PKCδ Mediates NF-κB Inflammatory Response and Downregulates SIRT1 Expression in Liver Fibrosis

The precise mechanism of hepatic cirrhosis remains largely unclear. In particular, a potential regulatory mechanism by which protein kinase C-delta (PKCδ ) affects profibrogenic gene expression involved in hepatic cirrhosis has never been explored. In the present study, we investigated whether PKCδ activation is involved in liver inflammatory fibrosis in both lipopolysaccharide (LPS)-treated RAW 264.7 and CCl4-treated mice. PKCδ was strongly activated by LPS or CCl4 treatment and consequently stimulated nuclear factor (NF)-κB inflammatory response. Interestingly, the activation of PKCδ negatively regulated sirtuin-1 (SIRT1) expression, whereas PKCδ suppression by PKCδ peptide inhibitor V1-1 or siRNA dramatically increased SIRT1 expression. Furthermore, we showed that the negative regulation of PKCδ leads to a decrease in SIRT1 expression. To our knowledge, these results are the first demonstration of the involvement of PKCδ in modulating NF-κB through SIRT1 signaling in fibrosis in mice, suggesting a novel role of PKCδ in inflammatory fibrosis. The level of NF-κB p65 in the nucleus was also negatively regulated by SIRT1 activity. We showed that the inhibition of PKCδ promoted SIRT1 expression and decreased p65 levels in the nucleus through deacetylation. Moreover, the inactivation of PKCδ with V1-1 dramatically suppressed the inflammatory fibrosis, indicating that PKCδ represents a promising target for treating fibrotic diseases like hepatic cirrhosis.


Introduction
Hepatic fibrosis is a wound healing response to various injuries that may lead to cirrhosis and even hepatocellular carcinoma (HCC) [1]. Chronic liver inflammation usually precedes fibrosis, and it is well known that hepatic macrophages play a critical role in the pathogenesis [2]. Many lines of evidence indicate that hepatic macrophages not only promote the initiation of fibrosis through the recruitment of proinflammatory immune cells and secretion of proinflammatory cytokines in the early stage but also promote the resolution of fibrosis via the secretion of matrix metalloproteinases in the later stages. Several studies have shown that hepatic macrophages are targets for lipopolysaccharide (LPS), and thus, LPS/Toll-like microbial pattern recognition receptors 4 (TLR 4) signaling provides a mechanistic link to ROS signaling. Both LPS and cytokine tumor necrosis factor-α (TNF-α) play key roles in hepatic inflammation through the activation of NF-κB transcription factor [3,4].
NF-κB is a central transcription factor involved in the regulation of hepatic stellate cell activation survival and immune response as well as many other important biological processes [5][6][7]. Upon stimulation with an array of stimuli, including a bacterial endotoxin LPS, TNF-α, and oxidative stress, TLR4 receptor induces NF-κB activation through myeloid differentiation factor 88 (MyD88) -dependent signaling, resulting in the production of pro-inflammatory cytokine TNF-α and the pro-inflammatory factor IL-6 [8,9]. Furthermore, NF-κB increases inducible nitric oxide synthases (iNOS) expression To further confirm whether PKCδ activation is implicated in hepatic fibrosis, a specific PKCδ inhibitor, rottlerin, was administered to the mice. CCl 4 administration resulted in increased levels of aspartate transaminase (AST) and alanine transaminase (ALT), both indicative of liver damage, whereas the treatment with rottlerin significantly prevented the increase of these enzymes ( Figure S1A). It should be pointed out that the involvement of PKCδ in CCl 4 -induced liver injury has never been explored. Immunohistochemistry and immunoblotting analysis showed that the level of α-SMA was dramatically increased in CCl 4 -induced liver tissues. However, the expression of α-SMA was significantly decreased in rottlerin-treated CCl 4 mice when compared with CCl 4 mice ( Figure 1B). These results were confirmed by immunoblotting analysis ( Figure S1B). The mRNA levels of TNF-α, myd88, IL-1β, IL-6, cox-2, and iNOS were measured in the livers of mice. As shown in Figure 1C and Figure S1C all expression levels were markedly increased in the CCl 4 -treated mice as compared to ND mice (* p < 0.05); however, these increased levels were significantly downregulated again by rottlerin treatment. Taken together, these results indicated that the activation of PKCδ is specific in CCl 4 -induced liver fibrosis. inflammation. To further confirm whether PKCδ activation is implicated in hepatic fibrosis, a specific PKCδ inhibitor, rottlerin, was administered to the mice. CCl4 administration resulted in increased levels of aspartate transaminase (AST) and alanine transaminase (ALT), both indicative of liver damage, whereas the treatment with rottlerin significantly prevented the increase of these enzymes ( Figure S1A). It should be pointed out that the involvement of PKCδ in CCl4-induced liver injury has never been explored. Immunohistochemistry and immunoblotting analysis showed that the level of α-SMA was dramatically increased in CCl4-induced liver tissues. However, the expression of α-SMA was significantly decreased in rottlerin-treated CCl4 mice when compared with CCl4 mice ( Figure  1B). These results were confirmed by immunoblotting analysis ( Figure S1B). The mRNA levels of TNF-α, myd88, IL-1β, IL-6, cox-2, and iNOS were measured in the livers of mice. As shown in Figures  1C and S1C all expression levels were markedly increased in the CCl4-treated mice as compared to ND mice (* p < 0.05); however, these increased levels were significantly downregulated again by rottlerin treatment. Taken together, these results indicated that the activation of PKCδ is specific in CCl4-induced liver fibrosis. Effects of PKC on carbon tetrachloride (CCl4)-induced liver fibrosis in mice. (A) Liver phosphorylated PKC isoforms (α/β, δ, and ζ) in ND (Normal diet) and CCl4 mice were analyzed by immunoblotting. (B) Representative liver tissue sections from ND, CCl4, and CCl4 + rottlerin mice were stained with α-SMA (original magnification, 100×). (C) Hepatic mRNA levels of TNF-α, IL-1β and IL-6 were measured by quantitative real-time (qRT)-PCR. Genes were normalized to 18s rRNA as an internal standard, and the data are expressed as fold increase. Data are presented as mean ± SD of three experiments. * p < 0.05 compared to the ND group, and # p < 0.05 compared to the CCl4 group.
A B C Figure 1. Effects of PKC on carbon tetrachloride (CCl 4 )-induced liver fibrosis in mice. (A) Liver phosphorylated PKC isoforms (α/β, δ, and ζ) in ND (Normal diet) and CCl 4 mice were analyzed by immunoblotting. (B) Representative liver tissue sections from ND, CCl 4 , and CCl 4 + rottlerin mice were stained with α-SMA (original magnification, 100×). (C) Hepatic mRNA levels of TNF-α, IL-1β and IL-6 were measured by quantitative real-time (qRT)-PCR. Genes were normalized to 18s rRNA as an internal standard, and the data are expressed as fold increase. Data are presented as mean ± SD of three experiments. * p < 0.05 compared to the ND group, and # p < 0.05 compared to the CCl 4 group.

