Department of Infectious Diseases, Renmin Hospital of Wuhan University, 238 Jie Fang Road, Wuchang District, Wuhan, 430060, People's Republic of China.
Dig Dis Sci. 2013 Nov;58(11):3198-206. doi: 10.1007/s10620-013-2775-x. Epub 2013 Jul 17.
Previous studies have shown that betaine prevents alcohol-induced liver injury and improves liver function. The purpose of this study was to investigate the hepatoprotective effects of betaine on nonalcoholic fatty liver disease (NAFLD) and to observe changes of HMGB1/TLR4 signaling.
Thirty rats were randomly divided into control, model, and betaine groups. The rats in the model and betaine groups were fed a high-fat diet for 12 weeks to induce an animal model of NAFLD. The rats in the betaine group were then intragastrically administered betaine solution at a dose of 400 mg/kg per day for four weeks. Liver histology was examined. Serum levels of ALT, AST, TC, TG, HDL-C, LDL-C, FFA, HMGB1, NF-κB, TLR4, and tHcy were determined and intrahepatic TC, TG, and Hcy levels were assayed. mRNA expression and protein levels of HMGB1, NF-κB, and TLR4 in liver tissue were also determined.
Compared with the control group, rats in the model group developed severe liver injury, accompanied by significant increases in serum levels of ALT, AST, TC, TG, LDL-C, FFA, HMGB1, NF-κB, and TLR4, intrahepatic TC, TG, and Hcy content, histological scores for steatosis, inflammation, and necrosis, and mRNA expression and protein levels of HMGB1, NF-κB, and TLR4, and a significant decrease in serum HDL-C (P < 0.05). Compared with the model group, all these indicators were significantly improved by administration of betaine (P < 0.05).
Betaine effectively protects against high-fat-diet-induced NAFLD and improves liver function; the mechanism is probably related to inhibition of HMGB1/TLR4 signaling pathways.
既往研究表明甜菜碱可预防酒精性肝损伤,改善肝功能。本研究旨在探讨甜菜碱对非酒精性脂肪性肝病(NAFLD)的保护作用,并观察高迁移率族蛋白 B1(HMGB1)/Toll 样受体 4(TLR4)信号通路的变化。
30 只大鼠随机分为对照组、模型组和甜菜碱组。模型组和甜菜碱组大鼠给予高脂饲料喂养 12 周,建立 NAFLD 动物模型。甜菜碱组大鼠给予甜菜碱溶液灌胃,剂量为 400mg/kg,每天 1 次,共 4 周。观察肝脏组织病理学变化,检测血清丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、游离脂肪酸(FFA)、HMGB1、核因子-κB(NF-κB)、TLR4 及同型半胱氨酸(tHcy)水平,并检测肝组织 TC、TG 和 Hcy 含量。采用实时荧光定量 PCR 法和 Western blot 法检测肝组织 HMGB1、NF-κB 和 TLR4mRNA 表达及蛋白水平。
与对照组比较,模型组大鼠发生严重肝损伤,血清 ALT、AST、TC、TG、LDL-C、FFA、HMGB1、NF-κB、TLR4 水平及肝组织 TC、TG 和 Hcy 含量、脂肪变性、炎症和坏死评分、HMGB1、NF-κB 和 TLR4mRNA 表达及蛋白水平均显著升高,血清 HDL-C 水平显著降低(P<0.05);与模型组比较,甜菜碱组上述指标均显著改善(P<0.05)。
甜菜碱可有效防治高脂饮食诱导的 NAFLD,改善肝功能,其作用机制可能与抑制 HMGB1/TLR4 信号通路有关。