Department of Emergency, Liaocheng People's Hospital, Liaocheng, China.
Eur Rev Med Pharmacol Sci. 2020 Oct;24(20):10819-10828. doi: 10.26355/eurrev_202010_23444.
Sepsis-induced acute liver injury (ALI) involves multiple systems in the body. The disease is acute and critical, with various symptoms, including extensive necrosis of liver cells. There is currently no effective treatment to deal with ALI in a timely manner. This study verified the therapeutic effect of Krüppel-like factor 15 (KLF15) on ALI by studying its anti-apoptotic effect on the liver.
We induced ALI in mice with lipopolysaccharide (LPS)/D-galactosamine (D-GaIN). Recombinant mouse KLF15 was used to treat mice to examine the protective effects of KLF15 on mouse liver and the effects of apoptosis-related molecules. In addition, we cultured Kupffer cells and determined the anti-inflammatory and anti-apoptotic effects of KLF15 and its mechanism by overexpressing KLF15.
Exogenous KLF15 effectively reduced the levels of TIBL, ALT, AST, and inflammatory factors (COX-2, MCP-1, IL-1β, and TNF-α) in mouse serum. The results of HE staining also demonstrate that KLF15 improves the morphology of liver tissue. In addition, the expression of KLF15 in LPS-induced Kupffer cells was significantly reduced and KLF15 increased the viability of Kupffer cells and decreased the level of inflammation in Kupffer cells. In both in vivo and in vitro experiments, KLF15 reduced the level of apoptosis in hepatocytes or Kupffer cells and inhibited the activity of the p38MAPK/ERK1/2 signaling pathway.
KLF15 reduces the apoptosis and inflammation levels of liver and Kupffer cells by inhibiting the p38MAPK/ERK1/2 signaling pathway and alleviates LPS/D-GaIN-induced ALI.
脓毒症诱导的急性肝损伤(ALI)涉及体内多个系统。该疾病起病急、病情重,症状多样,包括肝细胞广泛坏死。目前尚无有效的治疗方法及时应对 ALI。本研究通过研究其对肝脏的抗凋亡作用,验证了 Krüppel 样因子 15(KLF15)治疗 ALI 的疗效。
我们使用脂多糖(LPS)/D-半乳糖胺(D-GaIN)诱导小鼠 ALI。使用重组小鼠 KLF15 治疗小鼠,以检测 KLF15 对小鼠肝脏的保护作用及凋亡相关分子的作用。此外,我们培养了枯否细胞,通过过表达 KLF15 确定了 KLF15 的抗炎和抗凋亡作用及其机制。
外源性 KLF15 可有效降低小鼠血清中 TIBL、ALT、AST 和炎症因子(COX-2、MCP-1、IL-1β 和 TNF-α)的水平。HE 染色结果也表明 KLF15 改善了肝组织的形态。此外,LPS 诱导的枯否细胞中 KLF15 的表达明显降低,KLF15 增加了枯否细胞的活力并降低了枯否细胞中的炎症水平。在体内和体外实验中,KLF15 降低了肝细胞或枯否细胞的凋亡水平,并抑制了 p38MAPK/ERK1/2 信号通路的活性。
KLF15 通过抑制 p38MAPK/ERK1/2 信号通路降低了肝和枯否细胞的凋亡和炎症水平,缓解了 LPS/D-GaIN 诱导的 ALI。