HaCaT cells and in cells overexpressing DNp63a; (iii) promoter transactivation and (iv) immunostaining in normal tissues, confirming their regulation by p63. We discovered several new specific targets whose functional categorization links p63 to cell growth and differentiation.
Journal of Hepatology, 2009
Alcoholic (ASH) and non-alcoholic steatohepatitis (NASH) are progressive stages of non-alcoholic ... more Alcoholic (ASH) and non-alcoholic steatohepatitis (NASH) are progressive stages of non-alcoholic fatty liver disease, which can further evolve to more advanced disease states including cirrhosis and even hepatocellular carcinoma. Recent data have pointed to cholesterol accumulation, particularly in mitochondria, as a critical lipid, responsible for the transition of the steatotic liver to ASH/NASH due to the hepatocellular susceptibility to LPS and TNF. Sterol regulatory element-binding protein-2 (SREBP-2) is a transcription factor that controls the expression of enzymes involved in the mevalonate pathway of cholesterol synthesis. Although SREBP-1c has been shown to play a critical role in alcohol-mediated steatosis, the role of SREBP-2 in ASH and NASH has not been determined so far. The aim of the present study was to investigate the susceptibility of transgenic mice that overexpress SREBP-2 to alcohol and LPS induced liver-damage. Methods: Tg-SREBP 2 and wild type B6SJLF1/J mice were fed the Lieber deCarli alcohol liquid diet for four weeks, with or without an i.p. chanllenge of LPS 24 hours before sacrifice. Liver damage was measured by ALT and H&E staining. Liver cholesterol, triglycerides and free fatty acids were determined by biochemical methods. Some animals received a daily gavage infusion of atorvastatin (10 mg/kg) for 2−3 weeks followed by LPS challenge. Results: Tg-SREBP-2 mice exhibited microvesicular steatosis characterized by 2−3 fold higher levels of free cholesterol including in mitochondria and GSH depletion (40−50%). On alcohol feeding, the changes on mitochondrial cholesterol and GSH depletion were exarcerbated. Alcohol feeding sensitized wild type mice to LPS challenge, and the sensitization of Tg-SREBPS-2 to LPS was independent of alcohol intake. Moreover, atorvastatin treatment reduced total and free liver cholesterol increase both in wild type alcohol-fed mice and in Tg-SREBP-2 mice ameliorating the liver damage following LPS treatment. Conclusion: Increased liver cholesterol renders the liver of transgenic SREBP2 mice sensitive to LPS-induced damage, reproducing the susceptibility caused by alcohol feeding, and these effects are likely due to mitochondrial cholesterol loading.
Journal of Hepatology, 2009
Journal of Hepatology, 2007
Journal of Hepatology, 2011
Results: GSK2336805 has EC 50 values of 44 pM, 8 pM and 54 pM on genotype 1a, 1b and 2a (JFH-1) r... more Results: GSK2336805 has EC 50 values of 44 pM, 8 pM and 54 pM on genotype 1a, 1b and 2a (JFH-1) replicons, respectively and 63 pM on the HCVcc virus (JFH-1). CC 50 values were be 43 and 47 mM on genotype 1a and 1b replicons respectively, yielding a selectivity index 1000. Long term exposure of genotype 1b replicon cells to GSK2336805 to 3-fold and 10-fold EC 90 concentrations resulted in 3 and 4 log reductions, respectively, in replicon RNA levels. Resistance maps to the NS5A gene and cross resistance profiling showed that GSK2336805A is not cross resistant to mutations altering the potency of DAAs targeting NS3, NS4B, and NS5B as well as a mutation impacting cyclophillin inhibitors. Profiling on chimeric replicons containing NS5A patient sequences for genotype 1a and genotype 1b showed GSK2336805 retained potency across the subtypes with only one chimera showing a change in potency. The compound is also a potent inhibitor of chimeric replicons containing NS5A consensus and patient sequences from genotypes 28-6. Combination studies showed that GSK2336805 is not antagonistic with interferon, ribavirin, cyclosporine A, or with DAAs targeting NS3, NS4B, or NS5B. This data set supports inclusion of GSK2336805 as part of a combination regimen to treat HCV infected individuals.
