首页|WNT1诱导信号通路蛋白1在非酒精性脂肪性肝炎的作用及其机制

WNT1诱导信号通路蛋白1在非酒精性脂肪性肝炎的作用及其机制

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目的 探究WNT1诱导信号通路蛋白1(WISP1)在非酒精性脂肪性肝炎(NASH)的功能定位及治疗作用机制.方法 60只雄性C57BL/6J小鼠购于北京维通利华公司,采取简单随机抽样法分为5组,每组10只,正常组喂养普通饲料,通过喂养高脂高胆固醇饲料14周制备NASH小鼠模型,在造模过程中分别腹腔注射IgG单克隆抗体,0.1 g/kg WISP1高亲和力单克隆抗体,0.2 g/kg WISP-1高亲和力单克隆抗体为IgG、低剂量WISP1抗体组和高剂量WISP1抗体组,每周2次,连续给药14周.检测血清丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、血糖水平.苏木精-伊红(HE)、糖原(PAS)染色、油红O染色观察肝组织病理变化.实时荧光定量聚合酶链反应(Real-time PCR)检测小鼠肝组织中白细胞介素(IL)-10、IL-6、IL-1β、肿瘤坏死因子-α(TNF-α)mRNA表达水平.检测肝组织总胆固醇(TC)、甘油三脂(TG)水平,酶联免疫吸附测定法(ELISA)检测还原型谷胱甘肽(GSH)、丙二醛(MDA)、超氧化物歧化酶(SOD)活性水平,活性氧(ROS)荧光染色检测肝组织中活性氧含量;免疫组织化学(IHC)检测肝组织WISP-1、乙酰辅酶a合成酶(ACS)蛋白表达,蛋白质印迹法(Western blot)检测肝组织肝组织腺苷酸活化蛋白激酶(AMPK)、磷酸化AMPK(p-AMPK)、肉碱棕榈酰转移酶-1(CPT1)、过氧化物酶体增殖物激活受体γ辅激活因子-1(PCG-1α)蛋白表达水平.结果 模型组小鼠血清AST、ALT、血糖水平高于正常组[(245.01± 57.57)U/L 比(37.28±4.23)U/L、(218.96±55.27)U/L 比(49.81±10.57)U/L、(25.73± 2.29)mmol/L比(8.06±0.51)mmol/L,P<0.01];模型组病理表现为肝细胞脂肪变性、炎性细胞浸润、多处坏死灶;模型组小鼠肝组织炎症因子(IL-10、IL-6、IL-1β、TNF-α)mRNA水平高于正常组(7.49±059 比 1.00±0.38、5.57±3.22 比 1.00±0.59、4.86±3.86 比 1.00±0.34、10.18±3.24 比1.00±0.17,P<0.01);MDA 含量高于正常组[(3.75±0.40)nmol/ml 比(2.22±0.24)nmol/ml,P<0.01],GSH、SOD 活性低于正常组[(0.22±0.06)ng/ml 比(0.49±0.15)ng/ml、(2.19± 0.23)pg/ml 比(4.59±0.22)pg/ml,P<0.01],ROS 含量高于正常组(4.91±0.31 比 1.00±0.12,P<0.01);同时PGC-1α、ACS 蛋白表达高于正常组[(2.19±0.084 比 1.00±0.09、(62.97±2.38)%比(26.72±0.73)%,P<0.01],CPT1 表达低于正常组(0.55±0.01 比 1.00±0.13,P<0.01).低、高剂量WISP1抗体组小鼠血清AST、ALT、血糖水平低于模型组[(65.53±25.85)、(53.49± 12.22)U/L 比(245.01±57.57)U/L,(73.93±23.670)、(60.88±23.38)U/L 比(218.96± 55.27)U/L,(20.07±2.03)、(16.46±3.71)mmol/L 比(25.73±2.29)mmol/L,P<0.01],低、高剂量WISP1抗体组小鼠肝脏脂肪变性、炎症细胞浸润、坏死程度降低,低、高剂量WISP1抗体组小鼠肝组织 IL-10、IL-6、IL-1β、TNF-α mRNA 低于模型组(2.98±0.31、2.579±0.22 比 7.49±1.57,1.83±0.35、2.53±0.32 比 5.57±1.03,1.62±0.24、1.52±0.34 比 4.86±1.33,2.63±0.56、2.12±0.37比10.18±2.31,P<0.05),高剂量WISP1抗体组小鼠MDA含量低于模型组[(1.83± 0.694)nmol/ml 比(3.70±0.50)nmol/ml,P<0.01],GSH、SOD 活性高于模型组[(0.45± 0.12)ng/ml 比(0.22±0.06)ng/ml、(5.50±0.98)pg/ml 比(2.19±0.40)pg/ml,P<0.01],活性氧含量低于模型组(0.51±0.06比4.91±0.31,P<0.01).低、高剂量WISP1抗体组PGC-1α、ACS蛋白表达低于模型组(1.22±0.16、1.07±0.05 比 2.19±0.08,(33.50±3.45)%、(35.38±3.65)%比(62.97±2.38)%,P<0.01),p-AMPK、CPT1 表达高于模型组(2.61±0.363、2.47±0.36 比1.04±0.14,1.23±0.23、1.27±0.03 比 0.55±0.01,P<0.01).结论 抗 WISP1 治疗能通过激活AMPK通路,介导PGC-1α/CPT1通路改善NASH小鼠肝脏脂质代谢,减少炎症和脂质过氧化,促进肝细胞修复.
Role of WNT1-induced signaling pathway protein 1 in non-alcoholic steatohepatitisand underlying mech-anism
Objective To explore the functional localization and therapeutic mechanism of WNT1-in-duced signaling pathway protein 1(WISP1)in non-alcoholic steatohepatitis(NASH).Methods A total of 60 male C57BL/6J mice were divided into 5 groups by simple random sampling(10 mice in each group).The normal group was fed on ordinary diet,and the NASH mouse model was prepared by feeding high-fat and high-cholesterol diet for 14 weeks.During the modeling process,the mice with intraperitoneal injection of IgG mono-clonal antibody,0.1 g/kg WISP-1 high-affinity monoclonal antibody,0.2 g/kg WISP-1 high-affinity monoclonal antibodies served as IgG group,low-dose WISP-1 antibody group and high-dose WISP1 antibody group,respec-tively.All mice in three groups were administered twice a week for 14 weeks.Serum alanine aminotransferase(ALT),aspartate aminotransferase(AST)and blood glucose levels were detected.The pathological changes of liver tissue were observed by hematoxylin-eosin(HE),glycogen(PAS)and oil red O staining.The levels of to-tal cholesterol(TC)and triglycerides(TG)in