# Involvement of Lysosomal Dysfunction and Its Association With Lipotoxic Stress in Palmitate-Treated HepG2 Cells

## TL;DR

This study shows that lysosomal dysfunction occurs later in liver cells exposed to high fat levels and contributes to cell death in fatty liver disease.

## Contribution

The study reveals lysosomal dysfunction acts as a late-stage integrator of lipotoxic stress in nonalcoholic fatty liver disease.

## Key findings

- Lysosomal destabilization and cathepsin B activation occurred 18 hours after palmitic acid exposure.
- Bafilomycin A1 reduced lysosomal damage and cell death, while chloroquine worsened it.
- Lysosomal dysfunction was linked to mitochondrial failure and increased cell death.

## Abstract

Introduction

Nonalcoholic fatty liver disease (NAFLD), characterized by excessive lipid accumulation in the liver, is a growing global health burden. However, the intracellular events contributing to lipid-related liver injury remain incompletely defined. This study investigated the temporal association of lipotoxic events in HepG2 cells exposed to palmitic acid (PA).

Methods

A time course experiment was conducted to evaluate the effects of lipotoxicity on HepG2 cells. Intracellular reactive oxygen species (ROS), lysosomal destabilization, change in mitochondrial membrane potential (MMP), and cell death were assessed using a fluorescence spectrophotometer and a flow cytometer.

Results

Intracellular lipid accumulation and elevated ROS were detected shortly after PA exposure, followed by later alterations in redox balancecompared with control cells. As treatment progressed, significant lysosomal destabilization became evident from 18 hours onwards, leading to the increased cytosolic level and activity of cysteine protease, cathepsin B, into the cytosol. This lysosomal destabilization was associated with mitochondrial dysfunction, assessed by loss of MMP and release of cytochrome c (Cytc) from mitochondria. These events coincided with increased BAX expression, caspase 3 activation, and ultimately resulted in cell death. Importantly, pretreatment with bafilomycin A1 (BAF) markedly attenuated PA-related lysosomal destabilization, prevented cathepsin B activation, and reduced cell death, whereas a contrasting response was observed with chloroquine (CHQ) pretreatment. Together, these findings support a contributory role of lysosomal dysfunction in PA-associated lipotoxic stress.

Conclusion

This study outlines the temporal sequence of organelle dysfunction during PA-associated lipotoxicity and highlights the association of lysosomal impairment in NAFLD pathogenesis. Rather than serving as an upstream trigger, lysosomal impairment appears to function as a late-stage integrator of lipotoxic stress in this in-vitro HepG2 cells model.