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骨化三醇通过丙型肝炎病毒非结构蛋白 3 转激活蛋白 1 介导的 TGFβ1/Smad3 和 NF-κB 信号通路减轻肝纤维化。

Calcitriol attenuates liver fibrosis through hepatitis C virus nonstructural protein 3-transactivated protein 1-mediated TGF β1/Smad3 and NF-κB signaling pathways.

机构信息

Department of Infectious Disease Medicine, The First Hospital Affiliated to Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.

China-Japan Friendship Hospital, Department of Infectious Disease China-Japan Friendship Hospital, Beijing 100029, China.

出版信息

World J Gastroenterol. 2023 May 14;29(18):2798-2817. doi: 10.3748/wjg.v29.i18.2798.

Abstract

BACKGROUND

Hepatic fibrosis is a serious condition, and the development of hepatic fibrosis can lead to a series of complications. However, the pathogenesis of hepatic fibrosis remains unclear, and effective therapy options are still lacking. Our group identified hepatitis C virus nonstructural protein 3-transactivated protein 1 (NS3TP1) by suppressive subtractive hybridization and bioinformatics analysis, but its role in diseases including hepatic fibrosis remains undefined. Therefore, additional studies on the function of NS3TP1 in hepatic fibrosis are urgently needed to provide new targets for treatment.

AIM

To elucidate the mechanism of NS3TP1 in hepatic fibrosis and the regulatory effects of calcitriol on NS3TP1.

METHODS

Twenty-four male C57BL/6 mice were randomized and separated into three groups, comprising the normal, fibrosis, and calcitriol treatment groups, and liver fibrosis was modeled by carbon tetrachloride (CCl). To evaluate the level of hepatic fibrosis in every group, serological and pathological examinations of the liver were conducted. TGF-β1 was administered to boost the cultivation of LX-2 cells. NS3TP1, α-smooth muscle actin (α-SMA), collagen I, and collagen III in every group were examined using a Western blot and real-time quantitative polymerase chain reaction. The activity of the transforming growth factor beta 1 (TGFβ1)/Smad3 and NF-κB signaling pathways in each group of cells transfected with pcDNA-NS3TP1 or siRNA-NS3TP1 was detected. The statistical analysis of the data was performed using the Student's test.

RESULTS

NS3TP1 promoted the activation, proliferation, and differentiation of hepatic stellate cells (HSCs) and enhanced hepatic fibrosis the TGFβ1/Smad3 and NF-κB signaling pathways, as evidenced by the presence of α-SMA, collagen I, collagen III, p-smad3, and p-p65 in LX-2 cells, which were upregulated after NS3TP1 overexpression and downregulated after NS3TP1 interference. The proliferation of HSCs was lowered after NS3TP1 interference and elevated after NS3TP1 overexpression, as shown by the luciferase assay. NS3TP1 inhibited the apoptosis of HSCs. Moreover, both Smad3 and p65 could bind to NS3TP1, and p65 increased the promoter activity of NS3TP1, while NS3TP1 increased the promoter activity of TGFβ1 receptor I, as indicated by coimmunoprecipitation and luciferase assay results. Both and , treatment with calcitriol dramatically reduced the expression of NS3TP1. Calcitriol therapy-controlled HSCs activation, proliferation, and differentiation and substantially suppressed CCl-induced hepatic fibrosis in mice. Furthermore, calcitriol modulated the activities of the above signaling pathways downregulation of NS3TP1.

CONCLUSION

Our results suggest that calcitriol may be employed as an adjuvant therapy for hepatic fibrosis and that NS3TP1 is a unique, prospective therapeutic target in hepatic fibrosis.

摘要

背景

肝纤维化是一种严重的疾病,肝纤维化的发展可导致一系列并发症。然而,肝纤维化的发病机制仍不清楚,有效的治疗方法仍然缺乏。我们的研究小组通过抑制性消减杂交和生物信息学分析鉴定了丙型肝炎病毒非结构蛋白 3-转活化蛋白 1(NS3TP1),但其在包括肝纤维化在内的疾病中的作用仍不清楚。因此,迫切需要对 NS3TP1 在肝纤维化中的功能进行更多研究,以为治疗提供新的靶点。

目的

阐明 NS3TP1 在肝纤维化中的作用机制及 1,25-二羟维生素 D3(calcitriol)对 NS3TP1 的调控作用。

方法

将 24 只雄性 C57BL/6 小鼠随机分为正常组、纤维化组和 calcitriol 治疗组,采用四氯化碳(CCl)造模建立肝纤维化模型。通过血清学和肝脏病理学检查评估各组肝纤维化水平。用转化生长因子β1(TGF-β1)刺激 LX-2 细胞,以促进其增殖。采用 Western blot 和实时定量聚合酶链反应检测各组 NS3TP1、α-平滑肌肌动蛋白(α-SMA)、I 型胶原(collagen I)和 III 型胶原(collagen III)的表达。检测各组转染 pcDNA-NS3TP1 或 siRNA-NS3TP1 后转化生长因子β 1(TGFβ1)/Smad3 和核因子-κB(NF-κB)信号通路的活性。采用 Student's t 检验进行数据分析。

结果

NS3TP1 促进肝星状细胞(HSCs)的活化、增殖和分化,增强 TGFβ1/Smad3 和 NF-κB 信号通路活性,导致 LX-2 细胞中 α-SMA、collagen I、collagen III、p-smad3 和 p-p65 等蛋白表达上调,而过表达 NS3TP1 后这些蛋白表达下调,干扰 NS3TP1 后则表达上调。NS3TP1 干扰后 HSCs 的增殖降低,过表达 NS3TP1 后 HSCs 的增殖增加,这一点通过荧光素酶检测得到证实。NS3TP1 抑制 HSCs 的凋亡。此外,Smad3 和 p65 均可与 NS3TP1 结合,p65 增加 NS3TP1 的启动子活性,而 NS3TP1 增加 TGFβ1 受体 I 的启动子活性,这一点通过免疫共沉淀和荧光素酶检测结果得到证实。calcitriol 治疗可显著降低 NS3TP1 的表达。Calcitriol 治疗可控制 HSCs 的活化、增殖和分化,并显著抑制 CCl 诱导的小鼠肝纤维化。此外,calcitriol 通过下调 NS3TP1 调节上述信号通路的活性。

结论

本研究结果提示,calcitriol 可能作为肝纤维化的辅助治疗药物,NS3TP1 是肝纤维化治疗的一个独特的、有前景的潜在靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab8/10237113/d2f6e72aa97b/WJG-29-2798-g001.jpg

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