Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD

Summary: Metformin prevents progression of non-alcoholic fatty liver disease (NAFLD). However, the potential mechanism is not entirely understood. Ferroptosis, a recently recognized nonapoptotic form of regulated cell death, has been reported to be involved in the pathogenesis of NAFLD. Here, we inv...

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Main Authors: Fangzhi Yue, Ying Shi, Shanyu Wu, Lin Xing, Dan He, Lin Wei, Anqi Qiu, Ryan Russell, Dongmei Zhang
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004223026378
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author Fangzhi Yue
Ying Shi
Shanyu Wu
Lin Xing
Dan He
Lin Wei
Anqi Qiu
Ryan Russell
Dongmei Zhang
author_facet Fangzhi Yue
Ying Shi
Shanyu Wu
Lin Xing
Dan He
Lin Wei
Anqi Qiu
Ryan Russell
Dongmei Zhang
author_sort Fangzhi Yue
collection DOAJ
description Summary: Metformin prevents progression of non-alcoholic fatty liver disease (NAFLD). However, the potential mechanism is not entirely understood. Ferroptosis, a recently recognized nonapoptotic form of regulated cell death, has been reported to be involved in the pathogenesis of NAFLD. Here, we investigated the effects of metformin on ferroptosis and its potential mechanism in NAFLD. We found that metformin prevented the progression of NAFLD, and alleviated hepatic iron overload (HIO), ferroptosis and upregulated ferroportin (FPN) expression in vivo and in vitro. Mechanically, metformin reduced the lysosomal degradation pathway of FPN through activation AMPK, thus upregulated the expression of FPN protein, alleviated HIO and ferroptosis, and prevented progression of NAFLD. These findings discover a mechanism of metformin, suggesting that targeting FPN may have the therapeutic potential for treating NAFLD and related disorders.
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spelling doaj.art-efed1cb427724fcb8b26c681fc5681b02023-12-17T06:41:11ZengElsevieriScience2589-00422023-12-012612108560Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLDFangzhi Yue0Ying Shi1Shanyu Wu2Lin Xing3Dan He4Lin Wei5Anqi Qiu6Ryan Russell7Dongmei Zhang8Department of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, China; Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, Changsha 410011, Hunan, ChinaDepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, ChinaDepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, ChinaDepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, ChinaCollege of Pharmacy, Chongqing Medical University, Chongqing 400016, ChinaDepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, ChinaDepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, ChinaDepartment of Health and Human Performance, College of Health Professions, University of Texas Rio Grande Valley, Brownsville, TX, USADepartment of Endocrinology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Engineering Research Center for Obesity and its Metabolic Complications, Xiangya Hospital, Central South University, Changsha 410008, China; Corresponding authorSummary: Metformin prevents progression of non-alcoholic fatty liver disease (NAFLD). However, the potential mechanism is not entirely understood. Ferroptosis, a recently recognized nonapoptotic form of regulated cell death, has been reported to be involved in the pathogenesis of NAFLD. Here, we investigated the effects of metformin on ferroptosis and its potential mechanism in NAFLD. We found that metformin prevented the progression of NAFLD, and alleviated hepatic iron overload (HIO), ferroptosis and upregulated ferroportin (FPN) expression in vivo and in vitro. Mechanically, metformin reduced the lysosomal degradation pathway of FPN through activation AMPK, thus upregulated the expression of FPN protein, alleviated HIO and ferroptosis, and prevented progression of NAFLD. These findings discover a mechanism of metformin, suggesting that targeting FPN may have the therapeutic potential for treating NAFLD and related disorders.http://www.sciencedirect.com/science/article/pii/S2589004223026378PharmacologyBiological sciencesBiochemistryPhysiologyCell biology
spellingShingle Fangzhi Yue
Ying Shi
Shanyu Wu
Lin Xing
Dan He
Lin Wei
Anqi Qiu
Ryan Russell
Dongmei Zhang
Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD
iScience
Pharmacology
Biological sciences
Biochemistry
Physiology
Cell biology
title Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD
title_full Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD
title_fullStr Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD
title_full_unstemmed Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD
title_short Metformin alleviates hepatic iron overload and ferroptosis through AMPK-ferroportin pathway in HFD-induced NAFLD
title_sort metformin alleviates hepatic iron overload and ferroptosis through ampk ferroportin pathway in hfd induced nafld
topic Pharmacology
Biological sciences
Biochemistry
Physiology
Cell biology
url http://www.sciencedirect.com/science/article/pii/S2589004223026378
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