烟酰胺通过抑制 NLRP3 炎性小体/焦亡通路来减轻实验性非酒精性脂肪性肝炎。

Nicotinic acid attenuates experimental non-alcoholic steatohepatitis by inhibiting the NLRP3 inflammasome/pyroptosis pathway.

机构信息

Laboratorio de Hepatología Experimental, Departamento de Farmacología, Cinvestav-IPN, Apartado Postal 14-740, Ciudad de México, México.

Laboratorio de Biología Celular y Productos Naturales, Escuela Nacional de Medicina y Homeopatía-IPN, Apartado Postal, 07320, Guillermo Massieu Helguera, La Escalera, Ciudad de México, México.

出版信息

Biochem Pharmacol. 2023 Oct;216:115762. doi: 10.1016/j.bcp.2023.115762. Epub 2023 Aug 19.

Abstract

Non-alcoholic steatohepatitis (NASH) is a global public health concern that may progress into fibrosis, cirrhosis, and liver cancer, with limited curative treatment options. While the nucleotide-binding oligomerization domain-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome is closely linked to NASH progression, nicotinic acid (NA), a vitamin used for the treatment of dyslipidemia, is an emerging pharmaceutical treatment for hepatic steatosis and fibrosis. Here, we investigated pharmacological effects of NA on experimental NASH and whether NLRP3 inflammasome/pyroptosis inhibition is an associated mechanism of action. Rats were fed a high-fat sucrose diet supplemented with cholesterol and a low dose of CCl. NA significantly reduced inflammation by decreasing the protein levels of tumor necrosis factor-alpha and nuclear factor kappa B. Moreover, NA inhibited the formation of NLRP3- apoptosis-associated speck-like protein containing caspase recruitment domain-Caspase-1, decreasing interleukin-1beta, interleukin-18, and gasdermin D protein. In addition, NA reduced tumor growth factor-beta, alpha-smooth muscle actin, and hepatic levels of collagen-1, consequently decreasing extracellular matrix synthesis. Our results indicate that NA can inhibit NASH progression and encourage further basic and clinical studies on the use of NA for the treatment of human NASH.

摘要

非酒精性脂肪性肝炎(NASH)是一个全球性的公共卫生关注点,可能会进展为纤维化、肝硬化和肝癌,且治疗选择有限。核苷酸结合寡聚化结构域样受体家族含pyrin 结构域蛋白 3(NLRP3)炎症小体与 NASH 进展密切相关,烟酰胺(NA)是一种用于治疗血脂异常的维生素,是治疗肝脂肪变性和纤维化的新兴药物。在这里,我们研究了 NA 对实验性 NASH 的药理作用,以及 NLRP3 炎症小体/细胞焦亡抑制是否是其相关作用机制。大鼠给予高脂肪蔗糖饮食,补充胆固醇和低剂量的 CCl。NA 通过降低肿瘤坏死因子-α和核因子 κB 的蛋白水平显著减轻炎症。此外,NA 抑制 NLRP3-凋亡相关斑点样蛋白含有半胱氨酸天冬氨酸蛋白酶募集域-Caspase-1 的形成,减少白细胞介素-1β、白细胞介素-18 和 Gasdermin D 蛋白。此外,NA 降低转化生长因子-β、α-平滑肌肌动蛋白和肝胶原-1水平,从而减少细胞外基质合成。我们的结果表明,NA 可以抑制 NASH 的进展,并鼓励进一步进行基础和临床研究,以利用 NA 治疗人类 NASH。

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