Ferroptosis

Ferroptosis
  • 文章类型: Journal Article
    目前主要研究TST的抗肿瘤增殖和抗菌作用,但不广泛用于皮肤病。在人皮肤永生化角质形成细胞(HaCaT)作为体外模型中研究了TST对H2O2介导的氧化应激的细胞损伤机制。结果表明,TST处理通过降低超氧化物歧化酶(SOD)的水平导致细胞氧化应激增加,谷胱甘肽(GSH),和过氧化氢酶(CAT)。丙二醛(MDA,脂质过氧化的关键标记)。此外,FoxM1在基因和蛋白质水平上的失调证实了其参与TST相关效应。铁凋亡相关基因的分析证实了在HaCaT细胞中TST处理后的失调。此外,TST处理显示对线粒体形态和功能的影响,证实其通过线粒体损伤和线粒体膜电位失调引起的氧化应激增强诱导细胞凋亡。
    TST has been mainly studied for its anti-tumor proliferation and antimicrobial effects, but not widely used in dermatological diseases. The mechanism of cellular damage by TST in response to H2O2-mediated oxidative stress was investigated in human skin immortalized keratinocytes (HaCaT) as an in vitro model. The findings reveal that TST treatment leads to increased oxidative stress in the cells by reducing levels of superoxide dismutase (SOD), glutathione (GSH), and catalase (CAT). This effect is further supported by an upsurge in the expression of malondialdehyde (MDA, a pivotal marker of lipid peroxidation). Additionally, dysregulation of FoxM1 at both gene and protein levels corroborates its involvement TST associated effects. Analysis of ferroptosis-related genes confirms dysregulation following TST treatment in HaCaT cells. Furthermore, TST treatment exhibits effects on mitochondrial morphology and function, affirming its induction of apoptosis in the cells through heightened oxidative stress due to mitochondrial damage and dysregulation of mitochondrial membrane potential.
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  • 文章类型: Journal Article
    聚苯乙烯微塑料(PS-MP)和邻苯二甲酸二丁酯(DBP)是自然环境中常见的塑料污染衍生物(PPD)。探讨PPD暴露对过敏性哮喘发病风险的影响,我们在小鼠模型中建立了PPD暴露组。PS-MP给药剂量为0.1mg/d,DBP给药剂量为30mg/kg/d,5周口服给药。气道组织病理变化和氧化应激和炎症反应的增加证实PPD加重了小鼠嗜酸性粒细胞过敏性哮喘。小鼠线粒体形态变化和代谢组学研究证实,铁性凋亡和氧化应激在这一过程中发挥了关键作用。用100毫克/公斤去铁胺(DFO)治疗可明显缓解,和肺组织的代谢组学分析支持分子毒理学。我们的研究结果表明,肺部活性氧(ROS)水平的增加导致Th2介导的嗜酸性粒细胞炎症,以IL-4、IL-5和嗜酸性粒细胞升高为特征,并降低INF-γ水平。这种炎症反应由NFκB途径介导,并通过增加IL-4的产生加剧了I型超敏反应。在这项研究中,阐明了PPD加重小鼠哮喘的分子机制,有助于提高对PPD健康效应的认识,为解决PPD带来的健康风险奠定理论基础。
    Polystyrene microplastics (PS-MP) and dibutyl phthalate (DBP) are plastic pollution derivatives (PPDs) commonly found in the natural environment. To investigate the effects of PPD exposure on the risk of allergic asthma, we established a PPD exposure group in a mouse model. The dose administered for PS-MP was 0.1 mg/d and for DBP was 30 mg/kg/d, with a 5-week oral administration period. The pathological changes of airway tissue and the increase of oxidative stress and inflammatory response confirmed that PPD aggravated eosinophilic allergic asthma in mice. The mitochondrial morphological changes and metabolomics of mice confirmed that ferrotosis and oxidative stress played key roles in this process. Treatment with 100 mg/Kg deferoxamine (DFO) provided significant relief, and metabolomic analysis of lung tissue supported the molecular toxicological. Our findings suggest that the increased levels of reactive oxygen species (ROS) in the lungs lead to Th2-mediated eosinophilic inflammation, characterized by elevated IL-4, IL-5, and eosinophils, and reduced INF-γ levels. This inflammatory response is mediated by the NFκB pathway and exacerbates type I hypersensitivity through increased IL-4 production. In this study, the molecular mechanism by which PPD aggravates asthma in mice was elucidated, which helps to improve the understanding of the health effects of PPD and lays a theoretical foundation for addressing the health risks posed by PPD.
