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脂肪组织 I 型干扰素信号转导可预防代谢功能障碍。

Adipose type I interferon signalling protects against metabolic dysfunction.

机构信息

Department of Internal Medicine I, Gastroenterology, Endocrinology & Metabolism, Medical University Innsbruck, Innsbruck, Austria.

Institute of Pathology, Medical University Innsbruck, Innsbruck, Austria.

出版信息

Gut. 2018 Jan;67(1):157-165. doi: 10.1136/gutjnl-2016-313155. Epub 2016 Dec 23.

Abstract

OBJECTIVE

Low-grade chronic inflammation emerges as a potent driver of insulin resistance and glucose dysregulation in obesity and associated non-alcoholic fatty liver disease (NAFLD). The liver, subcutaneous fat and the immune system participate in disturbances of metabolism. Type I interferon (IFN) signalling initiated by innate and adaptive immunity modulates inflammatory responses consequent to infection. However, little is known about the role of type I IFN signalling in metabolic diseases and the development of NAFLD.

DESIGN

We determined the impact of type I IFN signalling by tissue-specific deletion of () in hepatocytes ( ), adipocytes ( ), intestinal epithelial cells ( ) or myelocytes ( ) on glucose metabolism, obesity and hepatic disease in mice exposed to a high-fat or methionine-choline-deficient (MCD) diet. Furthermore, we investigated the expression of type I IFN-regulated genes in patients with obesity undergoing laparoscopic adjustable gastric banding (LAGB).

RESULTS

Long chain fatty acids induce type I IFN responses in murine hepatocytes and macrophages and exposure to a high-fat diet elicited type I IFN-regulated gene expression in the liver of wild-type mice. Hepatocyte-specific, but not adipose tissue-specific deletion of worsened steatosis and inflammation induced by the MCD diet. In contrast, adipose-specific, but not hepatocyte-specific deletion of deteriorated metabolic dysregulation induced by a high-fat diet, indicated by increased weight gain, insulin resistance and an impaired glucose tolerance. Abrogated type I IFN signalling in myeloid or intestinal epithelial cells did not modulate susceptibility to metabolic or hepatic disease. Improved metabolic control in patients with obesity after LAGB was associated with increased expression of type I IFN-regulated genes in subcutaneous adipose tissue and liver.

CONCLUSIONS

Our study implicates a role for adipose and hepatocyte type I IFN signalling in diet-induced metabolic dysregulation and hepatic disease. Further studies on type I IFN signalling in metabolic diseases are warranted.

摘要

目的

低度慢性炎症在肥胖症和相关非酒精性脂肪性肝病(NAFLD)中成为胰岛素抵抗和葡萄糖失调的有力驱动因素。肝脏、皮下脂肪和免疫系统参与代谢紊乱。先天和适应性免疫引发的 I 型干扰素(IFN)信号转导调节感染后继发的炎症反应。然而,关于 I 型 IFN 信号在代谢性疾病和 NAFLD 发展中的作用知之甚少。

设计

我们通过组织特异性敲除肝细胞()、脂肪细胞()、肠上皮细胞()或髓细胞()中的 I 型 IFN 信号转导,确定其对暴露于高脂肪或蛋氨酸-胆碱缺乏(MCD)饮食的小鼠的葡萄糖代谢、肥胖和肝疾病的影响。此外,我们还研究了接受腹腔镜可调胃束带术(LAGB)的肥胖患者中 I 型 IFN 调节基因的表达。

结果

长链脂肪酸诱导鼠肝细胞和巨噬细胞中的 I 型 IFN 反应,高脂肪饮食暴露可诱导野生型小鼠肝脏中 I 型 IFN 调节基因的表达。肝细胞特异性而非脂肪组织特异性敲除会加重 MCD 饮食诱导的脂肪变性和炎症。相反,脂肪特异性而非肝细胞特异性敲除会恶化高脂肪饮食诱导的代谢失调,表现为体重增加、胰岛素抵抗和葡萄糖耐量受损。髓样细胞或肠上皮细胞中 I 型 IFN 信号的缺失并未调节对代谢或肝疾病的易感性。肥胖患者接受 LAGB 后代谢控制的改善与皮下脂肪组织和肝脏中 I 型 IFN 调节基因表达的增加有关。

结论

我们的研究表明脂肪细胞和肝细胞 I 型 IFN 信号在饮食诱导的代谢失调和肝疾病中起作用。需要进一步研究 I 型 IFN 信号在代谢性疾病中的作用。

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