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Cyclo(His-Pro): A further step in the management of steatohepatitis.


ABSTRACT:

Background & aims

Non-alcoholic fatty liver disease (NAFLD) and steatohepatitis (NASH) have become the world's most common liver diseases, placing a growing strain on healthcare systems worldwide. Nonetheless, no effective pharmacological treatment has been approved. The naturally occurring compound cyclo histidine-proline (His-Pro) (CHP) is an interesting candidate for NAFLD management, given its safety profile and anti-inflammatory effects.

Methods

Two different mouse models of liver disease were used to evaluate protective effects of CHP on disease progression towards fibrosis: a model of dietary NAFLD/NASH, achieved by thermoneutral housing (TN) in combination with feeding a western diet (WD), and liver fibrosis caused by repeated injections with carbon tetrachloride (CCl4).

Results

Treatment with CHP limited overall lipid accumulation, lowered systemic inflammation, and prevented hyperglycaemia. Histopathology and liver transcriptomics highlighted reduced steatosis and demonstrated remarkable protection from the development of inflammation and fibrosis, features which herald the progression of NAFLD. We identified the extracellular signal-regulated kinase (ERK) pathway as an early mediator of the cellular response to CHP.

Conclusions

CHP was active in both the preventive and therapeutic setting, reducing liver steatosis, fibrosis, and inflammation and improving several markers of liver disease.

Impact and implications

Considering the incidence and the lack of approved treatments, it is urgent to identify new strategies that prevent and manage NAFLD. CHP was effective in attenuating NAFLD progression in two animal models of the disease. Overall, our work points to CHP as a novel and effective strategy for the management of NAFLD, fuelling optimism for potential clinical studies.

SUBMITTER: De Masi A 

PROVIDER: S-EPMC10432811 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Cyclo(His-Pro): A further step in the management of steatohepatitis.

De Masi Alessia A   Li Xiaoxu X   Lee Dohyun D   Jeon Jongsu J   Wang Qi Q   Baek Seoyeong S   Park Onyu O   Mottis Adrienne A   Strotjohann Keno K   Rapin Alexis A   Jung Hoe-Yune HY   Auwerx Johan J  

JHEP reports : innovation in hepatology 20230610 9


<h4>Background & aims</h4>Non-alcoholic fatty liver disease (NAFLD) and steatohepatitis (NASH) have become the world's most common liver diseases, placing a growing strain on healthcare systems worldwide. Nonetheless, no effective pharmacological treatment has been approved. The naturally occurring compound cyclo histidine-proline (His-Pro) (CHP) is an interesting candidate for NAFLD management, given its safety profile and anti-inflammatory effects.<h4>Methods</h4>Two different mouse models of  ...[more]

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