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  • 文章类型: Journal Article
    背景:铁沉积和铁凋亡与缺血性卒中损伤有关,但是治疗药物的选择是有限的。
    目的:研究纳米脂质体(RosA-LIP)内包裹迷迭香酸(RosA)对缺血性卒中的潜在神经保护作用。
    方法:野生型(WT)和TfR1ECcKO(BMECs中TfR1基因的特异性敲除)小鼠用于建立dMCAO模型,同时给予RosA-LIP(20mg/kg/d,i.p.)或RosA(20mg/kg/d,i.p.)。
    结果:RosA-LIP的成功合成导致血清和脑中的稳定性增强和精确递送。RosA-LIP的施用有效地减轻了缺血诱导的行为异常和病理损伤。RosA-LIP通过改善线粒体异常抑制铁性凋亡,提高GPX4水平,并降低ACSL4/LPCAT3/Lox依赖性脂质过氧化。RosA-LIP有效改善血脑屏障(BBB)通透性,通过调节FPN1和TfR1水平,增加缺血组织和脑微血管内皮细胞(BMECs)中紧密连接(TJs)蛋白的表达并降低铁水平。此外,在接受dMCAO的TfR1ECcKO小鼠中,RosA-LIP抑制TfR1以减弱ACSL4/LPCAT3/Lox介导的铁凋亡。
    结论:RosA-LIP通过调节BMEC中的TfR1,有效地增加了RosA的脑水平并防止了铁凋亡。
    BACKGROUND: Iron deposition and ferroptosis are involved in ischemic stroke injury, but the choice of drugs for treatment is limited.
    OBJECTIVE: To investigate the potential neuroprotective effects of Rosmarinic acid (RosA) encapsulated within nanoliposomes (RosA-LIP) on ischemic stroke.
    METHODS: Wild-type (WT) and TfR1EC cKO (specific knockout of the TfR1 gene in BMECs) mice used to establish a dMCAO model, with simultaneous administration of RosA-LIP (20 mg/kg/d, i.p.) or RosA (20 mg/kg/d, i.p.).
    RESULTS: The successful synthesis of RosA-LIP resulted in enhanced stability and precise delivery in both the serum and brain. The administration of RosA-LIP effectively mitigated ischemia-induced behavioral abnormalities and pathological damage. RosA-LIP inhibited ferroptosis by ameliorating mitochondrial abnormalities, increasing GPX4 levels, and decreasing ACSL4/LPCAT3/Lox-dependent lipid peroxidation. RosA-LIP effectively improved blood‒brain barrier (BBB) permeability, increased tight junctions (TJs) protein expression and reduced iron levels in ischemic tissue and brain microvascular endothelial cells (BMECs) by modulating FPN1 and TfR1 levels. Furthermore, RosA-LIP suppressed TfR1 to attenuate ACSL4/LPCAT3/Lox-mediated ferroptosis in TfR1EC cKO mice subjected to dMCAO.
    CONCLUSIONS: RosA-LIP effectively increased the brain level of RosA and protected against ferroptosis through the regulation of TfR1 in BMECs.