Journal of Hepatology, 2011
Journal of Hepatology, 2014
Journal of Hepatology, 2008
best cut-off point by ROC curve for BLYs to discriminate between recovery and chronicity was 1,29... more best cut-off point by ROC curve for BLYs to discriminate between recovery and chronicity was 1,290 pg/ml (AUC 0.85; 95% CI 0.65−0.96).
Journal of Hepatology, 2008
Journal of Hepatology, 2010
Journal of Hepatology, 2013
Journal of Hepatology, 2013
Journal of Hepatology, 2013
Journal of Hepatology, 2013
Journal of Biological Chemistry, 2011
Signal transducer and activator of transcription 2 (STAT2), the critical component of type I inte... more Signal transducer and activator of transcription 2 (STAT2), the critical component of type I interferons signaling, is a prototype latent cytoplasmic signal-dependent transcription factor. Activated tyrosine-phosphorylated STAT2 associates with STAT1 and IRF9 to bind the ISRE elements in the promoters of a subset of IFN-inducible genes (ISGs). In addition to activate hundreds of ISGs, IFN␣ also represses numerous target genes but the mechanistic basis for this dual effect and transcriptional repression is largely unknown. We investigated by ChIP-chip the binding dynamics of STAT2 and "active" phospho(P)-STAT2 on 113 putative IFN␣ direct target promoters before and after IFN␣ induction in Huh7 cells and primary human hepatocytes (PHH). STAT2 is already bound to 62% of our target promoters, including most "classical" ISGs, before IFN␣ treatment. 31% of STAT2 basally bound promoters also show P-STAT2 positivity. By correlating in vivo promoter occupancy with gene expression and changes in histone methylation marks we found that: 1) STAT2 plays a role in regulating ISGs expression, independently from its phosphorylation; 2) P-STAT2 is involved in ISGs repression; 3) "activated" ISGs are marked by H3K4me1 and H3K4me3 before IFN␣; 4) "repressed" genes are marked by H3K27me3 and histone methylation plays a dominant role in driving IFN␣-mediated ISGs repression.
Hepatology, 2010
Hepatitis B virus (HBV) is currently viewed as a stealth virus that does not elicit innate immuni... more Hepatitis B virus (HBV) is currently viewed as a stealth virus that does not elicit innate immunity in vivo. This assumption has not yet been challenged in vitro because of the lack of a relevant cell culture system. The HepaRG cell line, which is physiologically closer to differentiated hepatocytes and permissive to HBV infection, has opened new perspectives in this respect.HBV baculoviruses were used to initiate an HBV replication in both HepG2 and HepaRG cells. To monitor HBV replication, the synthesis of encapsidated DNA, and secretion of hepatitis B surface antigen (HBsAg), was respectively analyzed by southern blot and enzyme-linked immunosorbent assay. The induction of a type I interferon (IFN) response was monitored by targeted quantitative reverse transcription polymerase chain reaction (qRT-PCR), low-density arrays, and functional assays. The invalidation of type I IFN response was obtained by either antibody neutralization or RNA interference. We demonstrate that HBV elicits a strong and specific innate antiviral response that results in a noncytopathic clearance of HBV DNA in HepaRG cells. Challenge experiment showed that transduction with Bac-HBV-WT, but not with control baculoviruses, leads to this antiviral response in HepaRG cells, whereas no antiviral response is observed in HepG2 cells. Cellular gene expression analyses showed that IFN-beta and other IFN-stimulated genes were up-regulated in HepG2 and HepaRG cells, but not in cells transduced by control baculoviruses. Interestingly, a rescue of viral replication was observed when IFN-beta action was neutralized by antibodies or RNA interference of type I IFN receptor. Our data suggest that a strong HBV replication is able to elicit a type I IFN response in HepaRG-transduced cells.
