Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Hepatobiliary Institute Nanjing University, Nanjing, China.
Oxid Med Cell Longev. 2021 Apr 13;2021:6662156. doi: 10.1155/2021/6662156. eCollection 2021.
Ischemia-reperfusion injury (IRI) is a common complication in liver surgeries. It is a focus to discover effective treatments to reduce ischemia-reperfusion injury. Previous studies show that oxidative stress and inflammation response contribute to the liver damage during IRI. SS-31 is an innovated mitochondrial-targeted antioxidant peptide shown to scavenge reactive oxygen species and decrease oxidative stress, but the protective effects of SS-31 against hepatic IRI are not well understood. The aim of our study is to investigate whether SS-31 could protect the liver from damages induced by IRI and understand the protective mechanism. The results showed that SS-31 treatment can significantly attenuate liver injury during IRI, proved by HE staining, serum ALT/AST, and TUNEL staining which can assess the degree of liver damage. Meanwhile, we find that oxidative stress and inflammation were significantly suppressed after SS-31 administration. Furthermore, the mechanism revealed that SS-31 can directly decrease ROS production and regulate STAT1/STAT3 signaling in macrophages, thus inhibiting macrophage M1 polarization. The proinflammation cytokines are then significantly reduced, which suppress inflammation response in the liver. Taken together, our study discovered that SS-31 can regulate macrophage polarization through ROS scavenging and STAT1/STAT3 signaling to ameliorate liver injury; the protective effects against hepatic IRI suggest that SS-31 may be an appropriate treatment for liver IRI in the clinic.
缺血再灌注损伤(IRI)是肝脏手术中的常见并发症。寻找有效的治疗方法来减轻缺血再灌注损伤是一个研究热点。先前的研究表明,氧化应激和炎症反应是导致 IRI 时肝脏损伤的原因。SS-31 是一种创新的线粒体靶向抗氧化肽,可清除活性氧并减轻氧化应激,但 SS-31 对肝 IRI 的保护作用尚不清楚。我们的研究旨在探讨 SS-31 是否可以保护肝脏免受 IRI 引起的损伤,并了解其保护机制。结果表明,SS-31 治疗可显著减轻 IRI 期间的肝损伤,通过 HE 染色、血清 ALT/AST 和 TUNEL 染色评估肝损伤程度。同时,我们发现 SS-31 给药后氧化应激和炎症明显受到抑制。此外,研究结果揭示 SS-31 可以直接减少巨噬细胞中的 ROS 产生并调节 STAT1/STAT3 信号通路,从而抑制巨噬细胞 M1 极化。随后,促炎细胞因子显著减少,从而抑制肝脏中的炎症反应。综上所述,我们的研究发现 SS-31 可以通过清除 ROS 和调节 STAT1/STAT3 信号通路来调节巨噬细胞极化,从而改善肝损伤;SS-31 对肝 IRI 的保护作用表明,SS-31 可能是临床治疗肝 IRI 的一种合适方法。
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