Regulation of NF-κB Signaling by PKCδ in RAW 264.7 Cells
LPS-mediated TLR4 activation and NF-κB inflammatory signaling are believed to play an essential role during the development of the liver fibrosis. Thus, in vitro, we used RAW 264.7 cells to examine the effect of PKCδ regulation in inflammatory signaling on LPS-induced macrophage activation. As shown in Figure 2A, p-PKCδ and nuclear p65 induced by LPS (0.1, 1, and 5 µg/mL) were measured by immunoblotting in the cells. The left panel shows the levels of phosphorylated PKCδ in response to LPS which were upregulated in a dose-dependent manner. Moreover, we found that the practical modulation of p-PKCδ and p65 levels occurred in the nucleus (right panel). To block the signaling in the RAW 264.7 cells treated with 1 µg/mL LPS, we administered the specific PKCδ inhibitors, a peptide V1-1, and rottlerin ( Figure 2B). Although rottlerin has been used as a PKCδ inhibitor, recent reports have indicated a problem regarding the specificity [25]. Therefore, we used a peptide inhibitor V1-1 that blocked the activation of PKCδ more specifically. Pretreatment with rottlerin (0.1-5 µM) dose-dependently downregulated nuclear P65 levels (upper panel). The decrease in nuclear P65 levels was similar in cells treated with PKCδ V1-1 (10 and 100 ng/mL) (lower panel). We also investigated whether the nuclear transcription factor p65 was translocated to the nucleus during TLR4 signaling. As shown in Figure 2C, immunofluorescence showed that NF-κB p65 accumulation in the nucleus was strongly induced when the cells were exposed to LPS. However, the translocation of p65 to the nucleus was not observed after pretreatment with V1-1 peptide. All these results indicated that PKCδ regulates p65 nuclear translocation in LPS-stimulated RAW 264.7 cells.

