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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Public Health</journal-id>
<journal-title>Frontiers in Public Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Public Health</abbrev-journal-title>
<issn pub-type="epub">2296-2565</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpubh.2023.1222762</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Public Health</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of ozone exposure on lipid metabolism in Huh-7 human hepatoma cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Peng</surname>
<given-names>Jianhao</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="fn0001" ref-type="author-notes"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Siyuan</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="fn0001" ref-type="author-notes"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Yunlong</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yu</surname>
<given-names>Wanchao</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zha</surname>
<given-names>Yejun</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Gao</surname>
<given-names>Shuxin</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c002" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2311780/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>College of Animal Science and Technology, Inner Mongolia University for Nationalities</institution>, <addr-line>Tongliao</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Orthopedic Trauma, Beijing Jishuitan Hospital</institution>, <addr-line>Beijing</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0002"><p>Edited by: Lulu Zhang, Hubei University of Technology, China</p></fn>
<fn fn-type="edited-by" id="fn0003"><p>Reviewed by: Huajing Teng, Beijing Institutes of Life Science (CAS), China; Ruiyan Niu, Shanxi Agricultural University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Yejun Zha, <email>zyjtrauma@163.com</email></corresp>
<corresp id="c002">Shuxin Gao, <email>shuxingao@126.com</email></corresp>
<fn fn-type="equal" id="fn0001"><p><sup>&#x2020;</sup>These authors have contributed equally to this work and share first authorship</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>07</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>11</volume>
<elocation-id>1222762</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>05</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>06</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Peng, Wang, Wang, Yu, Zha and Gao.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Peng, Wang, Wang, Yu, Zha and Gao</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Ozone pollution is a major environmental concern. According to recent epidemiological studies, ozone exposure increases the risk of metabolic liver disease. However, studies on the mechanisms underlying the effects of ozone exposure on hepatic oxidative damage, lipid synthesis, and catabolism are limited. In this study, Huh-7 human hepatocellular carcinoma cells were randomly divided into five groups and exposed to 200&#x2009;ppb O<sub>3</sub> for 0, 1, 2, 4, and 8 h. We measured the levels of oxidative stress and analyzed the changes in molecules related to lipid metabolism. The levels of oxidative stress were found to be significantly elevated in Huh-7 hepatocellular carcinoma cells after O<sub>3</sub> exposure. Moreover, the expression levels of intracellular lipid synthases, including SREBP1, FASN, SCD1, and ACC1, were enhanced. Lipolytic enzymes, including ATGL and HSL, and the mitochondrial fatty acid oxidase, CPT1&#x03B1;, were inhibited after O<sub>3</sub> exposure. In addition, short O<sub>3</sub> exposure enhanced the expression of the intracellular peroxisomal fatty acid &#x03B2;-oxidase, ACOX1; however, its expression decreased adaptively with longer exposure times. Overall, O<sub>3</sub> exposure induces an increase in intracellular oxidative stress and disrupts the normal metabolism of lipids in hepatocytes, leading to intracellular lipid accumulation.</p>
</abstract>
<abstract abstract-type="graphical">
<title>Graphical abstract</title>
<p><graphic xlink:href="fpubh-11-1222762-g008.tif"/></p>
</abstract>
<kwd-group>
<kwd>O<sub>3</sub></kwd>
<kwd>Huh-7</kwd>
<kwd>lipid metabolism</kwd>
<kwd>oxidative stress</kwd>
<kwd>ROS</kwd>
</kwd-group>
<contract-num rid="cn1">2019MS03077</contract-num>
<contract-num rid="cn1">KJXM2020002-05</contract-num>
<contract-sponsor id="cn1">Inner Mongolia Natural Science Foundation<named-content content-type="fundref-id">10.13039/501100004763</named-content></contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="36"/>
<page-count count="11"/>
<word-count count="5340"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Environmental health and Exposome</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<label>1.</label>
<title>Introduction</title>