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  • 文章类型: Journal Article
    在动脉粥样硬化的背景下,lncRNAH19与铁凋亡之间的精确关联仍不确定。
    这项研究旨在阐明潜在的过程,并提出新的方法来推进针对动脉粥样硬化的治疗干预措施。
    铁沉积的评估,这需要使用CCK-8和细胞内MDA的定量来评估细胞活力,GSH,和亚铁离子。同时,通过蛋白质印迹分析评估的蛋白质表达水平,同时还测定了lncRNAH19的表达水平。此外,用ox-LDL培养的HAEC受到Fer-1干扰。将HAECs暴露于ox-LDL,然后用H19shRNA和H19过表达载体pcDNA3.1转染。然后测量细胞中的铁死亡水平。然后,HAEC与ox-LDL孵育,然后用H19shRNA转染并用Erastin处理以评估铁凋亡水平,细胞活力,和炎症因子的产生。和血管发育的能力。
    ox-LDL组HAECs的存活率要低得多。Ox-LDL导致HAECs中ACSL4表达上调,而SLC7A11和GPX4的表达降低。
    lncRNAH19增强铁凋亡并加剧LDL诱导的动脉内皮细胞损伤。
    UNASSIGNED: The precise association between lncRNA H19 and ferroptosis in the context of atherosclerosis remains uncertain.
    UNASSIGNED: This study is to clarify the underlying process and propose novel approaches for the advancement of therapeutic interventions targeting atherosclerosis.
    UNASSIGNED: Assessment of ferroptosis, which entails the evaluation of cell viability using CCK-8 and the quantification of intracellular MDA, GSH, and ferrous ions. Simultaneously, the protein expression levels of assessed by western blot analysis, while the expression level of lncRNA H19 was also determined. Furthermore, HAECs that were cultured with ox-LDL were subjected to Fer-1 interference. HAECs were exposed to ox-LDL and then transfected with H19 shRNA and H19 overexpression vector pcDNA3.1. The level of ferroptosis in the cells was then measured. Then, HAECs were subjected to incubation with ox-LDL, followed by transfection with H19 shRNA and treated with Erastin to assess the levels of ferroptosis, cell viability, and inflammatory factor production. and the ability for blood vessel development.
    UNASSIGNED: The survival rate of HAECs in the ox-LDL group was much lower. Ox-LDL resulted in an upregulation of ACSL4 expression in HAECs, while the expression of SLC7A11 and GPX4 decreased.
    UNASSIGNED: lncRNA H19 enhances ferroptosis and exacerbates arterial endothelial cell damage induced by LDL.
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  • 文章类型: Journal Article
    铜(Cu)是动物和人类食品中常见的微量元素添加剂,过量摄入铜已被证明会导致肝毒性,但潜在的机制仍不清楚。我们之前的研究发现,铜暴露显著上调线粒体miR-12294-5p表达,并证实其在鸡肝细胞中靶向抑制CISD1表达。因此,我们旨在探讨mitomiR-12294-5p/CISD1轴在铜暴露导致的肝毒性中的潜在作用。这里,我们观察到铜暴露导致鸡肝脏中铜的积累和病理损伤。此外,我们发现铜暴露导致鸡肝细胞线粒体依赖性铁死亡,这对线粒体Fe2+和线粒体脂质过氧化的增加是显著的,抑制CISD1、GPX4、DHODH、和IDH2,也增强了PTGS2的水平。值得注意的是,我们发现,抑制mitomiR-2954水平可有效减轻Cu暴露导致的线粒体Fe2+积累和线粒体脂质过氧化,并阻止线粒体依赖性铁死亡的发展.然而,mitomiR-12294-5p表达的增加大大加剧了Cu对这些指标的影响。同时,CISD1的过表达有效缓解了铜引起的线粒体依赖性铁死亡,而silentCISD1消除了mitomiR-12294-5p抑制剂的治疗作用。总的来说,我们的发现表明mitomiR-12294-5p/CISD1轴通过调节线粒体依赖性铁死亡在铜引起的鸡肝毒性中发挥了关键功能。
    Copper (Cu) is a common trace element additive in animal and human foods, and excessive intake of Cu has been shown to cause hepatotoxicity, but the underlying mechanism remains unclear. Our previous research found that Cu exposure dramatically upregulated mitochondrial miR-12294-5p expression and confirmed its targeted inhibition of CISD1 expression in chicken hepatocytes. Thus, we aimed to explore the potential role of mitomiR-12294-5p/CISD1 axis in Cu exposure-resulted hepatotoxicity. Here, we