凝溶胶蛋白通过调节F-肌动蛋白和降解P53在失血性休克中的保护作用。

Gelsolin's Protective Role in MASH through F-Actin Regulation and P53 Degradation.

作者信息

Lu Yiwei, Ji Tong, Ye Zhichao, Yan Jianing, Wang Chao, Chen Jiachen, Jin Ziyang, Zhu Yongji, Cai Xiujun, Wang Yifan

机构信息

Department of General Surgery, Sir Run Run Shaw Hospital Affiliated to School of Medicine, Zhejiang University, Hangzhou, 310016, China.

National Engineering Research Center of Innovation and Application of Minimally Invasive Instruments, Hangzhou, 310016, China.

出版信息

Adv Sci (Weinh). 2025 Jun;12(23):e2416489. doi: 10.1002/advs.202416489. Epub 2025 May 20.

Abstract

Hepatic steatosis, inflammation, and fibrosis are the hallmarks of metabolic-associated steatohepatitis (MASH), a serious health risk. This study emphasizes how important gelsolin (GSN) is to the pathophysiology of MASH. The results show that GSN is significantly overexpressed in both MASH patients and animal models. Under MASH models, Gsn knockout (KO) (Gsn) mice demonstrate exacerbated hepatic steatosis, inflammation, and fibrosis, underscoring GSN's protective function. Remarkably, adeno-associated virus (AAV)-mediated restoration of Gsn substantially alleviates these pathological features, indicating its therapeutic potential. Mechanistically, the absence of GSN leads to increased F-actin polymerization and heightened activation of Yes-associated protein (YAP), thereby intensifying the inflammatory response. Subsequently, the experimental data identify a co-expression relationship between GSN and MDM2, and GSN is found to facilitate the ubiquitination and subsequent degradation of P53 via MDM2, a crucial process for liver protection. These findings imply that GSN is essential for controlling important molecular pathways in MASH by encouraging P53's MDM2-mediated degradation, which lessens the severity of hepatic steatosis. The research offers important new understandings of the molecular mechanisms of MASH and suggests GSN as a viable therapeutic target to reduce liver damage and preserve hepatic homeostasis.

摘要

肝脂肪变性、炎症和纤维化是代谢相关脂肪性肝炎(MASH)的标志,这是一种严重的健康风险。本研究强调凝溶胶蛋白(GSN)对MASH病理生理学的重要性。结果表明,GSN在MASH患者和动物模型中均显著过表达。在MASH模型下,凝溶胶蛋白基因敲除(KO)(Gsn)小鼠表现出肝脂肪变性、炎症和纤维化加剧,突出了GSN的保护作用。值得注意的是,腺相关病毒(AAV)介导的Gsn恢复可显著减轻这些病理特征,表明其治疗潜力。从机制上讲,GSN的缺失导致F-肌动蛋白聚合增加和Yes相关蛋白(YAP)激活增强,从而加剧炎症反应。随后,实验数据确定了GSN与MDM2之间的共表达关系,并且发现GSN通过MDM2促进P53的泛素化及随后的降解,这是肝脏保护的关键过程。这些发现意味着GSN通过促进P53的MDM2介导的降解来控制MASH中的重要分子途径至关重要,这减轻了肝脂肪变性的严重程度。该研究为MASH的分子机制提供了重要的新认识,并表明GSN是减少肝损伤和维持肝脏稳态的可行治疗靶点。

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