REDD1 attenuates cholestatic liver fibrosis and suppresses PI3K/AKT/mTOR pathway

Xiaonan Li1, Xin Liu2, Xinrui Shi2

  • 1Department of Radiotherapy, Shanxi Provincial People's Hospital Affiliated to Shanxi Medical University, Taiyuan, China.

Frontiers in Medicine
|October 10, 2025
PubMed
Abstract

Insights

Liver fibrosis, often caused by cholestasis, lacks effective treatments. This study found that REDD1 upregulation surprisingly protected against liver fibrosis by modulating the PI3K/AKT/mTOR pathway, suggesting REDD1 as a therapeutic target.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Fibrosis Research

Background:

  • Liver fibrosis is a significant health concern, particularly when associated with cholestasis.
  • Current therapeutic options for cholestatic liver fibrosis are limited.
  • Understanding the molecular mechanisms underlying liver fibrosis is crucial for developing new treatments.

Purpose of the Study:

  • To investigate the role of the gene REDD1 in liver fibrosis.
  • To explore REDD1 as a potential therapeutic target for cholestatic liver fibrosis.

Main Methods:

  • mRNA sequencing and RT-qPCR were used to identify REDD1 in a mouse model of bile duct ligation (BDL).
  • Immunohistochemistry analyzed REDD1, CD68, α-SMA, and PI3K/AKT/mTOR pathway markers in primary biliary cholangitis (PBC) patient liver tissue.
  • Adenovirus-mediated REDD1 transfection was employed to assess therapeutic effects in vivo.

Main Results:

  • REDD1 was significantly upregulated in BDL-induced fibrotic liver tissue.
  • REDD1 expression positively correlated with fibrotic markers (α-SMA, CD68) in PBC patients.
  • REDD1 overexpression ameliorated liver injury, reduced liver enzymes (ALT/AST), and decreased collagen deposition in BDL mice, implicating a compensatory role.

Conclusions:

  • REDD1 exhibits a protective effect against liver fibrosis, likely through the PI3K/AKT/mTOR pathway.
  • REDD1 represents a promising therapeutic target for mitigating liver fibrosis, particularly in cholestatic conditions.