JHEP Reports,
Год журнала:
2024,
Номер
7(4), С. 101308 - 101308
Опубликована: Дек. 18, 2024
Transjugular
intrahepatic
portosystemic
shunt
(TIPS)
effectively
treats
complications
of
cirrhosis.
Systemic
inflammation
(SI)
is
linked
to
acute-on-chronic
liver
failure
(ACLF)
and
liver-related
death.
We
aimed
assess
the
trajectory
clinical
impact
SI
parameters
after
TIPS
implantation.
Consecutive
patients
undergoing
elective
implantation
covered
for
recurrent/refractory
ascites
or
portal-hypertensive
bleeding
at
Medical
University
Vienna
(NCT03409263;
n
=
58)
Hannover
School
(NCT04801290,
51)
were
included.
IL-6
was
assessed
baseline
(BL),
3
months
(M3)
up
6
(M6;
cohort)
9
(M9;
follow-up;
C-reactive
protein
(CRP)
lipopolysaccharide-binding
(LBP)
in
cohort
only.
In
109
(66.1%
male,
median
age
57
years)
receiving
mainly
(72.4%)
by
indication
BL
levels
10.5
pg/ml;
41.3%
(n
45/109)
exhibiting
≥14
pg/ml.
From
M3,
decreased
63.8%
37/58;
68.6%
35/51;
patients,
respectively.
Similar
rates
decreases
observed
also
CRP
(in
62.1%)
LBP
77.4%).
A
considerable
reduction
(≥50%
baseline)
noted
41
(37.6%)
during
follow-up.
Competing
risk
regression
combined
adjusted
age,
albumin,
model
end-stage
disease
revealed
that
decrease
M3
an
independently
protective
factor
development
ACLF
(adjusted
subdistribution
hazard
ratio
[asHR]:
0.26;
95%
CI:
0.09-0.77;
p
0.016)
death
(asHR:
0.07-0.95;
0.042).
leads
a
sustained
bacterial
translocation
with
decompensated
Decreasing
three
indicate
lower
major
driver
progression
advanced
chronic
(dACLD).
This
study
demonstrates
systemic
(i.e.
interleukin-6
[IL-6])
sustainedly
transjugular
Thus,
our
results
suggest
reduces
clinically
meaningful
way.
eGastroenterology,
Год журнала:
2025,
Номер
3(1), С. e100151 - e100151
Опубликована: Янв. 1, 2025
Background
Gasdermin
D
(GSDM-D),
a
key
executor
of
pyroptosis,
is
increased
in
various
liver
diseases
and
contributes
to
disease
progression.
Alcohol
induces
inflammasome
activation
cell
death,
which
are
both
linked
GSDM-D
activation.
However,
its
role
alcohol-induced
acute-on-chronic
failure
(ACLF)
remains
unclear.
Methods
ACLF
was
induced
GSDM-D-deficient
or
wild-type
(WT)
mice
by
28-day
bile
duct
ligation
surgery
plus
single
5
g/kg
alcohol
binge
leading
acute
decompensation.
Nine
hours
after
the
binge,
blood,
liver,
kidney
cerebellum
specimens
were
collected
for
analysis.
Results
Active
significantly
humans
livers
compared
with
healthy
controls
cirrhotic
livers.
showed
decreased
inflammation,
neutrophil
infiltration
fibrosis
together
reduction
pyroptotic,
apoptotic
necroptotic
WT
mice.
Notably,
also
regeneration
hepatocyte
function.
This
associated
an
increase
senescence
expression
stem-like/cholangiocyte
markers
liver.
Interestingly,
kidney,
histopathological
damage
score,
function
necroptosis-related
genes.
In
cerebellum,
deficiency
neuroinflammation
markers,
astrocyte
apoptosis-related
Conclusion
Our
data
indicate
that
has
organ-specific
effects
ACLF.
While
it
reduces
activation,
death
impairs
synthetic
increases
hepatocytes.
injury
Drug Design Development and Therapy,
Год журнала:
2025,
Номер
Volume 19, С. 2503 - 2517
Опубликована: Апрель 1, 2025
Acute-on-chronic
liver
failure
(ACLF)
is
a
global
intractable
disease.
