Department of General Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Cell Cycle. 2023 Apr;22(7):818-828. doi: 10.1080/15384101.2022.2155016. Epub 2022 Dec 8.
Dimethyl fumarate (DMF), a therapeutic agent for relapsing-remitting multiple sclerosis, has cytoprotective and antioxidant effects. Ferroptosis, a pathological cell death process, is recently shown to play a vital part in ischemia-reperfusion injury (IRI). This study aimed to unveil the suppressive role of DMF on ferroptosis in liver IRI. The anti-ferroptosis effect of DMF on hepatic IRI was investigated using a liver IRI mouse model and a hypoxia-reoxygenation injury (HRI) model in alpha mouse liver (AML12) cells. Serum transaminase concentrations reflected liver function. Hematoxylin and eosin staining was used to assess liver damage. Cell viability was evaluated utilizing the CCK-8 assay. Malondialdehyde (MDA), the reduced glutathione/oxidized glutathione (GSH/GSSG) ratio, and BODIPY 581/591C11 were measured to estimate the injury caused by lipid peroxidation. Western blotting and real-time polymerase chain reaction (RT-PCR) were performed to explore the underlying molecular mechanisms. We demonstrated the anti-ferroptosis effects of DMF both in vivo and in vitro. DMF treatment ameliorated hepatic IRI. KEGG enrichment analysis and transmission electron microscopy revealed a close relationship between ferroptosis and liver IRI. Furthermore, DMF protected against HRI by inhibiting ferroptosis via activating the nuclear factor E2-related factor 2 (NRF2) pathway. Interestingly, NRF2 knockdown notably decreased the expression of SLC7A11 and HO-1 and blocked the anti-ferroptosis effects of DMF. DMF inhibits ferroptosis by activating the NRF2/SLC7A11/HO-1 axis and exerts a protective effect against hepatic IRI.
富马酸二甲酯(DMF)是一种治疗复发缓解型多发性硬化症的药物,具有细胞保护和抗氧化作用。铁死亡是一种新发现的病理性细胞死亡过程,最近被证明在缺血再灌注损伤(IRI)中发挥着重要作用。本研究旨在揭示 DMF 对肝 IRI 中铁死亡的抑制作用。本研究通过建立肝 IRI 小鼠模型和α-肝卵圆细胞(AML12)细胞缺氧复氧损伤(HRI)模型,研究了 DMF 对肝 IRI 的抗铁死亡作用。血清转氨酶浓度反映了肝功能。苏木精和伊红染色用于评估肝损伤。通过 CCK-8 测定法评估细胞活力。利用 MDA、还原型谷胱甘肽/氧化型谷胱甘肽(GSH/GSSG)比值和 BODIPY 581/591C11 来评估脂质过氧化引起的损伤。通过 Western blot 和实时聚合酶链反应(RT-PCR)来探讨潜在的分子机制。我们在体内和体外均证实了 DMF 的抗铁死亡作用。DMF 治疗改善了肝 IRI。KEGG 富集分析和透射电子显微镜显示铁死亡与肝 IRI 密切相关。此外,DMF 通过激活核因子 E2 相关因子 2(NRF2)通路抑制铁死亡,从而防止 HRI。有趣的是,NRF2 敲低显著降低了 SLC7A11 和 HO-1 的表达,并阻断了 DMF 的抗铁死亡作用。DMF 通过激活 NRF2/SLC7A11/HO-1 轴抑制铁死亡,对肝 IRI 发挥保护作用。
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