<p>Air pollution has significant adverse effects on human health. Based on previous studies, air pollution is associated with various diseases, including cardiovascular, respiratory, and metabolic diseases, and cancer (<xref ref-type="bibr" rid="ref1 ref2 ref3">1&#x2013;3</xref>). As a result, particulate-matter pollutants and their control measures have received increasing attention in recent years.</p>
<p>Currently, remarkable achievements have been made in PM<sub>2.5</sub> control; however, ozone (O<sub>3</sub>) pollution has become a major environmental problem. O<sub>3</sub> is a highly oxidizing substance with strong oxidizing properties that is present in large quantities in the environment. Absorbed O<sub>3</sub> can cause oxidative damage in the body by generating ROS (<xref ref-type="bibr" rid="ref4">4</xref>, <xref ref-type="bibr" rid="ref5">5</xref>). Acute and chronic ozone exposure increased the accumulation of superoxide and lipid peroxides in rats, leading to an increase in the oxidative stress levels (<xref ref-type="bibr" rid="ref6">6</xref>). Previous studies have reported that acute ozone exposure can cause endocrine metabolic dysfunction in humans (<xref ref-type="bibr" rid="ref7">7</xref>). However, the possible contribution of O<sub>3</sub> to metabolic disorders and intrahepatic lipid metabolism is yet to be systematically investigated.</p>
<p>Lipid metabolism is an important part of human life and is closely associated with cancer, metabolic diseases, and cardiovascular diseases (<xref ref-type="bibr" rid="ref8">8</xref>). In a study investigating the effects of long-term ozone exposure on human lipids, serum levels of triglycerides (TG) and high-density lipoprotein cholesterol (HDL-C) were found to increase, whereas those of total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C) decreased with increasing O<sub>3</sub> concentrations (<xref ref-type="bibr" rid="ref9">9</xref>). Other studies have found that acute ozone exposure significantly increases the blood serum levels of acylglycerol, glycerol, medium-chain free fatty acids, long-chain free fatty acids, and lysophosphatidic acid, and comprehensively alters peripheral lipid generation (<xref ref-type="bibr" rid="ref10">10</xref>). Kim et al. (<xref ref-type="bibr" rid="ref11">11</xref>) found that short-term ozone exposure is associated with increased serum triglyceride and VLDL-C levels and decreased HDL-C levels in humans. By exposing rats chronically to 1.0&#x2009;ppm ozone, Miller et al. (<xref ref-type="bibr" rid="ref12">12</xref>) found significant increases in HDL and total cholesterol levels, no significant change in triglyceride and free fatty acid levels, and significant decreases in the levels of these metrics during the recovery period after ozone exposure. Previous studies have revealed an increase in total serum cholesterol levels in older adult individuals due to increasing ozone exposure (<xref ref-type="bibr" rid="ref13">13</xref>). Most studies investigated the effect of ozone exposure on serum lipid levels, whereas only few studies determined the effect of ozone exposure on human hepatic lipid metabolism factors.</p>
<p>The effects of ozone exposure on hepatic lipid metabolism are unknown. In fact, most studies focused on inflammatory processes in the lungs and metabolic diseases caused by chronic or acute ozone exposure. Although the lungs are the first target organ of O<sub>3</sub> exposure, other tissues may be affected due to O<sub>3</sub> transport through the blood, an important circulating body fluid. However, no studies have reported the effects of ozone exposure on hepatic lipid metabolism in the liver, an important organ that dominates lipid metabolic processes. Therefore, the aim of this study was to determine the effects of acute ozone exposure on hepatic lipid metabolic function, detect the levels of oxidative stress and the expression levels of related lipid metabolic factors in the liver using a cellular exposure assay, and explore the possible molecular mechanisms of O<sub>3</sub>-induced liver injury.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<label>2.</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1.</label>
<title>Materials and reagents</title>
<p>Huh-7 cells were purchased from BNCC (Henan, China). CM-H2DCFDA was purchased from MCE (Shanghai, China). The triglyceride assay kit was purchased from Applygen (Beijing, China). Dulbecco&#x2019;s modified Eagle medium (DMEM), trypan blue staining solution, and all other drugs and reagents were purchased from Invitrogen (Carlsbad, CA, United States).</p>
</sec>
<sec id="sec4">
<label>2.2.</label>
<title>Cell culture and O<sub>3</sub> exposure</title>
