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Publication : Inhibition of monoacylglycerol lipase, an anti-inflammatory and antifibrogenic strategy in the liver.

First Author  Habib A Year  2019
Journal  Gut Volume  68
Issue  3 Pages  522-532
PubMed ID  30301768 Mgi Jnum  J:357772
Mgi Id  MGI:7764614 Doi  10.1136/gutjnl-2018-316137
Citation  Habib A, et al. (2019) Inhibition of monoacylglycerol lipase, an anti-inflammatory and antifibrogenic strategy in the liver. Gut 68(3):522-532
abstractText  OBJECTIVE: Sustained inflammation originating from macrophages is a driving force of fibrosis progression and resolution. Monoacylglycerol lipase (MAGL) is the rate-limiting enzyme in the degradation of monoacylglycerols. It is a proinflammatory enzyme that metabolises 2-arachidonoylglycerol, an endocannabinoid receptor ligand, into arachidonic acid. Here, we investigated the impact of MAGL on inflammation and fibrosis during chronic liver injury. DESIGN: C57BL/6J mice and mice with global invalidation of MAGL (MAGL (-/-) ), or myeloid-specific deletion of either MAGL (MAGL(Mye-/-)), ATG5 (ATG(Mye-/-)) or CB2 (CB2(Mye-/-)), were used. Fibrosis was induced by repeated carbon tetrachloride (CCl(4)) injections or bile duct ligation (BDL). Studies were performed on peritoneal or bone marrow-derived macrophages and Kupffer cells. RESULTS: MAGL (-/-) or MAGL(Mye-/-) mice exposed to CCl(4) or subjected to BDL were more resistant to inflammation and fibrosis than wild-type counterparts. Therapeutic intervention with MJN110, an MAGL inhibitor, reduced hepatic macrophage number and inflammatory gene expression and slowed down fibrosis progression. MAGL inhibitors also accelerated fibrosis regression and increased Ly-6C(low) macrophage number. Antifibrogenic effects exclusively relied on MAGL inhibition in macrophages, since MJN110 treatment of MAGL(Mye-/-) BDL mice did not further decrease liver fibrosis. Cultured macrophages exposed to MJN110 or from MAGL(Mye-/-) mice displayed reduced cytokine secretion. These effects were independent of the cannabinoid receptor 2, as they were preserved in CB2(Mye-/-) mice. They relied on macrophage autophagy, since anti-inflammatory and antifibrogenic effects of MJN110 were lost in ATG5(Mye-/-) BDL mice, and were associated with increased autophagic flux and autophagosome biosynthesis in macrophages when MAGL was pharmacologically or genetically inhibited. CONCLUSION: MAGL is an immunometabolic target in the liver. MAGL inhibitors may show promising antifibrogenic effects during chronic liver injury.
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