Huang Lei-Jie, Wang Meng-Yu, Xin Feng-Zhi, Yang Rui-Xu, Zeng Jing, Ren Tian-Yi, Fan Jian-Gao
Department of Gastroenterology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
Department of Gastroenterology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
Hepatobiliary Pancreat Dis Int. 2025 Aug;24(4):423-432. doi: 10.1016/j.hbpd.2025.04.006. Epub 2025 Apr 30.
Metabolic dysfunction-associated steatotic liver disease (MASLD) is one of the leading causes of chronic liver disease worldwide. Recently, short-chain fatty acids (SCFAs), as metabolites of intestinal flora, have been found to participate in the progression of MASLD. Sodium butyrate (NaB), one of the most important SCFAs, shows therapeutic potentials in MASLD and its mechanisms have not been fully understood. The present study aimed to investigate the effects of NaB on metabolic dysfunction-associated steatohepatitis (MASH) associated fibrosis as well as the underlying mechanisms.
Male Sprague-Dawley rats were randomly assigned to three groups: (i) control group, standard chow for 24 weeks; (ii) HFD group, high-fat and high-cholesterol diet (HFD) for 24 weeks; and (iii) HFD + NaB group, HFD for 24 weeks and NaB gavage for the last 16 weeks. Body weight, liver index (liver weight/body weight × 100%), serum parameters, and liver histology were analyzed to evaluate MASH and fibrosis severity. AML12, RAW264.7 and LX2 cell lines were used for in vitro study.
Compared to MASH rats with fibrosis induced by 24-week HFD, NaB intervention alleviated the degree of hepatic steatosis, inflammation, hepatocyte ballooning, and fibrosis. Further mechanistic study showed that NaB supplementation significantly decreased miR-155-5p level in the liver and the serum of MASH rats, and the inhibition effects of miR-155-5p on suppressor of cytokine signaling 1 (SOCS1) in both hepatocytes and hepatic stellate cells (HSCs) were blunted when they were treated with NaB. Furthermore, NaB also significantly decreased the production of platelet-derived growth factor-BB (PDGF-BB), a pro-fibrotic mediator, in hepatocytes. NaB treatment on AML12 cells markedly impaired the proliferation ability of co-cultured LX2 cells. Moreover, NaB intervention or miR-155-5p mimics also interferes extracellular regulated protein kinases signaling in LX2 cells.
NaB intervention inhibited HSCs activation via miR-155-5p/SOCS1/PDGF signaling pathway and consequently relieved fibrosis in MASH rats. NaB might be a potential agent for the treatment of fibrosis in patients with MASH.
代谢功能障碍相关脂肪性肝病(MASLD)是全球慢性肝病的主要病因之一。近年来,短链脂肪酸(SCFAs)作为肠道菌群的代谢产物,已被发现参与MASLD的进展。丁酸钠(NaB)作为最重要的SCFAs之一,在MASLD中显示出治疗潜力,但其机制尚未完全明确。本研究旨在探讨NaB对代谢功能障碍相关脂肪性肝炎(MASH)相关纤维化的影响及其潜在机制。
将雄性Sprague-Dawley大鼠随机分为三组:(i)对照组,给予标准饲料24周;(ii)高脂高胆固醇饮食(HFD)组,给予HFD 24周;(iii)HFD + NaB组,给予HFD 24周,并在最后16周进行NaB灌胃。分析体重、肝脏指数(肝脏重量/体重×100%)、血清参数和肝脏组织学,以评估MASH和纤维化的严重程度。使用AML12、RAW264.7和LX2细胞系进行体外研究。
与24周HFD诱导的伴有纤维化的MASH大鼠相比,NaB干预减轻了肝脂肪变性、炎症、肝细胞气球样变和纤维化的程度。进一步的机制研究表明,补充NaB可显著降低MASH大鼠肝脏和血清中miR-155-5p的水平,当用NaB处理时,miR-155-5p对肝细胞和肝星状细胞(HSCs)中细胞因子信号抑制因子1(SOCS1)的抑制作用减弱。此外,NaB还显著降低了肝细胞中促纤维化介质血小板衍生生长因子-BB(PDGF-BB)的产生。NaB对AML12细胞的处理显著损害了共培养的LX2细胞的增殖能力。此外,NaB干预或miR-155-5p模拟物也干扰了LX2细胞中的细胞外调节蛋白激酶信号传导。
NaB干预通过miR-155-5p/SOCS1/PDGF信号通路抑制HSCs活化,从而减轻MASH大鼠的纤维化。NaB可能是治疗MASH患者纤维化的潜在药物。