<p>In this study, the human hepatocellular carcinoma cell line, Huh-7, was used to establish a cell model. Huh-7 cells are easy to culture and are widely used in contaminant exposure studies. The Huh-7 cell line was purchased from Henan Industrial Microbial Engineering Technology Research Center. Huh-7 cells were cultured in DMEM (Gibco BRL, Grand Island, NY, United States) containing 10% calf serum (N-10) in a 5% CO<sub>2</sub> incubator at 37&#x00B0;C. The cells were seeded in a 6-well plate at 8&#x2009;&#x00D7;&#x2009;10<sup>5</sup> cells per well, and incubated for 24&#x2009;h. Toward the end of cell culture, the concentration of O<sub>3</sub> in the exposure chamber was adjusted to 200&#x2009;ppb, and four parallels of the same cell concentration were established for each group and placed in the cell exposure chamber for 0, 1, 2, 4, and 8&#x2009;h. After O<sub>3</sub> exposure, the cells were collected and frozen at &#x2212;80&#x00B0;C for analyses. All cell experiments were performed three times, and the results are presented as mean values &#x00B1; standard deviation.</p>
</sec>
<sec id="sec5">
<label>2.3.</label>
<title>Cell integrity assay</title>
<p>Trypan blue staining solution (Carlsbad, CA, United States) is a cell-reactive dye commonly used to determine the integrity of cell membranes and detect cell viability. Normal living cells with intact cell membranes can reject trypan blue, preventing its entry into the cell. In contrast, cells with inactive or incomplete cell membranes have increased permeability and are stained blue by the dye. Imaging was performed using a laser-scanning confocal microscope (Thermo Fisher Scientific).</p>
</sec>
<sec id="sec6">
<label>2.4.</label>
<title>Cell viability assay</title>
<p>A CCK-8 kit was used for therapid and sensitive detection of cell proliferation and cytotoxicity. In the presence of electronically coupled reagents, WST-8 can be reduced by mitochondrial dehydrogenases to produce a highly water-soluble orange-yellow methanogenic product; the color shade of this product is proportional to cell proliferation and inversely proportional to cytotoxicity. Moreover, for the same cells, the shade of color and the number of cells are linearly related. The optical density (OD) was measured at 450&#x2009;nm using an enzyme standard meter, which indirectly reflects the number of living cells. Spectrophotometric measurements were performed using a MiniMax multifunctional enzyme analyzer (Molecular Devices, United States).</p>
</sec>
<sec id="sec7">
<label>2.5.</label>
<title>Measurement of intracellular ROS content</title>
<p>The cells were treated with 10&#x2009;&#x03BC;M CM-H2DCFDA in the dark at 37&#x00B0;C for 30&#x2009;min, and the excess probe was removed via washing. The samples were analyzed using a Fluorescence Microscope (Thermo Fisher Scientific, United States).</p>
</sec>
<sec id="sec8">
<label>2.6.</label>
<title>Measurement of intracellular triglyceride content</title>
<p>The Triglycerides (TG) concentration in Huh-7 cells was determined using a Triglyceride assay kit (Beijing, China), according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="sec9">
<label>2.7.</label>
<title>Total RNA extraction and qPCR</title>
<p>Total RNA was extracted from the cultured cells using TRIzol reagent (Invitrogen, Carlsbad, CA, United States), according to the manufacturer&#x2019;s instructions. RNA was quantified using a NanoDrop 2000 spectrometer (Thermo Fisher Scientific, United States). Reverse transcription was performed using 2&#x2009;mg RNA at 42&#x00B0;C for 50&#x2009;min with a mixture containing 200&#x2009;U SuperScript II reverse transcriptase enzyme, 125&#x2009;ng random primers, and 0.5&#x2009;mM dNTP Mix (Invitrogen, United States).</p>
<p>Real-time PCR validation was conducted using the Maxima&#x00AE; SYBR&#x00AE; Green qPCR Master Mix kit (Takara Bio, Dalian, China), according to the manufacturer&#x2019;s instructions, in an ABI Prism 7500 Sequence Detection System 288 (Applied Biosystems Inc.). The following cycling condition were employed: 95&#x00B0;C for 10&#x2009;min; 95&#x00B0;C for 30&#x2009;s, 60&#x00B0;C for 1&#x2009;min, and 72&#x00B0;C for 1&#x2009;min; 40&#x2009;cycles. <italic>GAPDH</italic> was used as the standardized internal control. The primer sequences are listed in <xref rid="tab1" ref-type="table">Table 1</xref>. Each sample was repeated in triplicate and the fold change in gene expression was calculated according to the 2<sup>-&#x0394;&#x0394;Ct</sup> method.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Sequence of primers of used for qPCR.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle" rowspan="2">Gene</th>
<th align="center" valign="middle" colspan="2">Sequence of primer (5&#x2032;&#x2009;&#x2192;&#x2009;3&#x2032;)</th>
<th rowspan="2">Amplified fragment size</th>
</tr>
<tr>
<th align="left" valign="middle">Forward</th>
<th align="left" valign="middle">Reverse</th>
<th align="center" valign="middle" colspan="2">Huh-7 cell</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle"><italic>ACOX1</italic></td>
<td align="left" valign="top">TGCCTATGCCTTCCAGTT</td>
<td align="left" valign="top">TGCTTCAATGCCAGTGTT</td>
<td align="center" valign="top">163</td>
</tr>
<tr>