HMGB1-induced
hepatocyte
pyroptosis
expanding
inflammatory
responses
contributes
to
the
pathogenesis
of
ACLF.
The
JDNW
formula
(JDNWF)
has
significant
clinical
effect
on
ACLF,
but
its
hepatoprotective
mechanisms
remain
elusive.
To
explore
potential
molecular
JDNWF
in
ACLF
by
pyroptosis.
Rats
were
divided
into
normal,
Caspase-1
inhibitor,
HMGB1
JDNW,
JDNW+Caspase-1
inhibitor
and
JDNW+HMGB1
groups.
rat
model
was
established
40%
carbon
tetrachloride-induced
fibrosis,
followed
intraperitoneal
injection
D-galactosamine
lipopolysaccharide.
function,
coagulation
pathological
damage
ultrastructural
changes
hepatocytes
evaluated.
Triple-immunostaining
active
Caspase-1,
terminal
deoxynucleotidyl
transferase
dUTP
nick
end
labeling
(TUNEL)
albumin
performed
evaluate
percentage
pyroptotic
hepatocytes.
Western
blot,
immunofluorescence,
enzyme-linked
immunosorbent
assay
(ELISA)
quantitative
real-time
PCR
(RT-qPCR)
used
analyze
expressions
key
genes
proteins
pathways
level
factors.
improved
function
damage,
reduced
responses,
down-regulated
rats.
better
than
those
(glycyrrhizin)
(VX-765).
Compared
with
glycyrrhizin
or
VX-765,
there
no
differences
above
indicators
after
combination
VX-765.
These
results
indicated
that
inhibited
inflammation
rats
through
pathways.
protects
livers
inhibiting
reducing
suggesting
may
be
therapeutic
target
Frontiers in Cardiovascular Medicine,
Год журнала:
2025,
Номер
12
Опубликована: Апрель 8, 2025
Metabolic
dysfunction-associated
fatty
liver
disease
(MASLD)
is
a
rising
global
health
concern.
In
addition
to
direct
hepatic
complications,
extra-hepatic
including
cardiovascular
diseases
(CVD),
type
2
diabetes
(T2D),
gastroesophageal
reflux
disease,
chronic
kidney
and
some
malignancies,
are
increasingly
recognized.
CVD,
atrial
fibrillation
(AF)
heart
failure
(HF),
the
leading
cause
of
death
in
patients
with
MASLD.
External
factors,
excess
energy
intake,
sedentary
lifestyle
xenobiotic
use,
induce
inflammation-related
complications.
MASLD,
AF,
HF
associated
immune
system
activation,
reprogramming
cells
establishment
memory.
Emerging
evidence
suggests
that
cross-talk
each
other
through
diverse
spectrum
autocrine,
paracrine
endocrine
mechanisms.
Pro-inflammatory
cytokines
produced
from
circulate
systemically
orchestrate
metabolic
derangements
promote
systematic
dysregulation
heart-liver
axis
development
end-organ
Cardio-hepatic
syndrome
describes
clinical
biochemical
dysfunction
cardiac
pathology
due
interaction
between
liver.
Activation
inflammatory
cascades,
oxidative
stress
underlie
key
mechanisms
bringing
about
such
pathological
changes.
This
review
focuses
on
current
molecular
cross-talk.
It
summarizes
epidemiological
pathophysiological
associations
AF
HF.
addition,
we
will
discuss
how
repurposing
currently
available
emerging
pharmacotherapies
may
help
tackle
risks
resulting
Toxics,
Год журнала:
2025,
Номер
13(4), С. 287 - 287
Опубликована: Апрель 9, 2025
Long-term
exposure
to
arsenic,
a
prevalent
environmental
contaminant,
has
been
implicated
in
the
pathogenesis
of
various
hepatic
conditions.
Hepatic
stellate
cells
(HSCs)
are
central
development
liver
fibrosis.
Recently,
involvement
interleukin-17
(IL-17)
and
NOD-like
receptor
protein
3
(NLRP3)
inflammasome
pathologies
attracted
significant
research
interest.
