Demethyleneberberine alleviated the inflammatory response by targeting MD-2 to inhibit the TLR4 signaling

Yaxing Zhao1,2, Peng Liu3, Haofan Luan1

  • 1State Key Laboratory of Natural Medicines, Department of Biochemistry, China Pharmaceutical University, Nanjing, China.

Abstract

Insights

Demethyleneberberine (DMB) effectively treats colitis and sepsis by inhibiting the Toll-like receptor 4 (TLR4)-myeloid differentiation protein-2 (MD-2) complex. This study elucidates DMB

Area of Science:

  • Pharmacology and Toxicology
  • Immunology
  • Gastroenterology

Background:

  • Inflammatory diseases like colitis and sepsis pose significant health challenges with limited treatment options.
  • Trinitrobenzenesulfonic acid (TNBS)-induced colitis models chronic inflammation and intestinal barrier dysfunction.
  • Demethyleneberberine (DMB) shows potential anti-inflammatory and anti-oxidative properties, but its mechanism is unclear.

Purpose of the Study:

  • To identify the molecular targets and mechanisms of demethyleneberberine (DMB) in inflammatory responses.
  • To evaluate DMB's efficacy in preclinical models of colitis and sepsis.
  • To elucidate DMB's interaction with the Toll-like receptor 4 (TLR4) signaling pathway.

Main Methods:

  • Utilized a trinitrobenzenesulfonic acid (TNBS)-induced colitis rat model and an acute sepsis mouse model.
  • Administered DMB, berberine (BBR), or curcumin (Curc) orally to evaluate therapeutic effects.
  • Employed in vitro and in vivo systems, including myeloid differentiation protein-2 (MD-2) expression systems, to determine DMB's target.

Main Results:

  • Demethyleneberberine (DMB) significantly alleviated colitis and protected against sepsis shock.
  • DMB suppressed Toll-like receptor 4 (TLR4) signaling via both MyD88-dependent and independent pathways.
  • DMB non-covalently bound to the MD-2 protein's hydrophobic pocket, specifically interacting with phenylalanine at position 76.

Conclusions:

  • Demethyleneberberine (DMB) acts as a potent inhibitor of the MD-2 protein.
  • DMB effectively suppresses hyperactivated TLR4 signaling, offering a novel therapeutic strategy.
  • DMB demonstrates significant potential for treating inflammatory conditions like colitis and sepsis.