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低热量饮食对肥胖和高脂血症大鼠脂肪性肝炎的影响。

Effects of low-calorie diet on steatohepatitis in rats with obesity and hyperlipidemia.

作者信息

Fan Jian-Gao, Zhong Lan, Xu Zheng-Jie, Tia Li-Yan, Ding Xiao-Dong, Li Min-Sheng, Wang Guo-Liang

机构信息

Department of Gastroenterology, Shanghai, First People's Hospital, Shanghai 200080, China.

出版信息

World J Gastroenterol. 2003 Sep;9(9):2045-9. doi: 10.3748/wjg.v9.i9.2045.

Abstract

AIM

To evaluate the effects of low calorie diet (LCD) on nonalcoholic steatohepatitis (NASH) in rats with obesity and hyperlipidemia.

METHODS

29 Sprague-Dawley (SD) rats were randomly divided into three groups. The animals in control (n=9) and NASH group (n=10) were fed on standard rat diet and high fat diet respectively for 12 weeks, ten rats in LCD group were fed on high fat diet for 10 weeks and then low calorie diet for 2 weeks. At the end of the experiment, body weight, abdominal adipose content, liver function, and hepatopathological changes were examined to evaluate the effect of different feeding protocols on the experimental animals.

RESULTS

There was no death of animal in the experimental period. All rats in the NASH group developed steatohepatitis according to liver histological findings. Compared with the control group, body weight (423.5+/-65.2 vs 351.1+/-43.0 g, P<0.05), abdominal adipose content (14.25+/-1.86 vs 9.54+/-1.43, P<0.05), liver index (3.784+/-0.533 vs 2.957+/-0.301 %, P<0.01), total serum cholesterol (1.60+/-0.41 vs 1.27+/-0.17 mmol/L,P<0.05) and free fatty acids (728.2+/-178.5 vs 429.2+/-96.7 mmol/L, P<0.01), serum alanine aminotransferase (1,257.51+/-671.34 vs 671.34+/-118.57 nkat/L, P<0.05) and aspartic aminotransferase (2,760.51+/-998.66 vs 1,648.29+/-414.16 nkat/L, P<0.01) were significantly increased in the NASH group. Whereas, when rats were fed on LCD protocol, their body weight (329.5+/-38.4 g, P<0.01), abdominal adipose content (310.21+/-1.52 g, P<0.05), liver index (3.199+/-0.552 %, P<0.05), and serum alanine aminotransferase (683.03+/-245.49 nkat/L, P<0.05) were significantly decreased, and the degree of hepatic steatosis (P<0.05) was markedly improved compared with those in the NASH group. However, no significant difference was found in serum lipid variables and hepatic inflammatory changes between the two groups.

CONCLUSION

LCD might play a role in the prevention and treatment of obesity and hepatic steatosis in SD rats, but it exerts no significant effects on both serum lipid disorders and hepatic inflammatory changes.

摘要

目的

评估低热量饮食(LCD)对肥胖和高脂血症大鼠非酒精性脂肪性肝炎(NASH)的影响。

方法

将29只Sprague-Dawley(SD)大鼠随机分为三组。对照组(n = 9)和NASH组(n = 10)的动物分别给予标准大鼠饮食和高脂饮食12周,LCD组的10只大鼠给予高脂饮食10周,然后给予低热量饮食2周。实验结束时,检测体重、腹部脂肪含量、肝功能和肝脏病理变化,以评估不同喂养方案对实验动物的影响。

结果

实验期间无动物死亡。根据肝脏组织学结果,NASH组所有大鼠均发生脂肪性肝炎。与对照组相比,NASH组体重(423.5±65.2 vs 351.1±43.0 g,P<0.05)、腹部脂肪含量(14.25±1.86 vs 9.54±1.43,P<0.05)、肝脏指数(3.784±0.533 vs 2.957±0.301%,P<0.01)、总血清胆固醇(1.60±0.41 vs 1.27±0.17 mmol/L,P<0.05)和游离脂肪酸(728.2±178.5 vs 429.2±96.7 mmol/L,P<0.01)、血清丙氨酸氨基转移酶(1257.51±671.34 vs 671.34±118.57 nkat/L,P<0.05)和天冬氨酸氨基转移酶(2760.51±998.66 vs 1648.29±414.16 nkat/L,P<0.01)显著升高。然而,当大鼠采用LCD方案喂养时,其体重(329.5±38.4 g,P<0.01)、腹部脂肪含量(310.21±1.52 g,P<0.05)、肝脏指数(3.199±0.552%,P<0.05)和血清丙氨酸氨基转移酶(683.03±245.49 nkat/L,P<0.05)显著降低,与NASH组相比,肝脂肪变性程度(P<0.05)明显改善。然而,两组之间的血脂变量和肝脏炎症变化无显著差异。

结论

LCD可能在SD大鼠肥胖和肝脂肪变性的预防和治疗中起作用,但对血脂紊乱和肝脏炎症变化均无显著影响。

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