Glycogen metabolism-mediated intercellular communication in the tumor microenvironment influences liver cancer prognosis

Glycogen metabolism plays a key role in the development of hepatoellular carcinoma(HCC),but the function of glycogen metabolism genes in the tumor microenvironment(TME)is still to be elucidated.Single cell RNA-seq data were obtained from ten HCC tumor samples totaling 64,545 cells and 65 glycogen metabolism genes were analyzed bya nonnegative matrix factorization(NMF).The prognosis and immune response of new glycogen TME cell dusters were predicted by using HCC and immunotherapy cohorts from public databases.HOC single cell analysis was divided into fibroblasts,NT T cells,macrophages,endothelial clls,and B cells,which were separately divided into new cell clusters by glycogen metabolism gene annotation.Pseudo temporal trajectory analysis demonstrated the temporal differentiation trajectory of different glycogen subtype cell dusters.Cellular communication analysis revealed extensive interactions between endothelial cells with glycogen metabolizing TME cell.related subtypes and diferent glycogen subtype cell clusters.SCENIC analysis of transcription factors upstream of TME cell clusters with different glycogen metabolism.In addition,TME cell dusters of glycogen metabolism were found to be enriched in expression in CAF subtypes,CD8 depleted,M1,and M2 types.Bulk seq analysis showed the prognostic signifcance of glycogen metabolism.mediated TME cell dusters in HCC,while a significant immune response was found in the immunotherapy cohort in patients treated with immune checkpoint blockade(ICB),especially for CAFs,T cells,and macrophages In summary,our study reveals for the first time that glycogen metabolism mediates intercellular communication in the hepatocellular carcinoma microenvironment while elucidating the anti-tumor mechanisms and immune prognostic responses of different subtypes of cell dusters.

UP780, a Chromone-Enriched <i>Aloe</i>Composition, Enhances Adipose Insulin Receptor Signaling and Decreases Liver Lipid Biosynthesis

Nutrigenomic studies were conducted to uncover the mechanism of action for the hypoglycemic and insulin sensitizing effects of UP780. From high fat diet-induced obesity mouse model for UP780, livers and white adipose tissues (WAT) from groups of lean control, high fat diet (HFD), and HFD treated with UP780 were collected for microarray study. Microarray generated gene expression changes were applied to Ingenuity Pathway Analysis for changes in canonical metabolic and signaling pathways. Microarray was validated by quantitative reverse transcriptase-polymerase chain reaction (QPCR), Western blots, liver triglyceride, liver cholesterol, liver steatosis, and insulin ELISA. UP780 treatment decreased liver gene expressions for multiple enzymes involved in fatty acid biosynthesis and triglyceride production. UP780 treatment increased gene expressions globally for the insulin receptor signaling pathway in WAT. Both liver triglyceride and liver cholesterol levels were significantly reduced by UP780 over HFD. The reduction of liver fat was confirmed by microscopic analysis of liver steatosis. Finally, UP780 significantly decreased fasting plasma insulin level over HFD. The mechanism of action for UP780 indicated a reduction of liver fat accumulation and an enhancement in adipose tissue insulin signaling pathway. This provided mechanistic explanation for the in vivo UP780 effects of enhanced insulin sensitiveity and decreased blood glucose in mouse diabetes and prediabetes models.

Time-restricted feeding downregulates cholesterol biosynthesis program via RORγ-mediated chromatin modification in porcine liver organoids

