4.7 Article

Glaucocalyxin a protect liver function via inhibiting platelet over-activation during sepsis

Journal

PHYTOMEDICINE
Volume 100, Issue -, Pages -

Publisher

ELSEVIER GMBH
DOI: 10.1016/j.phymed.2022.154089

Keywords

Gaucocalyxin A; Platelet; Complement activation; Liver function; Sepsis

Funding

  1. National Natural Science Foundation of China [81800128]
  2. Suzhou New District Science and Technology Project [2020Z002]
  3. Natural Science Foundation of Jiangsu Province [BK20170361]
  4. Core Medical Science Subjects in Suzhou [szxk202131]
  5. Research project of Gusu School of Nanjing Medical University [GSKY20210241]
  6. Subject construction support project of the Second Affiliated Hospital of Soochow University (the Talent support project of the Academy of Science and Education) [XKTJ-RC202015]

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The research found that GLA can alleviate liver dysfunction in the mouse model of sepsis. GLA-treated mice displayed lower complement activation and liver dysfunction after E. coli infection. GLA inhibited platelet activation through the RIP1/RIP3/AKT pathway and downregulated C3aR expression on the platelets, thereby inhibiting liver injury and dysfunction due to excessive complement activation.
Background: Rabdosia japonica (Burm. f.) var. glaucocalyx (Maxim.) is a perennial herb, and is traditionally used as folk medicine for treating inflammatory diseases and cancer. Gaucocalyxin A (GLA) is an ent-kaurane diterpenoid that is isolated from the aerial parts of R. japonica (Burm. f.) var. glaucocalyx (Maxim.). In a recent study, we found that GLA protects against acute liver dysfunction induced by Escherichia coli, which is likely related to its anti-inflammatory effects. However, the mechanism by which GLA protects liver injury during sepsis is unknown.Aim: To evaluate the anti-inflammatory function of GLA and its regulatory effect on platelet function. Method: An in vivo model of sepsis was established by inoculating mice with E. coli. Live function and platelet activation were evaluated through standard assays. The levels of pro-inflammatory factors were measured through ELISA and qRT-PCR.Results: GLA alleviated liver dysfunction in the mouse model of sepsis. GLA-treated mice displayed lower complement activation and liver dysfunction after E. coli infection. GLA alleviated the decrease in peripheral platelet counts by inhibiting their clearance by Kupffer cells in liver. Furthermore, GLA inhibited platelet activation through the RIP1/RIP3/AKT pathway and downregulated C3aR expression on the platelets, thereby inhibiting liver injury and dysfunction due to excessive complement activation.Conclusion: GLA can inhibit platelet activation by reducing surface expression of C3aR, which protect the liver from injury induced by excessive complement activation. GLA is a novel therapeutic agent for controlling sepsis related liver dysfunction.

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