限时进食通过 Sirt1 / Nrf2 通路抑制铁死亡改善代谢相关脂肪性肝炎
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1.山西医科大学,太原 030000;2.山西医药学院,山西 汾阳 032200

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R575;R363;R459. 3

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Time-restricted feeding improves metabolic dysfunction-associated steatohepatitis by inhibiting ferroptosis through the Sirt1 / Nrf2 pathway
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1. Shanxi Medical University, Taiyuan 030000, China. 2. Shanxi Medical College, Fenyang 032200

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    摘要:

    方法(1)用高脂高胆固醇饮食诱导小鼠构建 MASH 模型。 将 24 只 C57BL / 6J 小鼠分为正常对照(NC)组、正常限时进食(NT)组、模型(M)组和模型限时进食(MT)组。 饲养 14 周后麻醉,称重,收集小鼠血清,检测血清总胆固醇(TC)、甘油三酯(TG)、天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、丙二醛(MDA)和 Fe2+的水平;收集小鼠肝脏,计算肝脏系数;油红 O、苏木精-伊红(HE)和马松(Masson)染色评估肝组织脂肪变性、炎症浸润及纤维化程度;Western blot 法检测沉默信息调节因子 1(Sirt1)、核因子 E2 相关因子 2(Nrf2)、酰基辅酶 A 合成酶长链家族成员 4(ACSL4)、转铁蛋白受体 1(TfR1)、溶质载体家族 7 成员(SLC7A11)、谷胱甘肽过氧化物酶 4(GPX4)和肿瘤坏死因子-α(TNF-α)蛋白表达水平。 (2)用油酸-胆固醇诱导 HepG2 细胞复制体外 MASH 模型,用血清剥夺法构建体外禁食模型。 将实验细胞分为对照(Control)组、血清剥夺(FBS-)组、模型(M)组和模型血清剥夺(M+FBS-)组;用铁死亡抑制剂(Fer-1)探讨铁死亡与 MASH 及 TRF 的关系;用 Sirt1抑制剂 EX-527 抑制 Sirt1 活性研究 Sirt1 与 Nrf2 介导的铁死亡的关系。 油红 O 染色观察肝细胞脂质蓄积;试剂盒检测 HepG2 细胞 TC、TG、ALT、AST、MDA 水平;Western blot 法检测 HepG2 细胞 Sirt1、Nrf2、TfR1、ACSL4、SLC7A11、GPX4 和 TNF-α 蛋白表达水平。 结果 (1)与 MASH 小鼠相比,TRF 干预显著降低了 MASH 小鼠体质量及血清中 TC、TG、ALT、AST、MDA 和 Fe2+水平(P<0. 01),肝脏中 Fe2+水平及 TNF-α 的表达也得到明显降低(P<0. 01),同时改善了肝组织中的脂肪变性和纤维沉积。 Western blot 结果显示,TRF 干预后 MASH 小鼠肝脏中 Sirt1、Nrf2、SLC7A11、GPX4 蛋白水平显著升高(P<0. 01),TfR1、ACSL4 蛋白水平显著降低(P<0. 01)。(2)与 M 组细胞相比,血清剥夺干预降低了油酸-胆固醇诱导 HepG2 细胞中 TC、TG、ALT、AST、MDA 水平及TNF-α 的表达(P<0. 01),显著减少了细胞中脂滴数量。 Western blot 结果显示,血清剥夺干预后 Sirt1、Nrf2、SLC7A11、GPX4 蛋白水平显著升高( P< 0. 01),TfR1、ACSL4 蛋白水平显著降低( P<0. 01);Fer-1 干预后,SLC7A11、GPX4 蛋白水平显著升高(P<0. 01),TfR1、ACSL4 蛋白水平显著降低(P<0. 01);EX-527 干预后,Sirt1、Nrf2、SLC7A11、GPX4 蛋白水平显著降低(P<0. 05 或 P<0. 01),TfR1、ACSL4 蛋白水平显著升高( P<0. 01),血清剥夺对 M 组脂肪蓄积和损伤的改善作用被显著削弱(P<0. 05 或 P<0. 01)。 结论 TRF 可能通过抑制铁死亡改善代谢相关脂肪性肝炎,其保护机制可能与其介导的 Sirt1 / Nrf2 通路有关。