Background: Time-restricted feeding(TRF) is a dieting strategy based on nutrients availability and diurnal rhythm,shown to improve lipid metabolism efficiency. We have demonstrated previously that retinoic acid-related(RAR)orphan receptor(ROR) γ is the primary transcription factor controlling cholesterol(CHO) biosynthesis program of animals. However, the functional role of RORγ in liver physiology of pigs in response to TRF has not been determined, largely due to the lack of functional models and molecular tools. In the present study, we established porcine liver organoids and subjected them to restricted nutrients supply for 10-h during the light portion of the day.Results: Our results showed that TRF regimen did not alter hepatocyte physiology, including unchanged cell viability, caspase 3/7 enzyme activity and the gene signature of cell proliferation in porcine liver organoids,compared to the control group(P > 0.05). Furthermore, we found that TRF downregulated the hepatic CHO biosynthesis program at both mRNA and protein levels, along with the reduced cellular CHO content in porcine liver organoids(P < 0.05). Using unbiased bioinformatic analysis of a previous ChIP-seq data and ChIP-qPCR validation, we revealed RORγ as the predominant transcription factor that responded to TRF, amongst the 12 targeted nuclear receptors(NRs)(P < 0.05). This was likely through RORγ direct binding to the MVK gene(encoding mevalonate kinase). Finally, we showed that RORγ agonists and overexpression enhanced the enrichment of cofactor p300, histone marks H3 K27 ac and H3K4me1/2, as well as RNA polymerase II(Pol-II) at the locus of MVK, in TRF-porcine liver organoids, compared to TRF-vector control(P < 0.05).Conclusions: Our findings demonstrate that TRF triggers the RORγ-mediated chromatin remodeling at the locus of CHO biosynthesis genes in porcine liver organoids and further improves lipid metabolism.

Hepatocellular glycogen in alleviation of liver ischemia reperfusion injury

Objective: To study the mechanism of hepatocellular glycogen in alleviation of liver ischemia-reperfusion injury during hepatic vascular occlusion for partial hepatectomy. Methods: Seventeen patients were randomly divided into experimental group (n=9) and control group (n=8). In the experimental group, patients were given high concentration glucose intravenously during 24 hours before operation. The hepatic lesion was re- sected after portal triad clamping in the two groups. Non-cancer liver tissue was biopsied to measure he- patic tissue ATP content and change of malondialde- hyde (MDA) and superoxide dismutase (SOD). Liver function of all patients was assessed before operation and the first and fifth day after operation. Results: Hepatic tissue ATP content of the experi- mental group was significantly higher than that of the control group both at the end of hepatic vascular oc- clusion and the point of one-hour reperfusion. Be- sides, liver function of the experimental group was significantly better than that of the control group the first and fifth day after operation. There was signifi- cant difference in SOD activity or MDA content be- tween the two groups at the end of hepatic vascular occlusion and at the point of one-hour reperfusion. Conclusions: Abundant intracellular glycogen may reduce liver ischemia-reperfusion injury caused by hepatic vascular occlusion. It is beneficial to give a large amount of glucose before a complex liver opera- tion, in which temporary occlusion of hepatic blood flow is necessary.

Reduced-size liver transplantation for glycogen storage disease

BACKGROUND: Glycogen storage disease (GSD) is an inherited metabolic disorder in which the concentration and/or structure of glycogen in tissues is abnormal. Essentially, abnormalities in all known enzymes involved in the synthesis or degradation of glycogen and glucose have been found to cause some type of GSD. Liver and muscle have abundant quantities of glycogen and are the most common and seriously affected tissues. This study was to assess reduced-size liver transplantation for the treatment of GSD. METHODS: The clinical data from one case of GSD type I with hepatic adenoma was retrospectively analyzed. The clinical manifestations were hepatomegaly, delayed puberty, growth retardation, sexual immaturity, hypoglycemia, and lactic acidosis, which made the young female patient eligible for reduced-size liver transplantation. RESULTS: The patient recovered uneventfully with satisfactory outcome, including 12 cm growth in height and 5 kg increase in weight during 16 months after successful reduced-size liver transplantation. She has been living a normal life for 4 years so far. CONCLUSIONS: Reduced-size liver transplantation is an effective treatment for GSD with hepatomegaly and hepatic adenoma. Delayed puberty, growth retardation, hypoglycemia and lactic acidosis can be cured by surgery.

