Li Aichun, Chen Dahua, Shen Jianwei
Department of Gastroenterology, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo, 315040, Zhejiang, China.
Eur J Med Res. 2025 Jul 26;30(1):675. doi: 10.1186/s40001-025-02948-y.
Acute liver failure (ALF) is a rapidly progressing clinical syndrome with a high mortality rate and limited treatment options. In this study, we used the RIP1 kinase inhibitor necrostatin-1 (Nec-1) to explore the effect and mechanism of RIP1 in lipopolysaccharide (LPS)/D-galactosamine (GalN)-induced ALF.
Nec-1 pretreatment significantly ameliorated ALF, as evidenced by reduced hepatic necrosis and serum alanine aminotransferase levels. Additionally, Nec-1 administration alleviated LPS/GalN-induced hepatocyte apoptosis in liver tissues. Further in vitro experiments revealed that Nec-1 inhibited the secretion of TNF-α from macrophages and reduced TNF-α-induced hepatocyte apoptosis.
Inhibition of RIP1 effectively alleviated LPS/GalN-induced ALF by reducing hepatic apoptosis and attenuating the secretion of TNF-α from macrophages, suggesting its potential as a therapeutic agent for ALF patients.
急性肝衰竭(ALF)是一种进展迅速的临床综合征,死亡率高且治疗选择有限。在本研究中,我们使用RIP1激酶抑制剂坏死素-1(Nec-1)来探究RIP1在脂多糖(LPS)/D-半乳糖胺(GalN)诱导的急性肝衰竭中的作用及机制。
Nec-1预处理显著改善了急性肝衰竭,表现为肝坏死减少和血清丙氨酸转氨酶水平降低。此外,给予Nec-1可减轻LPS/GalN诱导的肝组织中肝细胞凋亡。进一步的体外实验表明,Nec-1抑制巨噬细胞分泌TNF-α,并减少TNF-α诱导的肝细胞凋亡。
抑制RIP1可通过减少肝细胞凋亡和减弱巨噬细胞TNF-α的分泌有效减轻LPS/GalN诱导的急性肝衰竭,提示其作为急性肝衰竭患者治疗药物的潜力。