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Tetramethylpyrazine reduces glucose and insulin-induced activation of hepatic stellate cells by inhibiting insulin receptor-mediated PI3K/AKT and ERK pathways
Authors:Feng Zhang  Zili Zhang  Desong Kong  Xiaoping Zhang  Li Chen  Xiaojing Zhu  Yin Lu  Shizhong Zheng
Affiliation:1. Department of Pharmacology, College of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China;2. Jiangsu Key Laboratory for Pharmacology and Safety Evaluation of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing 210023, China;3. The National First-Class Key Discipline for Traditional Chinese Medicine of Nanjing University of Chinese Medicine, Nanjing 210023, China
Abstract:Hepatic stellate cell (HSC) activation is the central event during liver fibrogenesis. Metabolic syndrome characterized by hyperglycemia and hyperinsulinemia contributes to nonalcoholic steatohepatitis-associated liver fibrosis. This study was to investigate the effects of tetramethylpyrazine (TMP) on HSC activation induced by glucose and insulin (Glu/Ins) and the underlying mechanisms. Results showed that Glu/Ins significantly stimulated proliferation, invasion, adhesion, and extracellular matrix (ECM) production in HSCs. TMP inhibited HSC proliferation, invasion and adhesion, and reduced the expression of marker genes related to HSC activation in Glu/Ins-activated HSCs. Mechanistic evidence revealed that TMP reduced insulin receptor (InsR) expression and blocked the downstream phosphatidylinositol-3-kinase (PI3K)/AKT and extracellular signal-regulated kinase (ERK) cascades, which was required for TMP attenuation of HSC activation. Moreover, TMP modulated the genes relevant to ECM homeostasis favoring ECM degradation. It could be concluded that TMP inhibited Glu/Ins-stimulated HSC activation and ECM production by inhibiting InsR-mediated PI3K/AKT and ERK pathways.
Keywords:α-SMA, α-smooth muscle actin   BSA, bovine serum albumin   CTGF, connective tissue growth factor   DMEM, Dulbecco&rsquo  s modified eagle medium   ECM, extracellular matrix   ERK, extracellular signal-regulated kinase   FBS, fetal bovine serum   GAPDH, glyceraldehyde phosphate dehydrogenase   Glu/Ins, glucose and insulin   HSC, hepatic stellate cell   InsR, insulin receptor   JNK, c-Jun N-terminal kinase   MAPK, mitogen-activated protein kinase   MMP, matrix metalloproteinase   MTS, 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfo-phenyl)-2H-tetrazolium   NAFLD, non-alcoholic fatty liver disease   NASH, non-alcoholic steatohepatitis   PBS, phosphate buffered saline   PI3K, phosphatidylinositol-3-kinase   T2DM, type II diabetes mellitus   TIMP, tissue inhibitor of metalloproteinase   TMP, tetramethylpyrazine
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