Acute liver failure (ALF) is a fatal clinical syndrome with no special
drug. Recent evidence shows that modulation of macrophage to inhibit
inflammation may be a promising strategy for ALF treatment. In this study we investigated the potential
therapeutic effects of
melittin, a major
peptide component of
bee venom both in mice model of ALF and in LPS-stimulated macrophages in vitro, and elucidated the underlying mechanisms. ALF was induced in mice by
intraperitoneal injection of D-
galactosamine/LPS. Then the mice were treated with
melittin (2, 4, and 8 mg/kg, ip). We showed that
melittin treatment markedly improved mortality, attenuated severe symptoms and signs, and alleviated hepatic
inflammation in D-
galactosamine/LPS-induced ALF mice with the optimal dose being 4 mg/kg. In addition,
melittin within the effective doses did not cause significant in vivo toxicity. In LPS-stimulated RAW264.7 macrophages,
melittin (0.7 μM) exerted anti-oxidation and anti-
inflammation effects. We showed that LPS stimulation promoted aerobic glycolysis of macrophages through increasing glycolytic rate, upregulated the levels of Warburg effect-related
enzymes and metabolites including
lactate, LDHA, LDH, and GLUT-1, and activated Akt/mTOR/PKM2/HIF-1α signaling.
Melittin treatment suppressed M2
isoform of
pyruvate kinase (PKM2), thus disrupted the Warburg effect to alleviate
inflammation. Molecular docking analysis confirmed that
melittin targeted PKM2. In LPS-stimulated RAW264.7 macrophages, knockdown of PKM2 caused similar anti-
inflammation effects as
melittin did. In D-
galactosamine/LPS-induced ALF mice,
melittin treatment markedly decreased the expression levels of PKM2 and HIF-1α in liver. This work demonstrates that
melittin inhibits macrophage activation-mediated
inflammation via inhibition of aerobic glycolysis by targeting PKM2, which highlights a novel strategy of using
melittin for ALF treatment.