Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Diabetes. 2011 Nov;60(11):2720-9. doi: 10.2337/db11-0455. Epub 2011 Sep 1.
Exercise is an effective intervention to treat fatty liver. However, the mechanism(s) that underlie exercise-induced reductions in fatty liver are unclear. Here we tested the hypothesis that exercise requires hepatic glucagon action to reduce fatty liver.
C57BL/6 mice were fed high-fat diet (HFD) and assessed using magnetic resonance, biochemical, and histological techniques to establish a timeline for fatty liver development over 20 weeks. Glucagon receptor null (gcgr(-/-)) and wild-type (gcgr(+/+)) littermate mice were subsequently fed HFD to provoke moderate fatty liver and then performed either 10 or 6 weeks of running wheel or treadmill exercise, respectively.
Exercise reverses progression of HFD-induced fatty liver in gcgr(+/+) mice. Remarkably, such changes are absent in gcgr(-/-) mice, thus confirming the hypothesis that exercise-stimulated hepatic glucagon receptor activation is critical to reduce HFD-induced fatty liver.
These findings suggest that therapies that use antagonism of hepatic glucagon action to reduce blood glucose may interfere with the ability of exercise and perhaps other interventions to positively affect fatty liver.
运动是治疗脂肪肝的有效干预手段。然而,运动引起的脂肪肝减少的机制尚不清楚。在这里,我们测试了这样一个假设,即运动需要肝脏胰高血糖素作用来减少脂肪肝。
C57BL/6 小鼠喂食高脂肪饮食(HFD),并使用磁共振、生化和组织学技术进行评估,以确定 20 周内脂肪肝发展的时间表。随后,胰高血糖素受体缺失(gcgr(-/-))和野生型(gcgr(+/+))同窝仔鼠喂食 HFD 以诱发中度脂肪肝,然后分别进行 10 或 6 周的跑步轮或跑步机运动。
运动逆转了 gcgr(+/+)小鼠 HFD 诱导的脂肪肝的进展。值得注意的是,gcgr(-/-)小鼠中没有发生这种变化,从而证实了运动刺激肝胰高血糖素受体激活对于减少 HFD 诱导的脂肪肝至关重要的假设。
这些发现表明,利用拮抗肝胰高血糖素作用来降低血糖的疗法可能会干扰运动和其他干预措施积极影响脂肪肝的能力。