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Gentiopicroside improves NASH and liver fibrosis by suppressing TLR4 and NLRP3 signaling pathways - 23/07/24

Doi : 10.1016/j.biopha.2024.116952 
Qiuhong Yong a, b, 1, Chaoyuan Huang c, 1, Bonan Chen d, e, f, Jinqi An a, b, Yiyuan Zheng g, Lina Zhao h, Chong Peng b, h, Fengbin Liu i, j,
a The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China 
b Lingnan Medical Research Center, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China 
c The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China 
d Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China 
e Institute of Digestive Disease, State Key Laboratory of Digestive Disease, Li Ka Shing Institute of Health Science, The Chinese University of Hong Kong, Hong Kong SAR, China 
f State Key Laboratory of Translational Oncology, Sir Y.K. Pao Cancer Center, The Chinese University of Hong Kong, Hong Kong SAR, China 
g Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China 
h Department of Hepatobiliary of The First Affiliated Hospital of Guangzhou University of Chinese Medicine, State Key Laboratory of Traditional Chinese Medicine Syndrome, Guangzhou, China 
i Baiyun Hospital of The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China 
j Lingnan Institute of Spleen and Stomach Diseases, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China 

Corresponding author at: Baiyun Hospital of The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China.Baiyun Hospital of The First Affiliated Hospital of Guangzhou University of Chinese MedicineGuangzhou510405China

Abstract

Background

Non-alcoholic steatohepatitis (NASH) and liver fibrosis are progressive conditions associated with non-alcoholic fatty liver disease (NAFLD), characterized by hepatocyte pyroptosis and hepatic stellate cell (HSC) activation. Gentiopicroside (GPS) has emerged as a potential treatment for NASH, yet its underlying mechanism remains unclear.

Aim

To confirm that GPS can improve NASH and liver fibrosis by blocking the NLRP3 signaling pathway

Study design

Initially, different animal models were used to study the effects and mechanisms of GPS on NASH and fibrosis. Subsequent in vitro experiments utilized co-cultures and other techniques to delve deeper into its mechanism, followed by validation of the findings in mouse liver tissues.

Methods

C57BL/6 mice were fed high-fat, high-cholesterol (HFHC), or methionine-choline-deficient (MCD) diets to induce NASH and fibrosis. RAW264.7 cells and born marrow bone marrow-derived macrophages (BMDMs) were stimulated with LPS and ATP to induce inflammation, then co-cultured with primary hepatocytes and HSCs, treated with GPS, and its efficacy and mechanism were analyzed.

Results

In vivo, GPS alleviated NASH and liver fibrosis by inhibiting the NLRP3 pathway. In vitro, GPS attenuated inflammation induced by BMDMs by inhibiting TLR4 and NLRP3 signaling pathways, and Co-culture studies suggested that GPS reduced hepatocyte pyroptosis and HSC activation, which was also confirmed in liver tissues

Conclusion

GPS improves NASH and liver fibrosis by inhibiting the TLR4 and NLRP3 signaling pathways. The specific mechanism may be related to the suppression of macrophage-mediated inflammatory responses, thereby reducing hepatocyte pyroptosis and HSC activation.

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Graphical Abstract




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Highlights

Gentiopicroside (GPS) can ameliorate NASH and inhibit fibrogenesis, with potential mechanisms involving the regulation of TLR4 and NLRP3 signaling pathways.
Targeting the suppression of macrophage-mediated inflammatory responses with GPS is a promising strategy for treating NASH and fibrosis by ameliorating hepatocyte pyroptosis and HSC activation.
We have shown for the first time that GPS regulates the TLR4 signaling pathway.

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Abbreviations : ALT, AST, ATP, BMDM, Bmp7, Caspase1, CCCP, Collagen Ⅰ, DAPI, ELISA, FBS, GPS, GS, GSDMD, H&E, HCC, HFD, HFHC, HSC, IL, LPS, M1, M2, MCD, MCP-1/Ccl2, M-CSF, MDM, Mmp13, MYD88, NAFLD, NAS, NASH, NF-κB, NLRP3, OA, PA, PBS, PFA, QRT-PCR, Spp1, TC, TG, TGF-β, Timp1, TLR4, TNF-α, WB, α-SMA

Keywords : Non-alcoholic steatohepatitis, Fibrosis, Gentiopicroside, Macrophages, NLRP3, TLR4


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