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Overexpression of PDE4D in mouse liver is sufficient to trigger NAFLD and hypertension in a CD36-TGF-131 pathway: therapeutic role of roflumilast

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Basic Med, Dept Pharmacol, Wuhan, Peoples R China [2]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Clin Ctr Human Gene Res, Wuhan, Hubei, Peoples R China [3]Guangzhou Med Univ, Key Lab Mol Target & Clin Pharmacol, Guangzhou, Peoples R China [4]Guangzhou Med Univ, State Key Lab Resp Dis, Sch Pharmaceut Sci, Guangzhou, Peoples R China [5]Guangzhou Med Univ, Affiliated Hosp 5, Guangzhou, Peoples R China [6]Key Lab Drug Target Res & Phammcodynam Evaluat Hu, Wuhan, Peoples R China [7]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Pathol,Wuhan,Peoples R China
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关键词: PDE4D Nonalcoholic fatty liver Hypertension CD36 TGF-beta 1

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Emerging evidence has shown that nonalcoholic fatty liver disease (NAFLD) may be both a consequence and a cause of hypertension. Recent studies have demonstrated that phosphodiesterase 4 (PDE4)-cAMP signaling represents a pathway relevant to the pathophysiology of metabolic disorders. This study aims to investigate the impact and the underlying mechanism of PDE4 in the pathogenesis of NAFLD and its associated hypertension. Here we demonstrated that high-fat-diet (HFD) fed mice developed NAFLD and hypertension, with an associated increase in hepatic PDE4D expression, which can be prevented and even reversed by PDE4 inhibitor roflumilast. Furthermore, we demonstrated that hepatic overexpression of PDE4D drove significant hepatic steatosis and elevation of blood pressure. Mechanistically, PDE4D activated fatty acid translocase CD36 signaling which facilitates hepatic lipid deposition, resulting in TGF-beta 1 production by hepatocytes and excessive TGF-beta 1 signaling in vessels and consequent hypertension. Specific silencing of TGF-beta 1 in hepatocytes by siRNA using poly (beta-amino ester) nanoparticles significantly normalized hepatic PDE4D overexpression-activated TGF-beta 1 signaling in vessels and hypertension. Together, the conclusions indicated that PDE4D plays an important role in the pathogenesis of NAFLD and associated hypertension via activation of CD36-TGF-beta 1 signaling in the liver. PDE4 inhibitor such as roflumilast, which is clinically approved for chronic obstructive pulmonary disease (COPD) treatment, has the potential to be used as a preventive or therapeutic drug against NAFLD and associated hypertension in the future.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 药学
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 药学
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出版当年[2020]版:
Q1 PHARMACOLOGY & PHARMACY
最新[2023]版:
Q1 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Basic Med, Dept Pharmacol, Wuhan, Peoples R China [2]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Clin Ctr Human Gene Res, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Basic Med, Dept Pharmacol, Wuhan, Peoples R China [3]Guangzhou Med Univ, Key Lab Mol Target & Clin Pharmacol, Guangzhou, Peoples R China [4]Guangzhou Med Univ, State Key Lab Resp Dis, Sch Pharmaceut Sci, Guangzhou, Peoples R China [5]Guangzhou Med Univ, Affiliated Hosp 5, Guangzhou, Peoples R China [6]Key Lab Drug Target Res & Phammcodynam Evaluat Hu, Wuhan, Peoples R China
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