El-Marasy Salma A, Mostafa Rasha E, Mabrok Hoda B, Khattab Marwa S, Awdan Sally A El
Department of Pharmacology, Medical Research and Clinical Studies Institute, National Research Centre, Giza, Egypt.
Nutrition and Food Science Department, Food Industries and Nutrition Research Institute, National Research Centre, Giza, Egypt.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Feb;398(2):1681-1693. doi: 10.1007/s00210-024-03301-6. Epub 2024 Aug 21.
This study aimed to elucidate the possible hepatocellular protective role of irbesartan during hepatic ischemia-reperfusion injury (HIRI) and the probable underlying mechanisms. Wistar rats were allocated into four groups: sham; HIRI (control); irbesartan (50 mg/kg) + HIRI; irbesartan (100 mg/kg) + HIRI; irbesartan + GW9662 (1 mg/kg, i.p.) + HIRI. Rats pretreated orally with irbesartan or vehicle for 14 days underwent 45-min hepatic ischemia followed by 60-min reperfusion. Irbesartan preconditioning diminished alanine transaminase (ALT) and aspartate transaminase (AST) serum levels, and reduced extracellular signal-regulated kinase (ERK) and signal transducer and activator of transcription 3 (STAT3). Irbesartan decreased proapoptotic BAX (bcl-2-like protein 4), increased anti-apoptotic B-cell lymphoma 2 (BCL2) hepatic content, and thereby reduced BAX/BCL2 ratio. Moreover, irbesartan preconditioning reduced autophagy-related proteins Beclin1 and LC3 II, and elevated p62 (protein responsible for autophagosome degradation). It elevated proliferator-activated receptor γ (PPAR-γ), and reduced tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) hepatic gene expression. Also, hepatic protein expressions of nuclear factor kappa-B p65 (NF-κB p65) and caspase-3 were lessoned by irbesartan pretreatment in HIRI rats. However, GW9662 abrogated irbesartan's effect on HIRI. The protective effect of irbesartan on HIRI may be mediated by alleviation of ERK, STAT3, and PPAR-γ inflammatory pathways, exerting anti-apoptotic and anti-autophagic effects in HIRI in rats.
本研究旨在阐明厄贝沙坦在肝缺血再灌注损伤(HIRI)期间可能的肝细胞保护作用及其潜在机制。将Wistar大鼠分为四组:假手术组;HIRI(对照组);厄贝沙坦(50 mg/kg)+ HIRI组;厄贝沙坦(100 mg/kg)+ HIRI组;厄贝沙坦 + GW9662(1 mg/kg,腹腔注射)+ HIRI组。口服厄贝沙坦或赋形剂预处理14天的大鼠经历45分钟的肝脏缺血,随后再灌注60分钟。厄贝沙坦预处理降低了丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)的血清水平,并降低了细胞外信号调节激酶(ERK)和信号转导子及转录激活子3(STAT3)。厄贝沙坦降低了促凋亡蛋白BAX(bcl-2样蛋白4),增加了抗凋亡蛋白B细胞淋巴瘤2(BCL2)的肝脏含量,从而降低了BAX/BCL2比值。此外,厄贝沙坦预处理降低了自噬相关蛋白Beclin1和LC3 II,并提高了p62(负责自噬体降解的蛋白)。它提高了过氧化物酶体增殖物激活受体γ(PPAR-γ),并降低了肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)的肝脏基因表达。此外,厄贝沙坦预处理降低了HIRI大鼠肝脏中核因子κB p65(NF-κB p65)和半胱天冬酶-3的蛋白表达。然而,GW9662消除了厄贝沙坦对HIRI的作用。厄贝沙坦对HIRI的保护作用可能是通过减轻ERK、STAT3和PPAR-γ炎症途径介导的,在大鼠HIRI中发挥抗凋亡和抗自噬作用。
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