Knockout of Sema4D alleviates liver fibrosis by suppressing AOX1 expression

Lifu Wang1, Dinghao Li2, Zifeng Zhu2

  • 1Guangzhou Key Laboratory for Clinical Rapid Diagnosis and Early Warning of Infectious Diseases, KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou 511436, China.

Pharmacological Research
|August 17, 2023
PubMed

Insights

Targeting Semaphorin 4D (Sema4D) shows promise for treating liver fibrosis. Blocking Sema4D reduces liver scarring by regulating retinol metabolism and immune cell balance, offering a new therapeutic avenue.

Area of Science:

  • Immunology
  • Hepatology
  • Molecular Biology

Background:

  • Chronic liver diseases often lead to liver fibrosis, a condition with limited effective treatments due to poorly understood molecular mechanisms.
  • Semaphorin 4D (Sema4D) is known for its immune functions, particularly in T cell priming, suggesting a potential role in inflammatory liver conditions.

Purpose of the Study:

  • To investigate the role of Semaphorin 4D (Sema4D) in the development of liver fibrosis.
  • To elucidate the molecular mechanisms by which Sema4D influences liver fibrogenesis and potential therapeutic strategies.

Main Methods:

  • Quantitative analysis of Sema4D expression in fibrotic liver tissue.
  • Assessment of liver fibrosis severity following Sema4D knockout in a preclinical model.
  • Analysis of retinol metabolism pathways, specifically aldehyde oxidase 1 (AOX1) and retinoic acid receptor alpha (RARA) expression.
  • Evaluation of immune cell populations, including Th1, Th2, Th17, and T-bet+Treg cells.

Main Results:

  • Sema4D expression was significantly elevated in fibrotic livers and correlated with hepatic stellate cell activation.
  • Sema4D knockout demonstrably alleviated liver fibrosis.
  • Sema4D knockout suppressed liver fibrosis by downregulating AOX1 in retinol metabolism and reducing retinoic acid receptor alpha (RARA) levels.
  • The antifibrotic effects of Sema4D knockout were partly attributed to restoring the balance of specific T helper cell subsets.

Conclusions:

  • Semaphorin 4D (Sema4D) plays a critical role in promoting liver fibrosis.
  • Targeting Sema4D, potentially through AOX1/RARA pathways and immune modulation, represents a promising therapeutic strategy for liver fibrosis.