1. Academic Validation
  2. Scutellarein attenuates alcohol-induced hepatocyte injury by modulating NF-κB and NRF2 signaling pathways

Scutellarein attenuates alcohol-induced hepatocyte injury by modulating NF-κB and NRF2 signaling pathways

  • Medicine (Baltimore). 2025 Sep 26;104(39):e44506. doi: 10.1097/MD.0000000000044506.
Shuxia Shen 1 Minghua Cao 1 Ziqi Sui 2
Affiliations

Affiliations

  • 1 Department of Gastroenterology, The First People's Hospital of Linping District, Hangzhou, P.R. China.
  • 2 Department of Gastroenterology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, P.R. China.
Abstract

Background: Alcohol-induced liver injury remains a major public health concern, and effective hepatoprotective agents are urgently needed. Scutellarein (SCU), a natural flavonoid, has shown potential biological activity, but its hepatoprotective effects and underlying mechanisms against alcohol-induced hepatocyte injury have not been fully elucidated.

Methods: An in vitro model of alcohol-induced hepatocyte injury was established using human LO2 cells exposed to 400 mM alcohol. Cells were pretreated with 5 µM SCU, and multiple assays were performed to evaluate hepatocyte viability, hepatic enzyme activity, Apoptosis, inflammatory cytokine expression, oxidative stress, and related signaling pathways.

Results: SCU pretreatment effectively reversed the alcohol-induced reduction in cell viability and significantly lowered alanine aminotransferase and aspartate aminotransferase levels. SCU inhibited Apoptosis by downregulating Bax and upregulating BCL2, and attenuated inflammatory responses by reducing interleukin-1β, interleukin-6, and tumor necrosis factor-alpha expression. Mechanistically, SCU suppressed nuclear factor kappa-B signaling by decreasing phosphorylation of p65 and inhibitor of nuclear factor kappa-Bα. In addition, SCU enhanced antioxidant defense by upregulating superoxide dismutase 1, superoxide dismutase 2, and catalase, and activating the nuclear factor erythroid 2-related factor 2-NAD(P)H quinone dehydrogenase 1 pathway.

Conclusion: SCU protects hepatocytes against alcohol-induced injury by modulating Apoptosis, inflammation, and oxidative stress through regulation of nuclear factor kappa-B and nuclear factor erythroid 2-related factor 2 signaling pathways. These findings highlight its potential as a promising hepatoprotective agent.

Keywords

NF-κB pathway; NRF2 pathway; alcohol-induced hepatotoxicity; apoptosis; hepatoprotection; inflammation; oxidative stress; scutellarein.

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