Rui Bei-bei, Chen Hao, Jang Lei, Li Zhen, Yang Jing-mo, Xu Wei-ping, Wei Wei
Anhui No. 2 Province People's Hospital, Hefei, Anhui 200041, China.
Institute of Clinical Pharmacology, Anhui Medical University, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Hefei 230032, China.
Alcohol Alcohol. 2016 Jan;51(1):11-9. doi: 10.1093/alcalc/agv126. Epub 2015 Nov 11.
Melatonin is supposed to be an effective hepatoprotective agent. The effects and mechanisms of melatonin on alcoholic fatty liver (AFL) have not been well explored. The aim of this study was to investigate the preventive and therapeutic effects of melatonin on alcohol-induced fatty liver rats.
The AFL rats were induced by intragastric infusion of alcohol plus a high-fat diet for 6 weeks, and melatonin (10, 20, 40 mg/kg) was administered by gastric perfusion. We also established fatty acid overload cell model in HepG2 cells to investigate the effect of melatonin on AMP-activated protein kinase (AMPK) activity.
The results showed that melatonin (20 and 40 mg/kg) administration significantly reduced alcohol-induced hepatic steatosis with lowering activities of serum alanine aminotransferase, aspartate aminotransferase and levels of serum and hepatic triglyceride. The activity of superoxide dismutase was increased and the content of malondialdehyde was decreased in liver homogenates of rats treated with melatonin. Melatonin increased the phosphorylation of AMPK in the liver tissues of alcohol-induced rats as well. Additionally, in vitro studies showed that melatonin increased the expression of melatonin1A receptor (MT1R), whereas luzindole, a receptor antagonist of melatonin, had no effect on its expression. In addition, melatonin reduced the levels of adenosine 3',5'-cyclic monophosphate (cAMP) and increased the phosphorylation of AMPK, and melatonin treatment could markedly reverse these effects.
In conclusion, melatonin could protect against liver injury caused by alcohol gastric perfusion. The effect may be related to alleviating lipid peroxidation and upregulating the activity of AMPK mediated by MT1R signaling pathway.
褪黑素被认为是一种有效的肝脏保护剂。褪黑素对酒精性脂肪肝(AFL)的作用及机制尚未得到充分研究。本研究旨在探讨褪黑素对酒精诱导的脂肪肝大鼠的预防和治疗作用。
通过胃内灌注酒精加高脂饮食6周诱导AFL大鼠模型,通过胃灌注给予褪黑素(10、20、40mg/kg)。我们还在HepG2细胞中建立脂肪酸过载细胞模型,以研究褪黑素对AMP激活的蛋白激酶(AMPK)活性的影响。
结果表明,给予褪黑素(20和40mg/kg)可显著减轻酒精诱导的肝脏脂肪变性,降低血清丙氨酸氨基转移酶、天冬氨酸氨基转移酶活性以及血清和肝脏甘油三酯水平。褪黑素处理的大鼠肝脏匀浆中超氧化物歧化酶活性增加,丙二醛含量降低。褪黑素还增加了酒精诱导大鼠肝脏组织中AMPK的磷酸化。此外,体外研究表明,褪黑素增加了褪黑素1A受体(MT1R)的表达,而褪黑素受体拮抗剂鲁辛朵对其表达无影响。此外,褪黑素降低了3',5'-环磷酸腺苷(cAMP)水平并增加了AMPK的磷酸化,而鲁辛朵处理可明显逆转这些作用。
总之,褪黑素可预防酒精胃灌注引起的肝损伤。其作用可能与减轻脂质过氧化和上调MT1R信号通路介导的AMPK活性有关。