Regulation of NF-κB Signaling by PKCδ in RAW 264.7 Cells
LPS-mediated TLR4 activation and NF-κB inflammatory signaling are believed to play an essential role during the development of the liver fibrosis. Thus, in vitro, we used RAW 264.7 cells to examine the effect of PKCδ regulation in inflammatory signaling on LPS-induced macrophage activation. As shown in Figure 2A, p-PKCδ and nuclear p65 induced by LPS (0.1, 1, and 5 μg/mL) were measured by immunoblotting in the cells. The left panel shows the levels of phosphorylated PKCδ in response to LPS which were upregulated in a dose-dependent manner. Moreover, we found that the practical modulation of p-PKCδ and p65 levels occurred in the nucleus (right panel). To block the signaling in the RAW 264.7 cells treated with 1 μg/mL LPS, we administered the specific PKCδ inhibitors, a peptide V1-1, and rottlerin ( Figure 2B). Although rottlerin has been used as a PKCδ inhibitor, recent reports have indicated a problem regarding the specificity [25]. Therefore, we used a peptide inhibitor V1-1 that blocked the activation of PKCδ more specifically. Pretreatment with rottlerin (0.1-5 μM) dose-dependently downregulated nuclear P65 levels (upper panel). The decrease in nuclear P65 levels was similar in cells treated with PKCδ V1-1 (10 and 100 ng/mL) (lower panel). We also investigated whether the nuclear transcription factor p65 was translocated to the nucleus during TLR4 signaling. As shown in Figure 2C, immunofluorescence showed that NF-κB p65 accumulation in the nucleus was strongly induced when the cells were exposed to LPS. However, the translocation of p65 to the nucleus was not observed after pretreatment with V1-1 peptide. All these results indicated that PKCδ regulates p65 nuclear translocation in LPS-stimulated RAW 264.7 cells. . The right panel represents nuclear p65. Cells were treated with LPS (0.1, 1, and 5 µg/mL), followed by the measurement of nuclear p65 in lysates. The graphs on the right show the relative amount of the measured protein as fold-increase. * p < 0.05 compared to the control group, and # p < 0.05 compared to the LPS treatment group. Each value is the mean ± SD of three experiments. (B) Cells were pretreated with different concentrations of rottlerin (0.1, 1, or 5 µM, the upper panel) V1-1 (10-100 ng/mL, the lower panel) for 1 h and then incubated with LPS (1 µg/mL); this was followed by the measurement of nuclear p65 and total p65 by immunoblot assay. Lamin was used as a loading control for the nuclear protein. (C) Cells were pretreated with or without V1-1 for 1 h, followed by incubation with 1 µg/mL LPS additional and then immunostained with DAPI and anti-p65 Abs. Cells were visualized by fluorescence microscopy (original magnification, 200×).

PKCδ Negatively Regulates SIRT1 Activation
PKCδ has been implicated as an important modulator in the regulation of nuclear p65; however, whether or not PKCδ activity is involved in the regulation of SIRT1 expression has remained unclear. First, we examined the SIRT1 expression in response to LPS (0.1 and 1 µg/mL) in RAW 264.7 cells. As shown in Figure 3A, we confirmed that LPS induced dose-dependent decreases in SIRT1 expression. Moreover, the level of p-PKCδ induced by the treatment of 1 µg/mL LPS was increased and peaked at 6 h, whereas SIRT1 expression was reversely decreased to a low level within 2 h and maintained the level thereafter ( Figure 3B). The effects of siRNA-mediated knockdown regulation of PKC isoform on SIRT1 level were investigated ( Figure 3C). In the presence of LPS, the level of SIRT1 in PKCα siRNA transfectants was downregulated similarly to that in control cells, whereas the level in PKCδ siRNA transfectants was further augmented. These results indicated that PKCδ but not PKCα is specifically involved in LPS-induced downregulation of SIRT1. ng/mL, the lower panel) for 1 h and then incubated with LPS (1 μg/mL); this was followed by the measurement of nuclear p65 and total p65 by immunoblot assay. Lamin was used as a loading control for the nuclear protein. (C) Cells were pretreated with or without V1-1 for 1 h, followed by incubation with 1 μg/mL LPS additional and then immunostained with DAPI and anti-p65 Abs. Cells were visualized by fluorescence microscopy (original magnification, 200×).

PKCδ Negatively Regulates SIRT1 Activation
PKCδ has been implicated as an important modulator in the regulation of nuclear p65; however, whether or not PKCδ activity is involved in the regulation of SIRT1 expression has remained unclear. First, we examined the SIRT1 expression in response to LPS (0.1 and 1 μg/mL) in RAW 264.7 cells. As shown in Figure 3A, we confirmed that LPS induced dose-dependent decreases in SIRT1 expression. Moreover, the level of p-PKCδ induced by the treatment of 1 μg/mL LPS was increased and peaked at 6 h, whereas SIRT1 expression was reversely decreased to a low level within 2 h and maintained the level thereafter ( Figure 3B). The effects of siRNA-mediated knockdown regulation of PKC isoform on SIRT1 level were investigated ( Figure 3C). In the presence of LPS, the level of SIRT1 in PKCα siRNA transfectants was downregulated similarly to that in control cells, whereas the level in PKCδ siRNA transfectants was further augmented. These results indicated that PKCδ but not PKCα is specifically involved in LPS-induced downregulation of SIRT1. Cells were treated with LPS (0.1 and 1 μg/mL), followed by SIRT1 measurement. (B) Cells were treated with LPS (1 μg/mL), followed by the measurement of phosphorylated PKCδ and SIRT1 in lysates after 1, 2, 6, and 12 h. (C) Cells were transfected with PKCα or PKCδ siRNA and after 24 h and were then treated with or without LPS (1 μg/mL), followed by the measurement of SIRT1 with PKCα and PKCδ. Values are presented as mean ± SD. * p < 0.05 compared with control group.

