Jegatheesan Prasanthi, Beutheu Stéphanie, Ventura Gabrielle, Sarfati Gilles, Nubret Esther, Kapel Nathalie, Waligora-Dupriet Anne-Judith, Bergheim Ina, Cynober Luc, De-Bandt Jean-Pascal
Nutrition Biology Laboratory, EA4466, Faculty of Pharmacy, Paris Descartes University, Sorbonne Paris Cité, Paris, France.
Clinical Chemistry Department, Hôpitaux Universitaires Paris Centre, APHP, Paris, France.
Clin Nutr. 2016 Feb;35(1):175-182. doi: 10.1016/j.clnu.2015.01.021. Epub 2015 Feb 11.
BACKGROUND & AIM: Fructose diets have been shown to induce insulin resistance and to alter liver metabolism and gut barrier function, ultimately leading to non-alcoholic fatty liver disease. Citrulline, Glutamine and Arginine may improve insulin sensitivity and have beneficial effects on gut trophicity. Our aim was to evaluate their effects on liver and gut functions in a rat model of fructose-induced non-alcoholic fatty liver disease. METHODS: Male Sprague-Dawley rats (n = 58) received a 4-week fructose (60%) diet or standard chow with or without Citrulline (0.15 g/d) or an isomolar amount of Arginine or Glutamine. All diets were made isonitrogenous by addition of non-essential amino acids. At week 4, nutritional and metabolic status (plasma glucose, insulin, cholesterol, triglycerides and amino acids, net intestinal absorption) was determined; steatosis (hepatic triglycerides content, histological examination) and hepatic function (plasma aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, bilirubin) were assessed; and gut barrier integrity (myeloperoxidase activity, portal endotoxemia, tight junction protein expression and localization) and intestinal and hepatic inflammation were evaluated. We also assessed diets effects on caecal microbiota. RESULTS: In these experimental isonitrogenous fructose diet conditions, fructose led to steatosis with dyslipidemia but without altering glucose homeostasis, liver function or gut permeability. Fructose significantly decreased Bifidobacterium and Lactobacillus and tended to increase endotoxemia. Arginine and Glutamine supplements were ineffective but Citrulline supplementation prevented hypertriglyceridemia and attenuated liver fat accumulation. CONCLUSION: While nitrogen supply alone can attenuate fructose-induced non-alcoholic fatty liver disease, Citrulline appears to act directly on hepatic lipid metabolism by partially preventing hypertriglyceridemia and steatosis.
背景与目的:果糖饮食已被证明可诱导胰岛素抵抗,并改变肝脏代谢和肠道屏障功能,最终导致非酒精性脂肪性肝病。瓜氨酸、谷氨酰胺和精氨酸可能改善胰岛素敏感性,并对肠道营养有有益影响。我们的目的是评估它们在果糖诱导的非酒精性脂肪性肝病大鼠模型中对肝脏和肠道功能的影响。 方法:雄性Sprague-Dawley大鼠(n = 58)接受为期4周的果糖(60%)饮食或标准饲料,添加或不添加瓜氨酸(0.15 g/d)或等摩尔量的精氨酸或谷氨酰胺。通过添加非必需氨基酸使所有饮食的氮含量相等。在第4周时,测定营养和代谢状况(血浆葡萄糖、胰岛素、胆固醇、甘油三酯和氨基酸、肠道净吸收);评估脂肪变性(肝脏甘油三酯含量、组织学检查)和肝功能(血浆天冬氨酸转氨酶、丙氨酸转氨酶、碱性磷酸酶、胆红素);评估肠道屏障完整性(髓过氧化物酶活性、门静脉内毒素血症、紧密连接蛋白表达和定位)以及肠道和肝脏炎症。我们还评估了饮食对盲肠微生物群的影响。 结果:在这些实验性等氮果糖饮食条件下,果糖导致脂肪变性并伴有血脂异常,但未改变葡萄糖稳态、肝功能或肠道通透性。果糖显著降低双歧杆菌和乳酸杆菌数量,并倾向于增加内毒素血症。补充精氨酸和谷氨酰胺无效,但补充瓜氨酸可预防高甘油三酯血症并减轻肝脏脂肪堆积。 结论:虽然仅氮供应可减轻果糖诱导的非酒精性脂肪性肝病,但瓜氨酸似乎通过部分预防高甘油三酯血症和脂肪变性直接作用于肝脏脂质代谢。
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