Gut, 2015
Caveats in the understanding of ribavirin (RBV) mechanisms of action has somehow prevented the de... more Caveats in the understanding of ribavirin (RBV) mechanisms of action has somehow prevented the development of better analogues able to further improve its therapeutic contribution in interferon (IFN)-based and direct antiviral agent-based regimens for chronic HCV or other indications. Here, we describe a new mechanism by which RBV modulates IFN-stimulated genes (ISGs) and contributes to restore hepatic immune responsiveness. RBV effect on ISG expression was monitored in vitro and in vivo, that is, in non-transformed hepatocytes and in the liver of RBV mono-treated patients, respectively. Modulation of histone modifications and recruitment of histone-modifying enzymes at target promoters was analysed by chromatin immunoprecipitation in RBV-treated primary human hepatocytes and in patients' liver biopsies. RBV decreases the mRNA levels of several abnormally preactivated ISGs in patients with HCV, who are non-responders to IFN therapy. RBV increases G9a histone methyltransferase recruitment and histone-H3 lysine-9 dimethylation/trimethylation at selected ISG promoters in vitro and in vivo. G9a pharmacological blockade abolishes RBV-induced ISG downregulation and severely impairs RBV ability to potentiate IFN antiviral action and induction of ISGs following HCV infection of primary human hepatocytes. RBV-induced epigenetic changes, leading to decreased ISG expression, restore an IFN-responsive hepatic environment in patients with HCV, which may also prove useful in IFN-free regimens.
Cell Death and Disease, 2013
Thyroid iodide accumulation via the sodium/iodide symporter (NIS; SLC5A5) has been the basis for ... more Thyroid iodide accumulation via the sodium/iodide symporter (NIS; SLC5A5) has been the basis for the longtime use of radio-iodide in the diagnosis and treatment of thyroid cancers. NIS is also expressed, but poorly functional, in some non-thyroid human cancers. In particular, it is much more strongly expressed in cholangiocarcinoma (CCA) and hepatocellular carcinoma (HCC) cell lines than in primary human hepatocytes (PHH). The transcription factors and signaling pathways that control NIS overexpression in these cancers is largely unknown. We identified two putative regulatory clusters of p53-responsive elements (p53REs) in the NIS core promoter, and investigated the regulation of NIS transcription by p53-family members in liver cancer cells. NIS promoter activity and endogenous NIS mRNA expression are stimulated by exogenously expressed p53-family members and significantly reduced by member-specific siRNAs. Chromatin immunoprecipitation analysis shows that the p53-REs clusters in the NIS promoter are differentially occupied by the p53-family members to regulate basal and DNA damageinduced NIS transcription. Doxorubicin strongly induces p53 and p73 binding to the NIS promoter, leading to an increased expression of endogenous NIS mRNA and protein in HCC and CCA cells, but not in PHH. Silencing NIS expression reduced doxorubicin-induced apoptosis in HCC cells, pointing to a possible role of a p53-family-dependent expression of NIS in apoptotic cell death. Altogether, these results indicate that the NIS gene is a direct target of the p53 family and suggests that the modulation of NIS by DNA-damaging agents is potentially exploitable to boost NIS upregulation in vivo.
The EMBO Journal, 2006
p63 is a developmentally regulated transcription factor related to p53. It is involved in the dev... more p63 is a developmentally regulated transcription factor related to p53. It is involved in the development of ectodermal tissues, including limb, skin and in general, multilayered epithelia. The DNp63a isoform is thought to play a 'master' role in the asymmetric division of epithelial cells. It is also involved in the pathogenesis of several human diseases, phenotypically characterized by ectodermal dysplasia. Our understanding of transcriptional networks controlled by p63 is limited, owing to the low number of bona fide targets. To screen for new targets, we employed chromatin immunoprecipitation from keratinocytes (KCs) coupled to the microarray technology, using both CpG islands and promoter arrays. The former revealed 96 loci, the latter yielded 85 additional genes. We tested 40 of these targets in several functional assays, including: (i) in vivo binding by p63 in primary KCs; (ii) expression analysis in differentiating HaCaT cells and in cells overexpressing DNp63a; (iii) promoter transactivation and (iv) immunostaining in normal tissues, confirming their regulation by p63. We discovered several new specific targets whose functional categorization links p63 to cell growth and differentiation.
