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大脑到肝脏的信号介导了慢性应激下小鼠肝脏再生的抑制。

A brain-to-liver signal mediates the inhibition of liver regeneration under chronic stress in mice.

机构信息

Department of Anesthesiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.

Key Laboratory of Anesthesiology (Shanghai Jiao Tong University), Ministry of Education, Shanghai, China.

出版信息

Nat Commun. 2024 Nov 28;15(1):10361. doi: 10.1038/s41467-024-54827-5.


DOI:10.1038/s41467-024-54827-5
PMID:39609433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605118/
Abstract

As the ability of liver regeneration is pivotal for liver disease patients, it will be of high significance and importance to identify the missing piece of the jigsaw influencing the liver regeneration. Here, we report that chronic stress impairs the liver regeneration capacity after partial hepatectomy with increased mortality in male mice. Anatomical tracing and functional mapping identified a neural circuit from noradrenergic neurons in the locus coeruleus (LC) to serotonergic neurons in the rostral medullary raphe region (rMR), which critically contributes to the inhibition of liver regeneration under chronic stress. In addition, hepatic sympathetic nerves were shown to be critical for the inhibitory effects on liver regeneration by releasing norepinephrine (NE), which acts on adrenergic receptor β2 (ADRB2) to block the proinflammatory macrophage activation. Collectively, we reveal a "brain-to-liver" neural connection that mediates chronic stress-evoked deficits in liver regeneration, thus shedding important insights into hepatic disease therapy.

摘要

由于肝脏再生能力对肝病患者至关重要,因此确定影响肝脏再生的关键拼图缺失部分将具有重要意义。在这里,我们报告慢性应激会损害雄性小鼠部分肝切除术后的肝脏再生能力,并增加其死亡率。解剖追踪和功能映射确定了一个从蓝斑核(LC)中的去甲肾上腺素能神经元到中脑嘴侧被盖区(rMR)中的 5-羟色胺能神经元的神经回路,该神经回路对慢性应激下的肝脏再生抑制起关键作用。此外,肝交感神经通过释放去甲肾上腺素(NE)对肝脏再生的抑制作用至关重要,去甲肾上腺素作用于肾上腺素能受体β2(ADRB2)以阻止促炎巨噬细胞的激活。总之,我们揭示了一种“脑-肝”神经连接,介导慢性应激引起的肝脏再生缺陷,从而为肝脏疾病治疗提供了重要的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/111f48698bce/41467_2024_54827_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/3eda8ec32bb3/41467_2024_54827_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/a1f956e6f81a/41467_2024_54827_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/b3d8d65e4da2/41467_2024_54827_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/8941f472dc12/41467_2024_54827_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/281cb00064a2/41467_2024_54827_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/8b8b71dd5e4c/41467_2024_54827_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/b2d20f23a1e1/41467_2024_54827_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/111f48698bce/41467_2024_54827_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/3eda8ec32bb3/41467_2024_54827_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/a1f956e6f81a/41467_2024_54827_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/b3d8d65e4da2/41467_2024_54827_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/8941f472dc12/41467_2024_54827_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/281cb00064a2/41467_2024_54827_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/8b8b71dd5e4c/41467_2024_54827_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/b2d20f23a1e1/41467_2024_54827_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bcc/11605118/111f48698bce/41467_2024_54827_Fig8_HTML.jpg

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引用本文的文献

[1]
Effect of transcutaneous auricular vagus nerve stimulation on postoperative liver function in patients undergoing partial hepatectomy: a study protocol for a prospective, double-blind, randomized controlled trial.

Front Med (Lausanne). 2025-8-12

[2]
Plasma hepcidin level is elevated by water immersion-induced central fatigue via hepatic inflammatory response in male and female rats.

Physiol Rep. 2025-8

[3]
Liver regeneration after partial hepatectomy: Triggers and mechanisms.

World J Hepatol. 2025-7-27

[4]
Molecular and functional diversity of the autonomic nervous system.

Nat Rev Neurosci. 2025-7-3

[5]
Fluoxetine and agomelatine mitigate anhedonic and hepatic changes in chronic restraint stress rat model.

Sci Rep. 2025-7-1

[6]
Multi-Organ Denervation: The Past, Present and Future.

J Clin Med. 2025-4-16

本文引用的文献

[1]
Central regulation of stress-evoked peripheral immune responses.

Nat Rev Neurosci. 2023-10

[2]
Brain regulation of gastric dysfunction induced by stress.

Nat Metab. 2023-9

[3]
Sympathetic circuits regulating hepatic glucose metabolism: where we stand.

Physiol Rev. 2024-1-1

[4]
Environmental eustress promotes liver regeneration through the sympathetic regulation of type 1 innate lymphoid cells to increase IL-22 in mice.

Hepatology. 2023-7-1

[5]
Molecular identification of bulbospinal ON neurons by GPER, which drives pain and morphine tolerance.

J Clin Invest. 2023-1-3

[6]
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Int J Environ Res Public Health. 2022-9-26

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Nat Rev Endocrinol. 2023-1

[8]
An oxytocinergic neural pathway that stimulates thermogenic and cardiac sympathetic outflow.

Cell Rep. 2022-9-20

[9]
Disruption of Circadian Rhythms by Shift Work Exacerbates Reperfusion Injury in Myocardial Infarction.

J Am Coll Cardiol. 2022-5-31

[10]
Economic Burden and Quality of Life of Hepatocellular Carcinoma in Greater China: A Systematic Review.

Front Public Health. 2022

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