Glycogen storage diseases:An update

Glycogen storage diseases(GSDs),also referred to as glycogenoses,are inherited metabolic disorders of glycogen metabolism caused by deficiency of enzymes or transporters involved in the synthesis or degradation of glycogen leading to aberrant storage and/or utilization.The overall estimated GSD incidence is 1 case per 20000-43000 live births.There are over 20 types of GSD including the subtypes.This heterogeneous group of rare diseases represents inborn errors of carbohydrate metabolism and are classified based on the deficient enzyme and affected tissues.GSDs primarily affect liver or muscle or both as glycogen is particularly abundant in these tissues.However,besides liver and skeletal muscle,depending on the affected enzyme and its expression in various tissues,multiorgan involvement including heart,kidney and/or brain may be seen.Although GSDs share similar clinical features to some extent,there is a wide spectrum of clinical phenotypes.Currently,the goal of treatment is to maintain glucose homeostasis by dietary management and the use of uncooked cornstarch.In addition to nutritional interventions,pharmacological treatment,physical and supportive therapies,enzyme replacement therapy(ERT)and organ transplantation are other treatment approaches for both disease manifestations and longterm complications.The lack of a specific therapy for GSDs has prompted efforts to develop new treatment strategies like gene therapy.Since early diagnosis and aggressive treatment are related to better prognosis,physicians should be aware of these conditions and include GSDs in the differential diagnosis of patients with relevant manifestations including fasting hypoglycemia,hepatomegaly,hypertransaminasemia,hyperlipidemia,exercise intolerance,muscle cramps/pain,rhabdomyolysis,and muscle weakness.Here,we aim to provide a comprehensive review of GSDs.This review provides general characteristics of all types of GSDs with a focus on those with liver involvement.

1例糖原累积病Ⅳ型合并急性肝衰竭患儿急性期的护理

总结2022年7月我科收治的1例糖原累积病Ⅳ型(glycogen storage disease typeⅣ,GSDⅣ)合并急性肝衰竭患儿急性期的护理经验。护理要点:监测血流动力学,积极抗休克;监测消化道出血量,实施止血治疗;开展人工肝治疗及预防相关并发症;连续监测血糖,根据病情与血糖动态调整营养治疗方案;开展远程探视和音乐治疗。经过6 d的救治和护理,患儿病情好转,顺利进行肝移植。术后18 d好转出院;随访1年,恢复良好。

玛咖灵芝片缓解小鼠体力疲劳的研究

研究玛咖灵芝片对改善小鼠体力劳动过度的疲倦状态,增加体力和身体机能的作用.本次实验采用清洁级雄性ICR小鼠作为动物模型,以体重为划分依据随机分组,包括低、中、高剂量组和阴性对照组4组.其中低、中、高剂量组分别给予剂量为0.38、0.75、2.25 g/kg·bw的玛咖灵芝片药剂进行灌胃;阴性对照组为20 mL/kg·bw的蒸馏水灌胃.每天给药1次,共给药30 d.实验期间,小鼠每日进行负重游泳实验,与此同时,使用比色法对血清中尿素、肝糖原和血乳酸的含量进行检测.比色法检测结果显示,与阴性对照组相比较,玛咖灵芝片不同剂量组的小鼠负重游泳的时间明显延长(P<0.05).另外,玛咖灵芝片不同剂量组的小鼠负重游泳后,其血浆尿素浓度均明显低于阴性对照组(P<0.05),肝脏糖原含量均显著高于阴性对照组(P<0.05),血乳酸浓度均显著低于阴性对照组(P<0.05).玛咖灵芝片可通过提高肝糖原含量和阻止血乳酸堆积的方式有效改善小鼠体力劳动过度的疲倦状态,增加体力和身体机能.