Negative Regulation of SIRT1 to the NF-κB Signaling
To further confirm the involvement of PKCδ activity in SIRT1 expression, cells were transfected with either PKCα or PKCδ siRNAs and were then either not treated or treated with LPS; this was followed by immunoblotting to measure SIRT1 and iNOS expression level. As shown in Figure 4A, the knockdown of PKCδ with LPS treatment did not decrease but rather maintained SIRT1 expression, whereas iNOS expression did not increase conversely. However, the knockdown of PKCα had much lesser effect on this process like the control siRNA-transfected cells. These results indicated that LPS-induced PKCδ activation may play a significant role in SIRT1 and iNOS production. Furthermore, as expected, SIRT1 was decreased in response to LPS, whereas α-SMA was increased ( Figure 4B, the upper panel). However, the knockdown of PKCδ neither decreased the expression of SIRT nor increased the level of α-SMA. Similarly, the knockdown of PKCδ with LPS treatment did A C B

Negative Regulation of SIRT1 to the NF-κB Signaling
To further confirm the involvement of PKCδ activity in SIRT1 expression, cells were transfected with either PKCα or PKCδ siRNAs and were then either not treated or treated with LPS; this was followed by immunoblotting to measure SIRT1 and iNOS expression level. As shown in Figure 4A, the knockdown of PKCδ with LPS treatment did not decrease but rather maintained SIRT1 expression, whereas iNOS expression did not increase conversely. However, the knockdown of PKCα had much lesser effect on this process like the control siRNA-transfected cells. These results indicated that LPS-induced PKCδ activation may play a significant role in SIRT1 and iNOS production. Furthermore, as expected, SIRT1 was decreased in response to LPS, whereas α-SMA was increased ( Figure 4B, the upper panel). However, the knockdown of PKCδ neither decreased the expression of SIRT nor increased the level of α-SMA. Similarly, the knockdown of PKCδ with LPS treatment did not increase the p65 level in the nucleus ( Figure 4B, the lower panel). Cells were transfected with PKCδ or SIRT1 siRNA, and then, LPS-induced iNOS and nuclear p65 levels were measured ( Figure 4C). Results in the upper panel show that PKCδ siRNA-transfected cells significantly decreased iNOS, but the SIRT1 transfectants rather augmented as compared to control level of iNOS. Conversely, the levels of nuclear p65 in PKCδ and SIRT1 siRNA transfectants were decreased and did not further increase as compared to control siRNA-transfected cells (the lower panel). The levels of acetyl p65 were directly determined using immunoprecipitation followed by immunoblotting analysis ( Figure 4D). The level of acetyl p65 in response to LPS was significantly increased in the control siRNA-transfected cells, whereas the level in SIRT1 siRNA-transfected cells was augmented without LPS but had no additional effect in response to LPS. Similarly, the cells were transfected with SIRT1 siRNA followed by immunoprecipitation, and then, LPS-induced acetyl p65 levels were measured in the absence or presence of the PKCδ inhibitor V1-1 ( Figure 4E). In response to V1-1, the level of acetyl p65 was significantly increased in SIRT1 siRNA cells than in control siRNA cells. Taken together, these results conclusively indicated that PKCδ promotes NF-κB signaling but negatively regulates the SIRT1 level simultaneously, and the NF-κB p65 level is negatively regulated by SIRT1 deacetylation activity. not increase the p65 level in the nucleus ( Figure 4B, the lower panel). Cells were transfected with PKCδ or SIRT1 siRNA, and then, LPS-induced iNOS and nuclear p65 levels were measured ( Figure  4C). Results in the upper panel show that PKCδ siRNA-transfected cells significantly decreased iNOS, but the SIRT1 transfectants rather augmented as compared to control level of iNOS. Conversely, the levels of nuclear p65 in PKCδ and SIRT1 siRNA transfectants were decreased and did not further increase as compared to control siRNA-transfected cells (the lower panel). The levels of acetyl p65 were directly determined using immunoprecipitation followed by immunoblotting analysis ( Figure  4D). The level of acetyl p65 in response to LPS was significantly increased in the control siRNAtransfected cells, whereas the level in SIRT1 siRNA-transfected cells was augmented without LPS but had no additional effect in response to LPS. Similarly, the cells were transfected with SIRT1 siRNA followed by immunoprecipitation, and then, LPS-induced acetyl p65 levels were measured in the absence or presence of the PKCδ inhibitor V1-1 ( Figure 4E). In response to V1-1, the level of acetyl p65 was significantly increased in SIRT1 siRNA cells than in control siRNA cells. Taken together, these results conclusively indicated that PKCδ promotes NF-κB signaling but negatively regulates the SIRT1 level simultaneously, and the NF-κB p65 level is negatively regulated by SIRT1 deacetylation activity.  The control and SIRT1 siRNA transfected cells were pretreated with or without V1-1 for 1 h, followed by incubation with 1 μg/mL LPS additional. * p < 0.05 and ** p < 0.01 compared with LPS-induced cells in the absence of V1-1.