<td align="left" valign="top"><italic>CPT1a</italic></td>
<td align="left" valign="top">AAGTTGGCGTCTGAGAAG</td>
<td align="left" valign="top">GGTCTGGCTTGTTGATAATC</td>
<td align="center" valign="top">168</td>
</tr>
<tr>
<td align="left" valign="top"><italic>SREBP1</italic></td>
<td align="left" valign="top">CACCAGCGTCTACCATAG</td>
<td align="left" valign="top">AGAGAAGCACCAAGGAGA</td>
<td align="center" valign="top">140</td>
</tr>
<tr>
<td align="left" valign="top"><italic>FASN</italic></td>
<td align="left" valign="top">GTGGTCTTCTCCTCTGTGA</td>
<td align="left" valign="top">GTTGGTGCTCATCGTCTC</td>
<td align="center" valign="top">180</td>
</tr>
<tr>
<td align="left" valign="top"><italic>ACC1</italic></td>
<td align="left" valign="top">CTTCCTGCTCATACACTTCT</td>
<td align="left" valign="top">GTATAACTGCTGCCATCATAG</td>
<td align="center" valign="top">191</td>
</tr>
<tr>
<td align="left" valign="top"><italic>SCD1</italic></td>
<td align="left" valign="top">GGAGGAGATAAGTTGGAGAC</td>
<td align="left" valign="top">GTAGCAGAGACATAAGGATGA</td>
<td align="center" valign="top">157</td>
</tr>
<tr>
<td align="left" valign="top"><italic>ATGL</italic></td>
<td align="left" valign="top">CGGCGAGAATGTCATTATATC</td>
<td align="left" valign="top">CATAGAGTGGCAGGTTGTC</td>
<td align="center" valign="top">161</td>
</tr>
<tr>
<td align="left" valign="top"><italic>HSL</italic></td>
<td align="left" valign="top">GGAAGTGCTATCGTCTCTG</td>
<td align="left" valign="top">GATGTTCAATGCTCCACTG</td>
<td align="center" valign="top">193</td>
</tr>
<tr>
<td align="left" valign="top"><italic>PPAR&#x03B1;</italic></td>
<td align="left" valign="top">ATCGGCGAGGATAGTTCT</td>
<td align="left" valign="top">GAGCTTCAGCCCAGGGTC</td>
<td align="center" valign="top">180</td>
</tr>
<tr>
<td align="left" valign="top"><italic>GAPDH</italic></td>
<td align="left" valign="top">GGCTCTCCAGAACATCATC</td>
<td align="left" valign="top">CCTGCTTCACCACCTTCT</td>
<td align="center" valign="top">191</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec10">
<label>2.8.</label>
<title>Enzyme-linked immunosorbent assay</title>
<p>The cells were thoroughly mixed with lysate NP-40 (Beyotime, Shanghai, China) and centrifuged. The supernatant was then collected and used for protein expression analysis. Enzyme-linked immunosorbent assay (ELISA) was performed to determine the expression levels of target proteins in Huh-7 cells. The ELISA kits were purchased from Beijing Qisong Biotechnology (PPAR-&#x03B1;: QS43373; Srebp-1: QS46773; ACOX1: QS43381; ATGL: QS48838; ACC1: QS46723; CPT1&#x03B1;: QS46824; FASN: QS46882; SOD1: QS46774; HSL: QS46881; CYP1A1: QS43372; and SCD1: QS46897). All reagents, samples, and standards were prepared according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="sec11">
<label>2.9.</label>
<title>Statistical analysis</title>
<p>The results are presented as mean&#x2009;&#x00B1;&#x2009;standard deviation. Significant differences between the groups were analyzed using one-way ANOVA. All statistical analyses were performed using GraphPad Prism 8.0. Differences were considered statistically significant at <italic>p</italic> &#x003C;&#x2009;0.05.&#x201D;</p>
</sec>
</sec>
<sec id="sec12" sec-type="results">
<label>3.</label>
<title>Results</title>
<sec id="sec13">
<label>3.1.</label>
<title>Effect of O<sub>3</sub> exposure on Huh-7 cell viability</title>
<p>Cell viability is a valid indicator of cell damage and can be determined via cell staining and cell counting. To detect the cytotoxicity of O<sub>3</sub>, we used trypan blue staining and CCK8 cell counting to determine the survival rate of Huh-7 cells after different time gradients of O<sub>3</sub> exposure. As shown in <xref rid="fig1" ref-type="fig">Figure 1A</xref>, the number of dead cells (stained blue) gradually increased as the O<sub>3</sub> exposure time increased. Cell survival declined continuously with increasing O<sub>3</sub> exposure time and cell activity was significantly downregulated in the exposed group compared to that in the control group (<xref rid="fig1" ref-type="fig">Figure 1B</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Results of cell viability  assay of Huh-7 cells after O<sub>3</sub> exposure. <bold>(A)</bold> Results of <italic>Trypan blue staining</italic> in the background with different time gradients of ozone exposure. <bold>(B)</bold> Huh-7 cells were treated with control or 200&#x2009;ppb O<sub>3</sub> for 1, 2, 4, and 8&#x2009;h, respectively, and cell viability was measured using CCK-8 method. &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01,&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 vs. control group.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g001.tif"/>
</fig>
</sec>
<sec id="sec14">
<label>3.2.</label>
<title>Effect of O<sub>3</sub> exposure on intracellular ROS</title>
