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利拉鲁肽和GLP-1(9-37)通过GSK3β/Nrf2途径和SMAD159/铁调素/FTH途径抑制铁死亡,从而减轻肝脏缺血再灌注损伤。

Liraglutide and GLP-1(9-37) alleviated hepatic ischemia-reperfusion injury by inhibiting ferroptosis via GSK3β/Nrf2 pathway and SMAD159/Hepcidin/FTH pathway.

作者信息

Lu Chenqi, Xu Cong, Li Shanglin, Ni Haiqiang, Yang Jun

机构信息

Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Ministry of Education, NHC Key Laboratory of Organ Transplantation, Key Laboratory of Organ Transplantation, Chinese Academy of Medical Sciences, Wuhan, China.

Division of Nephrology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Redox Biol. 2025 Feb;79:103468. doi: 10.1016/j.redox.2024.103468. Epub 2024 Dec 12.

Abstract

Ferroptosis plays a pivotal role in the pathogenesis of ischemia-reperfusion injury (IRI). Liraglutide, as a GLP-1 receptor (GLP-1R) agonist, has exhibited extensive biological effects beyond its hypoglycemic action. Recent studies have shed light on the regulatory influence of Liraglutide on ferroptosis, yet the precise underlying mechanism remains elusive. GLP-1(9-37), as a metabolite of GLP-1, has a low affinity to GLP-1R. Its effect on ferroptosis remains unknown. In this study, we investigated the effects of Liraglutide and GLP-1(9-37) on the ferroptosis during hepatic ischemia-repferfusion (I/R), as well as the underlying specific mechanisms. We found that the administration of Liraglutide alleviated I/R-induced liver injury with less iron accumulation and lower lipid peroxidation, which was not entirely dependent on the presence of GLP-1R. Similarly, GLP-1(9-37) also exhibited these effects. Besides, both of them increased GPX4 expression and decreased COX2 expression. These effects were reversed by a High-Iron Diet. In vitro study showed similar results. In mechanism study, we found that both Liraglutide and GLP-1(9-37) treatment promoted the nuclear translocation of Nrf2 by inhibiting GSK-3β, thereby reducing lipid peroxides. Furthermore, they increased FTH and FTL expression via the SMAD159/Hepcidin pathway, which contributed to the decreased iron accumulation. In conclusion, this study determined that both Liraglutide and GLP-1(9-37) alleviated hepatic ischemia-reperfusion injury (HIRI) by suppressing ferroptosis via the activation of the GSK3β/Nrf2 pathway and the SMAD159/Hepcidin/FTH pathway.

摘要

铁死亡在缺血再灌注损伤(IRI)的发病机制中起关键作用。利拉鲁肽作为一种胰高血糖素样肽-1受体(GLP-1R)激动剂,已展现出超出其降糖作用的广泛生物学效应。近期研究揭示了利拉鲁肽对铁死亡的调节影响,但其确切的潜在机制仍不清楚。GLP-1(9-37)作为GLP-1的一种代谢产物,对GLP-1R的亲和力较低。其对铁死亡的影响尚不清楚。在本研究中,我们探究了利拉鲁肽和GLP-1(9-37)对肝脏缺血再灌注(I/R)期间铁死亡的影响以及潜在的具体机制。我们发现,给予利拉鲁肽可减轻I/R诱导的肝损伤,铁蓄积减少且脂质过氧化降低,这并不完全依赖于GLP-1R的存在。同样,GLP-1(9-37)也表现出这些作用。此外,二者均增加了GPX4表达并降低了COX2表达。这些作用被高铁饮食所逆转。体外研究显示了类似结果。在机制研究中,我们发现利拉鲁肽和GLP-1(9-37)处理均通过抑制GSK-3β促进Nrf2的核转位,从而减少脂质过氧化物。此外,它们通过SMAD159/铁调素途径增加了FTH和FTL表达,这有助于减少铁蓄积。总之,本研究确定利拉鲁肽和GLP-1(9-37)均通过激活GSK3β/Nrf2途径和SMAD159/铁调素/FTH途径抑制铁死亡,从而减轻肝缺血再灌注损伤(HIRI)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea7a/11719303/c3cc2d7d8534/gr1.jpg

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