Effects of PKCδ Inhibitor on CCl4-Induced Liver Fibrosis in Mice
Here, we verified the LPS-induced PKCδ signaling and examined whether the inhibition of PKCδ with V1-1 in CCl4 mice could be useful for inflammatory fibrosis. Similar to that observed with rottlerin treatment, the administration of V1-1 to the CCl4 mice resulted in a significant amelioration ( Figure 5A). Moreover, we confirmed that treatment with the PKCδ inhibitor V1-1 affectively ameliorated pathological lesions caused by CCl4. To explore the levels of proteins involved in the development of liver fibrosis, we performed qRT-PCR analysis of the liver homogenate. The mRNA levels of TNF-α, TLR4, collagen, IL-6, and iNOS in CCl4-treated mice were dramatically increased as compared with those in ND mice, whereas V1-1 treatment significantly suppressed the expression of D E Figure 4. A negative cross reaction between NF-κB and SIRT1 activation in RAW 264.7 macrophages. (A) RAW 264.7 cells were transfected with PKCα or PKCδ siRNA for 24 h, and then, the cells were either not treated or treated with LPS (1 µg/mL) followed by the measurement of SIRT1 and iNOS. (B) Cells were transfected with control or PKCδ siRNA, and after 24 h, cells were either not treated or treated with LPS (1 µg/mL), followed by the measurement of SIRT1 and α-SMA. Similarly, the levels of nuclear p65 were also measured with lamin. The relative amounts of the above proteins are presented as fold-increase. The data represent three independent experiments. * p < 0.05 compared with control. (C) Cells were transfected with PKCδ or SIRT1 siRNA after 24 h and then treated with LPS (1 µg/mL) followed by the measurement of iNOS with the transfectant proteins PKCδ and SIRT1. The lower panel shows the level of nuclear p65 expression with lamin as the loading control. * p < 0.05 compared with control siRNA; # p < 0.05 compared with the PKCδ siRNA. (D) Cells were transfected with SIRT1 siRNA for 24 h, and then, the cells were either not treated or treated with LPS (1 µg/mL) for 1 h. p65 was immunoprecipitated with anti-p65 antibody using whole-cell lysate and then immunoblotted against acetyl-lysine using the same amount of the precipitate. The lower panel confirms the dependency of siRNA transfection on SIRT1 expression. * p < 0.05 compared with control. (E) Similarly, the effects of PKCδ and SIRT1 on the acetyl p65 level in the presence of LPS were shown. The control and SIRT1 siRNA transfected cells were pretreated with or without V1-1 for 1 h, followed by incubation with 1 µg/mL LPS additional. * p < 0.05 and ** p < 0.01 compared with LPS-induced cells in the absence of V1-1.

Effects of PKCδ Inhibitor on CCl 4 -Induced Liver Fibrosis in Mice
Here, we verified the LPS-induced PKCδ signaling and examined whether the inhibition of PKCδ with V1-1 in CCl 4 mice could be useful for inflammatory fibrosis. Similar to that observed with rottlerin treatment, the administration of V1-1 to the CCl 4 mice resulted in a significant amelioration ( Figure 5A). Moreover, we confirmed that treatment with the PKCδ inhibitor V1-1 affectively ameliorated pathological lesions caused by CCl 4 . To explore the levels of proteins involved in the development of liver fibrosis, we performed qRT-PCR analysis of the liver homogenate. The mRNA levels of TNF-α, TLR4, collagen, IL-6, and iNOS in CCl 4 -treated mice were dramatically increased as compared with those in ND mice, whereas V1-1 treatment significantly suppressed the expression of these genes ( Figure 5B). To verify the proteins involved in PKCδ signaling, we also performed immunoblotting analyses ( Figure 5C). Both p-PKCδ and iNOS were significantly upregulated in CCl 4 -induced mice but were suppressed by V1-1 treatment. We also showed that the effect of CCl 4 on SIRT1 expression was significantly downregulated but was upregulated to the ND level by V1-1 treatment. As expected with the results of LPS-stimulated cells, the levels of SIRT1 expression reversed each other during CCl 4 -induced liver damage. We also confirmed that this translocation process was restored by V1-1 treatment. To confirm the involvement of acetylation in