School of Pharmacy, Hunan University of Chinese Medicine.
Preventive Treatment of Disease Center, The First Hospital of Hunan University of Chinese Medicine.
Tohoku J Exp Med. 2023 Dec 16;261(4):257-265. doi: 10.1620/tjem.2023.J050. Epub 2023 Jun 22.
Improving hepatic glucose and lipid metabolisms is an important strategy to treat type 2 diabetes mellitus complicated with non-alcoholic fatty liver disease (T2DM-NAFLD). Silybin (SLB) has the potential hepatoprotection, while its oral bioavailability is poor. This study aims to investigate the functional role and mechanism of liposomal SLB in modulating glucose/lipid metabolism in T2DM-NAFLD. SLB was prepared by thin film dispersion method and characterized using dynamic light scattering, scanning electron microscope, high performance liquid chromatography and zeta potential analyzer. A rat model of T2DM-NAFLD was used to determine the role of liposomal SLB in regulating glycolipid metabolism and hepatic damage. Rat primary hepatocytes were used to demonstrate the hepatoprotection mechanism of liposomal SLB. The encapsulation efficiency was more than 80%, which showed the average particle size of 119.76 nm. Also, the average Zeta potential was -4.76 mV. These liposomes were spherical. In rats with T2DM-NAFLD, liposomal SLB alleviated insulin resistance and lipid metabolism, thereby improving hepatic lipid accumulation, inflammation and fibrosis. Besides, liposomal SLB elevated AMPK phosphorylation, and decreased collagen I/III, α-smooth muscle actin (α-SMA), transforming growth factor-β1 (TGF-β1) and the phosphorylation of Smad2/3. In hepatocyte model, compound C partially reversed the effects of liposomal SLB on cell viability, glycolipid metabolism and AMPK/TGF-β1/Smad pathway activation. Liposomal SLB ameliorates hepatic glucose and lipid metabolisms in T2DM-NAFLD via activating AMPK/TGF-β1/Smad pathway, providing an efficient strategy for treating T2DM-NAFLD.
改善肝糖和脂代谢是治疗 2 型糖尿病合并非酒精性脂肪性肝病(T2DM-NAFLD)的重要策略。水飞蓟宾(SLB)具有潜在的保肝作用,但口服生物利用度较差。本研究旨在探讨脂质体 SLB 调节 T2DM-NAFLD 糖脂代谢的功能作用及其机制。采用薄膜分散法制备 SLB,采用动态光散射、扫描电子显微镜、高效液相色谱和 Zeta 电位分析仪对其进行表征。采用大鼠 T2DM-NAFLD 模型,确定脂质体 SLB 调节糖脂代谢和肝损伤的作用。采用大鼠原代肝细胞,验证脂质体 SLB 的保肝作用机制。包封率大于 80%,平均粒径为 119.76nm,平均 Zeta 电位为-4.76mV。这些脂质体呈球形。在 T2DM-NAFLD 大鼠中,脂质体 SLB 可缓解胰岛素抵抗和脂代谢紊乱,从而改善肝脂质堆积、炎症和纤维化。此外,脂质体 SLB 可增加 AMPK 磷酸化,减少胶原 I/III、α-平滑肌肌动蛋白(α-SMA)、转化生长因子-β1(TGF-β1)和 Smad2/3 的磷酸化。在肝细胞模型中,化合物 C 部分逆转了脂质体 SLB 对细胞活力、糖脂代谢和 AMPK/TGF-β1/Smad 通路激活的影响。脂质体 SLB 通过激活 AMPK/TGF-β1/Smad 通路改善 T2DM-NAFLD 患者的肝糖和脂代谢,为治疗 T2DM-NAFLD 提供了一种有效的策略。