Amerikanische Gesellschaft für Hirudotherapie

Recombinant hirudin prevents against nonalcoholic fatty liver disease by modulating PAR1/JAK2/STAT5/STAT3/CD36 pathway

Mechanism study published in Biochimica et Biophysica Acta. Molecular and Cell Biology of Lipids (2025)

Zuletzt aktualisiert: June 18, 2026Geprüft von: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: In vitro / laboratoryArzneimittelentwicklungSpeichel-PharmakologieXiaoyu YU et al. · Biochimica et biophysica acta. Molecular and cell biology of lipids, 2025

Abstract

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) has become a common liver disease. Recombinant hirudin (R-Hirudin) is an manufactured product produced by genetic engineering technology which possesses antithrombotic and hypolipidemic effects, however, the role and molecular mechanisms of R-Hirudin in NAFLD are not clear. Therefore, the aim of this study was to explore the potential mechanism of action and role of R-Hirudin in NAFLD. METHOD: AML12 cells were induced with palmitic acid (PA) to construct an in vitro NAFLD model. C57BL/6 J male mice were continuously fed a high-fat diet (HFD) for 12 weeks to establish an in vivo NAFLD model. R-Hirudin was administered subcutaneously twice daily for 12 weeks to study the effect of R-Hirudin on NAFLD, and Vitamin E was used as a positive control. H&E staining as well as ALT, AST kit were used to assess the liver injury. MASSON staining was used to assess the extent of liver fibrosis. Nile red staining, Oil red O staining and TG, TC, LDL-C, HDL-C kit were used to assess the degree of lipid droplet infiltration and lipid accumulation. LDH, MDA, SOD, GSH kit was used to assess the level of oxidative stress in vivo and in vitro. Immunofluorescence staining and western blot assay were used to assess the changes in lipid metabolism and inflammatory factor-related indices as well as target proteins in liver and cells. Chromatin immunoprecipitation analysis, dual luciferase gene reporter test and DNA pulldown assay were used to verify the relationship between STAT3, STAT5 and CD36. RESULT: R-Hirudin significantly improved hepatic lipid accumulation, hepatic steatosis, oxidative stress and liver inflammation in the NAFLD mice. At the same time, R-Hirudin attenuated PA-induced AML12 lipid accumulation and inflammatory response. In in vitro and in vivo experiments, R-Hirudin significantly down-regulated PAR1, CD36 and p-STAT3 protein levels and up-regulated p-JAK2 and p-STAT5 protein levels. Knockdown of CD36 ameliorated lipid accumulation and inflammatory responses. In addition, PAR1 regulates the STAT5/STAT3/CD36 signaling pathway by modulating JAK2. Finally, CHIP, dual luciferase gene reporter assay, and DNA pulldown assay verified that the transcription factors STAT5 and STAT3 bind to fragments on the CD36 promoter to affect the activity of CD36. CONCLUSION: The results indicated that R-Hirudin might ameliorate steatosis, lipid accumulation and inflammatory response through PAR1/JAK2/STAT5/STAT3/CD36 signaling pathway and thus alleviate NAFLD.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAnimalsNon-alcoholic Fatty Liver DiseaseMaleMiceMice, Inbred C57BLSTAT3 Transcription FactorJanus Kinase 2HirudinsRecombinant ProteinsSignal TransductionCD36 AntigensSTAT5 Transcription Factor

Zusammenfassung

Demonstrates recombinant leech hirudin prevents NAFLD in murine models via PAR1/JAK2/STAT5/STAT3/CD36 signaling — extends hirudin pharmacology into metabolic liver disease.

Warum dies für die Hirudotherapie relevant ist

This study investigated whether recombinant hirudin ameliorates non-alcoholic fatty liver disease (NAFLD) through the PAR1/JAK2/STAT5/STAT3/CD36 signaling pathway using both in vitro (palmitic acid-induced AML12 cells) and in vivo (high-fat diet-fed C57BL/6J male mice over 12 weeks) models, with subcutaneous R-hirudin administration twice daily and Vitamin E as positive control. R-hirudin significantly improved hepatic lipid accumulation, steatosis, oxidative stress, and inflammation, downregulating PAR1, CD36, and p-STAT3 while upregulating p-JAK2 and p-STAT5, with chromatin immunoprecipitation and reporter assays confirming STAT5/STAT3 binding to the CD36 promoter. This is relevant to ASH as it expands understanding of hirudin's therapeutic potential beyond anticoagulation to include metabolic, anti-inflammatory, and lipid-regulatory effects. The caveat is that this is a preclinical animal and cell study using recombinant hirudin, and the NAFLD findings and specific signaling pathway mechanisms are not directly applicable to traditional leech-based hirudotherapy.

Zitation

Recombinant hirudin prevents against nonalcoholic fatty liver disease by modulating PAR1/JAK2/STAT5/STAT3/CD36 pathway.

Xiaoyu YU et al. · Biochimica et biophysica acta. Molecular and cell biology of lipids, 2025

Verwandter klinischer Kontext

Zur ASH-Bibliothek hinzugefügt: May 27, 2026 · Letzte Aktualisierung der Website: June 18, 2026

Diese Website stellt Bildungsinformationen bereit und ist weder eine medizinische Beratung noch eine Diagnose oder Behandlungsempfehlung. Die medizinische Blutegeltherapie ist mit klinisch relevanten Risiken verbunden und sollte ausschließlich von qualifizierten Klinikerinnen und Klinikern unter institutionell genehmigten Protokollen durchgeführt werden. Die FDA-510(k)-Zulassung für medizinische Blutegel ist auf bestimmte Indikationen beschränkt; experimentelle und Off-Label-Diskussionen werden entsprechend gekennzeichnet. Für patientenspezifische Beratung wenden Sie sich an eine qualifizierte Gesundheitsfachkraft.