liver tissue were detected,and the activity levels of reduced glu-tathione(GSH),malondialdehyde(MDA)and superoxide dismutase(SOD)were detected by enzyme-linked im-munosorbent assay(ELISA).The mRNA expression levels of interleukin(IL)-10,IL-6,IL-1β and tumor necro-sis factor-α(TNF-α)in serum of mice were detected by real-time quantitative polymerase chain reaction(Real-time PCR).The expression of WISP1 and Acetyl-CoA synthetase(ACS)in liver tissues was detected by immu-nohistochemistry(IHC),and the expression levels of adenosine monophosphate-actived protein kinase(AMPK),phosphorylated AMPK(p-AMPK),carnitine palmitoyltransferase(CPT1)and peroxisome proliferator-activated receptor-gamma coactivator(PGC)-1alpha(PCG-1α)in liver tissues were detected by Western blotting.Results Compared with the normal group,the serum AST,ALT and blood glucose levels in the model group were in-creased[(245.01±57.57)U/L vs.(37.28±4.23)U/L,(218.96±55.27)U/L vs.(49.81±10.57)U/L,(25.73±2.29)mmol/L vs.(8.06±0.51)mmol/L,P<0.01].The pathological manifestations included hepa-tocyte steatosis,inflammatory cell infiltration and multiple necrotic foci.The mRNA levels of hepatic inflamma-tory factors(IL-10,IL-6,IL-1β,TNF-α)were increased(7.49±059 vs.1.00±0.38,5.57±3.22vs.1.00± 0.59,4.86±3.86 vs.1.00±0.34,10.18±3.24 vs.1.00±0.17,P<0.01).The contents of MDA increased[(3.75±0.40)vs.(2.22±0.24)nmol/ml,(P<0.01],and GSH and the activity of SOD decreased[(0.22± 0.06)vs.(0.49±0.15)ng/ml,(2.19±0.23)vs.(4.59±0.22)pg/ml,P<0.01].The ROS content was higher than that of normal group(4.91±0.31 vs.1.00±0.12,P<0.01).At the same time,the expression of PGC-1α,ACS protein decreased[(2.19±0.084 vs.1.00±0.09,(62.97±2.38)%vs.(26.72±0.73)%,P<0.01],and the expression of CPT1 increased(0.55±0.01 vs.1.00±0.132,P<0.01).Compared with the model group,the serum AST,ALT and blood glucose levels in low and high dose groups were decreased[(65.53±25.85),(53.49±12.22)U/L vs.(245.01±57.57)U/L,(73.93±23.670),(60.88±23.38)U/L vs.(218.96±55.27)U/L,(20.07±2.03),(16.46±3.71)mmol/L vs.(25.73±2.29)mmol/L,P<0.01),the degree of liver steatosis,inflammatory cell infiltration and necrosis was decreased,and the contents of IL-10,IL-6,IL-1β,TNF-α mRNA(2.98±0.31,2.579±0.22 vs.7.49±1.57,1.83±0.35,2.53±0.32 vs.5.57±1.03,1.62±0.24,1.52±0.34 vs.4.86±1.33,2.63±0.56,2.12±0.37 vs.10.18±2.31,P<0.05 P<0.01),and MDA in liver tissue were significantly decreased[(1.83±0.694)vs.(3.70±0.50)nmol/ml,(P<0.01].GSH and SOD activity was significantly increased[(0.45±0.12)vs.(0.22±0.06)ng/ml,(5.50±0.98)vs.(2.19±0.40)pg/ml,P<0.01].The expression of PGC-1α and ACS protein was signif-icantly decreased[1.22±0.16,1.07±0.05 vs.2.19±0.08;(33.50±3.45)%,(35.38±3.65)%vs.(62.97±2.38)%,P<0.01],and the expression of p-AMPK and CPT1 was significantly increased(2.61±0.363,2.47±0.36 vs.1.04±0.14;1.23±0.23,1.27±0.03 vs.0.55±0.01,P<0.01).Conclusion Anti-WISP1 therapy can improve liver lipid metabolism,reduce inflammation and lipid per-oxidation,and promote liver cell repair in NASH mice by activating AMPK pathway and mediating PGC-1α/CPT1 pathway.

WNT1 induced signaling pathway protein 1Non-alcoholic SteatohepatitisLipid metabolismAdenosine monophosphate-actived protein kinase pathwayLipid peroxidation

何鑫、张子龙、金鑫、黄乐、温松奇、游建

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武汉市第四医院肝胆胰疝外科,武汉 430033

WNT1诱导信号通路蛋白1 非酒精性脂肪性肝炎 脂质代谢 腺苷酸活化蛋白激酶通路 脂肪过氧化

吴阶平医学基金会临床科研专项

320.6750.2023-11-8

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(5)
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