Department of Pathology, University of Washington, Seattle, WA 98195-7470, USA.
Lab Invest. 2010 Dec;90(12):1704-17. doi: 10.1038/labinvest.2010.112. Epub 2010 Jun 14.
In nonalcoholic fatty liver disease (NAFLD), depletion of hepatic antioxidants may contribute to the progression of steatosis to nonalcoholic steatohepatitis (NASH) by increasing oxidative stress that produces lipid peroxidation, inflammation, and fibrosis. We investigated whether depletion of glutathione (GSH) increases NASH-associated hepatic pathology in mice fed a diet deficient in methionine and choline (MCD diet). Wild-type (wt) mice and genetically GSH-deficient mice lacking the modifier subunit of glutamate cysteine ligase (Gclm null mice), the rate-limiting enzyme for de novo synthesis of GSH, were fed the MCD diet, a methionine/choline-sufficient diet, or standard chow for 21 days. We assessed NASH-associated hepatic pathology, including steatosis, fibrosis, inflammation, and hepatocyte ballooning, and used the NAFLD Scoring System to evaluate the extent of changes. We measured triglyceride levels, determined the level of lipid peroxidation products, and measured by qPCR the expression of mRNAs for several proteins associated with lipid metabolism, oxidative stress, and fibrosis. MCD-fed GSH-deficient Gclm null mice were to a large extent protected from MCD diet-induced excessive fat accumulation, hepatocyte injury, inflammation, and fibrosis. Compared with wt animals, MCD-fed Gclm null mice had much lower levels of F₂-isoprostanes, lower expression of acyl-CoA oxidase, carnitine palmitoyltransferase 1a, uncoupling protein-2, stearoyl-coenzyme A desaturase-1, transforming growth factor-β, and plasminogen activator inhibitor-1 mRNAs, and higher activity of catalase, indicative of low oxidative stress, inhibition of triglyceride synthesis, and lower expression of profibrotic proteins. Global gene analysis of hepatic RNA showed that compared with wt mice, the livers of Gclm null mice have a high capacity to metabolize endogenous and exogenous compounds, have lower levels of lipogenic proteins, and increased antioxidant activity. Thus, metabolic adaptations resulting from severe GSH deficiency seem to protect against the development of steatohepatitis.
在非酒精性脂肪性肝病 (NAFLD) 中,肝抗氧化剂的耗竭可能通过增加产生脂质过氧化、炎症和纤维化的氧化应激,导致脂肪变性向非酒精性脂肪性肝炎 (NASH) 的进展。我们研究了在缺乏蛋氨酸和胆碱的饮食 (MCD 饮食) 喂养的小鼠中,谷胱甘肽 (GSH) 的耗竭是否会增加与 NASH 相关的肝病理学。野生型 (wt) 小鼠和缺乏谷氨酸半胱氨酸连接酶 (Gclm null) 修饰亚基的遗传 GSH 缺陷型小鼠 (Gclm null 小鼠),该酶是 GSH 从头合成的限速酶,分别用 MCD 饮食、蛋氨酸/胆碱充足饮食或标准饲料喂养 21 天。我们评估了与 NASH 相关的肝病理学,包括脂肪变性、纤维化、炎症和肝细胞气球样变,并使用 NAFLD 评分系统评估变化的程度。我们测量了甘油三酯水平,确定了脂质过氧化产物的水平,并通过 qPCR 测量了与脂质代谢、氧化应激和纤维化相关的几种蛋白质的 mRNA 表达。MCD 喂养的 GSH 缺陷型 Gclm null 小鼠在很大程度上免受 MCD 饮食诱导的过度脂肪积累、肝细胞损伤、炎症和纤维化的影响。与 wt 动物相比,MCD 喂养的 Gclm null 小鼠的 F₂-异前列腺素水平低得多,酰基辅酶 A 氧化酶、肉碱棕榈酰转移酶 1a、解偶联蛋白-2、硬脂酰辅酶 A 去饱和酶-1、转化生长因子-β和纤溶酶原激活物抑制剂-1 mRNA 的表达降低,过氧化氢酶活性升高,表明氧化应激降低,甘油三酯合成抑制,促纤维化蛋白表达降低。肝 RNA 的全基因组分析表明,与 wt 小鼠相比,Gclm null 小鼠具有代谢内源性和外源性化合物的高能力,脂肪生成蛋白水平较低,抗氧化活性增加。因此,严重 GSH 缺乏引起的代谢适应似乎可以防止肝炎的发展。