Department of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China.
Department of Liver Transplantation Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Gastroenterol Hepatol. 2023 Feb;46(2):124-134. doi: 10.1016/j.gastrohep.2022.07.004. Epub 2022 Aug 12.
Acute liver failure (ALF) is a severe and potentially lethal clinical syndrome. It has been demonstrated that micro ribonucleic acids (miRNAs) are crucial mediators of nearly all pathological processes, including liver disease.
The present study investigates the role of miR-378 in ALF. An ALF mouse model was induced using intraperitoneal injections of d-galactosamine/lipopolysaccharide (d-GalN/LPS). A hepatocyte cell line and miR-378 analogue were used in vitro to investigate the possible roles of miR-378 in ALF.
The expressions of miR-378 and predicted target genes were measured via reverse transcription-quantitative polymerase chain reaction and western blotting, and cell apoptosis was assayed using flow cytometry.
Compared with mice in the control group, the mice challenged with d-GalN/LPS showed higher levels of alanine aminotransferase, aspartate aminotransferase, tumour necrosis factor-alpha and interleukin-6, more severe liver damage and increased numbers of apoptotic hepatocytes. Hepatic miR-378 was distinctly downregulated, while messenger RNA and protein levels of cysteinyl aspartate specific proteinase 9 (caspase-9) were upregulated in the ALF model. Furthermore, miR-378 was downregulated in d-GalN/TNF-induced hepatocyte cells, and miR-378 was found to inhibit hepatocyte apoptosis by targeting caspase-9.
Together, the present results indicate that miR-378 is a previously unrecognised post-ALF hepatocyte apoptosis regulator and may be a potential therapeutic target in the context of ALF.
急性肝衰竭(ALF)是一种严重且潜在致命的临床综合征。已有研究表明,微小核糖核酸(miRNAs)是包括肝脏疾病在内的几乎所有病理过程的关键介质。
本研究旨在探讨 miR-378 在 ALF 中的作用。通过腹腔注射 D-半乳糖胺/脂多糖(d-GalN/LPS)建立 ALF 小鼠模型。体外使用肝细胞系和 miR-378 类似物,研究 miR-378 在 ALF 中的可能作用。
通过逆转录定量聚合酶链反应和 Western blot 检测 miR-378 和预测靶基因的表达,并通过流式细胞术检测细胞凋亡。
与对照组小鼠相比,d-GalN/LPS 处理组小鼠的丙氨酸氨基转移酶、天冬氨酸氨基转移酶、肿瘤坏死因子-α和白细胞介素-6 水平更高,肝损伤更严重,凋亡的肝细胞数量更多。ALF 模型中肝组织 miR-378 明显下调,胱天蛋白酶-9(caspase-9)的信使 RNA 和蛋白水平上调。此外,d-GalN/TNF 诱导的肝细胞中 miR-378 下调,miR-378 通过靶向 caspase-9 抑制肝细胞凋亡。
综上所述,本研究结果表明,miR-378 是一种新发现的 ALF 后肝细胞凋亡调节因子,可能是 ALF 治疗的潜在靶点。