Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China; Department of Hepatobiliary and Laparoscopic Surgery, The Affiliated Yixing Hospital of Jiangsu University, Yixing 214200, China.
Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China; Department of General Surgery, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing 210029, China.
Int Immunopharmacol. 2019 Aug;73:261-269. doi: 10.1016/j.intimp.2019.04.051. Epub 2019 May 21.
Acute liver injury caused by toxins or drugs is a common condition that threatens patients' lives. Inositol-requiring enzyme 1 alpha (IRE1α), the most conserved endoplasmic reticulum (ER) stress sensor, has been implicated in the pathophysiology of liver injury. Activated IRE1α endoribonuclease (RNase) can splice X-box binding protein 1 (XBP1) mRNA to produce the sXBP1 transcription factor. STF-083010, a specific inhibitor of IRE1α RNase, has recently been suggested to exhibit anti-oxidant and anti-inflammatory properties in multiple injury models. However, it remains unknown whether STF-083010 has a protective effect against thioacetamide (TAA)-induced acute liver injury. Here, we demonstrated that IRE1α-sXBP1 signaling is involved in the development of TAA-induced acute liver injury and correlates with the severity of liver damage. STF-083010 protected against TAA-induced liver injury, as evidenced by higher survival rates in response to a lethal dose of TAA and less severe liver injury in response to a toxic dose of TAA. Mechanistic exploration showed that STF-083010 triggered hepatocyte autophagy in response to TAA stimulation both in vivo and in vitro, leading to reduced reactive oxygen species (ROS) production and attenuated hepatic inflammation. We also found that Beclin-1 played a critical role in STF-083010-mediated autophagy in response to TAA stimulation. Autophagy inhibition by chloroquine (CQ) in vivo and Beclin-1 knockdown in vitro markedly abrogated the protective role of STF-083010 against TAA-induced oxidative stress, inflammation and hepatotoxicity. Our results suggested STF-083010 as a potential therapeutic application to prevent TAA-induced acute liver injury.
由毒素或药物引起的急性肝损伤是一种常见的威胁患者生命的疾病。内质网应激传感器中最保守的肌醇需求酶 1α(IRE1α)已被牵涉到肝损伤的病理生理学中。激活的 IRE1α 内切核糖核酸酶(RNase)可以剪接 X 盒结合蛋白 1(XBP1)mRNA 产生 sXBP1 转录因子。最近有研究表明,IRE1α RNase 的特异性抑制剂 STF-083010 在多种损伤模型中具有抗氧化和抗炎特性。然而,STF-083010 是否对硫代乙酰胺(TAA)诱导的急性肝损伤具有保护作用尚不清楚。在这里,我们证明了 IRE1α-sXBP1 信号通路参与了 TAA 诱导的急性肝损伤的发展,并与肝损伤的严重程度相关。STF-083010 可预防 TAA 诱导的肝损伤,表现在对致死剂量 TAA 的反应中生存率更高,对毒性剂量 TAA 的反应中肝损伤更轻。机制探索表明,STF-083010 可在体内和体外刺激 TAA 时触发肝细胞自噬,从而减少活性氧(ROS)的产生并减轻肝炎症。我们还发现 Beclin-1 在 STF-083010 介导的自噬中发挥关键作用,以响应 TAA 的刺激。体内用氯喹(CQ)抑制自噬和体外敲低 Beclin-1 明显削弱了 STF-083010 对 TAA 诱导的氧化应激、炎症和肝毒性的保护作用。我们的结果表明 STF-083010 可作为一种潜在的治疗应用,以预防 TAA 诱导的急性肝损伤。