Xu Chengan, Wang Shouhao, Meng Di, Wang Mingshan, Yan Rong, Dai Yining
Center for General Practice Medicine, Department of Infectious Diseases, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Hepatology Diagnosis and Treatment Center, Zhejiang Provincial Key Laboratory for Accurate Diagnosis and Treatment of Chronic Liver Diseases, The First Affiliated Hospital of Wenzhou Medical University, Ouhai District, Wenzhou, Zhejiang, 325035, China.
BMC Gastroenterol. 2025 Jan 30;25(1):47. doi: 10.1186/s12876-025-03632-5.
Neuregulin (NRG) family is involved in energy metabolism, among which NRG1 is a neuregulin proved to play a protective role in MAFLD cells. But the presice echanism has not been fully illustrated. This study aimed to investigate the role of NRG1 via the ERK/SIRT1 signaling in the pathogenesis of MAFLD.
C57BL/6 mice were fed with high-fat diet for 8 weeks, and then injected with NRG1 (0.3 mg/kg/d) and PD98059 (0.3 mg/kg/d) via tail vein for 5 weeks. HepG2 cells induced by oleic acid and palmitic acid were treated with 20ng/mL NRG1 and 10µmol/L PD98059. The changes of histopathological, biochemical indexes, inflammatory factors, lipid metabolism, apoptosis and autophagy parameters were measured.
The expressions of NRG1 in MAFLD cell and animal models were significantly lower than that in the control group. After the intervention of ERK inhibitor PD98059, the expression of NRG1 decreased significantly in vivo, but no significant change was observed in vitro. Moreover, NRG1 ameliorated hepatic steatosis, enhanced cell viability, reduced cell apoptosis, and attenuated liver injury both in vitro and in vivo. After NRG1 intervention, the expressions of ERBB2, ERBB3, p-ERK1/2, SIRT1 and p-FOXO1 as well as the LC3II/I ratio in MAFLD cells and liver tissues of MAFLD mice were significantly increased, while the expression of SREBP1c was decreased. The aforementioned therapeutic effect of NRG1 was lost after the intervention of PD98059.
NRG1 might play a protective role in the pathogenesis of MAFLD by activating the downstream ERK1/2 through ErbB2-ErbB3, which promotes the expression of SIRT1 and autophagy markers. This study might indicate a new therapeutic strategy for MAFLD.
神经调节蛋白(NRG)家族参与能量代谢,其中神经调节蛋白1(NRG1)是一种已被证明在非酒精性脂肪性肝病(MAFLD)细胞中发挥保护作用的神经调节蛋白。但其确切机制尚未完全阐明。本研究旨在探讨NRG1通过细胞外信号调节激酶(ERK)/沉默信息调节因子1(SIRT1)信号通路在MAFLD发病机制中的作用。
将C57BL/6小鼠高脂喂养8周,然后通过尾静脉注射NRG1(0.3mg/kg/d)和PD98059(0.3mg/kg/d),持续5周。用20ng/mL NRG1和10µmol/L PD98059处理油酸和棕榈酸诱导的HepG2细胞。检测组织病理学、生化指标、炎症因子、脂质代谢、细胞凋亡和自噬参数的变化。
MAFLD细胞和动物模型中NRG1的表达明显低于对照组。在ERK抑制剂PD98059干预后,体内NRG1的表达显著降低,但体外未观察到显著变化。此外,NRG1在体外和体内均改善了肝脂肪变性,增强了细胞活力,减少了细胞凋亡,并减轻了肝损伤。NRG1干预后,MAFLD细胞和MAFLD小鼠肝组织中表皮生长因子受体2(ERBB2)、表皮生长因子受体3(ERBB3)、磷酸化细胞外信号调节激酶1/2(p-ERK1/2)、SIRT1和磷酸化叉头框蛋白O1(p-FOXO1)的表达以及微管相关蛋白1轻链3II/微管相关蛋白1轻链3I(LC3II/I)比值显著增加,而固醇调节元件结合蛋白1c(SREBP1c)的表达降低。PD98059干预后,NRG1的上述治疗作用消失。
NRG1可能通过ErbB2-ErbB3激活下游ERK1/2,促进SIRT1和自噬标志物的表达,从而在MAFLD的发病机制中发挥保护作用。本研究可能为MAFLD提示一种新的治疗策略。