Recombinant Human 17-beta-hydroxysteroid dehydrogenase 13 (HSD17B13) is a liver-specific enzyme that plays a crucial role in lipid metabolism and liver pathophysiology. It belongs to the hydroxysteroid dehydrogenase family and is involved in the regulation of hepatic lipid homeostasis. Recent studies have highlighted its significance in nonalcoholic fatty liver disease (NAFLD), metabolic dysfunction-associated steatohepatitis (MASH), and other liver disorders.
HSD17B13 is associated with lipid droplets in hepatocytes and influences the development and progression of liver diseases by modulating lipid metabolism and inflammation. Genetic variants of HSD17B13, such as rs72613567, have been identified as protective factors against liver diseases, including NAFLD and alcoholic liver disease (ALD), by reducing the risk of fibrosis and cirrhosis .
Lipid Metabolism: HSD17B13 is involved in the regulation of hepatic lipogenesis, contributing to the pathogenesis of NAFLD .
Inflammation Modulation: It influences the production of proinflammatory lipid mediators, impacting liver inflammation .
Steroid Metabolism: The enzyme participates in steroid metabolism pathways, which can affect liver function and disease progression .
The rs72613567 variant of HSD17B13 leads to a loss-of-function mutation, resulting in a truncated, non-functional protein. This variant is associated with reduced liver disease risk and improved outcomes in patients with liver conditions . The therapeutic potential of targeting HSD17B13 lies in its inhibition, which could mitigate liver fibrosis and inflammation .
Inhibition of HSD17B13: Small molecule inhibitors and RNA interference have been explored as potential therapeutic approaches to modulate HSD17B13 activity .
Genetic Risk Assessment: Integrating genetic variants like rs72613567 into risk scores may help predict disease progression and guide personalized treatments .
Recent studies have provided insights into the role of HSD17B13 in liver diseases. For instance, the inhibition of HSD17B13 has been shown to protect against liver fibrosis by altering metabolic pathways . Additionally, the development of synthetic substrates for HSD17B13 has enabled the quantitative assessment of enzymatic inhibition in primary human hepatocytes .
Glycerolipids and Pyrimidines: Knockdown of HSD17B13 in mice leads to increased levels of glycerolipids and pyrimidines, suggesting altered lipid and nucleotide metabolism .
Uridine Catabolism: Decreased uridine catabolism is observed in HSD17B13 knockdown models, indicating a role in nucleotide metabolism pathways .
Structural Elucidation: Understanding the structure of HSD17B13 will facilitate the development of targeted therapies .
Biochemical Characterization: Comprehensive characterization of its biochemical function is crucial for developing effective treatments .
| Aspect | Description | Implications |
|---|---|---|
| Genetic Variants | rs72613567 variant leads to a loss-of-function mutation, reducing liver disease risk. | Protective against NAFLD and ALD. |
| Lipid Metabolism | Involved in hepatic lipogenesis, contributing to NAFLD pathogenesis. | Target for NAFLD treatment. |
| Inflammation | Modulates proinflammatory lipid mediators, impacting liver inflammation. | Potential target for reducing liver inflammation. |
| Therapeutic Potential | Inhibition of HSD17B13 may mitigate liver fibrosis and inflammation. | Promising therapeutic strategy for liver diseases. |
HSD17B13 is a liver-enriched, hepatocyte-specific protein belonging to the hydroxysteroid dehydrogenase family. It functions as an NAD(P)H/NAD(P)+-dependent oxidoreductase . The protein is primarily expressed in the liver, with significantly higher expression levels observed in patients with non-alcoholic fatty liver disease (NAFLD) .
Methodology for expression analysis:
RNA-seq and RT-PCR have demonstrated that HSD17B13 is liver-enriched, though recent research has detected expression in the kidney, ureter, and urinary bladder .
Quantitative studies show HSD17B13 expression is elevated in multiple models of MASLD (metabolic dysfunction-associated steatotic liver disease) and normalizes with the prevention of obesity and steatotic liver .
HSD17B13 is a lipid droplet (LD)-associated protein with specific domains required for this localization .
Methods to verify subcellular localization:
Fluorescence microscopy using GFP-tagged HSD17B13 constructs has confirmed its lipid droplet localization .
Subcellular fractionation followed by Western blotting of lipid droplet fractions.
Immunofluorescence studies in primary human hepatocytes show HSD17B13 targeting to lipid droplets under various conditions, including oleate or palmitate treatment .
HSD17B13 exhibits multiple enzymatic activities involving:
Steroid metabolism (particularly 17β-hydroxysteroid dehydrogenase activity)
Retinol metabolism (retinol dehydrogenase activity)
Lipid metabolism
Pyrimidine catabolism at the level of dihydropyrimidine dehydrogenase
Methods for measuring enzymatic activity:
RapidFire MS enzyme activity assays with estradiol, LTBR4, or retinol as substrates
Synthetic substrates with improved LogD properties have been developed to measure selective HSD17B13 activity
HSD17B13 plays dual roles in liver disease:
The protein induces G1/S cell cycle delay in HCC cells by upregulating P21, P27, and MMP2 expression , while potentially promoting lipid accumulation in NAFLD through its enzymatic activity.
