α-Lipoic acid modulates liver fibrosis: A cross talk between TGF-β1, autophagy, and apoptosis

Theodor Bilharz Research Institute

Bibliographic Information

Authors: El-Maadawy W.H.; Hammam O.A.; Seif el-Din S.H.; El-Lakkany N.M.

Journal: Human and Experimental Toxicology

Publisher: SAGE Publications Ltd

Publication Date: 4 December 2019

Volume / Issue: Volume 39 / Issue 4

Pages: 440–450

ISSN: 9603271

DOI: 10.1177/0960327119891212

Scopus: View on Scopus

PubMed: 31797693

Document Type: Article


Authors and Affiliations

El-Maadawy W.H., Department of Pharmacology, Theodor Bilharz Research Institute, Giza, Egypt; Hammam O.A., Department of Pathology, Theodor Bilharz Research Institute, Giza, Egypt; Seif el-Din S.H., Department of Pharmacology, Theodor Bilharz Research Institute, Giza, Egypt; El-Lakkany N.M., Department of Pharmacology, Theodor Bilharz Research Institute, Giza, Egypt


Abstract

Autophagy and apoptosis are important players in the progression of hepatic fibrosis via activation of hepatic stellate cells (HSCs). Despite the recently depicted antifibrotic effects of alpha-lipoic acid (ALA), however, its modulatory effects on HSCs autophagy remain unverified. Our study aimed to elucidate the underlying antifibrotic mechanisms through which ALA mediates HSC autophagy and apoptosis. Liver fibrosis was induced via thioacetamide (TAA) intoxication in rats; TAA-intoxicated rats were treated with either silymarin or ALA. Effect of ALA on biochemical parameters and immunohistopathological examinations was measured and compared to silymarin. ALA restored normal hepatic architecture (S1 vs. S4), liver functions, hepatic glutathione, and transforming growth factor-β1 levels. ALA ameliorated hepatic levels of malondialdehyde, platelet-derived growth factor, tissue inhibitor metalloproteinases-1, hydroxyproline, and expression of alpha-smooth muscle actin. Moreover, ALA significantly reduced messenger RNA expression of LC3-II genes and triggered caspase-3 expression. Interestingly, ALA exhibited superior activities over silymarin regarding suppression of proliferation, activation and autophagy of HSCs, collagen deposition, and induction of HSCs apoptosis. In conclusion, treatment of TAA-intoxicated rats with ALA inhibited autophagy and induced apoptotic clearance of activated HSCs. Accordingly, this study provides mechanistic insights into the possible applicability of ALA in the treatment of hepatic fibrosis. © The Author(s) 2019.


Keywords

Alpha-lipoic acid; apoptosis; autophagy; hepatic fibrosis; hepatic stellate cells; transforming growth factor-β1; Animals; Biomarkers; Disease Models, Animal; Liver Cirrhosis; Male; Oxidative Stress; Protective Agents; Rats; Rats, Sprague-Dawley; Silymarin; Thioacetamide; Thioctic Acid; Transforming Growth Factor beta1; alpha smooth muscle actin; caspase 3; collagen; glutathione; hydroxyproline; malonaldehyde; messenger RNA; platelet derived growth factor; thiotacid; tissue inhibitor of metalloproteinase 1; biological marker; protective agent; animal experiment; animal model; animal tissue; Article; autophagy (cellular); biochemistry; cell activation; cell proliferation; controlled study; gene expression; immunopathology; liver fibrosis; liver function; molecular interaction; mouse; nonhuman; priority journal; protein expression; animal; disease model; drug effect; metabolism; pathology; rat; Sprague Dawley rat


Citation Information

Scopus Citations: 21


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