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跳出油锅:膳食饱和脂肪对非酒精性脂肪性肝病有影响。

Out of the frying pan: dietary saturated fat influences nonalcoholic fatty liver disease.

作者信息

Parks Elizabeth, Yki-Järvinen Hannele, Hawkins Meredith

出版信息

J Clin Invest. 2017 Feb 1;127(2):454-456. doi: 10.1172/JCI92407. Epub 2017 Jan 23.

DOI:10.1172/JCI92407
PMID:28112684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5272176/
Abstract

Nonalcoholic fatty liver disease (NAFLD) is characterized by excess accumulation of fat in the liver. In some cases, NAFLD is also accompanied by insulin resistance, resulting in metabolic dysfunction. Dietary fat content probably influences both NAFLD and insulin resistance; however, the immediate effects of fat consumption have not been fully explored. In this issue of the JCI, Hernández et al. evaluated hepatic glucose and lipid metabolism in humans and mice following a single oral dose of saturated fat. This one bolus of fat resulted in a measurable increase in insulin resistance, hepatic triglycerides, and gluconeogenesis. In mice, the saturated fat bolus resulted in the induction of several NAFLD-associated genes. Together, the results of this study indicate that saturated fat intake has immediate effects on metabolic function.

摘要

非酒精性脂肪性肝病(NAFLD)的特征是肝脏中脂肪过度积累。在某些情况下,NAFLD还伴有胰岛素抵抗,导致代谢功能障碍。饮食中的脂肪含量可能会影响NAFLD和胰岛素抵抗;然而,脂肪摄入的即时影响尚未得到充分研究。在本期《临床研究杂志》(JCI)中,埃尔南德斯等人评估了单次口服饱和脂肪后人类和小鼠的肝脏葡萄糖和脂质代谢。这一剂脂肪导致胰岛素抵抗、肝脏甘油三酯和糖异生有可测量的增加。在小鼠中,饱和脂肪推注导致多个与NAFLD相关的基因被诱导。总之,这项研究的结果表明饱和脂肪摄入对代谢功能有即时影响。

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本文引用的文献

1
Acute dietary fat intake initiates alterations in energy metabolism and insulin resistance.急性膳食脂肪摄入会引发能量代谢和胰岛素抵抗的改变。
J Clin Invest. 2017 Feb 1;127(2):695-708. doi: 10.1172/JCI89444. Epub 2017 Jan 23.
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Quantum coherence spectroscopy to measure dietary fat retention in the liver.量子相干光谱法测量肝脏中膳食脂肪的保留量。
JCI Insight. 2016 Aug 18;1(13):e84671. doi: 10.1172/jci.insight.84671.
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NAFLD and liver transplantation: Current burden and expected challenges.非酒精性脂肪性肝病与肝移植:当前负担及预期挑战
J Hepatol. 2016 Dec;65(6):1245-1257. doi: 10.1016/j.jhep.2016.07.033. Epub 2016 Jul 30.
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Nonalcoholic Fatty Liver Disease: Pathogenesis and Disease Spectrum.非酒精性脂肪性肝病:发病机制和疾病谱。
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Hepatic ceramides dissociate steatosis and insulin resistance in patients with non-alcoholic fatty liver disease.非酒精性脂肪性肝病患者的肝神经酰胺使脂肪变性和胰岛素抵抗分离。
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TM6SF2 is a regulator of liver fat metabolism influencing triglyceride secretion and hepatic lipid droplet content.TM6SF2 是肝脏脂肪代谢的调节因子,影响甘油三酯的分泌和肝内脂滴含量。
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Non-alcoholic fatty liver disease as a cause and a consequence of metabolic syndrome.非酒精性脂肪性肝病作为代谢综合征的病因和后果。
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Exome-wide association study identifies a TM6SF2 variant that confers susceptibility to nonalcoholic fatty liver disease.外显子组关联研究鉴定出一个 TM6SF2 变异,该变异赋予非酒精性脂肪性肝病易感性。
Nat Genet. 2014 Apr;46(4):352-6. doi: 10.1038/ng.2901. Epub 2014 Feb 16.
10
Increased de novo lipogenesis is a distinct characteristic of individuals with nonalcoholic fatty liver disease.肝内脂肪生成增加是非酒精性脂肪性肝病患者的一个显著特征。
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