Program of Cardiovascular and Metabolic Disorders, Duke-NUS Graduate Medical School, Singapore.
Hepatology. 2014 Apr;59(4):1366-80. doi: 10.1002/hep.26667. Epub 2014 Feb 18.
Caffeine is one of the world's most consumed drugs. Recently, several studies showed that its consumption is associated with lower risk for nonalcoholic fatty liver disease (NAFLD), an obesity-related condition that recently has become the major cause of liver disease worldwide. Although caffeine is known to stimulate hepatic fat oxidation, its mechanism of action on lipid metabolism is still not clear. Here, we show that caffeine surprisingly is a potent stimulator of hepatic autophagic flux. Using genetic, pharmacological, and metabolomic approaches, we demonstrate that caffeine reduces intrahepatic lipid content and stimulates β-oxidation in hepatic cells and liver by an autophagy-lysosomal pathway. Furthermore, caffeine-induced autophagy involved down-regulation of mammalian target of rapamycin signaling and alteration in hepatic amino acids and sphingolipid levels. In mice fed a high-fat diet, caffeine markedly reduces hepatosteatosis and concomitantly increases autophagy and lipid uptake in lysosomes.
These results provide novel insight into caffeine's lipolytic actions through autophagy in mammalian liver and its potential beneficial effects in NAFLD.
咖啡因是世界上最常被消耗的药物之一。最近,几项研究表明,咖啡因的摄入与非酒精性脂肪性肝病(NAFLD)的风险降低有关,这是一种与肥胖相关的疾病,最近已成为全球主要的肝病原因。虽然已知咖啡因可刺激肝脂肪氧化,但它对脂质代谢的作用机制尚不清楚。在这里,我们发现咖啡因出人意料地是肝自噬通量的有效刺激物。通过遗传、药理学和代谢组学方法,我们证明咖啡因通过自噬溶酶体途径降低肝内脂质含量并刺激肝细胞和肝脏中的β氧化。此外,咖啡因诱导的自噬涉及雷帕霉素靶蛋白信号的下调以及肝氨基酸和神经酰胺水平的改变。在高脂肪饮食喂养的小鼠中,咖啡因可明显减少肝脂肪变性,并同时增加溶酶体中的自噬和脂质摄取。
这些结果为咖啡因通过哺乳动物肝脏中的自噬发挥脂解作用及其在非酒精性脂肪性肝病中的潜在有益作用提供了新的见解。