Abstract

Hepatic ischemia/reperfusion (I/R) contributes to major complications in clinical practice affecting perioperative morbidity and mortality. Recent evidence suggests the key role of nucleotide-binding oligomerization domain-like receptor (NLR) family pyrin domain-containing 3 (NLRP3) inflammaosme activation on the pathogenesis of I/R injury. Asiatic acid (AA) is a pentacyclic triterpene derivative presented with versatile activities, including antioxidant, anti-inflammation and hepatoprotective effects. This study was designed to determine whether AA had potential hepatoprotective benefits against hepatic I/R injury, as well as to unveil the underlying mechanisms involved in the putative effects. Mice subjected to warm hepatic I/R, and Kupffer cells (KCs) or RAW264.7 cells challenged with lipopolysaccharide (LPS)/H2O2, were pretreated with AA. Administration of AA significantly attenuated hepatic histopathological damage, global inflammatory level, apoptotic signaling level, as well as NLRP3 inflammasome activation. These effects were correlated with increased expression of peroxisome proliferator-activated receptor gamma (PPARγ). Conversely, pharmacological inhibition of PPARγ by GW9662 abolished the protective effects of AA on hepatic I/R injury and in turn aggravated NLRP3 inflammasome activation. Activation of NLRP3 inflammasome was most significant in nonparenchymal cells (NPCs). Depletion of KCs by gadolinium chloride (GdCl3) further attenuated the detrimental effects of GW9662 on hepatic I/R as well as NLRP3 activation. In vitro, AA concentration-dependently inhibited LPS/H2O2-induced NLRP3 inflammaosome activation in KCs and RAW264.7 cells. Either GW9662 or genetic knockdown of PPARγ abolished the AA-mediated inactivation of NLRP3 inflammasome. Mechanistically, AA attenuated I/R or LPS/H2O2-induced ROS production and phosphorylation level of JNK, p38 MAPK and IκBα but not ERK, a mechanism dependent on PPARγ. Finally, AA blocked the deleterious effects of LPS/H2O2-induced macrophage activation on hepatocyte viability in vitro, and improved survival in a lethal hepatic I/R injury model in vivo. Collectively, these data suggest that AA is effective in mitigating hepatic I/R injury through attenuation of KCs activation via PPARγ/NLRP3 inflammasome signaling pathway.

Highlights

  • Liver ischemia/reperfusion (I/R) injury is a significant clinical problem that is frequently encountered during liver transplantation, liver resection, massive trauma, hemorrhagic shock, sepsis and cardiopulmonary failure

  • As shown in Figure 4A4E, I/R+Asiatic acid (AA)+GdCl3+GW9662 group presented with an improvement in histopathological scoring and inflammatory injury compared to AA+GW9662-pretreated I/R group. These findings suggested that inactivation of Kupffer cells (KCs) by an attenuated NLR family pyrin domaincontaining protein 3 (NLRP3) signaling pathway contributed to the protective effects of AA against hepatic I/R injury

  • As shown in Figure 5D&5E, either inhibition of PPARγ by GW9662 in KCs, or knockdown of PPARγ by a specific siRNA in RAW264.7 cells, abolished the inhibitory effect of AA on LPS/H2O2-induced NLRP3 activation. These findings suggested that AA depressed LPS/H2O2-induced NLRP3 inflammasome activation in a PPARγ-dependent manner

Read more

Summary

Introduction

Liver ischemia/reperfusion (I/R) injury is a significant clinical problem that is frequently encountered during liver transplantation, liver resection, massive trauma, hemorrhagic shock, sepsis and cardiopulmonary failure. The initial phase occurs within 1-6 h after reperfusion, and is manifested by the release of various damage associated molecular patterns (DAMPs), activation of liver resident Kupffer cells (KCs) and their subsequent production and release of reactive oxygen species (ROS) as well as various mediators, such as cytokines, chemokines and adhesion molecules. This causes mild injury to the hepatic parenchyma, but the released soluble mediators result in the recruitment and activation of neutrophils and inflammatory monocytes, and create a feedback loop that further activates hepatocellular stress kinase pathways, exacerbating injury [1, 2]. This is supported by evidence that inhibition of KCs or cytokine neutralization protected against hepatic I/R injury in animal studies [3,4,5,6]

Methods
Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call