CIC bioGUNE, Centro de Investigación Biomédica en red de Enfermedades Hepáticas y Digestivas (CIBERehd), Derio, Spain.
Hepatology. 2013 Feb;57(2):505-14. doi: 10.1002/hep.26052. Epub 2012 Nov 27.
Susceptibility to develop nonalcoholic fatty liver disease (NAFLD) has genetic bases, but the associated variants are uncertain. The aim of the present study was to identify genetic variants that could help to prognose and further understand the genetics and development of NAFLD. Allele frequencies of 3,072 single-nucleotide polymorphisms (SNPs) in 92 genes were characterized in 69 NAFLD patients and 217 healthy individuals. The markers that showed significant allele-frequency differences in the pilot groups were subsequently studied in 451 NAFLD patients and 304 healthy controls. Besides this, 4,414 type 2 diabetes mellitus (T2DM) cases and 4,567 controls were genotyped. Liver expression of the associated gene was measured and the effect of its potential role was studied by silencing the gene in vitro. Whole genome expression, oxidative stress (OS), and the consequences of oleic acid (OA)-enriched medium on lipid accumulation in siSLC2A1-THLE2 cells were studied by gene-expression analysis, dihydroethidium staining, BODIPY, and quantification of intracellular triglyceride content, respectively. Several SNPs of SLC2A1 (solute carrier family 2 [facilitated glucose transporter] member 1) showed association with NAFLD, but not with T2DM, being the haplotype containing the minor allele of SLC2A1 sequence related to the susceptibility to develop NAFLD. Gene-expression analysis demonstrated a significant down-regulation of SLC2A1 in NAFLD livers. Enrichment functional analyses of transcriptome profiles drove us to demonstrate that in vitro silencing of SLC2A1 induces an increased OS activity and a higher lipid accumulation under OA treatment.
Genetic variants of SLC2A1 are associated with NAFLD, and in vitro down-regulation of this gene promotes lipid accumulation. Moreover, the oxidative response detected in siSLC2A1-THLE2 cells corroborated the antioxidant properties previously related to this gene and linked the most representative clinical characteristics of NAFLD patients: oxidative injury and increased lipid storage.
本研究旨在确定有助于预测和进一步理解非酒精性脂肪性肝病(NAFLD)遗传基础和发病机制的遗传变异。
对 69 例 NAFLD 患者和 217 例健康对照者的 92 个基因中的 3072 个单核苷酸多态性(SNP)的等位基因频率进行了特征分析。在 451 例 NAFLD 患者和 304 例健康对照者中,对先导组中显示显著等位基因频率差异的标志物进行了后续研究。此外,对 4414 例 2 型糖尿病(T2DM)病例和 4567 例对照者进行了基因分型。测量了相关基因的肝表达,并通过体外基因沉默研究了其潜在作用的效果。通过基因表达分析、二氢乙啶染色、BODIPY 和定量细胞内甘油三酯含量,分别研究了 siSLC2A1-THLE2 细胞中全基因组表达、氧化应激(OS)和富含油酸(OA)的培养基对脂质积累的影响。SLC2A1(溶质载体家族 2[促进葡萄糖转运体]成员 1)的几个 SNP 与 NAFLD 相关,但与 T2DM 无关,携带 SLC2A1 序列的次要等位基因的单体型与发生 NAFLD 的易感性有关。基因表达分析表明,NAFLD 肝脏中 SLC2A1 的表达显著下调。对转录组谱的富集功能分析促使我们证明,体外沉默 SLC2A1 会在 OA 处理下诱导更高的 OS 活性和更高的脂质积累。
SLC2A1 的遗传变异与 NAFLD 相关,体外下调该基因会促进脂质积累。此外,在 siSLC2A1-THLE2 细胞中检测到的氧化反应证实了该基因先前与抗氧化特性相关,并将与 NAFLD 患者最具代表性的临床特征联系起来:氧化损伤和增加的脂质储存。