新型噻唑烷二酮类化合物可降低遗传性血色素沉着症和β-地中海贫血小鼠模型中的铁过载。

New thiazolidinones reduce iron overload in mouse models of hereditary hemochromatosis and β-thalassemia.

机构信息

State Key Laboratory of Environmental Chemistry and Ecotoxicology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, China.

University of Chinese Academy of Sciences, Beijing, China.

出版信息

Haematologica. 2019 Sep;104(9):1768-1781. doi: 10.3324/haematol.2018.209874. Epub 2019 Feb 21.

Abstract

Genetic iron-overload disorders, mainly hereditary hemochromatosis and untransfused β-thalassemia, affect a large population worldwide. The primary etiology of iron overload in these diseases is insufficient production of hepcidin by the liver, leading to excessive intestinal iron absorption and iron efflux from macrophages. Hepcidin agonists would therefore be expected to ameliorate iron overload in hereditary hemochromatosis and β-thalassemia. In the current study, we screened our synthetic library of 210 thiazolidinone compounds and identified three thiazolidinone compounds, 93, 156 and 165, which stimulated hepatic hepcidin production. In a hemochromatosis mouse model with hemochromatosis deficiency, the three compounds prevented the development of iron overload and elicited iron redistribution from the liver to the spleen. Moreover, these compounds also greatly ameliorated iron overload and mitigated ineffective erythropoiesis in β-thalassemic mice. Compounds 93, 156 and 165 acted by promoting SMAD1/5/8 signaling through differentially repressing ERK1/2 phosphorylation and decreasing transmembrane protease serine 6 activity. Additionally, compounds 93, 156 and 165 targeted erythroid regulators to strengthen hepcidin expression. Therefore, our hepcidin agonists induced hepcidin expression synergistically through a direct action on hepatocytes via SMAD1/5/8 signaling and an indirect action via eythroid cells. By increasing hepcidin production, thiazolidinone compounds may provide a useful alternative for the treatment of iron-overload disorders.

摘要

遗传性铁过载疾病,主要包括遗传性血色素沉着症和未输血的β-地中海贫血,影响着全球范围内的大量人群。这些疾病中铁过载的主要病因是肝脏中hepcidin 的产生不足,导致肠道中铁吸收过多,巨噬细胞中铁的流出增加。因此,hepcidin 激动剂有望改善遗传性血色素沉着症和β-地中海贫血中的铁过载。在本研究中,我们对 210 个噻唑烷酮化合物的合成文库进行了筛选,鉴定出了三种噻唑烷酮化合物 93、156 和 165,它们能刺激肝脏中 hepcidin 的产生。在遗传性血色素沉着症小鼠模型中,这三种化合物可预防铁过载的发展,并促使铁从肝脏重新分布到脾脏。此外,这些化合物还能显著改善β-地中海贫血小鼠的铁过载和无效性红细胞生成。化合物 93、156 和 165 通过差异抑制 ERK1/2 磷酸化和降低跨膜丝氨酸蛋白酶 6 的活性,从而促进 SMAD1/5/8 信号转导来发挥作用。此外,化合物 93、156 和 165 靶向作用于红细胞调节因子,以增强 hepcidin 的表达。因此,我们的 hepcidin 激动剂通过 SMAD1/5/8 信号转导直接作用于肝细胞,并通过红细胞间接作用,协同诱导 hepcidin 表达。通过增加 hepcidin 的产生,噻唑烷酮类化合物可能为治疗铁过载疾病提供一种有用的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/134d/6717595/c9046b8d9c77/1041768.fig1.jpg

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