Feingold K R, Serio M K, Adi S, Moser A H, Grunfeld C
Department of Medicine, University of California, San Francisco.
Endocrinology. 1989 May;124(5):2336-42. doi: 10.1210/endo-124-5-2336.
Previous studies have shown that tumor necrosis factor (TNF) administration acutely increases serum triglyceride levels and stimulates hepatic de novo fatty acid synthesis. We now demonstrate that 60-90 min after TNF administration the incorporation of glycerol into triglycerides in the liver is increased 57% in chow-fed rats. Additionally, the quantity of labeled lipid in serum is increased 96% in the TNF-treated animals. TNF also acutely increases hepatic lipid synthesis and the quantity of labeled lipids in serum in rats fed a high sucrose diet. Moreover, using the Triton WR-1339 method, from 1-2 h after TNF administration there is a 52% increase in total hepatic triglyceride secretion. In contrast, in animals fasted before TNF administration, the characteristic increase in serum triglyceride levels is not observed, and neither the incorporation of glycerol into hepatic lipids nor the quantity of labeled lipids in the circulation are increased. By 17 h after TNF administration the incorporation of glycerol into hepatic lipid and the quantity of labeled lipid in the serum are no longer increased. These results indicate that in addition to TNF acutely stimulating de novo fatty acid synthesis, TNF also acutely stimulates hepatic triglyceride synthesis. The increase in hepatic triglyceride synthesis leads to increased secretion of lipids into the circulation. These observations provide strong support for our hypothesis that a TNF-induced stimulation of hepatic lipid synthesis and secretion contributes to the TNF-induced hyperlipidemia.
先前的研究表明,给予肿瘤坏死因子(TNF)可使血清甘油三酯水平急性升高,并刺激肝脏从头合成脂肪酸。我们现在证明,给予TNF后60 - 90分钟,正常饮食喂养的大鼠肝脏中甘油掺入甘油三酯的量增加了57%。此外,TNF处理的动物血清中标记脂质的量增加了96%。在高蔗糖饮食喂养的大鼠中,TNF也会急性增加肝脏脂质合成以及血清中标记脂质的量。此外,采用Triton WR - 1339方法,给予TNF后1 - 2小时,肝脏甘油三酯总分泌量增加了52%。相比之下,在给予TNF前禁食的动物中,未观察到血清甘油三酯水平的特征性升高,肝脏脂质中甘油的掺入量以及循环中标记脂质的量均未增加。给予TNF后17小时,肝脏脂质中甘油的掺入量和血清中标记脂质的量不再增加。这些结果表明,除了TNF急性刺激从头合成脂肪酸外,TNF还急性刺激肝脏甘油三酯合成。肝脏甘油三酯合成的增加导致脂质向循环中的分泌增加。这些观察结果为我们的假设提供了有力支持,即TNF诱导的肝脏脂质合成和分泌刺激导致了TNF诱导的高脂血症。