Department of Medicine I, University Hospital, Regensburg, Germany.
Department of Medicine I, University Hospital, Regensburg, Germany.
Gastroenterology. 2016 Sep;151(3):513-525.e0. doi: 10.1053/j.gastro.2016.05.051. Epub 2016 Jun 16.
BACKGROUND & AIMS: Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disorder in industrialized countries. Mouse models of NAFLD have been used in studies of pathogenesis and treatment, and have certain features of the human disease. We performed a systematic transcriptome-wide analysis of liver tissues from patients at different stages of NAFLD progression (ranging from healthy obese individuals to those with steatosis), as well as rodent models of NAFLD, to identify those that most closely resemble human disease progression in terms of gene expression patterns.
We performed a systematic evaluation of genome-wide messenger RNA expression using liver tissues collected from mice fed a standard chow diet (controls) and 9 mouse models of NAFLD: mice on a high-fat diet (with or without fructose), mice on a Western-type diet, mice on a methionine- and choline-deficient diet, mice on a high-fat diet given streptozotocin, and mice with disruption of Pten in hepatocytes. We compared gene expression patterns with those of liver tissues from 25 patients with nonalcoholic steatohepatitis (NASH), 27 patients with NAFLD, 15 healthy obese individuals, and 39 healthy nonobese individuals (controls). Liver samples were obtained from patients undergoing liver biopsy for suspected NAFLD or NASH, or during liver or bariatric surgeries. Data sets were analyzed using the limma R-package. Overlap of functional profiles was analyzed by gene set enrichment analysis profiles.
We found differences between human and mouse transcriptomes to be significantly larger than differences between disease stages or models. Of the 65 genes with significantly altered expression in patients with NASH and 177 genes with significantly altered expression in patients with NAFLD, compared with controls, only 1-18 of these genes also differed significantly in expression between mouse models of NAFLD and control mice. However, expression of genes that regulate pathways associated with the development of NAFLD were altered in some mouse models (such as pathways associated with lipid metabolism). On a pathway level, gene expression patterns in livers of mice on the high-fat diet were associated more closely with human fatty liver disease than other models.
In comparing gene expression profiles between liver tissues from different mouse models of NAFLD and patients with different stages of NAFLD, we found very little overlap. Our data set is available for studies of pathways that contribute to the development of NASH and NAFLD and selection of the most applicable mouse models (http://www.nash-profiler.com).
非酒精性脂肪性肝病(NAFLD)是工业化国家最常见的慢性肝脏疾病。NAFLD 的小鼠模型已被用于发病机制和治疗研究,并且具有人类疾病的某些特征。我们对不同阶段 NAFLD 进展(从健康肥胖个体到脂肪变性个体)的患者的肝组织以及 NAFLD 的啮齿动物模型进行了系统的全转录组分析,以确定在基因表达模式方面与人类疾病进展最相似的模型。
我们使用标准饲料喂养的小鼠(对照组)和 9 种 NAFLD 模型的肝组织进行了全基因组信使 RNA 表达的系统评估:高脂肪饮食(有或没有果糖)的小鼠,西方饮食的小鼠,蛋氨酸和胆碱缺乏饮食的小鼠,高脂肪饮食给予链脲佐菌素的小鼠,以及肝细胞中 Pten 缺失的小鼠。我们将基因表达模式与 25 例非酒精性脂肪性肝炎(NASH)患者、27 例 NAFLD 患者、15 例健康肥胖个体和 39 例健康非肥胖个体(对照组)的肝组织进行了比较。肝组织取自因疑似 NAFLD 或 NASH 而行肝活检的患者,或在肝或减肥手术期间。使用 limma R 软件包分析数据集。通过基因集富集分析谱分析功能谱的重叠。
我们发现人类和小鼠转录组之间的差异明显大于疾病阶段或模型之间的差异。与对照组相比,在 NASH 患者中有 65 个基因的表达明显改变,在 NAFLD 患者中有 177 个基因的表达明显改变,只有 1-18 个这些基因在 NAFLD 小鼠模型与对照小鼠之间的表达也有显著差异。然而,调节与 NAFLD 发展相关途径的基因表达在一些小鼠模型中发生了改变(例如与脂质代谢相关的途径)。在途径水平上,高脂肪饮食小鼠的肝脏基因表达模式与人类脂肪肝疾病的相关性高于其他模型。
在比较不同 NAFLD 小鼠模型的肝组织和不同阶段 NAFLD 患者的基因表达谱时,我们发现几乎没有重叠。我们的数据集可用于研究导致 NASH 和 NAFLD 发展的途径,并选择最适用的小鼠模型(http://www.nash-profiler.com)。