p65 activation, immunoprecipitation analysis with p65 antibody was performed, followed by immunoblotting using the acetyl-lysine antibody. The upper panel in Figure 5D shows an increase in the acetylation of p65 with CCl 4 treatment but significant suppression of acetylated p65 levels after further treatment with V1-1 peptide inhibitor. Moreover, the levels of nuclear p65 were significantly increased during liver damage with CCl 4 , but treatment with V1-1 resulted in significant recovery. To characterize the phenotype of the macrophages accumulated during liver damage, immunohistochemistry analysis was performed on F4/80, a marker of murine macrophages. The liver histology showed that hepatic macrophage accumulation increased in CCl 4 mice to a greater extent than in ND mice but was reduced by V1-1 treatment ( Figure 5E, upper panel). We also confirmed a reciprocal correlation between p-PKCδ expression and SIRT1. The p-PKCδ level was significantly increased in CCl 4 mice, whereas SIRT1 was reversely decreased. Moreover, Sirius Red staining exhibited extensive collagen deposition, indicative fibrosis, but this fibrosis was significantly ameliorated by V1-1 treatment. Similarly, the levels of cytokeratin 18 (CK18) and α-SMA were upregulated in CCl 4 mice but downregulated in V1-1-treated mice ( Figure 5E, lower panel). These results strongly suggested that inhibiting hepatic activity with V1-1 ameliorates fibrosis. In conclusion, we proposed that CCl 4 -induced p-PKCδ regulates the NF-κB and SIRT1 pathway in parallel but inversely ( Figure 5F). Thus, the NF-κB p65 level is upregulated by PKCδ activation, whereas SIRT1 is downregulated. Furthermore, p65 can be deacetylated by SIRT1, leading to downregulation of NF-κB activity. these genes ( Figure 5B). To verify the proteins involved in PKCδ signaling, we also performed immunoblotting analyses ( Figure 5C). Both p-PKCδ and iNOS were significantly upregulated in CCl4-induced mice but were suppressed by V1-1 treatment. We also showed that the effect of CCl4 on SIRT1 expression was significantly downregulated but was upregulated to the ND level by V1-1 treatment. As expected with the results of LPS-stimulated cells, the levels of SIRT1 expression reversed each other during CCl4-induced liver damage. We also confirmed that this translocation process was restored by V1-1 treatment. To confirm the involvement of acetylation in p65 activation, immunoprecipitation analysis with p65 antibody was performed, followed by immunoblotting using the acetyl-lysine antibody. The upper panel in Figure 5D shows an increase in the acetylation of p65 with CCl4 treatment but significant suppression of acetylated p65 levels after further treatment with V1-1 peptide inhibitor. Moreover, the levels of nuclear p65 were significantly increased during liver damage with CCl4, but treatment with V1-1 resulted in significant recovery. To characterize the phenotype of the macrophages accumulated during liver damage, immunohistochemistry analysis was performed on F4/80, a marker of murine macrophages. The liver histology showed that hepatic macrophage accumulation increased in CCl4 mice to a greater extent than in ND mice but was reduced by V1-1 treatment ( Figure 5E, upper panel). We also confirmed a reciprocal correlation between p-PKCδ expression and SIRT1. The p-PKCδ level was significantly increased in CCl4 mice, whereas SIRT1 was reversely decreased. Moreover, Sirius Red staining exhibited extensive collagen deposition, indicative fibrosis, but this fibrosis was significantly ameliorated by V1-1 treatment. Similarly, the levels of cytokeratin 18 (CK18) and α-SMA were upregulated in CCl4 mice but downregulated in V1-1-treated mice ( Figure 5E, lower panel). These results strongly suggested that inhibiting hepatic activity with V1-1 ameliorates fibrosis. In conclusion, we proposed that CCl4induced p-PKCδ regulates the NF-κB and SIRT1 pathway in parallel but inversely ( Figure 5F). Thus, the NF-κB p65 level is upregulated by PKCδ activation, whereas SIRT1 is downregulated. Furthermore, p65 can be deacetylated by SIRT1, leading to downregulation of NF-κB activity.