遗传代谢性肝病的肝移植治疗

遗传代谢性肝病(IMLD)是一类基因异常导致的肝脏代谢性疾病。IMLD发病机制复杂,常见的原因包括特定酶缺陷导致有害代谢底物或产物蓄积以及糖、脂肪等物质代谢异常导致的能量缺陷或异常沉积等。近年来,随着肝移植技术的发展,肝移植在治疗IMLD中发挥着越来越重要的作用。目前,在儿童肝移植中,IMLD已成为继胆道闭锁后的第二大适应证。目前接受肝移植治疗的IMLD患者主要分为两大类:第1类为IMLD合并肝脏病变;第2类患者肝脏结构正常,但相关代谢酶缺陷。肝移植一方面能替换结构和功能异常的肝脏,另一方面能提供患者代谢所需的正常酶,改善患者生活质量,甚至挽救患者生命。本文对常见的可行肝移植治疗的IMLD、肝移植治疗IMLD的预后及手术方式进行综述,旨在为肝移植治疗IMLD提供参考依据。

1-脱氧鞘脂的特性、功能及在相关疾病中的作用

鞘脂是细胞膜脂的重要组成部分,在多种疾病中起重要作用。当鞘脂合成路径被干扰时,鞘脂代谢重编程,导致合成产物转变为1-脱氧鞘脂(DoxSL)。在梳理已有文献的基础上,介绍了DoxSL的生物合成、代谢及相关功能,特别是DoxSL在细胞毒性、神经突的影响及膜疏水性方面的作用。此外,DoxSL水平异常与多种人类疾病有关,丝氨酸含量降低会导致DoxSL病理性升高,而升高的DoxSL与糖尿病、非酒精性脂肪性肝病(NAFLD)以及遗传性感觉自主神经病1型(HSAN1)相关。DoxSL可用作预测糖尿病的生物标志物,参与NAFLD的肝细胞脂肪变性。丝氨酸棕榈酰转移酶亚基的突变导致DoxSL增加是形成HSAN1的重要原因,故监测、调控DoxSL含量可能为临床相关疾病的诊断与治疗提供新思路。

Glutamine:aprecursor of glutathione and its effect on liver

AIM To investigate the relationship between alanyl-glutamine (ALA-GLN) and glutathione (GSH) biosynthesis in hepatic protection.METHODS Twenty male Wistar rats were randomly divided into two groups: one receiving standard parenteral nutrition (STD) and the other supplemented with or without ALA-GLN for 7 days. The blood and liver tissue samples were examined after 5-fluorouracil (5-FU) was injected peritoneally.RESULTS The concentration measurements were significantly higher in ALA-GLN group than in STD group in serum GLN (687 μmol/ L±50 μmol/ L vs 505 μmol/ L±39 μmol/ L, P＜0.05), serum GSH (14 μmol/ L±5 μmol/ L vs 7 μmol/ L±3 μmol/ L, P＜0.01) and in liver GSH content (6.9 μmol/ g±2.5 μmol/ g vs 4.4 μmol/ g±1.6 μmol/ g liver tissue, P＜0.05). Rats in ALA-GLN group had lesser elevations in hepatic enzymes after 5-FU administration.CONCLUSION The supplemented nutrition ALA-GLN can protect the liver function through increasing the glutathione biosynthesis and preserving the glutathione stores in hepatic tissue.

Glycogen storage diseases: New perspectives

Glycogen storage diseases （GSD） are inherited metabolic disorders of glycogen metabolism. Different hormones, including insulin, glucagon, and cortisol regulate the relationship of glycolysis, gluconeogenesis and glycogen synthesis. The overall GSD incidence is estimated 1 case per 20000-43000 live births. There are over 12 types and they are classified based on the enzyme deficiency and the affected tissue. Disorders of glycogen degradation may affect primarily the liver, the muscle, or both. Type I a involves the liver, kidney and intestine （and I b also leukocytes）, and the clinical manifestations are hepatomegaly, failure to thrive, hypoglycemia, hyperlactatemia, hyperuricemia and hyperlipidemia. Type Ilia involves both the liver and muscle, and lib solely the liver. The liver symptoms generally improve with age. Type IV usually presents in the first year of life, with hepatomegaly and growth retardation. The disease in general is progressive to cirrhosis. Type Ⅵ and Ⅳ are a heterogeneous group of diseases caused by a deficiency of the liver phosphorylase and phosphorylase kinase system. There is no hyperuricemia or hyperlactatemia. Type Ⅺ is characterized by hepatic glycogenosis and renal Fanconi syndrome. Type Ⅱ is a prototype of inborn lysosomal storage diseases and involves many organs but primarily the muscle. Types V and Ⅶ involve only the muscle.

