Inhibition of JNK signalling mediates PPARα-dependent protection against intrahepatic cholestasis by fenofibrate
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Published on: August 23, 2024
Manyun Dai1, Julin Yang2, Minzhu Xie1
1Medical School of Ningbo University, Ningbo, China.
Background And Purpose:
Fenofibrate, a PPARα agonist, is the most widely prescribed drug for treating hyperlipidaemia. Although fibrate drugs are reported to be beneficial for cholestasis, their underlying mechanism has not been determined.
Experimental Approach:
Wild-type mice and Pparα-null mice were pretreated orally with fenofibrate for 3 days, following which α-naphthylisothiocyanate (ANIT) was administered to induce cholestasis. The PPARα agonist WY14643 and JNK inhibitor SP600125 were used to determine the role of PPARα and the JNK pathway, respectively, in cholestatic liver injury. The same fenofibrate regimen was applied to investigate its beneficial effects on sclerosing cholangitis in a DDC-induced cholestatic model.
Key Results:
Fenofibrate, 25 mg·kg-1 twice a day, totally attenuated ANIT-induced cholestasis and liver injury as indicated by biochemical and histological analyses. This protection occurred in wild-type, but not in Pparα-null, mice. Alterations in bile acid synthesis and transport were found to be an adaptive response rather than a direct effect of fenofibrate. WY14643 attenuated ANIT-induced cholestasis and liver injury coincident with inhibition of JNK signalling. Although SP600125 did not affect cholestasis, it inhibited liver injury in the ANIT model when the dose of fenofibrate used was ineffective. Fenofibrate was also revealed to have a beneficial effect in the sclerosing cholangitis model.
Conclusions And Implications:
These data suggest that the protective effects of fenofibrate against cholestasis-induced hepatic injury are dependent on PPARα and fenofibrate dose, and are mediated through inhibition of JNK signalling. This mechanism of fenofibrate protection against intrahepatic cholestasis may offer additional therapeutic opportunities for cholestatic liver diseases.
Insights
Fenofibrate protects against cholestasis-induced liver injury by activating PPARα and inhibiting JNK signaling. This mechanism offers potential new therapies for cholestatic liver diseases.
Area of Science:
- Hepatology and Pharmacology
- Molecular Biology
- Drug Discovery
Background:
- Fenofibrate, a PPARα agonist, is widely used for hyperlipidemia.
- Fibrates show promise for cholestasis, but mechanisms are unclear.
Purpose of the Study:
- To elucidate the mechanism of fenofibrate's protective effects in cholestasis.
- To investigate the roles of PPARα and JNK signaling pathways.
Main Methods:
- Used wild-type and Pparα-null mice with ANIT-induced cholestasis.
- Administered fenofibrate, WY14643 (PPARα agonist), and SP600125 (JNK inhibitor).
- Evaluated fenofibrate in a DDC-induced sclerosing cholangitis model.
Main Results:
- Fenofibrate (25 mg·kg⁻¹ BID) protected against ANIT-induced cholestasis and liver injury in wild-type but not Pparα-null mice.
- PPARα activation and JNK inhibition correlated with protection.
- Fenofibrate showed benefits in a sclerosing cholangitis model.
Conclusions:
- Fenofibrate's protection against cholestatic liver injury is PPARα-dependent and dose-related.
- The mechanism involves JNK signaling inhibition.
- Fenofibrate offers therapeutic potential for intrahepatic cholestasis.
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