observed that Cu exposure resulted in Cu accumulation and pathological injury in chicken livers. Moreover, we found that Cu exposure caused mitochondrial-dependent ferroptosis in chicken hepatocytes, which were prominent on the increased mitochondrial Fe2+ and mitochondrial lipid peroxidation, inhibited levels of CISD1, GPX4, DHODH, and IDH2, and also enhanced level of PTGS2. Notably, we identified that inhibition of mitomiR-2954 level effectively mitigated Cu-exposure-resulted mitochondrial Fe2+ accumulation and mitochondrial lipid peroxidation and prevented the development of mitochondrial-dependent ferroptosis. However, increasing the mitomiR-12294-5p expression considerably aggravated the influence of Cu on these indicators. Meanwhile, the overexpression of CISD1 effectively alleviated Cu-caused mitochondrial-dependent ferroptosis, while silent CISD1 eliminated the therapeutic role of mitomiR-12294-5p inhibitor. Overall, our findings indicated that mitomiR-12294-5p/CISD1 axis played a critical function in Cu-caused hepatotoxicity in chickens by regulating mitochondrial-dependent ferroptosis.
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  • 文章类型: Journal Article
    自身免疫性疾病通常影响各个系统,但其病因和发病机制尚不清楚。目前,越来越多的研究强调了铁死亡在免疫调节中的作用,免疫细胞是人体免疫系统的重要组成部分。这篇综述提供了概述,并讨论了铁性凋亡之间的关系,免疫细胞中的程序性细胞死亡,和自身免疫性疾病。此外,它总结了铁性凋亡的各种关键靶标的作用,例如GPX4和TFR,在免疫细胞免疫反应中。此外,释放多种分子,包括损伤相关分子模式(DAMP),在通过铁凋亡导致细胞死亡之后,被检查,这些分子进一步影响免疫细胞的分化和功能,从而影响自身免疫性疾病的发生和进展。此外,免疫细胞分泌免疫因子或其代谢产物,这也影响了与自身免疫性疾病有关的靶器官和组织中铁性凋亡的发生。铁螯合剂,氯喹及其衍生物,抗氧化剂,氯喹衍生物,钙网蛋白已被证明在某些自身免疫性疾病的动物研究中有效,发挥抗炎和免疫调节作用。最后,对自身免疫性疾病的研究进行了简要总结和未来展望,旨在指导疾病治疗策略。
    Autoimmune diseases commonly affect various systems, but their etiology and pathogenesis remain unclear. Currently, increasing research has highlighted the role of ferroptosis in immune regulation, with immune cells being a crucial component of the body\'s immune system. This review provides an overview and discusses the relationship between ferroptosis, programmed cell death in immune cells, and autoimmune diseases. Additionally, it summarizes the role of various key targets of ferroptosis, such as GPX4 and TFR, in immune cell immune responses. Furthermore, the release of multiple molecules, including damage-associated molecular patterns (DAMPs), following cell death by ferroptosis, is examined, as these molecules further influence the differentiation and function of immune cells, thereby affecting the occurrence and progression of autoimmune diseases. Moreover, immune cells secrete immune factors or their metabolites, which also impact the occurrence of ferroptosis in target organs and tissues involved in autoimmune diseases. Iron chelators, chloroquine and its derivatives, antioxidants, chloroquine derivatives, and calreticulin have been demonstrated to be effective in animal studies for certain autoimmune diseases, exerting anti-inflammatory and immunomodulatory effects. Finally, a brief summary and future perspectives on the research of autoimmune diseases are provided, aiming to guide disease treatment strategies.
