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alleviates ischemia-reperfusion injury in steatotic donor liver by inhibiting ferroptosis via the Foxo3-Alox15 signaling pathway.

作者信息

Deng Shenghe, Cao Huan, Li Tongxi, Wang Xueling, Meng Junpeng, Zeng Teng, Zhang Di, Zhang Shuhua, Wang Guoliang, Liu Ran, Zou Tianhao, Cai Mao, Lang Ren, Lu Di, Gu Jinyang

机构信息

Center for Liver Transplantation, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Department of General Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, China.

出版信息

Gut Microbes. 2025 Dec;17(1):2460543. doi: 10.1080/19490976.2025.2460543. Epub 2025 Jan 30.


DOI:10.1080/19490976.2025.2460543
PMID:39882747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11784649/
Abstract

Ischemia-reperfusion injury (IRI) is a major obstacle in liver transplantation, especially with steatotic donor livers. Dysbiosis of the gut microbiota has been implicated in modulating IRI, and plays a pivotal role in regulating host inflammatory and immune responses, but its specific role in liver transplantation IRI remains unclear. This study explores whether can mitigate IRI and its underlying mechanisms. We found (.) abundance was significantly reduced in rats with liver cirrhosis. .-treated rats exhibited improved intestinal permeability, reduced IRI severity in both normal and steatotic donor livers, and decreased levels of neutrophil and macrophage infiltration, and inflammatory cytokines. Multi-omics analysis revealed elevated pyruvate levels in transplanted livers after . treatment, alongside reduced Alox15 and Foxo3 expression. Mechanistically, .-derived pyruvate inhibited Alox15 expression and reduced ferroptosis in normal and steatotic donor livers. Furthermore, reduced nuclear translocation of Foxo3 further suppressed Alox15 expression, alleviating IRI, especially in steatotic donor livers. Clinical samples confirmed reduced donor livers IRI in cirrhotic recipients with high . abundance after liver transplantation. In conclusion, . alleviates IRI in steatotic donor liver transplantation by inhibiting ferroptosis via the Foxo3-Alox15 axis, providing a potential therapeutic strategy to modulate gut microbiota to alleviate IRI following liver transplantation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/d535570b1198/KGMI_A_2460543_F0007_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/19322f02e2de/KGMI_A_2460543_UF0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/4f04331d187e/KGMI_A_2460543_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/575d35078619/KGMI_A_2460543_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/4077699854d8/KGMI_A_2460543_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/74b596d89f19/KGMI_A_2460543_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/3d15fea07378/KGMI_A_2460543_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/38b3e73af3df/KGMI_A_2460543_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/d535570b1198/KGMI_A_2460543_F0007_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/19322f02e2de/KGMI_A_2460543_UF0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/4f04331d187e/KGMI_A_2460543_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/575d35078619/KGMI_A_2460543_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/4077699854d8/KGMI_A_2460543_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/74b596d89f19/KGMI_A_2460543_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/3d15fea07378/KGMI_A_2460543_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/38b3e73af3df/KGMI_A_2460543_F0006_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e568/11784649/d535570b1198/KGMI_A_2460543_F0007_OC.jpg

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[3]
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[4]
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[5]
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本文引用的文献

[1]
Suppression of Hepatocyte Ferroptosis via USP19-Mediated Deubiquitination of SLC7A11 in Ischemia-Free Liver Transplantation.

Adv Sci (Weinh). 2025-2

[2]
Induction of steatosis in primary human hepatocytes recapitulates key pathophysiological aspects of metabolic dysfunction-associated steatotic liver disease.

J Hepatol. 2025-1

[3]
Oleanolic acid alleviating ischemia-reperfusion injury in rat severe steatotic liver via KEAP1/NRF2/ARE.

Int Immunopharmacol. 2024-9-10

[4]
Wogonin Alleviates DCD Liver Ischemia/Reperfusion Injury by Regulating ALOX15/iNOS-mediated Ferroptosis.

Transplantation. 2024-12-1

[5]
Effect of dapagliflozin on ferroptosis through the gut microbiota metabolite TMAO during myocardial ischemia-reperfusion injury in diabetes mellitus rats.

Sci Rep. 2024-6-15

[6]
Metabolite profiling of human-originated Lachnospiraceae at the strain level.

Imeta. 2022-10-13

[7]
ZBP1-mediated apoptosis and inflammation exacerbate steatotic liver ischemia/reperfusion injury.

J Clin Invest. 2024-5-14

[8]
Steatotic Donor Transplant Livers: Preservation Strategies to Mitigate against Ischaemia-Reperfusion Injury.

Int J Mol Sci. 2024-4-24

[9]
Antibiotic-induced intestinal microbiota depletion can attenuate the acute kidney injury to chronic kidney disease transition via NADPH oxidase 2 and trimethylamine-N-oxide inhibition.

Kidney Int. 2024-6

[10]
Distinct intestinal microbial signatures linked to accelerated systemic and intestinal biological aging.

Microbiome. 2024-2-22

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