Wang Xin, Ke Jing, Zhu Ying-Jun, Cao Bin, Yin Rui-Li, Wang Yan, Wei Ling-Ling, Zhang Li-Jie, Yang Long-Yan, Zhao Dong
Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Beijing Key Laboratory of Diabetes Research and Care, Beijing, China.
Cell Death Discov. 2021 Sep 7;7(1):236. doi: 10.1038/s41420-021-00625-7.
As a common chronic metabolic disease, the development of diabetes mellitus (DM) may also be accompanied by liver damage and inflammatory disorders. Sitagliptin is an inhibitor of dipeptidyl peptidase-4 (DPP4, also known as CD26), which is clinically used for DM treatment. However, the mechanism of sitagliptin's efficiency in liver diseases is largely unknown. In this study, mice suffering from streptozotocin (STZ) exhibit elevated liver DPP4 expression and activity, as well as inflammatory and chronic liver injury phenotype, whereas specifically inhibiting the activity of DPP4 in mouse liver tissues and hepatocytes by sitagliptin contributes to decreased cytokines, oxidative stress, cell apoptosis, and inflammation in STZ-induced diabetic mice. Moreover, sitagliptin reduced TNFα or LPS-induced cellular reactive oxygen species (ROS) level, cell apoptosis, and protein expression in the NFκB signaling pathway in HepG2 cells or primary mouse hepatocytes. Altogether, our study confirms that sitagliptin may protect liver tissue by alleviating ROS production and NFκB signaling activation, providing a putative mechanism for preventing the development of diabetic liver disease.
作为一种常见的慢性代谢性疾病,糖尿病(DM)的发展可能还伴有肝损伤和炎症紊乱。西格列汀是二肽基肽酶-4(DPP4,也称为CD26)的抑制剂,临床上用于治疗糖尿病。然而,西格列汀在肝脏疾病中发挥疗效的机制在很大程度上尚不清楚。在本研究中,链脲佐菌素(STZ)诱导的小鼠表现出肝脏DPP4表达和活性升高,以及炎症和慢性肝损伤表型,而西格列汀特异性抑制小鼠肝脏组织和肝细胞中DPP4的活性有助于降低STZ诱导的糖尿病小鼠体内的细胞因子、氧化应激、细胞凋亡和炎症水平。此外,西格列汀降低了HepG2细胞或原代小鼠肝细胞中TNFα或LPS诱导的细胞活性氧(ROS)水平、细胞凋亡以及NFκB信号通路中的蛋白表达。总之,我们的研究证实西格列汀可能通过减轻ROS产生和NFκB信号激活来保护肝脏组织,为预防糖尿病性肝病的发展提供了一种可能的机制。