Glycogenic hepatopathy:A narrative review

Glycogenic hepatopathy(GH) is a rare complication of the poorly controlled diabetes mellitus characterized by the transient liver dysfunction with elevated liver enzymes and associated hepatomegaly caused by the reversible accumulation of excess glycogen in the hepatocytes. It is predominantly seen in patients with longstanding type 1 diabetes mellitus and rarely reported in association with type 2 diabetes mellitus. Although it was first observed in the pediatric population, since then, it has been reported in adolescents and adults with or without ketoacidosis. The association of GH with hyperglycemia in diabetes has not been well established. One of the essential elements in the pathophysiology of development of GH is the wide fluctuation in both glucose and insulin levels. GH and non-alcoholic fatty liver disease(NAFLD) are clinically indistinguishable, and latter is more prevalent in diabetic patients and can progress to advanced liver disease and cirrhosis. Gradient dual-echo MRI can distinguish GH from NAFLD; however, GH can reliably be diagnosed only by liver biopsy. Adequate glycemic control can result in complete remission of clinical, laboratory and histological abnormalities. There has been a recent report of varying degree of liver fibrosis identified in patients with GH. Future studies are required to understand the biochemical defects underlying GH, noninvasive, rapid diagnostic tests for GH, and to assess the consequence of the fibrosis identified as severe fibrosis may progress to cirrhosis. Awareness of this entity in the medical community including specialists is low. Here we briefly reviewed the English literature on pathogenesis involved, recent progress in the evaluation, differential diagnosis, and management.

Liver transplantation and artificial liver support in fulminant hepatic failure

INTRODUCTIONFulminant hepatic failure(FHF)is a severe disease with devastating consequences;the incidence is high in China.Before the availability of liver transplantation,the mortality rate was more than 80%[1,2].The advent of liver transplantation revolutionized the outcome of FHF[3,4].However,many patients were unwilling to accept liver transplantation until very late,hence most of them died because of donor shortage and urgency of the disease[5-7],To overcome he problems,we performed orthotopic liver transplantation(OLT)in combination with artificial liver support(ALS) in the treatment of FHF in the past 2 years with satisfactory results.Our experience was reported below.

Pediatric metabolic liver diseases:Evolving role of liver transplantation

Metabolic liver diseases(MLD)are the second most common indication for liver transplantation(LT)in children.This is based on the fact that the majority of enzymes involved in various metabolic pathways are present within the liver and LT can cure or at least control the disease manifestation.LT is also performed in metabolic disorders for end-stage liver disease,its sequelae including hepatocellular cancer.It is also performed for preventing metabolic crisis’,arresting progression of neurological dysfunction with a potential to reverse symptoms in some cases and for preventing damage to end organs like kidneys as in the case of primary hyperoxalosis and methyl malonic acidemia.Pathological findings in explant liver with patients with metabolic disease include unremarkable liver to steatosis,cholestasis,inflammation,variable amount of fibrosis,and cirrhosis.The outcome of LT in metabolic disorders is excellent except for patients with mitochondrial disorders where significant extrahepatic involvement leads to poor outcomes and hence considered a contraindication for LT.A major advantage of LT is that in the post-operative period most patients can discontinue the special formula which they were having prior to the transplant and this increases their well-being and improves growth parameters.Auxiliary partial orthotopic LT has been described for patients with noncirrhotic MLD where a segmental graft is implanted in an orthotopic position after partial resection of the native liver.The retained native liver can be the potential target for future gene therapy when it becomes a clinical reality.

