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外源性 PP2A 抑制剂通过 NOX2 依赖性激活 miR21 加剧非酒精性脂肪性肝病的进展。

Exogenous PP2A inhibitor exacerbates the progression of nonalcoholic fatty liver disease via NOX2-dependent activation of miR21.

机构信息

Environmental Health and Disease Laboratory, Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.

Department of Family and Community Medicine, College of Medicine, Taibah University, Madinah, Saudi Arabia.

出版信息

Am J Physiol Gastrointest Liver Physiol. 2019 Oct 1;317(4):G408-G428. doi: 10.1152/ajpgi.00061.2019. Epub 2019 Aug 8.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is an emerging global pandemic. Though significant progress has been made in unraveling the pathophysiology of the disease, the role of protein phosphatase 2A (PP2A) and its subsequent inhibition by environmental and genetic factors in NAFLD pathophysiology remains unclear. The present report tests the hypothesis that an exogenous PP2A inhibitor leads to hepatic inflammation and fibrogenesis via an NADPH oxidase 2 (NOX2)-dependent pathway in NAFLD. Results showed that microcystin (MC) administration, a potent PP2A inhibitor found in environmental exposure, led to an exacerbation of NAFLD pathology with increased immunoreactivity, the release of proinflammatory cytokines, and stellate cell activation, a process that was attenuated in mice that lacked the gene and miR21 knockout mice. Mechanistically, leptin-primed immortalized Kupffer cells (a mimicked model for an NAFLD condition) treated with apocynin or nitrone spin trap 5,5 dimethyl-1- pyrroline -oxide (DMPO) had significantly decreased and decreased miR21 and α-smooth muscle actin levels, suggesting the role of NOX2-dependent reactive oxygen species in miR21-induced Kupffer cell activation and stellate cell pathology. Furthermore, NOX2-dependent peroxynitrite generation was primarily responsible for cellular events observed following MC exposure since incubation with phenylboronic acid attenuated miR21 levels, Kupffer cell activation, and inflammatory cytokine release. Furthermore, blocking of the AKT pathway attenuated PP2A inhibitor-induced NOX2 activation and miR21 upregulation. Taken together, we show that PP2A may have protective roles, and its inhibition exacerbates NAFLD pathology via activating NOX2-dependent peroxynitrite generation, thus increasing miR21-induced pathology. Protein phosphatase 2A inhibition causes nonalcoholic steatohepatitis (NASH) progression via NADPH oxidase 2. In addition to a novel emchanism of action, we describe a new tool to describe NASH histopathology.

摘要

非酒精性脂肪性肝病 (NAFLD) 是一种正在出现的全球大流行病。尽管在阐明该疾病的病理生理学方面取得了重大进展,但蛋白磷酸酶 2A (PP2A) 的作用及其随后被环境和遗传因素抑制在 NAFLD 病理生理学中的作用仍不清楚。本报告检验了这样一个假设,即外源性 PP2A 抑制剂通过 NADPH 氧化酶 2 (NOX2) 依赖性途径导致 NAFLD 中的肝炎症和肝纤维化。结果表明,微囊藻素 (MC) 给药,一种在环境暴露中发现的强效 PP2A 抑制剂,导致 NAFLD 病理加重,免疫反应性增加,促炎细胞因子释放和星状细胞激活,在缺乏基因和 miR21 敲除小鼠的小鼠中,这一过程减弱。从机制上讲,用阿霉素或氮氧化物自旋捕获 5,5 二甲基-1-吡咯啉-N-氧化物 (DMPO) 预处理的永生化库普弗细胞 (模拟 NAFLD 条件的模型) 处理莱菔硫烷,α-平滑肌肌动蛋白水平降低,表明 NOX2 依赖性活性氧在 miR21 诱导的库普弗细胞激活和星状细胞病理中的作用。此外,NOX2 依赖性过氧亚硝酸盐的产生主要负责 MC 暴露后观察到的细胞事件,因为苯硼酸孵育可降低 miR21 水平、库普弗细胞激活和炎症细胞因子释放。此外,阻断 AKT 通路可减弱 PP2A 抑制剂诱导的 NOX2 激活和 miR21 上调。总之,我们表明,PP2A 可能具有保护作用,其通过激活 NOX2 依赖性过氧亚硝酸盐的产生来抑制 NAFLD 病理学,从而增加 miR21 诱导的病理学。蛋白磷酸酶 2A 抑制通过 NADPH 氧化酶 2 引起非酒精性脂肪性肝炎 (NASH) 进展。除了一种新的作用机制外,我们还描述了一种新的工具来描述 NASH 组织病理学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44aa/6842990/d986dc5c2839/zh3007197654r001.jpg

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