Moronic acid alleviates non-alcoholic fatty liver disease and fibrosis through PPARs-mediated lipidomic reprogramming

Jinlu Han1, Jiong Chen1, Hong Hu1

  • 1Department of Gastroenterology, Tongren Hospital, Shanghai Jiaotong University School of Medicine, 1111 Xianxia Road, Shanghai, 200336, China.

Abstract

Insights

Moronic acid (MA) effectively treats non-alcoholic fatty liver disease (NAFLD) and fibrosis by activating PPARs and reprogramming lipids. This natural compound shows promise as a phytotherapeutic agent for metabolic liver conditions.

Area of Science:

  • Hepatology
  • Pharmacology
  • Metabolomics

Background:

  • Non-alcoholic fatty liver disease (NAFLD) and liver fibrosis are significant global health issues.
  • Current pharmacological interventions for NAFLD and fibrosis are limited.
  • Moronic acid (MA), a natural pentacyclic triterpenoid, possesses anti-inflammatory and metabolic activities, but its therapeutic role in NAFLD and fibrosis is not well-defined.

Purpose of the Study:

  • To investigate the therapeutic potential of Moronic acid (MA) in ameliorating NAFLD and liver fibrosis.
  • To elucidate the underlying molecular mechanisms of MA's action in metabolic liver disease.

Main Methods:

  • MA's efficacy was assessed in mouse models of NAFLD and liver fibrosis.
  • An integrated multi-omics approach (network pharmacology, proteomics, lipidomics) was employed to uncover the mechanism of action.
  • Direct target engagement with peroxisome proliferator-activated receptors (PPARs) was confirmed using biophysical assays (MST, CETSA) and genetic validation.

Main Results:

  • MA treatment significantly alleviated hepatic steatosis, fibrosis, and metabolic dysregulation in preclinical models.
  • MA was found to activate PPARα/β/γ, leading to reduced lipid accumulation and fibrogenesis in liver cells.
  • Lipidomic analysis revealed MA-induced alterations in glycerophospholipid and sphingolipid metabolism, consistent with PPAR pathway activation.

Conclusions:

  • Moronic acid (MA) demonstrates significant therapeutic effects against NAFLD and liver fibrosis.
  • MA acts by activating PPARs and reprogramming lipid metabolism.
  • These findings highlight MA's potential as a novel phytotherapeutic agent for managing metabolic liver diseases.