Department of General Surgery, The Third Xiangya Hospital, Central South University, 410000, Changsha, People's Republic of China.
Department of Burn and Plastic Surgery, The Second Xiangya Hospital, Central South University, 410000, Changsha, People's Republic of China.
Mol Med. 2021 Feb 25;27(1):18. doi: 10.1186/s10020-021-00280-9.
BACKGROUND: Hepatic ischemia/reperfusion (I/R) injury can be a major complication following liver surgery contributing to post-operative liver dysfunction. Maresin 1 (MaR1), a pro-resolving lipid mediator, has been shown to suppress I/R injury. However, the mechanisms that account for the protective effects of MaR1 in I/R injury remain unknown. METHODS: WT (C57BL/6J) mice were subjected to partial hepatic warm ischemia for 60mins followed by reperfusion. Mice were treated with MaR1 (5-20 ng/mouse), Boc2 (Lipoxin A4 receptor antagonist), LY294002 (Akt inhibitor) or corresponding controls just prior to liver I/R or at the beginning of reperfusion. Blood and liver samples were collected at 6 h post-reperfusion. Serum aminotransferase, histopathologic changes, inflammatory cytokines, and oxidative stress were analyzed to evaluate liver injury. Signaling pathways were also investigated in vitro using primary mouse hepatocyte (HC) cultures to identify underlying mechanisms for MaR1 in liver I/R injury. RESULTS: MaR1 treatment significantly reduced ALT and AST levels, diminished necrotic areas, suppressed inflammatory responses, attenuated oxidative stress and decreased hepatocyte apoptosis in liver after I/R. Akt signaling was significantly increased in the MaR1-treated liver I/R group compared with controls. The protective effect of MaR1 was abrogated by pretreatment with Boc2, which together with MaR1-induced Akt activation. MaR1-mediated liver protection was reversed by inhibition of Akt. CONCLUSIONS: MaR1 protects the liver against hepatic I/R injury via an ALXR/Akt signaling pathway. MaR1 may represent a novel therapeutic agent to mitigate the detrimental effects of I/R-induced liver injury.
背景:肝缺血/再灌注(I/R)损伤是肝手术后的主要并发症,导致术后肝功能障碍。maresin 1(MaR1)是一种促解决的脂质介质,已被证明能抑制 I/R 损伤。然而,MaR1 在 I/R 损伤中发挥保护作用的机制尚不清楚。
方法:WT(C57BL/6J)小鼠进行部分肝热缺血 60 分钟,然后再灌注。在肝 I/R 前或再灌注开始时,用 MaR1(5-20ng/只)、Boc2(脂氧素 A4 受体拮抗剂)、LY294002(Akt 抑制剂)或相应的对照物处理小鼠。再灌注后 6 小时采集血液和肝组织样本。分析血清转氨酶、组织病理学变化、炎症细胞因子和氧化应激,以评估肝损伤。还在原代小鼠肝细胞(HC)培养物中研究信号通路,以确定 MaR1 在肝 I/R 损伤中的潜在机制。
结果:MaR1 治疗显著降低了 ALT 和 AST 水平,减少了坏死面积,抑制了炎症反应,减轻了氧化应激,减少了肝 I/R 后的肝细胞凋亡。与对照组相比,MaR1 处理的肝 I/R 组 Akt 信号明显增加。用 Boc2 预处理可消除 MaR1 的保护作用,与 MaR1 诱导的 Akt 激活一起。MaR1 介导的肝保护作用被 Akt 抑制逆转。
结论:MaR1 通过 ALXR/Akt 信号通路保护肝脏免受肝 I/R 损伤。MaR1 可能代表一种新的治疗剂,以减轻 I/R 诱导的肝损伤的有害影响。
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