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  • 文章类型: Journal Article
    吸入聚六亚甲基胍(PHMG)气雾剂,广谱消毒剂,会导致严重的肺纤维化.Ferroptosis,一种由铁依赖性脂质过氧化引发的程序性细胞死亡,被认为在化学诱导的肺损伤中起作用。本研究旨在探讨铁凋亡在PHMG诱导肺纤维化进展中的作用机制。用C57BL/6J小鼠和肺泡Ⅱ型细胞株MLE-12评价PHMG的体内、体外毒性,分别。结果表明,在PHMG诱导的肺纤维化小鼠模型中观察到铁沉积,PHMG暴露8周后铁凋亡相关基因发生了变化。此外,用PHMG治疗12小时后,MLE-12细胞的抗氧化系统和线粒体损伤受到干扰。此外,本研究观察到MLE-12细胞暴露于PHMG后,脂质过氧化作用增加,GPX4活性降低.此外,用铁凋亡抑制剂Ferrostatin-1(Fer-1)和Leproxstatin-1(Lip-1)进行预处理不仅恢复了抗氧化系统和GPX4活性,而且减轻了脂质过氧化。目前的数据显示了铁凋亡途径在PHMG诱导的肺纤维化中的作用,并为未来的治疗提供了潜在的靶标。
    Inhaling polyhexamethylene guanidine (PHMG) aerosol, a broad-spectrum disinfectant, can lead to severe pulmonary fibrosis. Ferroptosis, a form of programmed cell death triggered by iron-dependent lipid peroxidation, is believed to play a role in the chemical-induced pulmonary injury. This study aimed to investigate the mechanism of ferroptosis in the progression of PHMG-induced pulmonary fibrosis. C57BL/6 J mice and the alveolar type II cell line MLE-12 were used to evaluate the toxicity of PHMG in vivo and in vitro, respectively. The findings indicated that iron deposition was observed in PHMG induced pulmonary fibrosis mouse model and ferroptosis related genes have changed after 8 weeks PHMG exposure. Additionally, there were disturbances in the antioxidant system and mitochondrial damage in MLE-12 cells following a 12-hour treatment with PHMG. Furthermore, the study observed an increase in lipid peroxidation and a decrease in GPX4 activity in MLE-12 cells after exposure to PHMG. Moreover, pretreatment with the ferroptosis inhibitors Ferrostatin-1 (Fer-1) and Liproxstatin-1 (Lip-1) not only restored the antioxidant system and GPX4 activity but also mitigated lipid peroxidation. Current data exhibit the role of ferroptosis pathway in PHMG-induced pulmonary fibrosis and provide a potential target for future treatment.
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  • 文章类型: Journal Article
    Ferroptosis,以活性氧和脂质过氧化的积累为特征,与各种心血管疾病有关。(Pro)肾素受体(PRR)在自噬过程中作为配体,其在糖尿病性心肌病(DCM)中的作用尚不完全清楚。我们研究了PRR是否通过核受体共激活因子4(NCOA4)介导的铁蛋白吞噬途径促进铁凋亡,从而促进DCM。我们首先建立了PRR表达下调和上调的DCM小鼠模型,并使用了铁凋亡抑制剂。然后测量心肌炎症和纤维化水平,评估心功能和铁凋亡相关指标.体外,用高糖培养新生大鼠心室原代心肌细胞,并用重组腺病毒转染,敲低或过表达PRR,以及铁细胞凋亡抑制剂和铁细胞吞噬受体的小干扰RNA,NCOA4.在体外测量铁凋亡水平。结果表明,PRR的敲除不仅减轻了体内心肌细胞的铁凋亡,而且减轻了HG诱导的体外铁凋亡。此外,Fer-1的给药可以抑制HG诱导的铁凋亡。NCOA4敲低阻断PRR对铁凋亡的影响并改善细胞存活。我们的结果表明,抑制PRR和NCOA4表达为DCM的治疗提供了新的治疗策略。PRR对小鼠DCM病理过程的影响可能是通过NCOA4介导的铁细胞吞噬通路促进心肌细胞铁性凋亡。
    Ferroptosis, characterized by the accumulation of reactive oxygen species and lipid peroxidation, is involved in various cardiovascular diseases. (Pro)renin receptor (PRR) in performs as ligands in the autophagic process, and its function in diabetic cardiomyopathy (DCM) is not fully understood. We investigated whether PRR promotes ferroptosis through the nuclear receptor coactivator 4 (NCOA 4)-mediated ferritinophagy pathway and thus contributes to DCM. We first established a mouse model of DCM with downregulated and upregulated PRR expression and used a ferroptosis inhibitor. Myocardial inflammation and fibrosis levels were then measured, cardiac