<p>To verify whether O<sub>3</sub> exposure caused changes in intracellular ROS levels, Huh-7 cells were treated with 200&#x2009;ppb O<sub>3</sub> for 0, 1, 2, 4, or 8&#x2009;h. The CM-H2DCFDA assay revealed that intracellular ROS levels increased with increasing O<sub>3</sub> exposure time (<xref rid="fig2" ref-type="fig">Figure 2</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>CM-H2DCFDA staining results of Huh-7 cells after 200&#x2009;ppb O<sub>3</sub> exposure. <bold>(A)</bold> Intracellular ROS content after 200&#x2009;ppb O<sub>3</sub> exposure for 0&#x2009;h. <bold>(B)</bold> Intracellular ROS content after 200&#x2009;ppb O<sub>3</sub> exposure for 1&#x2009;h. <bold>(C)</bold> Intracellular ROS content after 200&#x2009;ppb O<sub>3</sub> exposure for 2&#x2009;h. <bold>(D)</bold> Intracellular ROS content after 200&#x2009;ppb O<sub>3</sub> exposure for 4&#x2009;h. <bold>(E)</bold> Intracellular ROS content after 200&#x2009;ppb O<sub>3</sub> exposure for 8&#x2009;h.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g002.tif"/>
</fig>
</sec>
<sec id="sec15">
<label>3.3.</label>
<title>Effects of O<sub>3</sub> exposure on the expression of CYP1A1 and SOD1 in Huh-7 cells</title>
<p>Oxidative stress is caused by an imbalance between the oxidation and antioxidant levels in the body. In the present study, we examined the protein levels of CYP1A1 and SOD1, which are associated with reactive oxygen species production and antioxidant activity, respectively. As shown in <xref rid="fig3" ref-type="fig">Figure 3A</xref>, CYP1A1 expression levels were significantly higher in cells treated with O<sub>3</sub> for 4 and 8&#x2009;h than in the corresponding control cells. We also examined the expression of SOD1. Based on our findings, the expression level of SOD1 in cells was significantly reduced after O<sub>3</sub> exposure (<xref rid="fig3" ref-type="fig">Figure 3B</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Effect of O<sub>3</sub> exposure on  protein expression of oxidative stress-related enzymes. Protein expression levels of CYP1A1 <bold>(A)</bold> and SOD1 <bold>(B)</bold> in Huh-07 cells at different time gradients (0, 1, 2, 4, and 8&#x2009;h) after O<sub>3</sub> exposure are expressed as mean&#x2009;&#x00B1;&#x2009;SE (<italic>n</italic> =&#x2009;3 cells/group). &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01,&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 vs. control group.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g003.tif"/>
</fig>
</sec>
<sec id="sec16">
<label>3.4.</label>
<title>Effect of O<sub>3</sub> exposure on intracellular triglyceride content</title>
<p>A high TG level is one of the main characteristics of lipid accumulation. In the present study, intracellular triglyceride levels were found to be significantly elevated after O<sub>3</sub> exposure (<xref rid="fig4" ref-type="fig">Figure 4</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Effect of O<sub>3</sub> exposure on intracellular triglyceride content. The level of TG in Huh-07 cells at different time gradients (0, 1, 2, 4, and 8&#x2009;h) after O<sub>3</sub> exposure are expressed as mean&#x2009;&#x00B1;&#x2009;SE (<italic>n</italic> =&#x2009;3 cells/group). &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01,&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 vs. control group.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g004.tif"/>
</fig>
</sec>
<sec id="sec17">
<label>3.5.</label>
<title>Effects of O<sub>3</sub> exposure on the expression of genes involved in lipid synthesis</title>
<p>To demonstrate the effects of O<sub>3</sub> exposure on lipid synthesis in Huh-7 cells, we evaluated the expression of four genes related to lipid synthesis. The mRNA expression of <italic>FASN</italic> was significantly upregulated after ozone exposure (<xref rid="fig5" ref-type="fig">Figure 5A</xref>). In addition, the mRNA expression of <italic>ACC1</italic> was significantly upregulated after 1 and 8&#x2009;h of O<sub>3</sub> exposure (<xref rid="fig5" ref-type="fig">Figure 5D</xref>). Although there were no significant changes in the mRNA expression of <italic>SCD1</italic> and <italic>SREBP1</italic> in the cells, their mRNA expression levels were upregulated after 8&#x2009;h of O<sub>3</sub> exposure (<italic>p</italic> =&#x2009;0.16, <italic>p</italic> =&#x2009;0.11; <xref rid="fig5" ref-type="fig">Figures 5B</xref>,<xref rid="fig5" ref-type="fig">C</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Effect of O<sub>3</sub> exposure on mRNA expression of lipid synthesis-related enzymes. mRNA expression levels of FASN <bold>(A)</bold>, SCD1 <bold>(B)</bold>, SREBP1 <bold>(C)</bold>, and ACC1 <bold>(D)</bold> in Huh-7 cells at different time gradients (0, 1, 2, 4, and 8&#x2009;h) after O<sub>3</sub> exposure are expressed as mean&#x2009;&#x00B1;&#x2009;SE (<italic>n</italic> =&#x2009;3 cells/group). <sup>&#x002A;</sup><italic>p</italic> &#x003C;&#x2009;0.05, <sup>&#x002A;&#x002A;</sup><italic>p</italic> &#x003C;&#x2009;0.01 vs. control group.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g005.tif"/>
