Chen Cheng, Bi Yanghui, Chen Bangtao, He Song
Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, P. R. China.
Department of Pathophysiology, Changzhi Medical College, Changzhi, Shanxi, P. R. China.
Gastroenterol Rep (Oxf). 2025 Mar 10;13:goaf022. doi: 10.1093/gastro/goaf022. eCollection 2025.
Liver fibrosis is characterized by hepatic stellate cell (HSC) activation and collagen overproduction, but its pathogenesis remains largely unknown. This study aimed to uncover the role of neural precursor cell expressed developmentally downregulated 4-like (Nedd4L) signaling in liver fibrosis and its relationship with gut microbiota.
Intraperitoneal injection of carbon tetrachloride (CCl) was used to induce liver fibrosis in 8-week-old female C57BL/6J mice with knockout or administration of the Nedd4L protein phosphorylation inhibitor EMD638683. HSCs isolated from mice were activated with transforming growth factor-beta 1 (TGFβ1) with or without EMD638683.
An approximately 3-fold elevation in mRNA was observed in hepatocytes and liver tissues, and significantly higher hepatic Nedd4L phosphorylation was observed in fibrotic mice than in non-fibrotic mice. mRNA level in HSCs isolated from fibrotic livers and Nedd4L protein level in TGFβ1-stimulated HSCs from wild-type livers remained unchanged. In isolated HSCs, TGFβ1-induced Nedd4L phosphorylation and cell activation were suppressed with EMD638683. In CCl-treated mice, EMD638683 alleviated liver fibrosis and induced a relative increase in fecal , , , , and , whereas Nedd4L deficiency predisposed mice to liver injury and liver fibrosis with a remarkable reduction in fecal , , and .
Hepatic Nedd4L signaling contributes to CCl-induced liver fibrosis in female mice, which is associated with alterations in the gut microbiota, and Nedd4L phosphorylation is involved in TGFβ1-mediated HSC activation.
肝纤维化的特征是肝星状细胞(HSC)激活和胶原蛋白过度产生,但其发病机制在很大程度上仍不清楚。本研究旨在揭示神经前体细胞表达的发育下调4样(Nedd4L)信号在肝纤维化中的作用及其与肠道微生物群的关系。
通过腹腔注射四氯化碳(CCl)诱导8周龄雌性C57BL/6J小鼠肝纤维化,采用敲除或给予Nedd4L蛋白磷酸化抑制剂EMD638683的方法。从小鼠分离的肝星状细胞用转化生长因子-β1(TGFβ1)激活,同时或不添加EMD638683。
在肝细胞和肝组织中观察到mRNA升高约3倍,且纤维化小鼠的肝脏Nedd4L磷酸化明显高于非纤维化小鼠。从纤维化肝脏分离的肝星状细胞中的mRNA水平和野生型肝脏中TGFβ1刺激的肝星状细胞中的Nedd4L蛋白水平保持不变。在分离的肝星状细胞中,EMD638683抑制了TGFβ1诱导的Nedd4L磷酸化和细胞激活。在CCl处理的小鼠中,EMD638683减轻了肝纤维化,并导致粪便中、、、和相对增加,而Nedd4L缺乏使小鼠易患肝损伤和肝纤维化,粪便中、和显著减少。
肝脏Nedd4L信号促成雌性小鼠CCl诱导的肝纤维化,这与肠道微生物群的改变有关,且Nedd4L磷酸化参与TGFβ1介导的肝星状细胞激活。