Several loss-of-function variants of HSD17B13 have been identified as protective:
| Variant | Mechanism | Protected Conditions | Effect Size |
|---|---|---|---|
| rs72613567:TA (IsoD) | Splice donor site mutation causing adenine insertion | NAFLD, ALD, HCC | ↓ risk of cirrhosis, ↓ liver enzymes |
| A192Lfs | Truncated protein | Advanced NASH | Unstable protein, ↓ expression |
| P260S | Missense mutation | Advanced NASH | Unstable protein, ↓ activity |
Detection methods include:
Exome-wide association studies
Targeted genotyping of rs72613567 using PCR-based methods
Mutagenesis studies have identified three critical domains required for proper LD targeting:
N-terminal hydrophobic domain (amino acids 4-16): Deletion of this region (Δ4-16) abolishes LD targeting and results in mitochondrial proximity localization .
PAT-like domain (amino acids 22-28): Essential for stability and LD targeting .
α-helix/β-sheet/α-helix structure (amino acids 69-106):
First α-helix (aa 69-84)
β-sheet (aa 85-93)
Second α-helix (aa 94-106)
The entire intact structure is required, as deletion of any of these three components impairs LD localization. Without these domains, HSD17B13 is retained in the endoplasmic reticulum .
Experimental approach: Generate truncated and point-mutated proteins, express them in cell lines using fluorescent protein tags, and analyze subcellular localization using confocal microscopy.
Multiple mechanisms have been identified:
Cell cycle regulation: HSD17B13 induces accumulation of cells in G1 phase and reduction in S and G2 phases via upregulation of P21, P27, and MMP2 .
Pyrimidine metabolism: Protection against liver fibrosis by the rs72613567-A variant in humans and Hsd17b13 knockdown in mice is associated with decreased pyrimidine catabolism at the level of dihydropyrimidine dehydrogenase .
Lipid metabolism modulation:
Methodology: Combine genetic (knockdown/overexpression), metabolomic (LC-MS/MS), and transcriptomic (RNA-seq) approaches to comprehensively map the pathways affected by HSD17B13 modulation.
Crystal structures of HSD17B13 have revealed:
Cofactor binding: HSD17B13 is NAD+-dependent, with the cofactor crucial for proper protein folding and inhibitor binding .
Inhibitor binding sites: Two distinct series of inhibitors interact with the active site residues and bound cofactor similarly, but occupy different paths leading to the active site .
Membrane association mechanism: Structures provide insights into how lipid droplet-associated proteins anchor to membranes .
NAD+ dependency: The phenol lead series of inhibitors, including BI-3231, showed strong NAD+ dependency for binding and inhibition of HSD17B13 .
Approach: Structure-based drug design using crystallography data can inform the development of selective inhibitors. The first potent and selective HSD17B13 inhibitor, BI-3231 (compound 45), has been identified through high-throughput screening followed by optimization .
Production of high-quality recombinant HSD17B13:
Expression systems:
Protein regions: Expression region 20-300aa has been successfully used .
Purity assessment: >85-90% purity can be achieved as determined by SDS-PAGE .
For enzymatic assays:
Use NAD+ as a cofactor (0.5 mM for human HSD17B13, 10 mM for mouse HSD17B13)
Substrates include estradiol/estrone (30 μM), retinol (30 μM), or synthetic substrates with improved properties
Liver-specific shRNA-mediated knockdown of Hsd17b13 in high-fat diet obese mice produces specific changes in hepatic lipidome:
| Lipid Class | Change with Hsd17b13 Knockdown | Representative Species |
|---|---|---|
| Diacylglycerols | ↓ Decrease | DAG 34:3 |
| Phosphatidylcholines with PUFAs | ↑ Increase | PC 34:3, PC 42:10 |
These changes are associated with:
Improved hepatic steatosis without effects on body weight, adiposity, or glycemia
Decreased serum ALT and FGF21 levels
Reduced markers of liver fibrosis (e.g., Timp2 expression)
Altered expression of key genes in phospholipid and PUFA metabolism (e.g., Cept1)
Methodology: Combine liver-specific knockdown with global lipidomic analysis (LC-MS/MS) and transcriptomic profiling to identify affected pathways and potential mechanisms.
The development of HSD17B13 inhibitors has revealed important features:
BI-3231 (compound 45):
Synthetic substrates:
Analysis approach: Determine compound potencies by fitting dose-response data to a four-parameter logistical equation, with calculations of fm (fraction metabolized by HSD17B13) and fm1 (fraction of specific product generated by HSD17B13) .
Methodology considerations:
For subcellular localization studies, primary human hepatocytes provide more relevant context than immortalized cell lines
For metabolic studies, high-fat diet mouse models capture the complex interplay of metabolic pathways affected by HSD17B13
For mechanistic insights, combine in vitro enzymatic assays with targeted gene expression studies
Crystal structures of HSD17B13 have provided significant insights:
Structure-function relationship: The structures reveal how disease-associated variants might disrupt function:
Active site architecture: Crystal structures with NAD+ cofactor and small molecule inhibitors from two distinct series in the ligand binding pocket reveal:
Approach: Use structural information to design mutagenesis experiments that can validate the functional importance of specific residues and domains in HSD17B13.
Human genetic and crystal structure studies together provide complementary evidence for therapeutic targeting of HSD17B13 for liver disease treatment.