</fig>
</sec>
<sec id="sec18">
<label>3.6.</label>
<title>Effects of O<sub>3</sub> exposure on the expression of genes involved in lipid catabolism</title>
<p>Fatty acids are the core components of most lipids. We analyzed the mRNA expression of the genes (<italic>PPAR&#x03B1;</italic>, <italic>CPT1</italic>&#x03B1;, <italic>ACOX1</italic>, <italic>ATGL</italic>, and <italic>HSL</italic>) encoding the key enzymes and regulators involved in fatty acid oxidation and lipolysis. <italic>HSL</italic> mRNA expression was significantly upregulated in cells 2&#x2009;h after O<sub>3</sub> exposure (<xref rid="fig6" ref-type="fig">Figure 6E</xref>). The mRNA expression levels of <italic>PPAR&#x03B1;</italic> and <italic>ATGL</italic> were significantly downregulated in the cells after 4&#x2009;h of O<sub>3</sub> exposure (<xref rid="fig6" ref-type="fig">Figures 6A</xref>,<xref rid="fig6" ref-type="fig">D</xref>). After 8&#x2009;h of ozone exposure, the mRNA expression level of <italic>PPAR&#x03B1;</italic> was significantly downregulated, while that of <italic>HSL</italic> was significantly upregulated (<xref rid="fig6" ref-type="fig">Figures 6A</xref>,<xref rid="fig6" ref-type="fig">E</xref>). No significant changes in the mRNA expression levels of <italic>CPT1</italic>&#x03B1; and <italic>ACOX1</italic> were found in cells after O<sub>3</sub> exposure (<xref rid="fig6" ref-type="fig">Figures 6B</xref>,<xref rid="fig6" ref-type="fig">C</xref>).</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Effect of O<sub>3</sub> exposure on mRNA expression of genes encoding key enzymes or regulators involved in fatty acid oxidation and lipolysis in Huh-7 cells. mRNA expression levels of PPAR&#x03B1; <bold>(A)</bold>, CPT1<italic>&#x03B1;</italic> <bold>(B)</bold>, ACOX1 <bold>(C)</bold>, ATGL <bold>(D)</bold>, and HSL <bold>(E)</bold> in Huh-7 cells at different time gradients (0, 1, 2, 4, and 8&#x2009;h) after O<sub>3</sub> exposure are expressed as mean&#x2009;&#x00B1;&#x2009;SE (<italic>n</italic> =&#x2009;3 cells/group). &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01,&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 vs. control group.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g006.tif"/>
</fig>
</sec>
<sec id="sec19">
<label>3.7.</label>
<title>Effect of O<sub>3</sub> exposure on protein expression related to lipid metabolism in Huh-7 cells</title>
<p>To further confirm the effect of O<sub>3</sub> exposure on the expression of genes involved in lipid metabolism, ELISA was performed to validate the expression levels of proteins. After 1&#x2009;h of exposure to O<sub>3</sub>, the protein expression levels of FASN and ACC1 were significantly upregulated, whereas that of HSL was significantly downregulated in Huh-7 cells (<xref rid="fig7" ref-type="fig">Figures 7A</xref>,<xref rid="fig7" ref-type="fig">D</xref>,<xref rid="fig7" ref-type="fig">I</xref>). After 2&#x2009;h of exposure to O<sub>3</sub>, the protein expression levels of SCD1, ACOX1, and ACC1 were significantly upregulated, whereas that of HSL was significantly downregulated (<xref rid="fig7" ref-type="fig">Figures 7B</xref>,<xref rid="fig7" ref-type="fig">D</xref>,<xref rid="fig7" ref-type="fig">G</xref>,<xref rid="fig7" ref-type="fig">I</xref>). After 4&#x2009;h of exposure to O<sub>3</sub>, the protein expression levels of FASN, SREBP1, and ACC1 were significantly upregulated, while those of PPAR&#x03B1; and CPT1&#x03B1; were significantly downregulated (<xref rid="fig7" ref-type="fig">Figures 7A</xref>,<xref rid="fig7" ref-type="fig">C&#x2013;E</xref>,<xref rid="fig7" ref-type="fig">I</xref>). After 8&#x2009;h of exposure to O<sub>3</sub>, the protein expression levels of FASN, SCD1, SREBP1, and ACC1 were significantly downregulated, while those of PPAR&#x03B1;, CPT1&#x03B1;, ATGL, and HSL were significantly downregulated (<xref rid="fig7" ref-type="fig">Figures 7A</xref>&#x2013;<xref rid="fig7" ref-type="fig">F,H,I</xref>).</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Effects of O<sub>3</sub> exposure on the protein expression of lipid metabolism-related genes in Huh-7 cells at different time gradients (0, 1, 2, 4, and 8&#x2009;h). <bold>(A)</bold> Protein expression of FASN; <bold>(B)</bold> Protein expression of SCD1; <bold>(C)</bold> Protein expression of SREBP1; <bold>(D)</bold> Protein expression of ACC1; <bold>(E)</bold> Protein expression of PPAR&#x03B1;; <bold>(F)</bold> Protein expression of CPT1<italic>&#x03B1;</italic>; <bold>(G)</bold> Protein expression of ACOX1; <bold>(H)</bold> Protein expression of ATGL; <bold>(I)</bold> Protein expression of HSL. Data were expressed as mean&#x2009;&#x00B1;&#x2009;SE (<italic>n</italic> =&#x2009;3 cells/group). &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01,&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001 vs. control group.</p>
</caption>
<graphic xlink:href="fpubh-11-1222762-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="sec20" sec-type="discussions">
