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Artesunate inhibits liver fiber generation through the acid sphingomyelinase-ceramide-ERK1/2 signal pathway
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DOI   10.11656/j.issn.1672-1519.2025.05.14
Key Words   artesunate;hepatic fibrosis;sphingomyelinase;ceramide;ERK1/2
Author NameAffiliationE-mail
XU Yajie Department of Pharmacy, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
DU Yan Department of Pharmacy, Tianjin Jizhou District People's Hospital, Tianjin 301900, China  
FANG Buwu Department of Pharmacology, Tianjin Medical University, Tianjin 300070, China fangdch@yahoo.com.cn 
Abstract
    [Objective] To investigate the role of ceramide(Cer) in the inhibition of hepatic fibrogenesis by artesunate(Art) and to preliminarily reveal the role of the acid sphingomyelinase(ASMase)-Cer-extracellular signal-regulated kinase(ERK) 1/2 signaling pathway in this process. [Methods] Human-derived hepatic stellate cell LX-2 cells were divided into control and experimental groups,the control group included cell control group,1‰ DMSO group,lysostaphin group(1% NaHCO3 was added after 1‰ DMSO pretreatment for 30 min),and the experimental group included Art 250 μmol/L group,Art 350 μmol/L group,Art 450 μmol/L group,promethazine(Imi) 10 μmol/L group,Imi 30 μmol/L group,Imi 10 μmol/L+Art 450 μmol/L group(Imi 10 μmol/L was added 30 min before the addition of Art 450 μmol/L),Imi 30 μmol/L+Art 450 μmol/L group(Imi 30 μmol/L+Art 450 μmol/L was added 30 min before the addition of Art 450 μmol/L),and Imi 30 μmol/L+Art 450 μmol/L group(Imi 30 μmol/L+Art 450 μmol/L). The effects of each experimental group on the proliferation of LX-2 cells were detected by MTT assay;the effects of Art group on the activity of lactate dehydrogenase in the supernatant of LX-2 cell culture were detected by colorimetric assay;the content of hydroxyproline in the supernatant of LX-2 cell culture in each experimental group was determined by cell digestion;and the content of C-terminaldehyde(C-terminaldehyde) in the supernatant of LX-2 cell culture in each experimental group was determined by high-performance liquid chromatography-fluorescence(HPLC-FLD) assay. The 2 cell culture supernatants,fluorescence method to determine Cer content,fluorescence method to determine ASMase activity,and protein immunoblotting(Western blot) method to determine the changes of ASMase protein expression. LX-2 cells were used as experimental subjects,which were divided into cell control group,Imi 10 μmol/L group,Imi 30 μmol/L group,oleoylethanolamine(NOE) 50 μmol/L group,PD98059 100 μmol/L group,Imi 10 μmol/L+Art 450 μmol/L group,Imi 30 μmol/L+Art 450 μmol/L group,Art 450 μmol/L group,and Western blot method to observe the changes of ERK1/2 phosphorylated protein expression. [Results] The proliferation of LX-2 cells in each experimental group was significantly inhibited by Art(P<0.05),and the inhibitory effect on the proliferation of LX-2 cells was dose-effect-dependent and time-effect-dependent;after 24 h of Art action,there was no significant difference in the lactate dehydrogenase activity in the supernatant of LX-2 cell culture of each experimental group compared with that of the control group(P>0.05);the concentration of Art in each experimental group effectively reduced the content of hydroxyproline in the supernatant of LX-2 cell culture(P<0.05) and significantly increased the content of Cer in the supernatant of LX-2 cell culture(P<0.05). Art 450 μmol/L group could effectively reduce the hydroxyproline content in LX-2 cell culture supernatant(P<0.05) and significantly increase the Cer content in LX-2 cell culture supernatant(P<0.05). Art 450 μmol/L group could increase the activity of ASMase(P<0.01) and promote the expression of ASMase protein(P<0.01).Imi 30 μmol/L was used to increase the activity of lactate dehydrogenase(LDH) and DMSO for 24 h,which was significantly different from that of control group(P>0.05). Imi 30 μmol/L increased ASMase activity(P<0.01) and decreased ASMase protein expression(P<0.01) in the LX-2 cell culture supernatant compared with that in the DMSO group after 24 h. Imi 30 μmol/L increased ASMase activity(P<0.01) and decreased ASMase protein expression(P<0.01). Compared with the Art 450 μmol/L group,the Imi 30 μmol/L pretreatment group significantly reduced the inhibitory effect of Art on the proliferation of LX-2 cells,significantly attenuated its effect on the reduction of hydroxyproline content,and significantly reduced its effect on the elevation of Cer content(P<0.05). The Imi 30 μmol/L pretreatment group significantly attenuated the promotional effect of Art on the ASMase activity(P<0.05). activity(P<0.01) and ASMase protein expression(P<0.01). Compared with the control group,Art 450 μmol/L,NOE 50 μmol/L,and PD98059 100 μmol/L inhibited the expression of ERK1/2 phosphorylated proteins(P<0.05);Imi 30 μmol/L promoted the expression of ERK1/2 phosphorylated proteins(P<0.05). Compared with Art 450 μmol/L,Imi 30 μmol/L pretreatment group attenuated the inhibitory effect of Art on ERK1/2 phosphorylated protein expression(P<0.05). [Conclusion] Art may exert its anti-hepatic fibrotic effect by up-regulating Cer content in LX-2 cells,and it may exert this effect through the ASMase-Cer-ERK1/2 signaling pathway.

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