Department of General Surgery, Affiliated Huashan Hospital of Fudan University, Shanghai, China.
Eur Rev Med Pharmacol Sci. 2020 Jun;24(12):7122-7130. doi: 10.26355/eurrev_202006_21706.
Acute liver injury (ALI) is mainly characterized by the symptom of metabolic disorders, homeostasis unbalance, and loss of liver function. There are no effective treatment methods at present stage except the liver transplantation. Effective treatment for early ALI is of great significance for the treatment of liver injury thereof. Glycyrrhizin (GL) is a promising inhibitor of the high-mobility group box-1 gene (HMGB1) which is expressed much higher in an inflammatory injury. However, it is not clear whether GL improves ALI via the inhibition of HMGB1. The present study is to probe the function and mechanism of glycyrrhizin on acute liver injury.
The expression of HMGB1 and inflammation in liver macrophages were analyzed. Lipopolysaccharide (LPS) was used in stimulating the macrophages to activate inflammatory response and recombined human HMGB1 was used to resist the function of GL to explore whether GL acted via the target of HMGB1. Then, LPS injection was utilized to induce ALI in mice, and then we evaluated GL treatment in ALI model.
The results showed that the expressions of HMGB1 and inflammatory factors were markedly increased in LPS-activated liver macrophages. GL inhibited the progress of macrophages inflammation by restraining HMGB1, and the administration of GL could reverse the effects of LPS-induced ALI in mice. Moreover, PI3K/mTOR pathway was significantly suppressed by GL application.
These results suggest that GL prevents inflammation in liver macrophages via inhibition of HMGB1. GL restrains inflammation and cell apoptosis by inhibiting HMGB1 via PI3K/mTOR signaling pathway in ALI. GL may become a novel drug for the therapy of ALI in the future.
急性肝损伤(ALI)主要表现为代谢紊乱、内环境失衡和肝功能丧失等症状。目前除肝移植外,尚无有效的治疗方法。早期 ALI 的有效治疗对肝损伤的治疗具有重要意义。甘草酸(GL)是高迁移率族蛋白 1(HMGB1)基因表达的有希望的抑制剂,在炎症损伤中表达更高。然而,尚不清楚 GL 是否通过抑制 HMGB1 来改善 ALI。本研究旨在探讨 GL 对急性肝损伤的作用及其机制。
分析肝巨噬细胞中 HMGB1 和炎症的表达。用脂多糖(LPS)刺激巨噬细胞激活炎症反应,并用重组人 HMGB1 抵抗 GL 的作用,以探讨 GL 是否通过 HMGB1 的靶标发挥作用。然后,用 LPS 注射诱导小鼠 ALI,然后我们评估 GL 在 ALI 模型中的治疗效果。
结果表明,LPS 激活的肝巨噬细胞中 HMGB1 和炎症因子的表达明显增加。GL 通过抑制 HMGB1 抑制巨噬细胞炎症的进展,GL 的给药可以逆转 LPS 诱导的小鼠 ALI 的作用。此外,GL 应用显著抑制了 PI3K/mTOR 通路。
这些结果表明,GL 通过抑制 HMGB1 防止肝巨噬细胞中的炎症。GL 通过 PI3K/mTOR 信号通路抑制 HMGB1 抑制炎症和细胞凋亡,在 ALI 中。GL 可能成为未来治疗 ALI 的一种新型药物。