García-Ruiz Inmaculada, Rodríguez-Juan Cristina, Díaz-Sanjuán Teresa, Martínez Miguel Angel, Muñoz-Yagüe Teresa, Solís-Herruzo José A
Research Center, Hospital Universitario 12 de Octubre, Madrid, Spain.
Hepatology. 2007 Aug;46(2):414-23. doi: 10.1002/hep.21687.
Insulin resistance is present in almost all patients with nonalcoholic steatohepatitis (NAFLD), and mitochondrial dysfunction likely plays a critical role in the progression of fatty liver into nonalcoholic steatohepatitis. Rosiglitazone, a selective ligand of peroxisome proliferator-activated receptor gamma (PPARgamma), is an insulin sensitizer drug that has been used in a number of insulin-resistant conditions, including NAFLD. The aim of this study was to analyze the effects of rosiglitazone on the liver histology and mitochondrial function in a model of NAFLD. All studies were carried out in wild-type and leptin-deficient (ob/ob) C57BL/6J mice. Ob/ob mice were treated with 1 mg/kg/day, and activity of mitochondrial respiratory chain (MRC), beta-oxidation, lipid peroxidation, glutathione content in mitochondria, and 3-tyrosine-nitrated proteins in mitochondria were measured. In addition, histological and ultrastructural changes induced by rosiglitazone were also noted. Rosiglitazone treatment increased liver steatosis, particularly microvesicular steatosis. In these animals, mitochondria were markedly swollen with cristae peripherally placed. In ob/ob mice, this drug increased PPARgamma protein expression and lipid peroxide content in liver tissue and decreased glutathione concentration in mitochondria. Rosiglitazone suppressed the activity of complex I of the MRC in ob/ob mice, but did not affect beta-oxidation. 3-Tyrosine nitrated mitochondrial proteins, significantly increased in ob/ob mice, were not modified by rosiglitazone treatment.
Treatment of ob/ob mice with rosiglitazone did not reverse histological lesions of NAFLD or improve MRC activity. On the contrary, rosiglitazone reduced activity of complex I and increased oxidative stress and liver steatosis.
几乎所有非酒精性脂肪性肝炎(NAFLD)患者都存在胰岛素抵抗,线粒体功能障碍可能在脂肪肝进展为非酒精性脂肪性肝炎过程中起关键作用。罗格列酮是过氧化物酶体增殖物激活受体γ(PPARγ)的选择性配体,是一种胰岛素增敏药物,已用于多种胰岛素抵抗情况,包括NAFLD。本研究旨在分析罗格列酮对NAFLD模型肝脏组织学和线粒体功能的影响。所有研究均在野生型和瘦素缺乏(ob/ob)的C57BL/6J小鼠中进行。给ob/ob小鼠每日腹腔注射1mg/kg罗格列酮,测定线粒体呼吸链(MRC)活性、β-氧化、脂质过氧化、线粒体谷胱甘肽含量以及线粒体中3-酪氨酸硝化蛋白。此外,还记录了罗格列酮诱导的组织学和超微结构变化。罗格列酮治疗增加了肝脏脂肪变性,尤其是微泡性脂肪变性。在这些动物中,线粒体明显肿胀,嵴位于周边。在ob/ob小鼠中,该药物增加了肝脏组织中PPARγ蛋白表达和脂质过氧化物含量,并降低了线粒体谷胱甘肽浓度。罗格列酮抑制了ob/ob小鼠中MRC复合体I的活性,但不影响β-氧化。ob/ob小鼠中显著增加的3-酪氨酸硝化线粒体蛋白,未因罗格列酮治疗而改变。
用罗格列酮治疗ob/ob小鼠并未逆转NAFLD的组织学病变或改善MRC活性。相反,罗格列酮降低了复合体I的活性,增加了氧化应激和肝脏脂肪变性。