Ophiopogonin D Alleviates Nonalcoholic Steatohepatitis via Ferroptosis Through AKT1/STAT3/HIF-1α Axis

Dong Li1, Meina Shi2, Zhike Fang3

  • 1Institute of Traditional Chinese Medicine, Dongguan TCM Hospital, Dongguan, 523005, China, itmonline.org.

Abstract

Insights

Ophiopogonin D (OP-D) shows potential in treating nonalcoholic steatohepatitis (NASH) by reducing liver fibrosis. It works by regulating ferroptosis through the AKT1/STAT3/HIF-1α pathway, offering a new therapeutic avenue for NASH.

Area of Science:

  • * Pharmacology
  • * Molecular Biology
  • * Gastroenterology

Background:

  • * Nonalcoholic steatohepatitis (NASH) pathogenesis and molecular mechanisms remain incompletely understood.
  • * Ophiopogonin D (OP-D) is a compound with potential therapeutic applications.
  • * Investigating OP-D's antifibrotic effects in NASH is crucial.

Purpose of the Study:

  • * To investigate the antifibrotic effect of OP-D in a nonalcoholic fatty liver disease (NAFLD) model.
  • * To elucidate the underlying molecular mechanisms of OP-D's action in NASH.
  • * To identify key molecular targets of OP-D in NASH treatment.

Main Methods:

  • * A high-fat diet (HFD) induced NAFLD in rats.
  • * OP-D treatment effects on liver function, lipid levels, and inflammatory/ferroptosis markers were assessed.
  • * Network pharmacology identified OP-D targets; Western blot and PCR analyzed protein and gene expression (AKT1, STAT3, HIF-1α, fibrotic markers).

Main Results:

  • * OP-D treatment improved liver function and reduced fibrotic markers (α-SMA/Col1α1) and ferroptosis (GPX4) in NASH rats.
  • * Network pharmacology identified AKT1 and STAT3 as key targets for OP-D in NASH.
  • * OP-D decreased p-AKT, p-STAT3, AKT1, STAT3, and HIF-1α levels in liver tissues and hepatic stellate cells; overexpression of AKT1/STAT3 reversed OP-D's effects.

Conclusions:

  • * OP-D demonstrates significant antifibrotic effects in NASH.
  • * The mechanism involves regulating ferroptosis via the AKT1/STAT3/HIF-1α signaling axis.
  • * OP-D presents a promising therapeutic candidate for NASH treatment.

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