Dopamine receptor D2 regulates inflammation and fibrosis in metabolic dysfunction-associated steatohepatitis disease

Peng Ma1, Yan Zhao Guo1, Long Long Wang1

  • 1School of Life Science and Technology, China Pharmaceutical University, Nanjing, Jiangsu, China.

Biochemical Pharmacology
|January 10, 2026
PubMed

Insights

Metabolic dysfunction-associated steatohepatitis (MASH) involves liver inflammation and fibrosis. This study shows dopamine receptor D2 (DRD2) contributes to MASH pathogenesis by regulating inflammation and fibrosis, offering a potential therapeutic target.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Metabolic Diseases

Background:

  • Metabolic dysfunction-associated steatohepatitis (MASH) is a growing global health concern with unclear pathogenesis.
  • Obesity rates are rising, increasing the prevalence of liver diseases like MASH.

Purpose of the Study:

  • To elucidate the role of dopamine receptor D2 (DRD2) in the pathogenesis of MASH.
  • To investigate the mechanisms by which DRD2 influences liver inflammation and fibrosis.
  • To evaluate the therapeutic potential of DRD2 antagonists in MASH.

Main Methods:

  • Investigated DRD2 expression in hepatocytes stimulated by LPS + TNFα or TGFβ1.
  • Utilized protein kinase C (PKC) activation to study DRD2 internalization.
  • Examined the effects of internalized DRD2 on p65 ubiquitination and inflammatory signaling.
  • Identified Makorin Ring Finger Protein 1 (MKRN1) as an E3 ligase for p65.
  • Assessed DRD2's interaction with Par-4 and its effect on inflammatory responses.
  • Studied DRD2's regulation of Yes-associated protein (YAP) nuclear localization via AKT dephosphorylation.
  • Evaluated the efficacy of the DRD2 antagonist L-741626 in ameliorating MASH-related inflammation and fibrosis.

Main Results:

  • LPS + TNFα or TGFβ1 enhances DRD2 expression and PKC-mediated internalization in hepatocytes.
  • Internalized DRD2 regulates inflammation and fibrosis by interfering with p65 ubiquitination.
  • MKRN1 is identified as a key E3 ligase for p65 in hepatocytes.
  • DRD2 modulates p65 protein levels and inflammatory responses via Par-4 interaction.
  • DRD2 influences YAP nuclear localization through AKT dephosphorylation.
  • The DRD2 antagonist L-741626 shows potential in reducing liver inflammation and fibrosis.

Conclusions:

  • DRD2 plays a significant role in MASH-associated liver inflammation and fibrosis.
  • DRD2 internalization and subsequent signaling pathways are critical in MASH pathogenesis.
  • Targeting DRD2 with antagonists like L-741626 presents a promising therapeutic strategy for MASH.

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