The Affliated Traditional Chinese Medicine Hospital, Southwest Medical University - Department of Hepatobiliary and Pancreatic Surgery - Luzhou (Sichuan) - China.
Acta Cir Bras. 2024 Oct 25;39:e394324. doi: 10.1590/acb394324. eCollection 2024.
Artesunate (ART) has been implicated in regulating the many processes of liver injury, but its roles in liver regeneration still need to be illustrated.
In the present study, ART was used to pretreat hepatocyte cell line NCTC1469 to study the effect of ART on hepatocyte proliferation in vitro. Furthermore, the potency of ART as a regimen to promote liver regeneration and restore liver function was evaluated following partial hepatectomy (PH) on C57BL/6 mice.
ART concentration-dependently promoted hepatocyte proliferation and reduced apoptosis. Cell cycle and Ki-67 immunohistochemical analyses demonstrated that ART supplementation promoted the proliferation of hepatocytes and accelerated liver regeneration. Our results provided evidence that ART improved liver function in a dose-dependent manner, as indicated by decreased serum alanine aminotransferase, aspartate aminotransferase, and increased albumin, and hepatocyte growth factor levels in PH mice. Meanwhile, ART promoted the PI3K/Akt/mTOR signaling in NCTC1469 cells and liver tissue of PH mice. In addition, PI3K inhibitor LY294002 blocked the promotion effect of ART on hepatocyte proliferation and cell cycle progression.
ART promoted hepatocyte proliferation via activation of the PI3K/Akt/mTOR pathway, which was beneficial to liver regeneration of PH-induced liver injury.
青蒿琥酯(ART)已被牵涉到调节多种肝损伤过程中,但它在肝再生中的作用仍需要阐明。
在本研究中,使用青蒿琥酯预处理肝细胞系 NCTC1469 来研究 ART 对体外肝细胞增殖的影响。此外,还评估了 ART 作为促进肝再生和恢复肝功能的方案在 C57BL/6 小鼠部分肝切除(PH)后的效果。
ART 浓度依赖性地促进了肝细胞的增殖并减少了细胞凋亡。细胞周期和 Ki-67 免疫组织化学分析表明,ART 补充剂促进了肝细胞的增殖并加速了肝再生。我们的结果提供了证据表明,ART 以剂量依赖的方式改善了肝功能,表现为血清丙氨酸氨基转移酶、天冬氨酸氨基转移酶降低,白蛋白和肝细胞生长因子水平升高,在 PH 小鼠中。同时,ART 促进了 NCTC1469 细胞和 PH 小鼠肝组织中的 PI3K/Akt/mTOR 信号通路。此外,PI3K 抑制剂 LY294002 阻断了 ART 对肝细胞增殖和细胞周期进程的促进作用。
ART 通过激活 PI3K/Akt/mTOR 通路促进了肝细胞的增殖,这有利于 PH 诱导的肝损伤的肝再生。