Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, China.
J Cell Mol Med. 2021 Jun;25(12):5782-5798. doi: 10.1111/jcmm.16604. Epub 2021 May 12.
Sepsis is a life-threatening organ dysfunction syndrome, and liver is a susceptible target organ in sepsis, because the activation of inflammatory pathways contributes to septic liver injury. Oxidative stress has been documented to participate in septic liver injury, because it not only directly induces oxidative genotoxicity, but also exacerbates inflammatory pathways to potentiate damage of liver. Therefore, to ameliorate oxidative stress is promising for protecting liver in sepsis. Wogonin is the compound extracted from the medicinal plant Scutellaria baicalensis Geogi and was found to exert therapeutic effects in multiple inflammatory diseases via alleviation of oxidative stress. However, whether wogonin is able to mitigate septic liver injury remains unknown. Herein, we firstly proved that wogonin treatment could improve survival of mice with lipopolysaccharide (LPS)- or caecal ligation and puncture (CLP)-induced sepsis, together with restoration of reduced body temperature and respiratory rate, and suppression of several pro-inflammatory cytokines in circulation. Then, we found that wogonin effectively alleviated liver injury via potentiation of the anti-oxidative capacity. To be specific, wogonin activated Nrf2 thereby promoting expressions of anti-oxidative enzymes including NQO-1, GST, HO-1, SOD1 and SOD2 in hepatocytes. Moreover, wogonin-induced Nrf2 activation could suppress NF-κB-regulated up-regulation of pro-inflammatory cytokines. Ultimately, we provided in vivo evidence that wogonin activated Nrf2 signalling, potentiated anti-oxidative enzymes and inhibited NF-κB-regulated pro-inflammatory signalling. Taken together, this study demonstrates that wogonin can be the potential therapeutic agent for alleviating liver injury in sepsis by simultaneously ameliorating oxidative stress and inflammatory response through the activation of Nrf2.
脓毒症是一种危及生命的器官功能障碍综合征,肝脏是脓毒症的易感靶器官,因为炎症途径的激活导致了脓毒性肝损伤。氧化应激已被证明参与了脓毒性肝损伤,因为它不仅直接诱导氧化遗传毒性,而且还加剧了炎症途径,从而加剧了肝损伤。因此,改善氧化应激对于保护脓毒症中的肝脏是有希望的。黄芩素是从药用植物黄芩中提取的化合物,已被发现通过减轻氧化应激在多种炎症性疾病中发挥治疗作用。然而,黄芩素是否能够减轻脓毒性肝损伤尚不清楚。在此,我们首先证明,黄芩素治疗可以改善脂多糖(LPS)或盲肠结扎和穿刺(CLP)诱导的脓毒症小鼠的存活率,同时恢复降低的体温和呼吸率,并抑制循环中几种促炎细胞因子。然后,我们发现黄芩素通过增强抗氧化能力有效缓解肝损伤。具体而言,黄芩素激活 Nrf2,从而促进肝细胞中抗氧化酶的表达,包括 NQO-1、GST、HO-1、SOD1 和 SOD2。此外,黄芩素诱导的 Nrf2 激活可以抑制 NF-κB 调节的促炎细胞因子的上调。最终,我们提供了体内证据表明,黄芩素通过激活 Nrf2 信号通路、增强抗氧化酶和抑制 NF-κB 调节的促炎信号通路来缓解脓毒症中的肝损伤。总之,这项研究表明,黄芩素可以通过激活 Nrf2 同时改善氧化应激和炎症反应,成为缓解脓毒症中肝损伤的潜在治疗剂。