Sociedad Americana de Hirudoterapia

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)

Última actualización: 18 de junio de 2026Revisado por: ASH Editorial Board
Artículo de investigación — revisión de evidenciaReferencia del artículo
Evidence: In vitro / laboratoryDesarrollo de fármacosFarmacología salivalXiaoyu 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

Resumen

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

Por qué esto importa para la hirudoterapia

Este estudio investigó si la hirudina recombinante mejora la enfermedad del hígado graso no alcohólico (EHGNA) a través de la vía de señalización PAR1/JAK2/STAT5/STAT3/CD36, utilizando modelos tanto in vitro (células AML12 inducidas con ácido palmítico) como in vivo (ratones macho C57BL/6J alimentados con dieta alta en grasas durante 12 semanas), con administración subcutánea de R-hirudina dos veces al día y Vitamina E como control positivo. La R-hirudina mejoró significativamente la acumulación hepática de lípidos, la esteatosis, el estrés oxidativo y la inflamación, regulando a la baja PAR1, CD36 y p-STAT3, mientras que reguló al alza p-JAK2 y p-STAT5, con inmunoprecipitación de cromatina y ensayos de gen reportero que confirmaron la unión de STAT5/STAT3 al promotor de CD36. Esto es relevante para ASH, ya que amplía la comprensión del potencial terapéutico de la hirudina más allá de la anticoagulación, al incluir efectos metabólicos, antiinflamatorios y de regulación lipídica. La salvedad es que se trata de un estudio preclínico en animales y células que emplea hirudina recombinante, y los hallazgos sobre la EHGNA y los mecanismos específicos de la vía de señalización no son directamente aplicables a la hirudoterapia tradicional basada en sanguijuelas.

Citación

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

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: 18 de junio de 2026

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