Yang Ying, Zhang Yuwei, Wang Lu, He Guanyi, Yang Xue, Qing Jie
Research Center of Integrated Traditional Chinese and Western Medicine, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, China.
MOE Key Laboratory of Bioorganic Phosphorus Chemistry & Chemical Biology, Department of Chemistry, Tsinghua University, Beijing 100084, China.
DNA Cell Biol. 2025;44(3):132-143. doi: 10.1089/dna.2024.0198. Epub 2025 Jan 8.
Liver fibrosis, one of the main histological determinants of various chronic liver diseases, currently lacks effective treatment. Hepatic stellate cells (HSCs) are pivotal in the production of extracellular matrix and amplify the fibrogenic response. Inhibiting the activation of HSCs or promoting the senescence of activated HSCs is crucial for the regression of liver fibrosis. The ATPase p97, also known as valosin-containing protein (VCP), is a central component of the ubiquitin-proteasome system, and it regulates numerous cellular processes by influencing protein homeostasis. In this study, we observed an upregulation of p97 expression around regions exhibiting fibrosis in a diet- and chemical-induced nonalcoholic steatohepatitis and fibrosis murine model. Intervention with the p97 antagonist CB-5083 or the knockdown of p97 reduced the expression of alpha-smooth muscle actin and collagen-I in both mouse or human HSCs. The administration of CB-5083 induced HSC senescence and resulted in the upregulation of senescence markers, including p21, p53, GPX4, and senescence-associated β-galactosidase. Furthermore, CB-5083 treatment also inhibited the expression of Yes-associated protein (YAP), which is also a senescence-related regulatory protein and has a profibrotic function. We used CB-5083 to treat fibrotic mice and found that the activation of HSCs was inhibited, and the liver fibrosis was attenuated. In addition, experiments confirmed that CB-5083 facilitated HSC senescence and reduced YAP expression. These findings underscore the potential of pharmacological targeting p97/VCP to induce HSC senescence and alleviate liver fibrosis.
肝纤维化是各种慢性肝病的主要组织学决定因素之一,目前缺乏有效的治疗方法。肝星状细胞(HSCs)在细胞外基质的产生中起关键作用,并放大纤维化反应。抑制肝星状细胞的激活或促进活化肝星状细胞的衰老对于肝纤维化的消退至关重要。ATP酶p97,也称为含缬酪肽蛋白(VCP),是泛素-蛋白酶体系统的核心成分,它通过影响蛋白质稳态来调节众多细胞过程。在本研究中,我们在饮食和化学诱导的非酒精性脂肪性肝炎和纤维化小鼠模型中观察到,在出现纤维化的区域周围p97表达上调。用p97拮抗剂CB-5083干预或敲低p97可降低小鼠或人肝星状细胞中α-平滑肌肌动蛋白和I型胶原蛋白的表达。给予CB-5083可诱导肝星状细胞衰老,并导致衰老标志物p21、p53、GPX4和衰老相关β-半乳糖苷酶的表达上调。此外,CB-5083治疗还抑制了Yes相关蛋白(YAP)的表达,YAP也是一种与衰老相关的调节蛋白,具有促纤维化功能。我们用CB-5083治疗纤维化小鼠,发现肝星状细胞的激活受到抑制,肝纤维化得到减轻。此外,实验证实CB-5083促进肝星状细胞衰老并降低YAP表达。这些发现强调了药理学靶向p97/VCP以诱导肝星状细胞衰老和减轻肝纤维化的潜力。
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