Why the study?
Current guidelines recommend barely any specific pharmacological therapy for NAFLD, and the therapeutic mechanisms of Gentiana scabra remained unclear.
Does Gentiana scabra extract improve metabolic dysfunction and reduce pro-inflammatory macrophage recruitment in a high-fat diet mouse model of NAFLD?
Does Gentiana scabra extract improve metabolic dysfunction and reduce pro-inflammatory macrophage recruitment in a high-fat diet mouse model of NAFLD?
Gentiana scabra extract ameliorates non-alcoholic fatty liver disease in mice by inhibiting the TBK1/NF-κB/MCP1 signaling pathway and reducing hepatic pro-inflammatory macrophage recruitment.
This is the authors' abstract. We don't add key points for this paper.
Non-alcoholic fatty liver disease (NAFLD) has become a progressive metabolic disease that is emerging as a global epidemic. Considering that the complex pathogenesis has not been fully elucidated, barely specific pharmacological therapy is recommended in current guidelines. Gentiana scabra (GS) is a commonly used herb in Tibetan medicine, which has received much attention in recent years due to its diverse pharmacological properties, including anti-inflammation, anti-oxidation, and anti-fibrosis. However, the therapeutic mechanisms are still unclear. Our investigation demonstrated a regulatory effect of GS on pro-inflammatory macrophages, which was extensively investigated in NAFLD that revealed intimate participation in the disease evolution, and the non-canonical IKK family member TANK-binding kinase 1 (TBK1) was involved in this process. Plasmid vectors for shTBK1 and amlexanox (AML), an inhibitor of TBK1, were used in this study to verify the mechanisms of TBK1 both in vitro and in vivo , while a co-culture system for hepatocytes and BMDMs was constructed to confirm the critical role of macrophages for inflammatory cascade. The results revealed that metabolic burden up-regulated the phosphorylation of TBK1, resulting in activation of NF-κB signaling pathway, and consequently caused an elevated expression of MCP1 to induce the macrophage recruitment and accelerate the inflammatory cascade. In contrast, GS could inhibit the TBK1 phosphorylation and the MCP1 expression to restrain the recruitment of pro-inflammatory macrophages, so as to provide curative effects on metabolic dysfunction and inflammation. Considering that GS is non-toxic and can be used as a kind of tea for long-term drinking, we propose it may be an effective option for the prevention and treatment of NAFLD, which deserves further exploration and application, and may provide new insights to improve the current standardized intervention strategy.
May support GS for NAFLD via macrophage effects in models; leaves open clinical translation.
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Zheng et al. (2022) studied this question.
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