Landerer Steffen, Kalthoff Sandra, Strassburg Christian P
Department of Internal Medicine I, University Hospital Bonn, Venusberg-Campus 1, Bonn, Germany.
Hepatobiliary Surg Nutr. 2021 Dec;10(6):766-781. doi: 10.21037/hbsn-20-9.
Coffee consumption has been shown to reduce the risk of liver fibrosis and is capable of inducing human UDP-glucuronosyltransferase () genes. UGT1A enzymes act as indirect antioxidants catalyzing the elimination of reactive metabolites, which in turn are potent initiators of profibrotic mechanisms. The aim of this study was to analyze the role of genes as effectors of the protective properties of coffee in bile duct ligation (BDL) induced liver fibrosis.
Fourteen days BDL with and without coffee pre- and co-treatment was performed in -WT and -SNP mice. Hepatic UGT1A mRNA expression levels, serum bilirubin and aminotransferase activities were determined. Liver fibrosis was assessed by collagen deposition, computational analysis of Sirius red tissue staining and expression of profibrotic marker genes. Oxidative stress was measured by hepatic peroxidase concentrations and immunofluorescence staining.
UGT1A transcription was differentially activated in the livers of -WT mice after BDL, in contrast to a reduced or absent induction in the presence of SNPs. Co-treated (coffee + BDL) -WT-mice showed significantly increased UGT1A expression and protein levels and a considerably higher induction compared to water drinking WT mice (BDL), whereas in co-treated -SNP mice absolute expression levels remained below those observed in -WT mice. Collagen deposition, oxidative stress and the expression of profibrotic markers inversely correlated with expression levels in -WT and SNP mice after BDL and coffee + BDL co-treatment.
Coffee exerts hepatoprotective and antioxidative effects activation of UGT1A enzymes. Attenuated hepatic fibrosis as a result of coffee-mediated UGT1A induction during cholestasis was detected, while the protective action of coffee was lower in a common low-function SNP haplotype present in 10% of the Caucasian population. This study suggests that coffee consumption might constitute a potential strategy to support the conventional treatment of cholestasis-related liver diseases.
已表明饮用咖啡可降低肝纤维化风险,并且能够诱导人尿苷二磷酸葡萄糖醛酸基转移酶(UGT1A)基因。UGT1A酶作为间接抗氧化剂,催化活性代谢物的清除,而活性代谢物反过来又是促纤维化机制的强效启动子。本研究的目的是分析UGT1A基因作为咖啡对胆管结扎(BDL)诱导的肝纤维化保护特性的效应因子的作用。
在UGT1A-WT和UGT1A-SNP小鼠中进行为期14天的胆管结扎,同时进行或不进行咖啡预处理和联合处理。测定肝脏UGT1A mRNA表达水平、血清胆红素和氨基转移酶活性。通过胶原沉积、天狼星红组织染色的计算机分析和促纤维化标记基因的表达来评估肝纤维化。通过肝脏过氧化物酶浓度和免疫荧光染色来测量氧化应激。
与存在单核苷酸多态性(SNP)时诱导减少或不存在诱导相比,BDL后UGT1A-WT小鼠肝脏中的UGT1A转录被差异激活。联合处理(咖啡+BDL)的UGT1A-WT小鼠显示UGT1A表达和蛋白水平显著增加,与饮水的野生型(WT)小鼠(BDL)相比诱导程度更高,而在联合处理的UGT1A-SNP小鼠中,绝对表达水平仍低于UGT1A-WT小鼠中观察到的水平。BDL和咖啡+BDL联合处理后,UGT1A-WT和SNP小鼠中的胶原沉积、氧化应激和促纤维化标记物的表达与UGT1A表达水平呈负相关。
咖啡通过激活UGT1A酶发挥肝脏保护和抗氧化作用。检测到胆汁淤积期间咖啡介导的UGT1A诱导导致肝纤维化减轻,而在白种人10%中存在的常见低功能UGT1A SNP单倍型中,咖啡的保护作用较低。本研究表明,饮用咖啡可能构成支持胆汁淤积相关肝病传统治疗的潜在策略。