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Mixed-lineage kinase 3 pharmacological inhibition attenuates murine nonalcoholic steatohepatitis
Kyoko Tomita, Rohit Kohli, Brittany L. MacLaurin, Petra Hirsova, Qianqian Guo, Luz H. Gutierrez Sanchez, Harris A. Gelbard, Burns C. Blaxall, Samar H. Ibrahim
Kyoko Tomita, Rohit Kohli, Brittany L. MacLaurin, Petra Hirsova, Qianqian Guo, Luz H. Gutierrez Sanchez, Harris A. Gelbard, Burns C. Blaxall, Samar H. Ibrahim
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Research Article Hepatology

Mixed-lineage kinase 3 pharmacological inhibition attenuates murine nonalcoholic steatohepatitis

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Abstract

With the increase in obesity worldwide, its associated comorbidities, including nonalcoholic steatohepatitis (NASH), have become a public health problem that still lacks effective therapy. We have previously reported that mixed-lineage kinase 3–deficient (MLK3-deficient) mice are protected against diet-induced NASH. Given the critical need to identify new therapeutic agents, we sought to examine whether the small-molecule MLK3 inhibitor URMC099 would be effective in reversing diet-induced murine NASH. C57BL/6J mice were fed either a diet high in saturated fat, fructose, and cholesterol (FFC), or a chow diet for 24 weeks. Mice were treated with either URMC099 (10 mg/kg) twice daily by intraperitoneal injection or its vehicle during the last 2 weeks of the feeding study. FFC-fed mice receiving URMC099 had similar body weight, caloric intake, homeostatic model assessment of insulin resistance, metabolic phenotype, and hepatic steatosis compared with vehicle-treated mice. Furthermore, FFC-fed mice treated with URMC099 had less hepatic macrophage infiltration, activation, and proinflammatory polarization, as well as less liver injury and fibrosis when compared with vehicle-treated mice. In conclusion, URMC099 is well tolerated in mice without obvious toxicities and appears to be efficacious in reversing diet-induced NASH. Hence, URMC099 may serve as a therapeutic agent in human NASH.

Authors

Kyoko Tomita, Rohit Kohli, Brittany L. MacLaurin, Petra Hirsova, Qianqian Guo, Luz H. Gutierrez Sanchez, Harris A. Gelbard, Burns C. Blaxall, Samar H. Ibrahim

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Figure 3

URMC099 treatment does not reduce the FFC diet–induced hepatic steatosis in mice.

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URMC099 treatment does not reduce the FFC diet–induced hepatic steatosis...
WT C57BL/6J mice were fed either chow or a diet high in saturated fat, fructose, and cholesterol (FFC) for 24 weeks, and URMC099 or vehicle (Veh) was given twice daily i.p. during the last 2 weeks. (A) Fixed liver tissues were stained with hematoxylin and eosin (H&E); black arrowheads indicate inflammatory infiltrates. Bottom row contains images enlarged from the boxed area in the corresponding panel in the top row. Scale bars: 100 μm (top panel) and 50 μm (bottom panel). (B) Label-free frozen liver tissue sections were imaged by coherent anti-Stokes Raman scattering (CARS) microscopy to visualize lipid droplets using a ×25 objective. Scale bars: 50 μm. (C) Neutral triglyceride content (mg/dl) in the liver was measured using a photometric absorbance–based technique (n = 5–7). (D) Liver/body weight ratio was calculated (n = 5–7). Data represent mean ± SEM. Differences between the groups were compared using 1-way ANOVA followed by Bonferroni’s multiple comparisons test. **P < 0.01, ***P < 0.001. ns, non-significant.

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