Abstract

Urotensin II (UII) is implicated in immune inflammatory diseases through its specific high-affinity UT receptor (UTR). Enhanced expression of UII/UTR was recently demonstrated in the liver with acute liver failure (ALF). Here, we analysed the relationship between UII/UTR expression and ALF in lipopolysaccharide (LPS)/D-galactosamine (GalN)-challenged mice. Thereafter, we investigated the effects produced by the inhibition of UII/UTR system using urantide, a special antagonist of UTR, and the potential molecular mechanisms involved in ALF. Urantide was administered to mice treated with LPS/GalN. Expression of UII/UTR, releases of proinflammatory cytokines including tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β) and interferon-γ (IFN-γ), and activation of nuclear factor κB (NF-κB) signaling pathway were assessed in the lethal ALF with or without urantide pretreatment. We found that LPS/GalN-challenged mice showed high mortality and marked hepatic inflammatory infiltration and cell apoptosis as well as a significant increase of UII/UTR expression. Urantide pretreatment protected against the injury in liver following downregulation of UII/UTR expression. A close relationship between the acutely flamed hepatic injury and UII/UTR expression was observed. In addition, urantide prevented the increases of proinflammatory cytokines such as TNF-α, IL-1β and IFN-γ, and activation of NF-κB signaling pathway induced by LPS/GalN in mice. Thus, we conclude that UII/UTR system plays a role in LPS/GalN-induced ALF. Urantide has a protective effect on the acutely inflamed injury of liver in part through preventing releases of proinflammatory cytokines and activation of NF-κB pathway.

Highlights

  • Acute liver failure (ALF) is a life-threatening clinical syndrome with a sudden loss of hepatic function in patients with no preexisting history of liver disease

  • We investigated whether protection of the compound exists in LPS/GalN-induced ALF following inhibition of Urotensin II (UII)/UT receptor (UTR) system in mice, and investigated whether immuno-inflammatory mechanism and nuclear factor kB (NF-kB) signaling pathway are involved in the protective effects

  • In ALF, marked upregulation of UII and its receptor UTR have been demonstrated in patients [11]

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Summary

Introduction

Acute liver failure (ALF) is a life-threatening clinical syndrome with a sudden loss of hepatic function in patients with no preexisting history of liver disease. The pathological feature of ALF is the death of large number of parenchymal hepatocytes resulting from cell apoptosis and necrosis [1]. Massive cell loss leads to functional impairment of the liver, multiorgan failure and death. Mortality is high in patients with ALF (,90%) [2]. There are yet no special valid therapies except for emergency liver transplantation [3]. A challenge in understanding the pathophysiological mechanisms of ALF may account for the deficiency of the therapeutic methods

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