<label>4.</label>
<title>Discussion</title>
<p>Many studies have shown that O<sub>3</sub> pollution adversely affects human health (<xref ref-type="bibr" rid="ref14">14</xref>); however, evidence of its impact on the liver is limited (<xref ref-type="bibr" rid="ref15">15</xref>). According to previous studies, disrupted lipid metabolism can lead to liver fibrosis (<xref ref-type="bibr" rid="ref16">16</xref>). Therefore, to verify the effect of O<sub>3</sub> on the liver, we exposed Huh-7 hepatocellular carcinoma cells to different ozone time gradients and measured the changes in oxidative stress and lipid metabolic factors. Cell viability was found to decrease in the exposed group compared to the control group, and intracellular ROS and TG contents increased with increasing O<sub>3</sub> exposure time. The expression levels of lipid synthesis-related genes and their downstream proteins were upregulated, whereas those of fatty acid oxidation and lipid catabolic genes and their downstream proteins were downregulated. These results suggest that 200&#x2009;ppb O<sub>3</sub> is cytotoxic and O<sub>3</sub> exposure may induce oxidative stress and impair intracellular lipid metabolism in Huh-07 hepatocellular carcinoma cells, resulting in intracellular lipid accumulation.</p>
<p>Based on animal and human studies, oxidative stress plays an important role in the pathogenesis of nonalcoholic fatty liver disease (NAFLD) (<xref ref-type="bibr" rid="ref17 ref18 ref19">17&#x2013;19</xref>). O<sub>3</sub>, a strong oxidant, is directly related to oxidative stress. <italic>In vitro</italic> studies revealed that O<sub>3</sub> induces the release of ROS from animal respiratory epithelial cells and causes the dysregulation of oxidative stress levels in the organism (<xref ref-type="bibr" rid="ref20">20</xref>). Such finding is consistent with our results, which showed an increase in intracellular ROS levels with increasing O<sub>3</sub> exposure time. We also determined the protein levels of intracellular CYP1A1 and SOD1, which are associated with reactive oxygen species production and antioxidant activity, respectively. An increase in intracellular CYP1A1 levels or a decrease in SOD1 levels can lead to intracellular oxidative stress (<xref ref-type="bibr" rid="ref21">21</xref>). The protein levels of intracellular CYP1A1 were significantly upregulated after O<sub>3</sub> exposure, whereas those of SOD1 were significantly downregulated. These results indicate that O<sub>3</sub> exposure leads to elevated levels of oxidative stress in Huh-7 hepatocellular carcinoma cells.</p>
<p>Disturbance of hepatic lipid metabolism is a symptom of NAFLD exacerbation. Inflammatory activity induces collagen synthesis in stellate cells and promotes liver fibrosis, further contributing to the exacerbation of NAFLD (<xref ref-type="bibr" rid="ref22">22</xref>, <xref ref-type="bibr" rid="ref23">23</xref>). However, the exact cause of abnormalities in hepatic lipid metabolism caused by O<sub>3</sub> exposure <italic>in vivo</italic> is unknown. Therefore, we determined the mRNA and protein expression levels of genes involved in lipid anabolism in Huh-7 cells exposed to O<sub>3</sub>. Serbp1 is an intracellular cholesterol sensor located in the endoplasmic reticulum, which provides feedback for cholesterol regulation. SREBP1 is involved in the regulation of FASN, ACC1, and SCD1 expression (<xref ref-type="bibr" rid="ref24">24</xref>, <xref ref-type="bibr" rid="ref25">25</xref>). FASN is a key enzyme in the <italic>de novo</italic> synthesis of fatty acids (<xref ref-type="bibr" rid="ref26">26</xref>). ACC1 is the first rate-limiting enzyme in the <italic>de novo</italic> lipogenesis (DNL) process, which plays an important role in fatty acid synthesis (<xref ref-type="bibr" rid="ref27">27</xref>). Scd-1 is a rate-limiting enzyme that catalyzes the synthesis of monosaturated fatty lipids (<xref ref-type="bibr" rid="ref28">28</xref>). Our results revealed that the mRNA expression levels of FASN and ACC1 were significantly elevated in Huh-7 cells exposed to 200 ppbO<sub>3</sub>. Although the upregulation trend for the mRNA expression of SREBP1 and SCD1 was not obvious, their protein expression levels were significantly higher in the exposed group, which was consistent with the general trend of changes in gene levels. These findings suggest that O<sub>3</sub> exposure induces hepatic lipid synthesis.</p>
