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[非酒精性脂肪性肝病患者肝脏固醇调节元件结合蛋白-1c的表达及作用]

[Expression and action of hepatic sterol regulatory element-binding protein-1c in patients with nonalcoholic fatty liver disease].

作者信息

Yang Zhao-xia, Sun Hang, Shen Wei

机构信息

Department of Gastroenterology, Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2008 Nov;16(11):823-6.

Abstract

OBJECTIVE

To investigate the hepatic expression of sterol regulatory element-binding proteins-1c (SREBP-1c) in patients with nonalcoholic fatty liver disease (NAFLD).

METHODS

NAFLD patients were confirmed using clinical and pathological methods. The expressions of protein and mRNA of SREBP-1 c in the livers were detected by immunohistochemistry, reverse transcription and polymerase chain reactions. The expression of protein of fatty acid synthases (FAS) controlled by SREBP-1c was observed by immunofluorescence. Levels of triglyceride and cholesterol in serum were measured.

RESULTS

The serum levels of triglyceride and cholesterol were positively correlated with hepatic adipose degeneration (r=0.71 or 0.70, P less than 0.05). The levels of SREBP-1c protein in the livers of NAFLD patients were significantly higher than those of the control group (2.19+/-0.31 vs 1.15+/-0.20, t=11.06, P less than 0.05), and the more severe the fatty degeneration, the stronger their expression (F=24.54, P less than 0.01). The expressions of the SREBP-1C mRNA in the livers showed the same changes (0.69+/-0.02 vs 0.40+/-0.02, t= -14.63, P less than 0.05). The expression of FAS was enhanced significantly in the livers of the NAFLD patients.

CONCLUSION

Enhanced expression of SREBP-1 c and FAS maybe a factor causing hepatic lipopexia in NAFLD patients.

摘要

目的

研究非酒精性脂肪性肝病(NAFLD)患者肝脏中固醇调节元件结合蛋白-1c(SREBP-1c)的表达情况。

方法

采用临床和病理方法确诊NAFLD患者。通过免疫组织化学、逆转录和聚合酶链反应检测肝脏中SREBP-1c的蛋白质和mRNA表达。通过免疫荧光观察受SREBP-1c调控的脂肪酸合酶(FAS)的蛋白质表达。检测血清中甘油三酯和胆固醇水平。

结果

血清甘油三酯和胆固醇水平与肝脏脂肪变性呈正相关(r=0.71或0.70,P<0.05)。NAFLD患者肝脏中SREBP-1c蛋白水平显著高于对照组(2.19±0.31对1.15±0.20,t=11.06,P<0.05),且脂肪变性越严重,其表达越强(F=24.54,P<0.01)。肝脏中SREBP-1C mRNA的表达也有相同变化(0.69±0.02对0.40±0.02,t=-14.63,P<0.05)。NAFLD患者肝脏中FAS的表达显著增强。

结论

SREBP-1c和FAS表达增强可能是NAFLD患者肝脏脂质蓄积的一个因素。

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