Discussion
CCl 4 is well known to cause severe liver injury via ROS elevation, thus leading to oxidative stress, inflammatory response, apoptosis, and tissue necrosis [26,27]. TLR4 is reportedly involved in the CCl 4 -induced hepatic injury, and NF-κB has a key role in the inflammatory response [28]. NF-κB can play a conflicting role in promoting both cell survival and cell death. However, the underlying molecular mechanism that dictates the effect of NF-κB activation on inflammation remains to be elucidated. Conversely, several lines of evidence indicated that PKCδ is involved in the stimulatory effect of NF-κB in hepatic fibrogenesis and steatohepatitis [29]. The role of PKCδ in the pathogenesis of hepatic fibrotic disorders, such as hepatic cirrhosis, also remains unknown. Thus, we sought to determine a causative link between the activation of PKCδ and the pathology of liver inflammatory disease. Herein, the present study had two major objectives: To determine the involvement of CCl 4 or LPS in the NF-κB signaling pathway through PKCδ and to investigate how PKCδ activation is associated with SIRT1 expression.
The relationship between CCl 4 and PKCδ in inflammatory fibrosis disease remains completely unknown. In the present study, we have clearly shown that PKCδ is activated by CCl 4 treatment, which is closely linked to the NF-κB inflammatory response signaling. The NF-κB transcription factor triggers the expression of crucial pro-inflammatory genes, including TNF-α, IL-6, and IL-1β in CCl 4 -treated mice in vivo as well as in LPS-induced liver cells in vitro. Furthermore, iNOS expression and nitric oxide (NO) production are upregulated in response to LPS, appearing to be mediated by NF-κB activation [30]. Conversely, the inhibition of PKCδ with V1-1 peptide led to a dramatic reduction in the NF-κB p65 activity. Although the activation mechanism is not clear, it is known that the activated PKCδ by various stimuli is targeted to the nucleus and phosphorylates several nuclear targets, including p65 [31]. In this regard, we confirmed an increase in activated PKCδ by LPS in the nucleus (Figure 2A). Notably, PKCδ activation would be a prerequisite for its nuclear targeting and the subsequent binding to p65, and the V1-1 PKCδ inhibitor is used as a specific blocker for cytoplasmic-to-nuclear transfer. Consequently, CCl 4 activates PKCδ and elicits an inflammatory fibrosis response through the NF-κB signaling pathway. Therefore, we propose that blocking PKCδ activation could be valuable in managing fibrotic diseases, such as liver cirrhosis; nevertheless, there are many unanswered questions that need further investigation.
The second issue to be addressed is the mechanism by which PKCδ regulates SIRT1 expression. In earlier studies, SIRT1 has been proven to be associated with ALD or NAFLD [32]. SIRT1 plays important roles in regulating lipid metabolism, hepatic oxidative stress, and inflammation in the liver [33,34]. Moreover, several studies have revealed the SIRT1 represses inflammatory signaling in hepatic macrophages and RAW 264.7 cells [35]. Furthermore, we show that PKCδ co-localizes with SIRT1 in RAW 264.7 cell ( Figure S2). However, little research has focused on the role of SIRT1 in liver fibrosis. In addition, a decrease in the level of SIRT1 was reported in a fibrosis model [36,37]; however, the regulatory pathway remains largely unknown.
Several pathways are known for the regulation of SIRT1 expression. SIRT1 levels are transcriptionally regulated by nutrient availability, and the expression of SIRT1 gene is inhibited by Carbohydrate response element binding protein (ChREBP) in obesity or diabetes [38]. In addition, recent studies have suggested that miRNAs at post-transcriptional levels are responsible for decreasing SIRT1 level [39]. In this study, we demonstrated that SIRT1 expression was PKCδ dependent, whereas treatment with PKCδ peptide inhibitor dramatically upregulated SIRT1 expression. In other words, SIRT1 expression was inversely controlled by PKCδ activities and was thought to contribute to the reduction of pro-inflammatory cytokines. Although we demonstrated that PKCδ activation is negatively associated with SIRT1 expression, no direct linkage has been found between them. In addition to the importance of the PKCδ-NF-κB signaling axis and the PKCδ-SIRT1 axis, we cannot overlook the contribution of SIRT1 to this NF-κB signaling function. To investigate the importance of SIRT1 for NF-κB-dependent transcription, we used two complementary approaches: A pharmacological approach using the V1-1-term PKCδ peptide and a silencing PKCδ using siRNA transfection. Thus, we confirmed that the inhibition of PKCδ in CCl 4 mice or LPS-treated cells significantly reduced the levels of acetyl p65 and p65 in the nucleus. In addition, we have clearly demonstrated the recovery of SIRT1 through the V1-1 or PKCδ siRNA ( Figures 3C and 5C). In particular, the level of p65-dependent gene expression and the presence of p65 in the nucleus appeared to be closely related to SIRT1 activity. PKCδ-mediated p65 is acetylated in the nucleus, which is important to maintain its nuclear localization and the consequent NF-κB transcriptional activity [40]. The deacetylation of RelA/p65 decreases the NF-κB transcription activity, thus reducing the production of proinflammatory cytokine genes. Therefore, it seemed that the upregulation of SIRT1 by PKCδ inhibition mainly downregulated NF-κB transcription through the deacetylation of p65 and contributed to the export of nuclear p65-NF-κB to the cytoplasm.
Here, we primarily focused our effort on determining the role of PKCδ activation in inflammatory fibrosis. Consequently, we have uncovered several novel characteristics of PKCδ in mouse model experiments. First, we noted that the CCl 4 -induced NF-κB signal pathway was mediated by PKCδ activation. The induction of collagen and α-SMA are considered as markers of liver fibrosis. The expression of α-SMA is upregulated in CCl 4 -treated mouse liver tissues [41,42]. Contrary to the mechanism observed with α-SMA stimulation, a potential regulatory mechanism by which PKCδ affects profibrogenic gene expression in response to CCl 4 stimulation has never been explored. Second, although it is unclear whether directly or indirectly, PKCδ activation resulted in the negative regulation of SIRT1. Thus, our data demonstrated for the first time that PKCδ activation by CCl 4 affects the expression of α-SMA via NF-κB signaling and is also involved in negatively regulating SIRT1 expression, suggesting a novel role of PKCδ in inflammatory fibrosis. Finally, the other exciting finding from the present study was that hepatic inflammatory fibrosis was significantly decreased by the blockage of the PKCδ pathway. We have previously shown that α-SMA was significantly increased in the methionine-choline-deficient (MCD) diet mice and that the inhibition of PKCδ ameliorated hepatic steatosis, suggesting PKCδ participation in the progression of non-alcoholic steatohepatitis (NASH) [29].
In this study, we demonstrated that NF-κB-dependent proinflammatory genes increased in CCl 4 mice, whereas SIRT1 expression did the opposite. Interestingly, the inhibition of PKCδ by rottlerin or V1-1 led to complete reversal and, hence, dramatically recovered the inflammatory fibrosis. Moreover, the overall improvement in many inflammation-related genes, such as TNF-α and iNOS, and fibrosis, such as collagen and α-SMA, is observed in parallel with increased SIRT1 expression following PKCδ inhibition in CCl 4 mice. Thus, it was clear that the NF-κB-dependent hepatic inflammation can be blocked primarily by the inhibition of PKCδ with the upregulation of SIRT1 expression.

