The antihepatic fibrotic effects of fluorofenidone via MAPK signalling pathways

Yu Peng1, Huixiang Yang, Tingting Zhu

  • 1Department of Nephropathy, Xiangya Hospital, Central South University, Changsha, China.

Abstract

Insights

Fluorofenidone (AKF-PD) effectively inhibits liver fibrosis by suppressing hepatic stellate cell activation and proliferation. This novel pyridone agent targets the MAPK signaling pathway, offering a potential therapeutic strategy for liver fibrosis.

Area of Science:

  • Pharmacology
  • Hepatology
  • Molecular Biology

Background:

  • Liver fibrosis is a significant health concern.
  • Hepatic stellate cells (HSCs) play a crucial role in liver fibrosis progression.
  • Novel therapeutic agents are needed to combat liver fibrosis.

Purpose of the Study:

  • To investigate the inhibitory effects of Fluorofenidone (AKF-PD) on dimethylnitrosamine (DMN)-induced liver fibrosis in rats.
  • To elucidate the molecular mechanisms underlying AKF-PD's action, particularly concerning HSCs.
  • To compare AKF-PD with pirfenidone (PFD) in a liver fibrosis model.

Main Methods:

  • Wistar rats were induced with liver fibrosis using DMN and treated with AKF-PD or PFD.
  • In vitro studies utilized activated HSC cell lines (CFSC-2G and LX2).
  • Assessed cell proliferation (MTT), collagen I expression (immunohistochemistry, RT-PCR), and key protein/gene markers (α-SMA, TIMP-1, ERK1/2, p38, JNK) via RT-PCR and Western blot.

Main Results:

  • AKF-PD significantly reduced HSC proliferation and activation, indicated by decreased α-SMA and TIMP-1.
  • AKF-PD attenuated PDGF-BB-induced phosphorylation of ERK1/2, p38, and JNK signaling pathways.
  • In vivo, AKF-PD treatment lessened liver injury and fibrosis, reducing collagen I, α-SMA, and TIMP-1 expression.

Conclusions:

  • Fluorofenidone (AKF-PD) demonstrates potent antifibrotic effects in a rat model.
  • AKF-PD suppresses HSC proliferation and activation through the MAPK signaling pathway.
  • AKF-PD represents a promising therapeutic candidate for treating liver fibrosis.

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