Woo Shih-Lung, Xu Hang, Li Honggui, Zhao Yan, Hu Xiang, Zhao Jiajia, Guo Xin, Guo Ting, Botchlett Rachel, Qi Ting, Pei Ya, Zheng Juan, Xu Yiming, An Xiaofei, Chen Lulu, Chen Lili, Li Qifu, Xiao Xiaoqiu, Huo Yuqing, Wu Chaodong
Department of Nutrition and Food Science, Texas A&M University, College Station, Texas, United States of America.
Department of Nutrition and Food Science, Texas A&M University, College Station, Texas, United States of America; Department of Endocrinology, Union Hospital, Tongji College of Medicine, Huazhong University of Science and Technology, Wuhan, Hubei, China.
PLoS One. 2014 Mar 17;9(3):e91111. doi: 10.1371/journal.pone.0091111. eCollection 2014.
Non-alcoholic fatty liver disease (NAFLD) is closely associated with obesity and insulin resistance. To better understand the pathophysiology of obesity-associated NAFLD, the present study examined the involvement of liver and adipose tissues in metformin actions on reducing hepatic steatosis and inflammation during obesity. C57BL/6J mice were fed a high-fat diet (HFD) for 12 weeks to induce obesity-associated NAFLD and treated with metformin (150 mg/kg/d) orally for the last four weeks of HFD feeding. Compared with HFD-fed control mice, metformin-treated mice showed improvement in both glucose tolerance and insulin sensitivity. Also, metformin treatment caused a significant decrease in liver weight, but not adiposity. As indicated by histological changes, metformin treatment decreased hepatic steatosis, but not the size of adipocytes. In addition, metformin treatment caused an increase in the phosphorylation of liver AMP-activated protein kinase (AMPK), which was accompanied by an increase in the phosphorylation of liver acetyl-CoA carboxylase and decreases in the phosphorylation of liver c-Jun N-terminal kinase 1 (JNK1) and in the mRNA levels of lipogenic enzymes and proinflammatory cytokines. However, metformin treatment did not significantly alter adipose tissue AMPK phosphorylation and inflammatory responses. In cultured hepatocytes, metformin treatment increased AMPK phosphorylation and decreased fat deposition and inflammatory responses. Additionally, in bone marrow-derived macrophages, metformin treatment partially blunted the effects of lipopolysaccharide on inducing the phosphorylation of JNK1 and nuclear factor kappa B (NF-κB) p65 and on increasing the mRNA levels of proinflammatory cytokines. Taken together, these results suggest that metformin protects against obesity-associated NAFLD largely through direct effects on decreasing hepatocyte fat deposition and on inhibiting inflammatory responses in both hepatocytes and macrophages.
非酒精性脂肪性肝病(NAFLD)与肥胖和胰岛素抵抗密切相关。为了更好地理解肥胖相关NAFLD的病理生理学,本研究考察了肝脏和脂肪组织在二甲双胍减轻肥胖期间肝脂肪变性和炎症作用中的参与情况。将C57BL/6J小鼠喂食高脂饮食(HFD)12周以诱导肥胖相关的NAFLD,并在HFD喂养的最后四周口服二甲双胍(150mg/kg/d)进行治疗。与喂食HFD的对照小鼠相比,二甲双胍治疗的小鼠在葡萄糖耐量和胰岛素敏感性方面均有改善。此外,二甲双胍治疗导致肝脏重量显著降低,但脂肪量未降低。组织学变化表明,二甲双胍治疗可减轻肝脂肪变性,但不影响脂肪细胞大小。此外,二甲双胍治疗导致肝脏AMP活化蛋白激酶(AMPK)磷酸化增加,同时伴有肝脏乙酰辅酶A羧化酶磷酸化增加,以及肝脏c-Jun氨基末端激酶1(JNK1)磷酸化和生脂酶及促炎细胞因子mRNA水平降低。然而,二甲双胍治疗并未显著改变脂肪组织AMPK磷酸化和炎症反应。在培养的肝细胞中,二甲双胍治疗增加了AMPK磷酸化,减少了脂肪沉积和炎症反应。此外,在骨髓来源的巨噬细胞中,二甲双胍治疗部分减弱了脂多糖对诱导JNK1和核因子κB(NF-κB)p65磷酸化以及增加促炎细胞因子mRNA水平的作用。综上所述,这些结果表明,二甲双胍预防肥胖相关NAFLD主要是通过直接作用减少肝细胞脂肪沉积以及抑制肝细胞和巨噬细胞中的炎症反应。