Dehydroabietic acid improves nonalcoholic fatty liver disease through activating the Keap1/Nrf2-ARE signaling pathway to reduce ferroptosis

J Nat Med. 2021 Jun;75(3):540-552. doi: 10.1007/s11418-021-01491-4. Epub 2021 Feb 15.

Abstract

The accumulation of iron-dependent lipid peroxides is one of the important causes of NAFLD. The purpose of this study is to explore the effect of dehydroabietic acid (DA) on ferroptosis in nonalcoholic fatty liver disease (NAFLD) mice and its possible mechanisms. DA improved NAFLD and reduced triglycerides (TG), total cholesterol (TC), and lipid peroxidation level and inhibited ferroptosis in the liver of HFD-induced mice. DA binds with Keap1 to form 3 stable hydrogen bonds at VAL512 and LEU557 and increased nuclear factor erythroid 2-related factor 2 (Nrf2)-antioxidant response elemen (ARE) luciferase activity. DA promoted the expression downstream of Nrf2 such as heme oxygenase-1 (HO-1), glutathione (GSH) and its peroxidase 4 (GPX4), so as to eliminate the accumulation of reactive oxygen species (ROS) and reduce lipid peroxides malondialdehyde (MDA) in the liver. DA inhibited ferroptosis and increased the expression of key genes such as ferroptosis suppressor protein 1 (FSP1) in vitro and vivo. In all, DA may bind with Keap1, activate Nrf2-ARE, induce its target gene expression, inhibit ROS accumulation and lipid peroxidation, and reduce HFD-induced NAFLD.

Keywords: Dehydroabietic acid; Ferroptosis; Nonalcoholic fatty liver disease; Nrf2-ARE; ROS.

MeSH terms

  • Abietanes / therapeutic use*
  • Animals
  • Antioxidant Response Elements
  • Cholesterol / blood
  • Ferroptosis / drug effects*
  • Glutathione / metabolism
  • HEK293 Cells
  • Heme Oxygenase-1 / metabolism
  • Humans
  • Kelch-Like ECH-Associated Protein 1 / metabolism
  • Lipid Peroxidation / drug effects
  • Male
  • Malondialdehyde / metabolism
  • Membrane Proteins
  • Mice
  • Mice, Inbred C57BL
  • NF-E2-Related Factor 2 / metabolism
  • Non-alcoholic Fatty Liver Disease / drug therapy*
  • Phospholipid Hydroperoxide Glutathione Peroxidase / metabolism
  • Reactive Oxygen Species / metabolism
  • S100 Calcium-Binding Protein A4 / metabolism
  • Signal Transduction / drug effects*
  • Triglycerides / blood

Substances

  • Abietanes
  • Keap1 protein, mouse
  • Kelch-Like ECH-Associated Protein 1
  • Membrane Proteins
  • NF-E2-Related Factor 2
  • Nfe2l2 protein, mouse
  • Reactive Oxygen Species
  • S100 Calcium-Binding Protein A4
  • S100a4 protein, mouse
  • Triglycerides
  • dehydroabietic acid
  • Malondialdehyde
  • Cholesterol
  • Phospholipid Hydroperoxide Glutathione Peroxidase
  • glutathione peroxidase 4, mouse
  • Heme Oxygenase-1
  • Hmox1 protein, mouse
  • Glutathione