11β-HSD1 Inhibitor Alleviates Non-Alcoholic Fatty Liver Disease by Activating the AMPK/SIRT1 Signaling Pathway

Ying Chen1, Jiali Li1, Meng Zhang1

  • 1Heilongjiang Key Laboratory of Tissue Damage and Repair, College of Life Science, Mudanjiang Medical University, Mudanjiang 157011, China.

Nutrients
|June 10, 2022
PubMed

Insights

H8, an 11β-HSD1 inhibitor, effectively treats non-alcoholic fatty liver disease (NAFLD) by reducing liver fat, fibrosis, and inflammation. It works by activating the AMPK/SIRT1 pathway, offering a new therapeutic approach for NAFLD.

Area of Science:

  • Hepatology
  • Endocrinology
  • Pharmacology

Background:

  • Non-alcoholic fatty liver disease (NAFLD) is a growing health concern with limited treatment options.
  • The enzyme 11β-HSD1 plays a crucial role in hepatic lipid metabolism and NAFLD pathogenesis.
  • H8, a curcumin derivative, is a known inhibitor of 11β-HSD1, but its efficacy in NAFLD is unexplored.

Purpose of the Study:

  • To investigate the therapeutic effect of H8 on hepatic steatosis in a rat model of NAFLD.
  • To elucidate the underlying molecular mechanisms by which H8 ameliorates NAFLD.

Main Methods:

  • NAFLD was induced in rats using a high-fat diet (HFD) and streptozotocin (STZ) injection.
  • Rats were treated with H8 (3 or 6 mg/kg/day) or curcumin (6 mg/kg/day) for 4 weeks.
  • In vitro studies using HepG2 cells and in vivo experiments with lentiviral gene delivery were performed to confirm the role of 11β-HSD1.
  • Involvement of AMP-activated protein kinase (AMPK) and Sirtuin 1 (SIRT1) pathways was assessed using specific inhibitors and activators.

Main Results:

  • H8 treatment significantly reduced lipid accumulation, fibrosis, and inflammation in the livers of HFD+STZ-fed rats.
  • H8 administration improved overall liver function and alleviated NAFLD markers.
  • The beneficial effects of H8 were attributed to the inhibition of 11β-HSD1, leading to activation of the AMPK/SIRT1 signaling pathway.

Conclusions:

  • H8 demonstrates significant therapeutic potential for treating NAFLD by targeting hepatic 11β-HSD1.
  • H8 alleviates hepatic steatosis through the activation of the AMPK/SIRT1 signaling cascade.
  • These findings suggest H8 as a promising candidate for NAFLD treatment.