function and ferroptosis-related indices were assessed. In vitro, neonatal rat ventricular primary cardiomyocytes were cultured with high glucose and transfected with recombinant adenoviruses knocking down or overexpressing the PRR, along with a ferroptosis inhibitor and small interfering RNA for the ferritinophagy receptor, NCOA4. Ferroptosis levels were measured in vitro. The results showed that the knockdown of PRR not only alleviated cardiomyocyte ferroptosis in vivo but also mitigated the HG-induced ferroptosis in vitro. Moreover, administration of Fer-1 can inhibit HG-induced ferroptosis. NCOA4 knockdown blocked the effect of PRR on ferroptosis and improved cell survival. Our result indicated that inhibition of PRR and NCOA4 expression provides a new therapeutic strategy for the treatment of DCM. The effect of PRR on the pathological process of DCM in mice may be in promoting cardiomyocyte ferroptosis through the NCOA 4-mediated ferritinophagy pathway.
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  • 文章类型: Journal Article
    近年来,空间转录组技术的发展使我们能够深入了解生物组织中基因表达的空间异质性。然而,需要一个简单有效的工具来分析多个空间目标,如mRNA,miRNA,或者基因突变,在福尔马林固定石蜡包埋(FFPE)组织切片中的高分辨率。在这项研究中,我们开发了水凝胶病理切片与先前报道的SamplingJunior仪器(HPSJ)相结合,以评估FFPE切片中多个靶标在180μm范围内的空间异质性。HPSJ平台用于证明9个铁凋亡相关基因的空间异质性(TFRC,来自三阴性乳腺癌(TNBC)患者的FFPE组织样品中的NCOA4,FTH1,ACSL4,LPCAT3,ALOX12,SLC7A11,GLS2和GPX4)和2种miRNA(miR-185-5p和miR522)。结果验证了铁死亡相关mRNA和miRNA的显著异质性。此外,HPSJ证实了来自肺腺癌(LUAD)患者的7例手术来源和4例针活检来源的FFPE样本中L858R突变的空间异质性。临床FFPE样本的成功检测表明HPSJ是一种精确的,高通量,成本效益高,和分析空间异质性的通用平台,这有利于阐明肿瘤患者的耐药机制和指导突变靶向药物的处方。
    In recent years, the development of spatial transcriptomic technologies has enabled us to gain an in-depth understanding of the spatial heterogeneity of gene expression in biological tissues. However, a simple and efficient tool is required to analyze multiple spatial targets, such as mRNAs, miRNAs, or genetic mutations, at high resolution in formalin-fixed paraffin-embedded (FFPE) tissue sections. In this study, we developed hydrogel pathological sectioning coupled with the previously reported Sampling Junior instrument (HPSJ) to assess the spatial heterogeneity of multiple targets in FFPE sections at a scale of 180 μm. The HPSJ platform was used to demonstrate the spatial heterogeneity of 9 ferroptosis-related genes (TFRC, NCOA4, FTH1, ACSL4, LPCAT3, ALOX12, SLC7A11, GLS2, and GPX4) and 2 miRNAs (miR-185-5p and miR522) in FFPE tissue samples from patients with triple-negative breast cancer (TNBC). The results validated the significant heterogeneity of ferroptosis-related mRNAs and miRNAs. In addition, HPSJ confirmed the spatial heterogeneity of the L858R mutation in 7 operation-sourced and 4 needle-biopsy-sourced FFPE samples from patients with lung adenocarcinoma (LUAD). The successful detection of clinical FFPE samples indicates that HPSJ is a precise, high-throughput, cost-effective, and universal platform for analyzing spatial heterogeneity, which is beneficial for elucidating the mechanisms underlying drug resistance and guiding the prescription of mutant-targeted drugs in patients with tumors.
