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World Journal of Emergency Medicine ›› 2025, Vol. 16 ›› Issue (4): 340-347.doi: 10.5847/wjem.j.1920-8642.2025.081

• Original Articles • Previous Articles     Next Articles

Bromodomain protein 4 inhibitor JQ-1 alleviates hepatic ischemia-reperfusion injury by blocking the NLRP3/caspase-1 pathway Open Access

Li Wang1, Weihua Gong2()   

  1. 1Department of Emergency Medicine, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
    2Department of Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310052, China
  • Received:2024-05-29 Accepted:2024-11-20 Online:2025-07-18 Published:2025-07-01
  • Contact: Weihua Gong E-mail:weihuagong@zju.edu.cn

Abstract:

BACKGROUND: Hepatic ischemia-reperfusion (I/R) injury is a major challenge in liver surgery and transplantation. Bromodomain protein 4 (BRD4) has emerged as a promising target due to its role in oxidative stress and inflammation. JQ-1, a specific BRD4 inhibitor, has shown protective effects on organs suffering I/R injury. This study aims to investigate the expression of BRD4 in liver tissues after I/R injury and to explore its role in this process using JQ-1 both in vivo and in vitro.

METHODS: Our study established a mouse model of hepatic I/R injury and investigated the protective effect of JQ-1. We compared the histological features, BRD4 expression, and liver enzyme levels between JQ-1-treated and untreated groups. Additionally, the antioxidant properties of JQ-1 were analyzed in RAW 264.7 cells by evaluating cytokine expression, NLRP3 inflammasome activity, and reactive oxygen species production.

RESULTS: BRD4 was abundantly expressed in liver tissues after hepatic I/R injury, while JQ-1 treatment had antioxidant and hepatoprotective effects. JQ-1 also suppressed pro-inflammatory cytokine release in vitro. Furthermore, we clarified the mechanism by which JQ-1 enhances liver injury recovery through Kupffer cells by blocking the NOD-like receptor thermal protein domain-associated protein 3 (NLRP3)/caspase-1 pathway.

CONCLUSION: JQ-1 has potential as a pre-clinical emergency therapy for hepatic I/R injury. Its ability to inhibit BRD4 and modulate the inflammatory response in Kupffer cells offers a promising avenue for future clinical intervention.

Key words: Bromodomain protein 4, Inhibitor, JQ-1, Hepatic ischemia-reperfusion injury, NLRP3/caspase-1 pathway