09
2024
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09
Engelie net new use! The latest research from Southern Medical University shows that SGLT2 inhibitors promote ketogenic and improve MASH by inhibiting CD8 T cell activation.
Author:
Accumulation of autoaggressive CD8 T cells contributes significantly to liver injury and inflammation during the progression of metabolic dysfunction-associated steatohepatitis (MASH).EMPA, a highly selective sodium-glucose co-transporter 2 (SGLT2) inhibitor, has potential therapeutic effects on hepatic steatosis; however, the underlying mechanism has not been fully elucidated.
On September 6, 2024, Zhang Huijie, Yang Wei and Li Jin of Southern Medical University jointly communicatedCell Metabolism(IF=27.7)Published online entitled“SGLT2 inhibitor promote ketogenesis to improve MASH by suppressing CD8+T cell activation”The research paper,The study showedSGLT2 inhibitors inhibit CD8+T cell activation promotes ketogenesis and improves MASH.
Here, the researchers found that EMPA significantly reduced the autoinvasive CD8+Liver accumulation of T cells reduced granzyme B levels in MASH mice. Mechanically, EMPA increases 3-hydroxybutyrate dehydrogenase 1 (Bdh1), promote the expression of CD8+T-cell ketogenesis, which increases beta-hydroxybutyrate. β-hydroxybutyric acid subsequently inhibits interferon regulatory factor 4 (Irf4), this is CD8+Key to T cell activation. In addition, in T cellsBdh1Ablation of MASH aggravates the performance of MASH and hinders the therapeutic effect of EMPA. In addition, a case-control study also showed that SGLT2 inhibitor treatment inhibited CD8+T cell infiltration, improved liver injury in MASH patients.Taken together, the study suggests that SGLT2 inhibitors can target CD8+T cells, may be an effective strategy for the treatment of MASH.
Dysregulation of innate and adaptive immunity in the liver, followed by inflammation, has a key role in the development of MASH. In T-lymphocyte subsets, CD8+T cells and CD4+T cells are important contributors to adaptive immunity.CD8 T cells, especially cytotoxic T lymphocytes (CTLs), exert their effector function by releasing cytokines such as granzyme B (GZMB) and interferon gamma (IFN-γ), while CD4+T cells play a regulatory role in maintaining the function of other immune cell populations.Previous studies have shown that CD8+T cells, as pro-inflammatory cells, regulate the progression of MASH. In addition, CD8+T cells preferentially utilize non-glucose physiologic carbon sources as metabolic fuel, and their activation and effector functions are modulated by carbon availability Several studies have highlighted the potential of modulating ketone body metabolism as a promising means of modulating T cell activation and effects.
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