肿瘤坏死因子-α通过损害肝脏胰岛素信号传导,直接刺激肝脏中含载脂蛋白B100的极低密度脂蛋白的过量产生。
Tumor necrosis factor-alpha directly stimulates the overproduction of hepatic apolipoprotein B100-containing VLDL via impairment of hepatic insulin signaling.
作者信息
Qin Bolin, Anderson Richard A, Adeli Khosrow
机构信息
Department of Laboratory Medicine and Pathobiology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
出版信息
Am J Physiol Gastrointest Liver Physiol. 2008 May;294(5):G1120-9. doi: 10.1152/ajpgi.00407.2007. Epub 2008 Mar 27.
Insulin-resistant states are commonly associated with both increased circulating levels of tumor necrosis factor (TNF)-alpha and hepatic overproduction of very low density lipoproteins (VLDL). Here, we provide evidence that increased TNF-alpha can directly stimulate the hepatic assembly and secretion of apolipoprotein B (apoB) 100-containing VLDL(1), using the Syrian golden hamster, an animal model that closely resembles humans in hepatic VLDL-apoB100 metabolism. In vivo TNF-alpha infusion for 4 h in chow-fed hamsters induced whole-body insulin resistance on the basis of euglycemic hyperinsulinemic clamp studies. Immunoprecipitation and immunoblotting analysis of livers from TNF-alpha-treated hamsters indicated decreased tyrosine phosphorylation of insulin receptor (IR)-beta, IR substrate-1 (Tyr), Akt (Ser(473)), p38, ERK1/2, and JNK but increased serine phosphorylation of IRS-1 (Ser(307)) and Shc. TNF-alpha infusion also significantly increased hepatic production of total circulating apoB100 and VLDL-apoB100 in both fasting and postprandial (fat load) states. Ex vivo experiments, using cultured primary hepatocytes from hamsters, also showed TNF-alpha-induced VLDL-apoB100 oversecretion, an effect that was blocked by TNF receptor 2 antibody. Unexpectedly, TNF-alpha decreased the sterol regulatory element-binding protein-1c mass and mRNA levels but significantly increased microsomal triglyceride transfer protein mass and mRNA levels in primary hepatocytes. In summary, these data provide direct evidence that TNF-alpha induces whole-body insulin resistance and impairs hepatic insulin signaling accompanied by overproduction of apoB100-containing VLDL particles, an effect likely mediated via TNF receptor 2.
胰岛素抵抗状态通常与循环中肿瘤坏死因子(TNF)-α水平升高以及肝脏极低密度脂蛋白(VLDL)过量生成有关。在此,我们提供证据表明,使用叙利亚金仓鼠这一在肝脏VLDL-apoB100代谢方面与人类极为相似的动物模型,TNF-α水平升高可直接刺激肝脏组装并分泌含载脂蛋白B(apoB)100的VLDL(VLDL1)。在以普通饲料喂养的仓鼠中进行4小时的体内TNF-α输注,基于正常血糖高胰岛素钳夹研究,诱导了全身胰岛素抵抗。对经TNF-α处理的仓鼠肝脏进行免疫沉淀和免疫印迹分析表明,胰岛素受体(IR)-β、IR底物-1(酪氨酸)、Akt(丝氨酸473)、p38、ERK1/2和JNK的酪氨酸磷酸化减少,但IRS-1(丝氨酸307)和Shc的丝氨酸磷酸化增加。TNF-α输注在空腹和餐后(脂肪负荷)状态下均显著增加了循环中总apoB100和VLDL-apoB100的肝脏生成量。使用来自仓鼠的原代培养肝细胞进行的体外实验也显示,TNF-α诱导了VLDL-apoB100的过量分泌,这一效应被TNF受体2抗体阻断。出乎意料的是,TNF-α降低了原代肝细胞中固醇调节元件结合蛋白-1c的量和mRNA水平,但显著增加了微粒体甘油三酯转移蛋白的量和mRNA水平。总之,这些数据提供了直接证据,表明TNF-α诱导全身胰岛素抵抗并损害肝脏胰岛素信号传导,同时伴有含apoB100的VLDL颗粒过量生成,这一效应可能是通过TNF受体2介导的。