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Alnustone Ameliorates Metabolic Dysfunction-Associated Steatotic Liver Disease by Facilitating Mitochondrial Fatty Acid β-Oxidation via Targeting Calmodulin.

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  • Additional Information
    • Source:
      Publisher: WILEY-VCH Country of Publication: Germany NLM ID: 101664569 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2198-3844 (Electronic) Linking ISSN: 21983844 NLM ISO Abbreviation: Adv Sci (Weinh) Subsets: MEDLINE
    • Publication Information:
      Original Publication: Weinheim : WILEY-VCH, [2014]-
    • Subject Terms:
    • Abstract:
      Metabolic dysfunction-associated steatotic liver disease (MASLD), including its more severe manifestation metabolic dysfunction-associated steatohepatitis (MASH), poses global public health threats with limited therapeutics. Here, the role of alnustone is explored, a natural compound derived from the traditional Chinese herb Alpinia katsumadai Hayata, in the treatment of MASLD and MASH. It is shown that alnustone administration potently reduces serum triacylglycerol levels, reverses liver steatosis, and alleviates insulin resistance in both male and female MASLD mice. It also effectively ameliorates established fibrosis in MASH mice without any side effects. Mechanistically, hepatic lipidome profiling and energy metabolic assays reveal that alnustone facilitates mitochondrial fatty acid β-oxidation. Employing limited proteolysis-mass spectrometry (LiP-SMap) and further validation, calmodulin is identified as a direct molecular target of alnustone. Alnustone interacts with the Ca 2+ -binding site of calmodulin, leading to increased cytosolic and mitochondrial Ca 2+ levels and enhanced mitochondrial function, whereas liver-specific calmodulin knockdown abrogates alnustone's therapeutic effects. Moreover, calmodulin is downregulated in human livers of patients with MASLD and MASH, and is genetically associated with reduced MASLD risk. These findings establish alnustone as a promising natural compound and highlight calmodulin as a target for treating MASLD.
      (© 2025 The Author(s). Advanced Science published by Wiley‐VCH GmbH.)
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    • Grant Information:
      32588201 National Natural Science Foundation of China; 82421004 National Natural Science Foundation of China; 82371644 National Natural Science Foundation of China; 82100839 National Natural Science Foundation of China; 2021-I2M-5-001 CAMS Innovation Fund for Medical Sciences; 2024CXPT087 Shandong Provincial Key Research and Development Program; 2024BEG02019 Ningxia Hui Autonomous Region Key Research and Developmental Program; ZR2020QH083 Shandong Provincial Natural Science Foundation; 2023KJ021 Fundamental Research Funds of Shandong University; 2023QNTD004 Fundamental Research Funds of Shandong University; ts20190988 Taishan Scholar Foundation of Shandong Province; tsqn202312387 Taishan Scholar Foundation of Shandong Province
    • Contributed Indexing:
      Keywords: alnustone; calmodulin; fatty acid β‐oxidation; metabolic dysfunction‐associated steatohepatitis; metabolic dysfunction‐associated steatotic liver disease
    • Accession Number:
      0 (Calmodulin)
      0 (Fatty Acids)
    • Publication Date:
      Date Created: 20250605 Date Completed: 20250823 Latest Revision: 20250827
    • Publication Date:
      20250902
    • Accession Number:
      PMC12376512
    • Accession Number:
      10.1002/advs.202411984
    • Accession Number:
      40470949