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肝脏分泌的细胞外囊泡通过线粒体DNA-cGAS/STING轴促进肝硬化相关的骨骼肌损伤。

Liver-Secreted Extracellular Vesicles Promote Cirrhosis-Associated Skeletal Muscle Injury Through mtDNA-cGAS/STING Axis.

作者信息

Fan Xiaoli, Peng Yunke, Li Bo, Wang Xiaoze, Liu Yifeng, Shen Yi, Liu Guofeng, Zheng Yanyi, Deng Qiaoyu, Liu Jingping, Yang Li

机构信息

Department of Gastroenterology and Hepatology and Laboratory of Gastrointestinal Cancer and Liver Disease, West China Hospital, Sichuan University, Chengdu, 610041, China.

Department of Radiology, West China Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Adv Sci (Weinh). 2025 Mar;12(9):e2410439. doi: 10.1002/advs.202410439. Epub 2025 Jan 13.

Abstract

Skeletal muscle atrophy (sarcopenia) is a serious complication of liver cirrhosis, and chronic muscle inflammation plays a pivotal role in its pathologenesis. However, the detailed mechanism through which injured liver tissues mediate skeletal muscle inflammatory injury remains elusive. Here, it is reported that injured hepatocytes might secrete mtDNA-enriched extracellular vesicles (EVs) to trigger skeletal muscle inflammation by activating the cGAS-STING pathway. Briefly, injured liver secreted increased amounts of EVs into circulation, which are then engulfed primarily by macrophages in skeletal muscle and subsequently induce cGAS-STING signaling and its-mediated inflammatory response in muscles. In contrast, suppression of hepatic EV secretion or STING signaling significantly alleviated cirrhosis-induced skeletal muscle inflammation and muscle atrophy in vivo. Circulating EVs from cirrhotic patients showed higher levels of mtDNA, and the levels of EV-mtDNA positively correlated with the severity of liver injury. In injured hepatocytes, mitochondrial damage promoted the release of cytosolic mtDNA and the subsequent secretion of mtDNA-enriched EVs. This study reveals that injured hepatocyte-derived EVs induce skeletal muscle inflammation via the mtDNA‒STING axis, while targeted blockade of liver EV secretion or STING signaling represents a potential therapeutic approach for preventing cirrhosis-associated skeletal muscle atrophy.

摘要

骨骼肌萎缩(肌肉减少症)是肝硬化的一种严重并发症,慢性肌肉炎症在其发病机制中起关键作用。然而,受损肝脏组织介导骨骼肌炎性损伤的详细机制仍不清楚。本文报道,受损肝细胞可能分泌富含线粒体DNA的细胞外囊泡(EVs),通过激活cGAS-STING途径引发骨骼肌炎症。简而言之,受损肝脏分泌到循环中的EVs增多,这些EVs随后主要被骨骼肌中的巨噬细胞吞噬,进而诱导肌肉中的cGAS-STING信号及其介导的炎症反应。相反,抑制肝脏EV分泌或STING信号可显著减轻体内肝硬化诱导的骨骼肌炎症和肌肉萎缩。肝硬化患者循环中的EVs显示出线粒体DNA水平较高,且EV-线粒体DNA水平与肝损伤严重程度呈正相关。在受损肝细胞中,线粒体损伤促进了胞质线粒体DNA的释放以及随后富含线粒体DNA的EVs的分泌。本研究表明,受损肝细胞来源的EVs通过线粒体DNA-STING轴诱导骨骼肌炎症,而靶向阻断肝脏EV分泌或STING信号是预防肝硬化相关骨骼肌萎缩的一种潜在治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/11884600/bbf9cbe6df4b/ADVS-12-2410439-g009.jpg

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