Intestinal expressions of eNOSmRNA and iNOSmRNA in rats with acute liver failure

AIM: To observe the gene expression change of eNOSmRNA and iNOSmRNA in the small and large intestines with acute liver failure (ALF), and to reveal the biological function of NO on the pathogenesis of ALF and multiple organs dysfunction at the molecular level. METHODS: Sixty male Wistar rats were selected, weighing from 250g to 350g, and divided into 5 groups randomly: SO, ALF (6h, 12h), L-Arg, L-NAME, L-Arg and L-NAME, each group with 10 rats. The dose of L-Arg was 300mg.kg(-1), and L-NAME was 30mg.kg(-1), the reagents diluted by normal saline were injected through tail vein 30 minutes pre and post operation. The rats in the ALF group were respectively sacrificed postoperatively at 6h, 12h, and the rats in the other groups were sacrificed postoperatively at 6h. The tissues of small and large intestines were harvested in 4% paraforaldehyde containing the reagent of DEPC and fixed at 6h, embedded in paraffin, and 4 microm section was cut. The expression of eNOSmRNA and iNOSmRNA in these tissues was determined with in situ hybridization, and analyzed with the imaging analysis system of CMM-3 and SPSS statistical software. RESULTS: The expression of eNOSmRNA in the large intestine and iNOSmRNA in the small and large intestines increased significantly at 6h after ALF, but the expression of iNOSmRNA in the small and large intestines reduced notably at 12h after ALF (P【0.05); the expression of eNOSmRNA in the large intestine and iNOSmRNA in the small and large intestines decreased significantly with the reagents of L-Arg at 6h ALF, but the expression of eNOSmRNA and iNOSmRNA in the small and large intestines decreased totally with the reagents of L-NAME or association with L-Arg 6h ALF. CONCLUSION: The expression of eNOSmRNA in the large intestine increased notably at the early stage of ALF, NO induced by the enzyme of eNOS from the transplantation of eNOSmRNA can protect the function of the large intestine, the high expression of iNOSmRNA is involved in the damaged function of the small and large intestines. NO precursor can reduce the expression of iNOSmRNA in the small and large intestines and the damage to intestines; NOS inhibitor or association with NO pre-cursor can totally lower the expression of eNOSmRNA and iNOSmRNA in the small and large intestines, it cannot notably influence the NOS inhibitor in the gene expression of eNOSmRNA and iNOSmRNA to supply the additional NO precursor.

Analysis of the Liver of Fish Species <i>Prochilodus lineatus</i>Altered Environments, Analyzed with ImageJ

The fish Prochilodus lineatus (Characiformes, Prochilodontidae), in addition to being a good bioindicator, is also of economic and ecological importance with a broad distribution in the neotropics. Ecotoxicology examines the interaction between environmental chemistry and biota;and in this study we assess alterations of bile and glycogen levels in the fish liver, organ responsible for detoxification, biotransformation and storing nutrients, such as glycogen, and for secreting bile. Fish were separated in three groups to examine the damage caused by the exposure to waters from Lago Azul-Rio Claro-SP and containing diluted biodegradable detergents in comparison to a control group (chlorinated water from an artesian well of UNESP-Campus Rio Claro). A histological analysis was performed on HE and PAS stained sections. The identification of structural changes and the assessment of the area occupied by bile and glycogen were carried out with the software ImageJ, showing that the liver was affected morphologically (cell vacuolization, peripherals nuclei, for example) and problems in bile release and production and storage of glycogen.