Hepatocyte
pyroptosis,
form
programmed
cell
death,
is
critical
factor
occurrence
inflammation.
The
objective
this
study
was
investigate
specific
roles
IL-17
NLRP3
arsenic-induced
activation
HSCs
through
hepatocyte
pyroptosis.
We
pretreated
MIHA
with
MCC950
(1
5
μM)
secukinumab
(10
100
nM)
for
4
h,
then
NaAsO2
(25
24
h
at
37
°C
under
5%
CO2.
After
incubation,
cell-culture
supernatant
collected
mixed
serum-free
high-glucose
DMEM
medium
1:1
ratio
prepare
conditioned
medium,
which
subsequently
used
culture
LX-2
cells.
results
showed
that
induced
hepatocellular
led
release
inflammatory
cytokines
IL-18
IL-1β
subsequent
HSCs.
Treatment
inhibitors
significantly
reduced
secretion
Extracellular
matrix
(ECM)
components
attenuated
HSC
activation.
These
demonstrate
blocking
signaling
pathways
reduces
attenuates
fibrogenesis.
provide
novel
molecular
targets
prevention
treatment
arsenic-related
Frontiers in Pharmacology,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 9, 2025
Non-alcoholic
fatty
liver
disease
(NAFLD)
is
a
common
type
of
chronic
and
its
incidence
increasing.
Its
progression
closely
related
to
non-alcoholic
steatohepatitis
fibrosis.
Effective
treatment
currently
lacking.
The
traditional
Chinese
medicine
ginseng
(Panax
ginseng)
shows
unique
advantages
in
NAFLD
intervention,
but
complex
compositional
system
molecular
mechanism
network
still
need
be
systematically
analyzed.
This
paper
integrates
evidence
from
nearly
20
years
research
elucidate
the
multi-target
pharmacological
for
NAFLD.
Relevant
information
was
sourced
Pubmed,
Web
science,
Embase
CNKI
databases.
Using
BioRender
visio
draw
biomedical
illustrations.
active
ingredients
contain
2
classes
saponins
(tetracyclic
triterpene
saponins,
pentacyclic
other
modified
types)
non-saponins.
Different
cultivation
methods,
processing
techniques
extraction
sites
have
expanded
variety
constituents
demonstrated
different
activities.
Studies
shown
that
functional
components
ability
regulate
lipid
metabolism
disorders,
inflammation,
oxidative
stress,
endoplasmic
reticulum
insulin
resistance,
disruption
intestinal
flora
structure,
cell
death
senescence.
Demonstrates
potential
study
reveals
first
time
integrative
through
tertiary
mode
action
"multi-component
multi-pathway".
multilevel
modulatory
provides
new
direction
development
comprehensive
therapeutic
strategies
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 10, 2025
AbstractObjectives
To
explore
the
role
of
self-peripheral
blood
mesenchymal
stem
cell
(PBMSC)-derived
exosomes
(Exos)
in
enhancing
renal
sympathetic
denervation
(RD)-mediated
cardiac
repair
following
myocardial
infarction
(MI)
a
porcine
model.Methods
Pigs
(EF
<
40%
post-MI)
were
randomized
to
early
sham
RD
or
RD.
At
2
weeks
post-MI,
autologous
PBMSC-Exos
collected.
30
days
pigs
received
either
(2
×
10¹³
particles)
PBS
and
followed
until
90
days.
Another
cohort
underwent
biopsy
at
14
post-MI
assess
effects
on
ischemic
cardiomyocyte
(CM)
reprogramming,
by
AAV
therapy
with
miR-141-200-429
sponges
negative
control
(NC)
clusters
reprogramming.Results
Two
hearts
showed
increased
Exos
uptake
inhibited
nervous
system.
By
days,
+
group
had
11–26%
higher
EF
than
single-treatment
groups
(all
P
0.001),
improved
survival
reduced
fibrosis.
enhanced
inhibiting
renin-angiotensin-aldosterone
system
transferring
cluster
into
CMs.