Journal of Hepatology, 2009
Alcoholic (ASH) and non-alcoholic steatohepatitis (NASH) are progressive stages of non-alcoholic ... more Alcoholic (ASH) and non-alcoholic steatohepatitis (NASH) are progressive stages of non-alcoholic fatty liver disease, which can further evolve to more advanced disease states including cirrhosis and even hepatocellular carcinoma. Recent data have pointed to cholesterol accumulation, particularly in mitochondria, as a critical lipid, responsible for the transition of the steatotic liver to ASH/NASH due to the hepatocellular susceptibility to LPS and TNF. Sterol regulatory element-binding protein-2 (SREBP-2) is a transcription factor that controls the expression of enzymes involved in the mevalonate pathway of cholesterol synthesis. Although SREBP-1c has been shown to play a critical role in alcohol-mediated steatosis, the role of SREBP-2 in ASH and NASH has not been determined so far. The aim of the present study was to investigate the susceptibility of transgenic mice that overexpress SREBP-2 to alcohol and LPS induced liver-damage. Methods: Tg-SREBP 2 and wild type B6SJLF1/J mice were fed the Lieber deCarli alcohol liquid diet for four weeks, with or without an i.p. chanllenge of LPS 24 hours before sacrifice. Liver damage was measured by ALT and H&E staining. Liver cholesterol, triglycerides and free fatty acids were determined by biochemical methods. Some animals received a daily gavage infusion of atorvastatin (10 mg/kg) for 2−3 weeks followed by LPS challenge. Results: Tg-SREBP-2 mice exhibited microvesicular steatosis characterized by 2−3 fold higher levels of free cholesterol including in mitochondria and GSH depletion (40−50%). On alcohol feeding, the changes on mitochondrial cholesterol and GSH depletion were exarcerbated. Alcohol feeding sensitized wild type mice to LPS challenge, and the sensitization of Tg-SREBPS-2 to LPS was independent of alcohol intake. Moreover, atorvastatin treatment reduced total and free liver cholesterol increase both in wild type alcohol-fed mice and in Tg-SREBP-2 mice ameliorating the liver damage following LPS treatment. Conclusion: Increased liver cholesterol renders the liver of transgenic SREBP2 mice sensitive to LPS-induced damage, reproducing the susceptibility caused by alcohol feeding, and these effects are likely due to mitochondrial cholesterol loading.
Journal of Hepatology, 2009
Journal of Hepatology, 2007
Journal of Hepatology, 2011
Results: GSK2336805 has EC 50 values of 44 pM, 8 pM and 54 pM on genotype 1a, 1b and 2a (JFH-1) r... more Results: GSK2336805 has EC 50 values of 44 pM, 8 pM and 54 pM on genotype 1a, 1b and 2a (JFH-1) replicons, respectively and 63 pM on the HCVcc virus (JFH-1). CC 50 values were be 43 and 47 mM on genotype 1a and 1b replicons respectively, yielding a selectivity index 1000. Long term exposure of genotype 1b replicon cells to GSK2336805 to 3-fold and 10-fold EC 90 concentrations resulted in 3 and 4 log reductions, respectively, in replicon RNA levels. Resistance maps to the NS5A gene and cross resistance profiling showed that GSK2336805A is not cross resistant to mutations altering the potency of DAAs targeting NS3, NS4B, and NS5B as well as a mutation impacting cyclophillin inhibitors. Profiling on chimeric replicons containing NS5A patient sequences for genotype 1a and genotype 1b showed GSK2336805 retained potency across the subtypes with only one chimera showing a change in potency. The compound is also a potent inhibitor of chimeric replicons containing NS5A consensus and patient sequences from genotypes 28-6. Combination studies showed that GSK2336805 is not antagonistic with interferon, ribavirin, cyclosporine A, or with DAAs targeting NS3, NS4B, or NS5B. This data set supports inclusion of GSK2336805 as part of a combination regimen to treat HCV infected individuals.
