Rasineni Karuna, Penrice Daniel D, Natarajan Sathish Kumar, McNiven Mark A, McVicker Benita L, Kharbanda Kusum K, Casey Carol A, Harris Edward N
Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
The Liver Study Unit, VA Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
BMC Gastroenterol. 2016 Feb 29;16:27. doi: 10.1186/s12876-016-0433-4.
Non-alcoholic and alcoholic fatty liver disease (NAFLD and AFLD, respectively) are major health problems, as patients with either condition can progress to hepatitis, fibrosis, and cirrhosis. Although histologically similar, key differences likely exist in these two models. For example, altered content of several vesicle trafficking proteins have been identified in AFLD, but their content in NAFLD is unknown. In this study, we compared select parameters in NAFLD and AFLD in a rat model.
We fed either Lieber- DeCarli liquid control or alcohol-containing (35 % as calories) diet (AFLD model) or lean or high-fat (12 or 60 % derived from fat, respectively) pellets (NAFLD model) for 8-10 weeks, n = 8 in each model. Serum, hepatocytes and liver tissue were analyzed. Liver injury markers were measured in serum, triglyceride content and endocytosis (binding and internalization of (125)I- asialoorosomucoid) was measured in isolated hepatocytes, and content of selected trafficking proteins (Rab3D, Rab7 and Rab18) were determined in whole liver tissue.
Although liver injury markers and triglyceride content were similar in both models, binding and internalization of (125)I- asialoorosomucoid was significantly impaired in the hepatocytes from AFLD, but not NAFLD, animals. In addition, protein content of the asialoglycoprotein receptor (ASGPR) and three trafficking proteins, Rab3D, Rab7and Rab18, were significantly decreased after alcohol, but not high-fat feeding. Levels of protein carbonylation, amount of glutathione stores, and lipid peroxidation were similar irrespective of the insult to the livers that resulted in fatty liver.
Impairments in protein trafficking in AFLD are likely a direct result of alcohol administration, and not a function of fatty liver.
非酒精性和酒精性脂肪性肝病(分别为NAFLD和AFLD)是主要的健康问题,因为这两种疾病的患者都可能进展为肝炎、纤维化和肝硬化。尽管在组织学上相似,但这两种模型可能存在关键差异。例如,已在AFLD中鉴定出几种囊泡运输蛋白的含量改变,但其在NAFLD中的含量尚不清楚。在本研究中,我们在大鼠模型中比较了NAFLD和AFLD的选定参数。
我们分别用Lieber-DeCarli液体对照或含酒精(占热量的35%)饮食(AFLD模型)或瘦肉或高脂肪(分别来自脂肪的12%或60%)颗粒饲料(NAFLD模型)喂养8 - 10周,每个模型n = 8。对血清、肝细胞和肝组织进行分析。测定血清中的肝损伤标志物,在分离的肝细胞中测量甘油三酯含量和内吞作用((125)I-去唾液酸糖蛋白的结合和内化),并在全肝组织中测定选定运输蛋白(Rab3D、Rab7和Rab18)的含量。
尽管两种模型中的肝损伤标志物和甘油三酯含量相似,但AFLD动物的肝细胞中(125)I-去唾液酸糖蛋白的结合和内化显著受损,而NAFLD动物则未受损。此外,酒精喂养后,去唾液酸糖蛋白受体(ASGPR)和三种运输蛋白Rab3D、Rab7和Rab18的蛋白质含量显著降低,但高脂肪喂养后未降低。无论导致脂肪肝的肝脏损伤如何,蛋白质羰基化水平、谷胱甘肽储存量和脂质过氧化水平均相似。
AFLD中蛋白质运输受损可能是酒精给药的直接结果,而非脂肪肝的作用。