CMs
from
RD-treated
co-cultured
PBMSC-ExosRD
exhibited
more
immature
state,
promoting
reprogramming.
β-catenin
overexpression
further
effects,
while
inhibition
blocked
RD-induced
CM
reprogramming
survival.
Ultimately,
Dkk1
expression
activated
GSK3β
phosphorylation,
thereby
stimulating
Wnt/β-catenin
pathway.Conclusions
enhances
RD-mediated
activating
pathway
via
cluster,
offering
novel
therapeutic
strategy
for
MI-induced
heart
failure.
Our
findings
unveil
strategy,
highlighting
that
maintains
its
efficacy
safety
when
integrated
complementary
approaches
over
extended
periods.
Advanced Science,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 15, 2025
Abstract
The
global
incidence
of
Metabolic
dysfunction‐associated
steatohepatitis
(MASH)
is
increasing,
highlighting
the
urgent
need
for
new
treatment
strategies.
This
study
aimed
to
investigate
involvement
tripartite
motif‐containing
25
(TRIM25)
in
MASH
progression
and
explore
therapeutic
potential
TRIM25
inhibitor,
C
27
H
26
N
2
O
4
S.
Functional
studies
reveal
that
promoted
lipid
accumulation
inflammation
by
ubiquitinating
degrading
insulin‐induced
gene
1
(INSIG1),
thereby
enhancing
nuclear
translocation
sterol
regulatory
element‐binding
protein
(SREBP2)
upregulating
biosynthesis
genes.
In
vivo
experiments
using
knockout
mice
demonstrated
deletion
ameliorated
progression,
reduced
fibrosis,
decreased
inflammatory
cell
infiltration.
It
identifies
S
as
a
specific
inhibitor
TRIM25.
effectively
INSIG1
ubiquitination
attenuated
hepatocytes.
To
enhance
hepatic
delivery
S,
it
utilizes
exosomes
derived
from
stellate
cells
(HSC‐EVs).
Biodistribution
analysis
confirmed
HSC‐EVs
preferentially
accumulated
liver.
mouse
model,
HSC‐EV‐encapsulated
(C
S@HSC‐EV)
significantly
alleviated
severity
fibrosis.
highlights
critical
role
presents
S@HSC‐EV
promising
approach
treatment.
Frontiers in Pharmacology,
Год журнала:
2025,
Номер
16
Опубликована: Апрель 23, 2025
Astragaloside
IV
(C
41
H
68
O
14
,
AS-IV)
is
a
naturally
occurring
saponin
isolated
from
the
root
of
Astragalus
membranaceus
widely
used
traditional
Chinese
botanical
drug
in
medicine.
In
recent
years,
AS-IV
has
attracted
considerable
attention
for
its
hepatoprotective
properties,
which
are
attributed
to
low
toxicity
as
well
anti-inflammatory,
antioxidant
and
antitumour
effects.
Numerous
preclinical
studies
have
demonstrated
potential
prevention
treatment
various
liver
diseases,
including
multifactorial
injury,
metabolic-associated
fatty
disease,
fibrosis
cancer.
Given
promising
growing
interest
research,
this
review
provides
comprehensive
summary
current
state
research
on
effects
AS-IV,
based
literature
available
databases
such
CNKI,
PubMed,
ScienceDirect,
Google
Scholar
Web
Science.
The
mechanisms
multifaceted,
encompassing
inhibition
inflammatory
responses,
reduction
oxidative
stress,
improvement
insulin
leptin
resistance,
modulation
gut
microbiota,
suppression
hepatocellular
carcinoma
cell
proliferation
induction
tumour
apoptosis.
Notably,
key
molecular
pathways
involved
these
include
Nrf2/HO-1,
NF-κB,
NLRP3/Caspase-1,
JNK/c-Jun/AP-1,
PPARα/FSP1
Akt/GSK-3β/β-catenin.
Toxicity
indicate
that
high
level
safety.
addition,
discusses
sources,
physicochemical
challenges
development
clinical
application
providing
valuable
insights
into
agent
pharmaceutical
nutraceutical
industries.