绿原酸抗疲劳功效评价及作用机理研究

探究绿原酸缓解疲劳的作用机制。设置空白组、试验组、对照组,连续灌胃28 d,进行负重游泳试验评价其抗疲劳效果,分别检测相关生化指标、氧化反应指标及核因子E2相关因子(nuclear factor erythroid 2-related factor 2,Nrf2)、血红素加氧酶-1(heme oxygenase-1,HO-1)、NADPH醌氧化还原酶-1(NADPH quinone oxidoreductase-1,NQO-1)的蛋白表达,利用分子对接分析与Nrf2的结合情况。绿原酸对延长小鼠负重游泳力竭时间,提升血清葡萄糖、肌糖原、肝糖原水平,降低乳酸、尿素氮、丙二醛含量及增强超氧化物歧化酶、过氧化物酶、谷胱甘肽过氧化物酶活力有显著作用(P<0.05)。Western blot结果显示绿原酸能够上调胞核Nrf2表达,下调胞浆Nrf2表达,增加HO-1和NQO-1表达。绿原酸与Nrf2蛋白的分子结合能为-3.34 kcal/mol,亲和力较强。绿原酸有助于缓解小鼠运动疲劳,可能与Nrf2信号途径提升抗氧化能力相关。

黄芪抗运动性疲劳作用的实验研究及其作用机理的探讨

探讨了黄芪缓解运动性疲劳的作用及其作用机理.对昆明小鼠以空白对照组和黄芪水提液低、中、高不同剂量组分别灌胃后,测定各组小鼠负重游泳时间、血清尿素水平、肝糖原含量及血乳酸曲线下面积.结果显示:与阴性对照组相比较,3个剂量组小鼠负重游泳时间延长、肝糖原含量升高,血液中尿素水平降低、血乳酸曲线面积减少(P<0.05).抗疲劳效果在3个剂量组间呈递增关系,表明黄芪水提液对消除疲劳有积极作用,且功效与黄芪灌胃剂量存在依赖关系.

糖原合酶激酶3β抑制剂TDZD-8对急性肝细胞损伤中自噬及NLRP3炎性小体的影响

目的探讨糖原合酶激酶3β(glycogen synthase kinase 3β,GSK3β)抑制剂TDZD-8在急性肝细胞损伤衰竭模型中对细胞自噬及NOD样受体热蛋白结构域相关蛋白3(NOD-like receptor family pyrin domain-containing 3,NLRP3)炎性小体的影响。方法体外培养人正常肝细胞L02细胞,CCK-8法测定不同浓度TDZD-8对L02细胞活性的影响;将细胞分为3组(对照组、模型组、TDZD-8组),经处理后,试剂盒检测细胞上清液中游离DNA(cell-free DNA,cf-DNA)及乳酸脱氢酶(lactate dehydrogenase,LDH)含量;免疫荧光法检测3组细胞第9位丝氨酸磷酸化的GSK3β(p-GSK3β,Ser9)表达含量;Western blot法检测3组细胞中NLRP3、白细胞介素-18(interleukin-18,IL-18)、IL-1β、UNC-51样激酶1(UNC-51-like kinase 1,ULK-1)、Beclin1及p62蛋白水平变化。结果CCK-8结果显示,在TDZD-8浓度≤20μmol/L时药物对细胞活性无明显影响。3组细胞经处理后,与对照组比较,模型组p-GSK3β(Ser9)荧光强度明显减弱,GSK3β被激活,同时上清液中cf-DNA和LDH水平明显升高,NLRP3、IL-18和IL-1β蛋白水平也明显升高,而自噬相关蛋白ULK1和Beclin1蛋白水平明显下降,p62水平升高,自噬水平受到抑制(P<0.05)。经TDZD-8处理后,与模型组比较,细胞p-GSK3β(Ser9)荧光强度明显增强,上清液中cf-DNA和LDH水平显著降低,NLRP3、IL-18和IL-1β蛋白水平也明显降低,而自噬水平显著升高(P<0.05)。结论TDZD-8在急性肝细胞损伤衰竭的模型中能够抑制NLRP3炎性小体活化同时激活细胞自噬起到保护作用。