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鸡豆黄素通过调节 TLR4/MyD88/NF-κB 和 Nrf2/HO-1/GPX4 通路减轻急性肝衰竭,从而减少炎症和铁死亡。

Avicularin alleviates acute liver failure by regulation of the TLR4/MyD88/NF-κB and Nrf2/HO-1/GPX4 pathways to reduce inflammation and ferroptosis.

机构信息

Department of Infectious Diseases, The First Affiliated Hospital of Nanchang University, Nanchang, China.

Medical Innovation Center, The First Affiliated Hospital of Nanchang University, Nanchang, China.

出版信息

J Cell Mol Med. 2023 Nov;27(21):3326-3338. doi: 10.1111/jcmm.17905. Epub 2023 Aug 29.

Abstract

Acute liver failure (ALF) is an inflammation-mediated hepatocyte death process associated with ferroptosis. Avicularin (AL), a Chinese herbal medicine, exerts anti-inflammatory and antioxidative effects. However, the protective effect of AL and the mechanism on ALF have not been reported. Our in vivo results suggest that AL significantly alleviated lipopolysaccharide (LPS)/D-galactosamine (D-GalN)-induced hepatic pathological injury, liver enzymes, inflammatory cytokines, reactive oxygen species and iron levels and increased the antioxidant enzyme activities (malondialdehyde and glutathione). Our further in vitro experiments demonstrated that AL suppressed inflammatory response in LPS-stimulated RAW 264.7 cells via blocking the toll-like receptor 4 (TLR4)/myeloid differentiation protein-88 (MyD88)/nuclear factor kappa B (NF-κB) pathway. Moreover, AL attenuated ferroptosis in D-GalN-induced HepG2 cells by activating the nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase 1 (HO-1)/glutathione peroxidase 4 (GPX4) pathway. Therefore, AL can alleviate inflammatory response and ferroptosis in LPS/D-GalN-induced ALF, and its protective effects are associated with blocking TLR4/MyD88/NF-κB pathway and activating Nrf2/HO-1/GPX4 pathway. Moreover, AL is a promising therapeutic option for ALF and should be clinically explored.

摘要

急性肝衰竭(ALF)是一种与铁死亡有关的炎症介导的肝细胞死亡过程。鸡矢藤苷(AL)是一种中药,具有抗炎和抗氧化作用。然而,AL 的保护作用及其对 ALF 的机制尚未报道。我们的体内结果表明,AL 显著减轻了脂多糖(LPS)/D-半乳糖胺(D-GalN)诱导的肝病理损伤、肝酶、炎症细胞因子、活性氧和铁水平,并增加了抗氧化酶活性(丙二醛和谷胱甘肽)。我们进一步的体外实验表明,AL 通过阻断 Toll 样受体 4(TLR4)/髓样分化蛋白 88(MyD88)/核因子 kappa B(NF-κB)通路抑制 LPS 刺激的 RAW 264.7 细胞中的炎症反应。此外,AL 通过激活核因子红细胞 2 相关因子 2(Nrf2)/血红素加氧酶 1(HO-1)/谷胱甘肽过氧化物酶 4(GPX4)通路减轻 D-GalN 诱导的 HepG2 细胞中的铁死亡。因此,AL 可以减轻 LPS/D-GalN 诱导的 ALF 中的炎症反应和铁死亡,其保护作用与阻断 TLR4/MyD88/NF-κB 通路和激活 Nrf2/HO-1/GPX4 通路有关。此外,AL 是治疗 ALF 的一种有前途的选择,应在临床上进行探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfbc/10623517/976de3a8d67f/JCMM-27-3326-g008.jpg

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