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  • 文章类型: Journal Article
    间歇性缺氧(IH)是代谢功能障碍相关脂肪肝(MAFLD)的独立危险因素。铜缺乏会破坏氧化还原稳态,铁,和脂质代谢。这里,我们调查了肝铜缺乏是否在IH相关MAFLD中起作用,并探讨了潜在的机制.雄性C57BL/6小鼠饲喂西方型饮食,其中含有足够的铜(CuA)或少量缺乏铜(CuD),并分别暴露于室内空气(RA)或IH。肝脏组织学,血浆生物标志物,铜铁状态,和氧化应激进行了评估。使用体外HepG2细胞脂毒性模型和蛋白质组学分析来阐明所涉及的特定靶标。我们观察到,在RA下,饲喂CuA和饲喂CuD的小鼠之间的肝表型没有差异。然而,在IH暴露中,CuD喂养的小鼠表现出更明显的肝脂肪变性,肝损伤,和氧化应激比CuA喂养的小鼠。IH诱导大脑和心脏中的铜积累,并加剧了肝铜缺乏和继发性铁沉积。体外,用IH暴露的CuD处理的细胞显示脂质积累水平升高,氧化应激,和铁性凋亡易感性。蛋白质组学分析发现,在IH下,CuA和CuD组之间有360个上调和359个下调的差异表达蛋白;这些蛋白主要富集在柠檬酸盐循环中,氧化磷酸化,脂肪酸代谢,过氧化物酶体增殖物激活受体(PPAR)α途径,和铁中毒。在IH暴露中,CuD显著上调铁凋亡促进因子花生四烯基辅酶A合成酶长链家族成员(ACSL)4。ACSL4敲低可明显消除IH暴露中CuD诱导的铁凋亡和脂质积累。在总结中,IH可导致肝铜储备减少和二次铁沉积,从而诱导铁凋亡和随后的MAFLD进展。膳食铜不足可能会恶化与IH相关的MAFLD。
    Intermittent hypoxia (IH) is an independent risk factor for metabolic dysfunction-associated fatty liver disease (MAFLD). Copper deficiency can disrupt redox homeostasis, iron, and lipid metabolism. Here, we investigated whether hepatic copper deficiency plays a role in IH-associated MAFLD and explored the underlying mechanism(s). Male C57BL/6 mice were fed a western-type diet with adequate copper (CuA) or marginally deficient copper (CuD) and were exposed separately to room air (RA) or IH. Hepatic histology, plasma biomarkers, copper-iron status, and oxidative stress were assessed. An in vitro HepG2 cell lipotoxicity model and proteomic analysis were used to elucidate the specific targets involved. We observed that there were no differences in hepatic phenotypes between CuA-fed and CuD-fed mice under RA. However, in IH exposure, CuD-fed mice showed more pronounced hepatic steatosis, liver injury, and oxidative stress than CuA-fed mice. IH induced copper accumulation in the brain and heart and exacerbated hepatic copper deficiency and secondary iron deposition. In vitro, CuD-treated cells with IH exposure showed elevated levels of lipid accumulation, oxidative stress, and ferroptosis susceptibility. Proteomic analysis identified 360 upregulated and 359 downregulated differentially expressed proteins between CuA and CuD groups under IH; these proteins were mainly enriched in citrate cycle, oxidative phosphorylation, fatty acid metabolism, the peroxisome proliferator-activated receptor (PPAR)α pathway, and ferroptosis. In IH exposure, CuD significantly upregulated the ferroptosis-promoting factor arachidonyl-CoA synthetase long chain family member (ACSL)4. ACSL4 knockdown markedly eliminated CuD-induced ferroptosis and lipid accumulation in IH exposure. In conculsion, IH can lead to reduced hepatic copper reserves and secondary iron deposition, thereby inducing ferroptosis and subsequent MAFLD progression. Insufficient dietary copper may worsen IH-associated MAFLD.
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