    Abstract:

    Objective To investigate the effects of time-restricted feeding (TRF) on improving metabolicassociated steatohepatitis (MASH) and the underlying molecular mechanisms involved. Methods ( 1) A MASH model was established in C57BL / 6J mice using a high-fat, high-cholesterol diet. Twenty-four mice were randomly assigned to normal control ( NC), normal time-restricted feeding ( NT), model ( M), and model time-restricted feeding (MT) groups ( n=6 per group). Mice were anesthetized and weighed after 14 weeks, and serum samples were collected. Serum levels of total cholesterol ( TC), triglycerides ( TG), aspartate aminotransferase ( AST),alanine aminotransferase (ALT), malondialdehyde (MDA), and ferrous ions ( Fe2+) were measured. Livers were harvested to calculate the liver index. Oil Red O, hematoxylin-eosin (HE), and Masson’ s trichrome staining were used to evaluate hepatic steatosis degree, inflammatory infiltration, and fibrosis. Protein expression levels of silent information regulator 1 ( Sirt1), nuclear factor E2-related factor 2 ( Nrf2), acyl-coA synthetase long-chain family member 4( ACSL4), transferrin receptor 1 ( TfR1), solute carrier family 7 member 11 ( SLC7A11), glutathione peroxidase 4 (GPX4), and tumor necrosis factor alpha (TNF-α) were detected by Western blot. (2) Additionally,an in vitro MASH model was established in human HepG2 cells using oleic acid and cholesterol stimulation, and a fasting model was established with serum deprivation. Cells were divided into Control, serum-deprived (FBS-), M, and M + FBS- groups. The ferrostatin-1 ( Fer-1) ferroptosis inhibitor was employed to investigate the relationship between ferroptosis and MASH/ TRF. Sirt1 activity was inhibited using EX-527 to investigate the relationship between Sirt1 and Nrf2-mediated ferroptosis. Lipid accumulation in hepatocytes was observed with Oil Red O staining. HepG2 TC, TG, ALT, and AST levels were measured using kits. Western blot analysis was used to assess Sirt1, Nrf2,TfR1, ACSL4, SLC7A11, GPX4, and TNF-α protein expression levels in HepG2 cells. Results (1) Compared with MASH mice, TRF significantly reduced body weight and TC, TG, ALT, AST, MDA, and Fe2+ serum levels (P<0. 01). Liver Fe2+ levels and TNF-α expression were also decreased (P<0. 01), while hepatic steatosis and fibrosis were improved. Western blot analysis revealed that TRF intervention significantly increased Sirt1, Nrf2, SLC7A11,and GPX4 protein levels (P<0. 01) while decreasing those of TfR1 and ACSL4 in the livers of MASH mice (P<0. 01). (2) Compared with the M group, serum deprivation intervention reduced TC, TG, ALT, AST, MDA, and TNF-α levels in oleic acid-cholesterol-induced HepG2 cells ( P<0. 01), effectively reducing the number of lipid droplets. Western blot analysis indicated that serum deprivation elevated Sirt1, Nrf2, SLC7A11, and GPX4 protein levels ( P<0. 01) while decreasing those of TfR1 and ACSL4 ( P<0. 01). SLC7A11 and GPX4 protein levels increased following Fer-1 intervention (P<0. 01), while those of TfR1 and ACSL4 decreased (P<0. 01). Following EX-527 intervention, Sirt1, Nrf2, SLC7A11, and GPX4 protein levels decreased (P<0. 05 or P<0. 01), while TfR1 and ACSL4 levels significantly increased (P<0. 01), attenuating the ameliorative effects of serum deprivation on fat accumulation and injury in the M group ( P<0. 05 or P<0. 01). Conclusions TRF may improve metabolicassociated fatty liver disease by inhibiting ferroptosis, with its protective mechanism potentially involving Sirt1 / Nrf2 pathway mediation.

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李胜男,范丹丹,宋维芳.限时进食通过 Sirt1 / Nrf2 通路抑制铁死亡改善代谢相关脂肪性肝炎[J].中国比较医学杂志,2026,36(3):58~70.

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  • 收稿日期:2025-09-28
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  • 在线发布日期: 2026-03-25
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