<p>Lipolysis, the sequential hydrolysis of triacylglycerols stored in cellular lipid droplets, plays an important role in lipid metabolism (<xref ref-type="bibr" rid="ref29">29</xref>). ATGL and HSL lipases are considered the main regulators of lipolysis (<xref ref-type="bibr" rid="ref30">30</xref>). ATGL is the first step in the catalysis of lipolysis, converting TGs to diacylglycerols and FFAs. HSL hydrolyzes diacylglycerols to monoacylglycerols and FFAs, which are mainly regulated by ATGL (<xref ref-type="bibr" rid="ref31">31</xref>, <xref ref-type="bibr" rid="ref32">32</xref>). Fatty acids formed by the hydrolysis of triglycerides are mainly metabolized via &#x03B2;-oxidation, which primarily occurs in the mitochondria and peroxisomes (<xref ref-type="bibr" rid="ref33">33</xref>). Several key enzymes in these fatty acid oxidation pathways are regulated by PPAR&#x03B1;. Mitochondrial oxidation is regulated by CPT1&#x03B1;. ACOX1 is a rate-limiting enzyme that catalyzes the first step of peroxisomal fatty acid oxidation (<xref ref-type="bibr" rid="ref34">34</xref>). In the present study, the mRNA expression levels of HSL were upregulated, and those of ATGL were downregulated after O<sub>3</sub> exposure. The mRNA expression levels of PPAR&#x03B1; were significantly downregulated after 4 and 8&#x2009;h of O<sub>3</sub> exposure, while those of CPT1&#x03B1; did not significantly change. The mRNA expression levels of ACOX1 were upregulated after 2&#x2009;h of O<sub>3</sub> exposure. In addition, the protein expression levels of ATGL and HSL were downregulated after O<sub>3</sub> exposure compared to those of the control. The protein expression levels of CPT1&#x03B1; were significantly downregulated after 4 and 8&#x2009;h of O<sub>3</sub> exposure. The protein expression levels of PPAR&#x03B1; and ACOX1 significantly correlated with gene expression. Regarding the differential expression of intracellular HSL genes and proteins, we speculate that the regulation of this factor by O<sub>3</sub> mainly occurs at the protein level. Based on our findings, O<sub>3</sub> exposure downregulates lipolysis and mitochondrial fatty acid-oxidation in Huh-7 cells, whereas short O<sub>3</sub> exposure upregulates intracellular peroxisomal fatty acid-oxidation. These effects depend on the duration of O<sub>3</sub> exposure.</p>
<p>Nonalcoholic fatty liver disease has become one of the most common liver diseases and is responsible for a significant number of liver disease cases (<xref ref-type="bibr" rid="ref35">35</xref>, <xref ref-type="bibr" rid="ref36">36</xref>). According to previous studies, ozone exposure increases the levels of lipid metabolites in humans (<xref ref-type="bibr" rid="ref7">7</xref>). Moreover, disruption of hepatic lipid metabolism leads to accumulation of liver fat, which further causes liver inflammation leading to the development of NAFLD. Our results suggest that O<sub>3</sub> exposure may lead to lipid accumulation by regulating the expression of lipid metabolism-related factors, resulting in elevated levels of lipid synthesis and decreased levels of lipolysis and intramitochondrial fatty acid-oxidation.</p>
</sec>
<sec id="sec21" sec-type="conclusions">
<label>5.</label>
<title>Conclusion</title>
<p>In summary, our findings suggest that O<sub>3</sub> exposure causes dysfunctional lipid metabolism in hepatocytes, which leads to the accumulation of intracellular lipids. The specific regulatory mechanism between the intrahepatic inflammatory response and lipid metabolism induced by O<sub>3</sub> exposure should be investigated in a future study.</p>
</sec>
<sec sec-type="data-availability" id="sec22">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material; further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="sec23">
<title>Author contributions</title>
<p>JP: conceptualization, methodology, formal analysis, investigation, writing&#x2014;original draft, visualization, and review and editing. SW: conceptualization, validation, investigation, and writing&#x2014;review and editing. YW: conceptualization, methodology, formal analysis, investigation&#x2014;original draft, and visualization. WY: software, investigation, and resources. ZY: conception, verification, investigation&#x2014;review and editing. SG: conceptualization, methodology, formal analysis, investigation, writing&#x2014;original draft, and visualization. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="funding-information" id="sec24">
<title>Funding</title>
<p>This study was supported by Inner Mongolia Natural Science Foundation (No. 2019MS03077); the fifth batch of &#x201C;Grassland Talents&#x201D; Industry Innovation and Entrepreneurship Talent Team in Inner Mongolia Autonomous Region: &#x201C;Beef Cattle Scientific Research and Beef Cattle Industry Innovation Talent Team&#x201D; special project; Inner Mongolia major special project &#x201C;Horqin Beef Breed Breeding,&#x201D; subproject &#x201C;Horqin Beef Cattle Physiological and Biochemical Index Test Analysis&#x201D;; and Inner Mongolia Autonomous Region Science and Technology Project &#x201C;Horqin Beef Cattle New Breeding Integrated Technology Research and Demonstration Promotion,&#x201D; subproject &#x201C;Inheritance of Beef Quality Traits Mechanism technology research&#x201D; (KJXM2020002-05).</p>
</sec>
<sec sec-type="COI-statement" id="sec25">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
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