Animal Models
C57BL/6J male mice were purchased from Hyochang Science (Daegu, Korea). All mice were conditioned to proper temperature (20-24 • C) and proper humidity (45-55%) for a week. The mice were randomly divided into three groups: Group I (Normal diet group), group II (CCl 4 group), group III (CCl 4 + rottlerin group), and group IV (CCl 4 + V1-1 group). The ND mice were administered daily with sterile saline orally (n = 6). In the CCl 4 model group, liver fibrosis was induced in the mice by intraperitoneally injecting 100 mg/kg of CCl 4 in olive oil solution three times/week for four weeks (n = 8). In the CCl 4 model + rottlerin or V1-1 group (III, IV), the mice received the same dose of CCl 4 also treated with rottlerin (Calbiochem, San Diego, CA, USA) or V1-1 (Peptron, Seoul, Korea) for four weeks (n = 8). The animal experimental procedures were performed in accordance with approved animal protocols and guidelines established by the Animal Care Committee of Kyungpook National University (No. KNU 2016-42).

Cell Culture and Transfection
The murine macrophage cell line [RAW 264.7; American type culture collection (ATCC), Manassas, VA, USA] was maintained in DMEM supplemented with 10% FBS, 100 µg/L streptomycin, and 100 IU/mL penicillin at 37 • C in a 5% CO 2 atmosphere. PKCα and PKCδ siRNA (Santa Cruz, CA, USA) transient transfection was performed using Lipofectamine RNAiMAX (Invitrogen, Waltham, MA, USA). Cells were homogenized in NP40 buffer, and the immunoblot procedure was applied. The primary antibodies used were PKCα and PKCδ (Cell Signaling; Danvers, MA, USA) for detecting proteins.

Preparation of Whole-Cell and Nuclear Extracts
RAW 264.7 cells were seeded at 1 × 10 5 cells/well on well plates and were treated with LPS (Sigma-Aldrich, St Louis, MO, USA) and LPS with V1-1. After treatment, the cells were collected by centrifugation and washed twice with ice-cold PBS. Cytosolic and nuclear proteins were extracted using the NE-PER ® Nuclear and cytoplasmic Extraction Reagents (Pierce Biotechnology, Inc, Rockford, IL, USA).

Immunoprecipitation
Protein extracted from the liver tissue or RAW 264.7 cells was incubated with antibody against p65 and Dynabeads™ Protein A IP kit (Thermo Fisher Scientific, Waltham, MA, USA). The protein was extracted from immune complexes precipitated with protein A by boiling with 2× sample buffer. Protein samples were separated by SDS-PAGE and then electro-transferred to a membrane. After IP, immunoblot analysis was performed with antibodies against acetyl-lysine (Millipore, Billerica, MA, USA) and p65.

Immunofluorescence Staining
RAW 264.7 cells were fixed with 4% paraformaldehyde in TBST for 30 min, washed with TBST, and permeabilized 0.1% Triton X-100 in TBS-T for 30 min. Cells were blocked with 3% bovine serum albumin (BSA; Sigma-Aldrich) for 1 h at room temperature. Subsequently, the sections were incubated overnight at 4 • C with primary antibodies against p65 and in TBST, which were supplemented with 3% BSA. The sections were then washed thoroughly in TBST, followed by 1 h incubation in the dark with Alexa Fluor 555-conjugated secondary antibody (Thermo Fisher Scientific) at a dilution of 1:100 in TBST supplemented with 3% BSA. The nuclei were stained with DAPI (Invitrogen), and cells were examined under a Zeiss LSM7 PASCAL confocal microscope (Gottingen, Germany).

Immunohistochemistry
The livers were extracted from mice, and the slide sections were stained with hematoxylin-eosin (H&E) stain for histological analysis. Other slide sections from the paraffin block of liver tissue were stained with primary antibodies for protein localization. Sample sections were reacted with the appropriate secondary antibodies. The immunohistochemical reactions were visualized using 3,3-diaminobenzidine (DAB) reagent. Image analysis was performed using Image J version 1.52a software.

Real-Time PCR
Total RNA was extracted from the liver tissues using TRIzol reagent (Invitrogen). Reverse transcription was performed using SuperScript III RNase H (Invitrogen). Quantitative RT-PCR was performed using SYBR Green I (Takara, Kyoto, Japan). The results were normalized gene expression of 18s rRNA in all experiments. Table S1 lists the primers used for RT-PCR analysis.

Statistical Analysis
All data are expressed as mean ± SD. Statistical analysis was performed using nonparametric Mann-Whitney t-tests. For all experiments, n = 6-8 animals per group. Significance was established using Mann-Whitney tests, with significance being considered at * p and # p < 0.05 or ** p < 0.01, corrected for multiple comparisons.

Conclusions
We demonstrated for the first time that in a CCl 4 -treated mouse fibrosis model, PKCδ is a key player in modulating NF-κB via SIRT1 signaling. Our data suggested that PKCδ activity is involved not only in the activation of NF-κB that leads to the development of hepatic inflammation but also in reversing the suppression of SIRT1 expression in in vitro and in vivo conditions. Notably, the inactivation of PKCδ dramatically suppressed the inflammatory fibrosis, thus indicating a positive correlation with the hepatic cirrhosis. Therefore, although the detailed regulation mechanism needs to be further investigated, the antagonistic role of the PKCδ inhibitor may open new possibilities in controlling fibrotic diseases.