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Metadoxine enhances mitochondrial function and relieves lipid accumulation in alcoholic liver disease by phosphorylation of MAPK
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Yong-zhi WANG, Yun LI, Yi-fei GUO, Yuan-qi ZHOU, Hong-lin LI, Jian ZHANG*
Acta Pharmaceutica Sinica | 2026, 61(4) : 1246 - 1257
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Acta Pharmaceutica Sinica | 2026, 61(4): 1246-1257
• Original Articles •
Metadoxine enhances mitochondrial function and relieves lipid accumulation in alcoholic liver disease by phosphorylation of MAPK
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Yong-zhi WANG, Yun LI, Yi-fei GUO, Yuan-qi ZHOU, Hong-lin LI, Jian ZHANG*
Affiliations
  • Shanghai Key Laboratory of New Drug Design, School of Pharmacy, East China University of Science and Technology, Shanghai 200237, China
Published: 2026-04-12 doi: 10.16438/j.0513-4870.2025-1222
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The aim of this study is to elucidate the mechanism of metadoxine through which it attenuates alcoholic liver disease-associated hepatic steatosis. In this study, the effect of metadoxine on alcoholic liver disease was evaluated in mouse model of alcoholic liver disease induced by high alcohol and high fat diets. In addition, RNA sequencing (RNA-Seq) of the liver tissues was applied to determine the dominant signaling pathways in response to metadoxine treatment. The mechanism of metadoxine on metabolic was investigated by mitochondrial function in HepG2 cells. The animal experiments in this study were conducted in accordance with the guidelines of the Ethics Committee for Scientific Research of Hefei University of Technology and were approved by the Animal Experiment Ethics Committee (approval No.: HUFT20210615002). When mice were fed a diet designed to induce alcoholic liver disease, hepatic lipid accumulation resulted. In this study, the level of serum biomarkers of liver injury, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), was substantially decreased in mice treated with metadoxine compared to the model group (P < 0.05). Meanwhile, the inflammatory infiltration and steatosis in liver were alleviated by the administration of metadoxine compared to the model group (P < 0.01). In vitro, metadoxine significantly reversed ethanol overload-induced impairment of mitochondrial respiratory function and increased mitochondrial membrane potential in hepatocytes. Transcriptomic sequencing (RNA-Seq) analysis of liver tissue identified significant enrichment of the mitogen-activated protein kinase (MAPK) signaling pathway. Measurement of MAPK phosphorylation levels in liver tissue showed that metadoxine treatment significantly reduced MAPK phosphorylation (P < 0.01). Furthermore, the protective effects of metadoxine were abolished upon co-treatment with a p38-MAPK inhibitor. Conversely, co-treatment with a p38-MAPK activator reversed the inhibitory effect of metadoxine on p38-MAPK phosphorylation. This study investigated the mechanism of metadoxine in alcoholic liver disease and found that metadoxine enhanced mitochondrial function by the phosphorylation of MAPK and reduced the lipid accumulation and inflammation in alcoholic liver disease.

metadoxine  /  mitochondrial damage  /  lipid accumulation  /  Lieber-DeCarli liquid diet  /  alcoholic steatosis
王咏枝, 李芸, 郭伊菲, 周园奇, 李洪林, 张健. 美他多辛通过MAPK增强线粒体功能降低酒精性肝病脂质蓄积. 药学学报, 2026 , 61 (4) : 1246 -1257 . DOI: 10.16438/j.0513-4870.2025-1222
Yong-zhi WANG, Yun LI, Yi-fei GUO, Yuan-qi ZHOU, Hong-lin LI, Jian ZHANG. Metadoxine enhances mitochondrial function and relieves lipid accumulation in alcoholic liver disease by phosphorylation of MAPK[J]. Acta Pharmaceutica Sinica, 2026 , 61 (4) : 1246 -1257 . DOI: 10.16438/j.0513-4870.2025-1222
Year 2026 volume 61 Issue 4
165
73
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doi: 10.16438/j.0513-4870.2025-1222
  • Receive Date:2025-10-15
  • Online Date:2026-09-21
  • Published:2026-04-12
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  • Received:2025-10-15
  • Revised:2025-12-18
Affiliations
    Shanghai Key Laboratory of New Drug Design, School of Pharmacy, East China University of Science and Technology, Shanghai 200237, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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