Nicotinamide adenine dinucleotide phosphate oxidase in experimental liver fibrosis: GKT137831 as a novel potential

Tomonori Aoyama1, Yong-Han Paik, Sumio Watanabe

  • 1Department of Medicine, University of California San Diego, La Jolla, CA 92093-0602, USA.

Abstract

Insights

A mutation in superoxide dismutase 1 (SOD1) enhances nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) activity, increasing reactive oxygen species (ROS) and liver fibrosis. Targeting NOX1/4 enzymes with GKT137831 may offer a novel therapeutic strategy for liver fibrosis.

Area of Science:

  • Hepatology and cellular biology
  • Oxidative stress and fibrosis mechanisms
  • Enzyme kinetics and drug development

Background:

  • Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) enzymes generate reactive oxygen species (ROS) in hepatic stellate cells (HSCs), contributing to liver fibrosis.
  • The NOX1 complex, involving Ras-related botulinum toxin substrate 1 (Rac1), and Superoxide dismutase 1 (SOD1) are implicated in fibrogenesis.
  • NOX4 expression is also upregulated in activated HSCs during liver fibrosis.

Purpose of the Study:

  • To investigate the role of a SOD1 G37R mutation (SODmu) with enhanced activity in HSCs and liver fibrosis.
  • To evaluate the therapeutic potential of GKT137831, a dual NOX1/4 inhibitor, in mitigating liver fibrosis.
  • To elucidate the specific pathways of NOX-SOD1-mediated ROS production in HSC activation and fibrotic progression.

Main Methods:

  • Induction of liver fibrosis in wild-type (WT) and SOD1mu mice using CCl(4) or bile duct ligation (BDL).
  • Administration of the NOX1/4 inhibitor GKT137831 to assess its effects on fibrosis and ROS generation.
  • Assessment of ROS production, Rac1 activity, and NOX/fibrotic gene expression in primary cultured HSCs from WT, SODmu, and NOX1 knockout mice.

Main Results:

  • SOD1mu mice exhibited increased liver fibrosis, ROS production, and Rac1 activity in HSCs.
  • GKT137831 treatment significantly attenuated liver fibrosis and ROS production in both SOD1mu and WT mice.
  • GKT137831 suppressed ROS and fibrotic gene expression in HSCs, but did not affect Rac1 activity.

Conclusions:

  • The SOD1mu mutation drives excessive NOX1 activation via Rac1 in HSCs, leading to increased NOX4 expression, ROS generation, and liver fibrosis.
  • Targeting NOX1/4 enzymes represents a promising therapeutic avenue for treating liver fibrosis.
  • Understanding the interplay between NOX, SOD1, and ROS is crucial for developing effective anti-fibrotic strategies.

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