Journal of Hepatology, 2011
Journal of Hepatology, 2014
Journal of Hepatology, 2008
best cut-off point by ROC curve for BLYs to discriminate between recovery and chronicity was 1,29... more best cut-off point by ROC curve for BLYs to discriminate between recovery and chronicity was 1,290 pg/ml (AUC 0.85; 95% CI 0.65−0.96).
Journal of Hepatology, 2008
Journal of Hepatology, 2010
Journal of Hepatology, 2013
Journal of Hepatology, 2013
Journal of Hepatology, 2013
Journal of Hepatology, 2013
Journal of Biological Chemistry, 2011
Signal transducer and activator of transcription 2 (STAT2), the critical component of type I inte... more Signal transducer and activator of transcription 2 (STAT2), the critical component of type I interferons signaling, is a prototype latent cytoplasmic signal-dependent transcription factor. Activated tyrosine-phosphorylated STAT2 associates with STAT1 and IRF9 to bind the ISRE elements in the promoters of a subset of IFN-inducible genes (ISGs). In addition to activate hundreds of ISGs, IFN␣ also represses numerous target genes but the mechanistic basis for this dual effect and transcriptional repression is largely unknown. We investigated by ChIP-chip the binding dynamics of STAT2 and "active" phospho(P)-STAT2 on 113 putative IFN␣ direct target promoters before and after IFN␣ induction in Huh7 cells and primary human hepatocytes (PHH). STAT2 is already bound to 62% of our target promoters, including most "classical" ISGs, before IFN␣ treatment. 31% of STAT2 basally bound promoters also show P-STAT2 positivity. By correlating in vivo promoter occupancy with gene expression and changes in histone methylation marks we found that: 1) STAT2 plays a role in regulating ISGs expression, independently from its phosphorylation; 2) P-STAT2 is involved in ISGs repression; 3) "activated" ISGs are marked by H3K4me1 and H3K4me3 before IFN␣; 4) "repressed" genes are marked by H3K27me3 and histone methylation plays a dominant role in driving IFN␣-mediated ISGs repression.
Hepatology, 2010
Hepatitis B virus (HBV) is currently viewed as a stealth virus that does not elicit innate immuni... more Hepatitis B virus (HBV) is currently viewed as a stealth virus that does not elicit innate immunity in vivo. This assumption has not yet been challenged in vitro because of the lack of a relevant cell culture system. The HepaRG cell line, which is physiologically closer to differentiated hepatocytes and permissive to HBV infection, has opened new perspectives in this respect.HBV baculoviruses were used to initiate an HBV replication in both HepG2 and HepaRG cells. To monitor HBV replication, the synthesis of encapsidated DNA, and secretion of hepatitis B surface antigen (HBsAg), was respectively analyzed by southern blot and enzyme-linked immunosorbent assay. The induction of a type I interferon (IFN) response was monitored by targeted quantitative reverse transcription polymerase chain reaction (qRT-PCR), low-density arrays, and functional assays. The invalidation of type I IFN response was obtained by either antibody neutralization or RNA interference. We demonstrate that HBV elicits a strong and specific innate antiviral response that results in a noncytopathic clearance of HBV DNA in HepaRG cells. Challenge experiment showed that transduction with Bac-HBV-WT, but not with control baculoviruses, leads to this antiviral response in HepaRG cells, whereas no antiviral response is observed in HepG2 cells. Cellular gene expression analyses showed that IFN-beta and other IFN-stimulated genes were up-regulated in HepG2 and HepaRG cells, but not in cells transduced by control baculoviruses. Interestingly, a rescue of viral replication was observed when IFN-beta action was neutralized by antibodies or RNA interference of type I IFN receptor. Our data suggest that a strong HBV replication is able to elicit a type I IFN response in HepaRG-transduced cells.