Warner Dennis R, Warner Jeffrey B, Abdelfadil Yasmeen, Hardesty Josiah E, Treves Rui, Lei Chao, Hanford Hannah E, McClain Craig J, Kirpich Irina A
Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, School of Medicine, University of Louisville, Louisville, Kentucky, USA.
Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, Louisville, Kentucky, USA.
Alcohol Clin Exp Res (Hoboken). 2025 Jul 3. doi: 10.1111/acer.70109.
Alcohol-associated liver disease (ALD) is a significant global health concern, with limited effective treatments currently available. Targeting a specific pathway of polyunsaturated fatty acid (PUFA) metabolism, in which beneficial FA-derived compounds, known as epoxy fatty acids (EpFAs), are rapidly converted into less active or inactive metabolites by the enzyme, soluble epoxide hydrolase (s-EH), has shown promise in treating various pathological conditions. In this study, the s-EH inhibitor, t-TUCB, was tested for its efficacy in attenuating liver damage induced by chronic ethanol (EtOH) consumption in an animal model that mimics early-stage ALD in humans.
C57BL6/J male mice were fed an EtOH-containing diet with or without t-TUCB for 8 weeks. Liver steatosis, inflammation, and injury were evaluated. Fecal 16S rRNA sequencing was performed to examine the impact of s-EH inhibition on the gut microbiota composition.
EtOH-induced liver injury was attenuated in t-TUCB-treated mice, with a notable decrease in endoplasmic reticulum stress, hepatocyte cell death, and proinflammatory cytokine expression. There was no effect of t-TUCB on EtOH-induced hepatic steatosis. t-TUCB treatment shifted the liver lipid profile, increasing several EpFAs, such as 17,18-EpETE and 19,20-EpDPA. These EpFAs decreased apoptosis and LPS-induced expression of proinflammatory cytokines in vitro. t-TUCB treatment significantly increased Akkermansia muciniphila, a species known for its beneficial properties, in control but not in EtOH-fed mice. The EtOH-induced increase in bacteria taxa previously associated with liver injury, including the Peptostreptococcaceae family and the species, Alistipes massieliensis, was reduced in t-TUCB-treated mice.
Our data demonstrate the beneficial effects of t-TUCB treatment on chronic EtOH-induced liver injury and gut microbiota imbalances, in turn, promoting liver health. These findings suggest that pharmacologic s-EH inhibition may serve as a promising strategy for reducing liver injury in ALD.
酒精性肝病(ALD)是一个重大的全球健康问题,目前有效的治疗方法有限。针对多不饱和脂肪酸(PUFA)代谢的特定途径,其中有益的脂肪酸衍生化合物,即环氧脂肪酸(EpFAs),会被可溶性环氧化物水解酶(s-EH)迅速转化为活性较低或无活性的代谢产物,在治疗各种病理状况方面已显示出前景。在本研究中,对s-EH抑制剂t-TUCB在模拟人类早期ALD的动物模型中减轻慢性乙醇(EtOH)摄入所致肝损伤的疗效进行了测试。
将C57BL6/J雄性小鼠喂食含或不含t-TUCB的乙醇饮食8周。评估肝脏脂肪变性、炎症和损伤情况。进行粪便16S rRNA测序以检查s-EH抑制对肠道微生物群组成的影响。
在t-TUCB处理的小鼠中,EtOH诱导的肝损伤得到减轻,内质网应激、肝细胞死亡和促炎细胞因子表达显著降低。t-TUCB对EtOH诱导的肝脂肪变性没有影响。t-TUCB处理改变了肝脏脂质谱,增加了几种EpFAs,如17,18-EpETE和19,20-EpDPA。这些EpFAs在体外可减少细胞凋亡和LPS诱导的促炎细胞因子表达。t-TUCB处理在对照小鼠中显著增加了具有有益特性的嗜黏蛋白阿克曼氏菌,但在喂食EtOH的小鼠中未增加。在t-TUCB处理的小鼠中,EtOH诱导的先前与肝损伤相关的细菌分类群增加,包括消化链球菌科和马赛阿里斯杆菌属,有所减少。
我们的数据证明了t-TUCB处理对慢性EtOH诱导的肝损伤和肠道微生物群失衡具有有益作用,进而促进肝脏健康。这些发现表明,药理学上抑制s-EH可能是减少ALD中肝损伤的一种有前景的策略。