Gan Lu, Jiang Qiwei, Huang Dong, Wu Xueji, Zhu Xinying, Wang Lei, Xie Wei, Huang Jialuo, Fan Runzhu, Jing Yihang, Tang Guihua, Li Xiang David, Guo Jianping, Yin Sheng
School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Institute of Precision Medicine, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Nat Chem Biol. 2025 Jan;21(1):80-90. doi: 10.1038/s41589-024-01704-3. Epub 2024 Aug 5.
Liver fibrosis is an urgent clinical problem without effective therapies. Here we conducted a high-content screening on a natural Euphorbiaceae diterpenoid library to identify a potent anti-liver fibrosis lead, 12-deoxyphorbol 13-palmitate (DP). Leveraging a photo-affinity labeling approach, apolipoprotein L2 (APOL2), an endoplasmic reticulum (ER)-rich protein, was identified as the direct target of DP. Mechanistically, APOL2 is induced in activated hepatic stellate cells upon transforming growth factor-β1 (TGF-β1) stimulation, which then binds to sarcoplasmic/ER calcium ATPase 2 (SERCA2) to trigger ER stress and elevate its downstream protein kinase R-like ER kinase (PERK)-hairy and enhancer of split 1 (HES1) axis, ultimately promoting liver fibrosis. As a result, targeting APOL2 by DP or ablation of APOL2 significantly impairs APOL2-SERCA2-PERK-HES1 signaling and mitigates fibrosis progression. Our findings not only define APOL2 as a novel therapeutic target for liver fibrosis but also highlight DP as a promising lead for treatment of this symptom.
肝纤维化是一个亟待解决却尚无有效治疗方法的临床问题。在此,我们对一个天然大戟科二萜类化合物库进行了高内涵筛选,以确定一种有效的抗肝纤维化先导化合物——12-脱氧佛波醇13-棕榈酸酯(DP)。利用光亲和标记方法,我们确定富含内质网(ER)的载脂蛋白L2(APOL2)是DP的直接靶点。从机制上来说,在转化生长因子-β1(TGF-β1)刺激下,活化的肝星状细胞中会诱导APOL2表达,然后APOL2与肌浆网/内质网钙ATP酶2(SERCA2)结合,触发内质网应激并增强其下游蛋白激酶R样内质网激酶(PERK)-毛状分裂增强子1(HES1)轴,最终促进肝纤维化。因此,用DP靶向APOL2或敲除APOL2会显著削弱APOL2-SERCA2-PERK-HES1信号传导,并减轻纤维化进程。我们的研究结果不仅将APOL2定义为肝纤维化的一个新治疗靶点,还突出了DP作为治疗该病症的一种有前景的先导化合物。