Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation

Background Hepatic ischemia-reperfusion injury (IRI) is a common innate immune-mediated sterile inflammatory response in liver transplantation and liver tumor resection. Neutrophil extracellular traps (NETs) can aggravate liver injury and activates innate immune response in the process of liver IRI....

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Main Authors: Cunle Zhu, Shangheng Shi, Peng Jiang, Xijian Huang, Jinxin Zhao, Yan Jin, Yuntai Shen, Xin Zhou, Huan Liu, Jinzhen Cai
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Journal of Investigative Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/08941939.2022.2164813
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author Cunle Zhu
Shangheng Shi
Peng Jiang
Xijian Huang
Jinxin Zhao
Yan Jin
Yuntai Shen
Xin Zhou
Huan Liu
Jinzhen Cai
author_facet Cunle Zhu
Shangheng Shi
Peng Jiang
Xijian Huang
Jinxin Zhao
Yan Jin
Yuntai Shen
Xin Zhou
Huan Liu
Jinzhen Cai
author_sort Cunle Zhu
collection DOAJ
description Background Hepatic ischemia-reperfusion injury (IRI) is a common innate immune-mediated sterile inflammatory response in liver transplantation and liver tumor resection. Neutrophil extracellular traps (NETs) can aggravate liver injury and activates innate immune response in the process of liver IRI. However, Curcumin (Cur) can reverse this damage and reduce NETs formation. Nevertheless, the specific regulatory mechanism is still unclear in liver IRI. This study aimed to explore the potential mechanisms that how does Cur alleviate hepatic IRI by inhibits NETs production and develop novel treatment regimens. Methods We established a hepatic IRI model by subjecting C57BL/6J mice to 60 min of ischemia, followed by reperfusion for 2 h, 6 h, 12 h, and 24 h respectively. Subsequently, we were separated into 5 groups, namely the I/R group, Cur group, DNase-1 group, Cur + DNase1 group and sham operation group. Serum alanine aminotransferase (ALT) and aspartate transaminase (AST), Hematoxylin-eosin staining, immunofluorescence, and TUNEL analysis were applied to assess liver injury degree and NETs levels. Western blot assay was used to detect the protein levels of apoptosis-related proteins and MEK pathway proteins. Results Cur could alleviate hepatic IRI by inhibiting the generation of NETs via suppressing the MEK/ERK pathway. In addition, this study also revealed that DNase-1 is vital for alleviating hepatic IRI by reducing the generation of NETs. Conclusions Cur combined with DNase-1 was more effective than the two drugs administered alone in alleviating hepatic IRI by inhibiting the generation of NETs. These results also suggested that curcumin combined with DNase-1 was a potential therapeutic strategy to mitigate hepatic IRI.
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spelling doaj.art-3c5719b3e8d942509ee77afa01312ac62023-09-15T10:21:30ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532023-12-0136110.1080/08941939.2022.21648132164813Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps FormationCunle Zhu0Shangheng Shi1Peng Jiang2Xijian Huang3Jinxin Zhao4Yan Jin5Yuntai Shen6Xin Zhou7Huan Liu8Jinzhen Cai9The Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityThe Institute of Transplantation Science, Qingdao UniversityOrgan Transplantation Center, The Institute of Transplantation Science, The Affiliated Hospital of Qingdao UniversityOrgan Transplantation Center, The Institute of Transplantation Science, The Affiliated Hospital of Qingdao UniversityBackground Hepatic ischemia-reperfusion injury (IRI) is a common innate immune-mediated sterile inflammatory response in liver transplantation and liver tumor resection. Neutrophil extracellular traps (NETs) can aggravate liver injury and activates innate immune response in the process of liver IRI. However, Curcumin (Cur) can reverse this damage and reduce NETs formation. Nevertheless, the specific regulatory mechanism is still unclear in liver IRI. This study aimed to explore the potential mechanisms that how does Cur alleviate hepatic IRI by inhibits NETs production and develop novel treatment regimens. Methods We established a hepatic IRI model by subjecting C57BL/6J mice to 60 min of ischemia, followed by reperfusion for 2 h, 6 h, 12 h, and 24 h respectively. Subsequently, we were separated into 5 groups, namely the I/R group, Cur group, DNase-1 group, Cur + DNase1 group and sham operation group. Serum alanine aminotransferase (ALT) and aspartate transaminase (AST), Hematoxylin-eosin staining, immunofluorescence, and TUNEL analysis were applied to assess liver injury degree and NETs levels. Western blot assay was used to detect the protein levels of apoptosis-related proteins and MEK pathway proteins. Results Cur could alleviate hepatic IRI by inhibiting the generation of NETs via suppressing the MEK/ERK pathway. In addition, this study also revealed that DNase-1 is vital for alleviating hepatic IRI by reducing the generation of NETs. Conclusions Cur combined with DNase-1 was more effective than the two drugs administered alone in alleviating hepatic IRI by inhibiting the generation of NETs. These results also suggested that curcumin combined with DNase-1 was a potential therapeutic strategy to mitigate hepatic IRI.http://dx.doi.org/10.1080/08941939.2022.2164813neutrophil extracellular traps (nets)hepatic ischemia reperfusion injurycurcumin (cur)dnase-1
spellingShingle Cunle Zhu
Shangheng Shi
Peng Jiang
Xijian Huang
Jinxin Zhao
Yan Jin
Yuntai Shen
Xin Zhou
Huan Liu
Jinzhen Cai
Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation
Journal of Investigative Surgery
neutrophil extracellular traps (nets)
hepatic ischemia reperfusion injury
curcumin (cur)
dnase-1
title Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation
title_full Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation
title_fullStr Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation
title_full_unstemmed Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation
title_short Curcumin Alleviates Hepatic Ischemia-Reperfusion Injury by Inhibiting Neutrophil Extracellular Traps Formation
title_sort curcumin alleviates hepatic ischemia reperfusion injury by inhibiting neutrophil extracellular traps formation
topic neutrophil extracellular traps (nets)
hepatic ischemia reperfusion injury
curcumin (cur)
dnase-1
url http://dx.doi.org/10.1080/08941939.2022.2164813
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