Li Hong, Lelliott Christopher, Håkansson Pernilla, Ploj Karolina, Tuneld Anna, Verolin-Johansson Martina, Benthem Lambertus, Carlsson Björn, Storlien Leonard, Michaëlsson Erik
Department of Integrative Pharmacology, AstraZeneca R&D Mölndal, S-431 83 Mölndal, Sweden.
Metabolism. 2008 Dec;57(12):1704-10. doi: 10.1016/j.metabol.2008.07.029.
Chronic inflammation and increased visceral adipose tissue (VAT) are key elements of the metabolic syndrome. Both are considered to play a pathogenic role in the development of liver steatosis and insulin resistance. The aim of the present study was to investigate the hypothesis that an inflamed intestine, induced both by diet and chemical irritation, could induce persistent inflammation in VAT. Female C57BL/6JOlaHsd mice were used. In study I, groups of mice (n = 6 per group) were given an obesity-inducing cafeteria diet (diet-induced obesity) or regular chow only (control) for 14 weeks. In study II, colitis in mice (n = 8) was induced by 3% dextran sulfate sodium in tap water for 5 days followed by 21 days of tap water alone. Healthy control mice (n = 8) had tap water only. At the end of the studies, all mice were killed; and blood and tissues were sampled and processed for analysis. Body weight of diet-induced obese mice was greatly increased, with evidence of systemic inflammation, insulin resistance, and liver steatosis. Tissue inflammation indexed by proinflammatory cytokine expression was recorded in liver, mesenteric fat, and proximal colon/distal ileum, but not in subcutaneous or perigonadal fat. In dextran sulfate sodium-induced colitis mice, mesenteric fat was even more inflamed than the colon, whereas a much milder inflammation was seen in liver and subcutaneous fat. The studies showed both diet- and colitis-initiated inflammation in mesenteric fat. Fat depots contiguous with intestine and their capacity for exaggerated inflammatory responses to conditions of impaired gut barrier function may account for the particularly pathogenic role of VAT in obesity-induced metabolic disorders.
慢性炎症和内脏脂肪组织(VAT)增加是代谢综合征的关键要素。二者均被认为在肝脂肪变性和胰岛素抵抗的发展过程中发挥致病作用。本研究的目的是探讨以下假说:由饮食和化学刺激诱导的肠道炎症可诱发VAT中的持续性炎症。使用雌性C57BL/6JOlaHsd小鼠。在研究I中,将小鼠分成几组(每组n = 6),分别给予致肥胖的自助餐厅饮食(饮食诱导肥胖)或仅给予常规食物(对照),持续14周。在研究II中,用自来水中3%的葡聚糖硫酸钠诱导小鼠(n = 8)患结肠炎5天,随后仅给予自来水21天。健康对照小鼠(n = 8)仅饮用自来水。在研究结束时,处死所有小鼠;采集血液和组织样本并进行分析。饮食诱导肥胖小鼠的体重显著增加,有全身炎症、胰岛素抵抗和肝脂肪变性的证据。通过促炎细胞因子表达所衡量的组织炎症在肝脏、肠系膜脂肪以及近端结肠/远端回肠中均有记录,但在皮下或性腺周围脂肪中未记录到。在葡聚糖硫酸钠诱导的结肠炎小鼠中,肠系膜脂肪的炎症甚至比结肠更严重,而在肝脏和皮下脂肪中观察到的炎症则轻得多。这些研究表明饮食和结肠炎均可引发肠系膜脂肪炎症。与肠道相邻的脂肪库及其对肠道屏障功能受损状况产生过度炎症反应的能力,可能解释了VAT在肥胖诱导的代谢紊乱中特别的致病作用。