Department of Cell Metabolism and Nutrition, Brain/Liver Interface Medicine Research Center, Kanazawa University, Kanazawa, Ishikawa, Japan.
Division of Oncology and Molecular Biology, Cancer Research Institute, Kanazawa University, Kanazawa, Ishikawa, Japan.
Diabetes. 2017 May;66(5):1222-1236. doi: 10.2337/db16-0662. Epub 2017 Feb 16.
Low-grade sustained inflammation links obesity to insulin resistance and nonalcoholic fatty liver disease (NAFLD). However, therapeutic approaches to improve systemic energy balance and chronic inflammation in obesity are limited. Pharmacological activation of nuclear factor (erythroid-derived 2)-like 2 (Nrf2) alleviates obesity and insulin resistance in mice; however, Nrf2 inducers are not clinically available owing to safety concerns. Thus, we examined whether dietary glucoraphanin, a stable precursor of the Nrf2 inducer sulforaphane, ameliorates systemic energy balance, chronic inflammation, insulin resistance, and NAFLD in high-fat diet (HFD)-fed mice. Glucoraphanin supplementation attenuated weight gain, decreased hepatic steatosis, and improved glucose tolerance and insulin sensitivity in HFD-fed wild-type mice but not in HFD-fed Nrf2 knockout mice. Compared with vehicle-treated controls, glucoraphanin-treated HFD-fed mice had lower plasma lipopolysaccharide levels and decreased relative abundance of the gram-negative bacteria family Desulfovibrionaceae in their gut microbiomes. In HFD-fed mice, glucoraphanin increased energy expenditure and the protein expression of uncoupling protein 1 (Ucp1) in inguinal and epididymal adipose depots. Additionally, in this group, glucoraphanin attenuated hepatic lipogenic gene expression, lipid peroxidation, classically activated M1-like macrophage accumulation, and inflammatory signaling pathways. By promoting fat browning, limiting metabolic endotoxemia-related chronic inflammation, and modulating redox stress, glucoraphanin may mitigate obesity, insulin resistance, and NAFLD.
低度持续炎症将肥胖与胰岛素抵抗和非酒精性脂肪性肝病 (NAFLD) 联系起来。然而,改善肥胖症全身能量平衡和慢性炎症的治疗方法有限。核因子 (红系衍生 2)-样 2 (Nrf2) 的药理学激活可缓解肥胖症和胰岛素抵抗小鼠的症状;然而,由于安全性问题,Nrf2 诱导剂尚未在临床上应用。因此,我们研究了膳食葡萄糖硫苷,一种 Nrf2 诱导剂萝卜硫素的稳定前体,是否可以改善高脂肪饮食 (HFD) 喂养的小鼠的全身能量平衡、慢性炎症、胰岛素抵抗和非酒精性脂肪性肝病。葡萄糖硫苷补充可减轻体重增加,减少肝脂肪变性,并改善 HFD 喂养野生型小鼠的葡萄糖耐量和胰岛素敏感性,但不能改善 HFD 喂养 Nrf2 敲除小鼠的葡萄糖耐量和胰岛素敏感性。与载体处理的对照组相比,葡萄糖硫苷处理的 HFD 喂养小鼠的血浆脂多糖水平较低,肠道微生物组中革兰氏阴性菌家族脱硫弧菌的相对丰度降低。在 HFD 喂养的小鼠中,葡萄糖硫苷增加了腹股沟和附睾脂肪组织中解偶联蛋白 1 (Ucp1) 的能量消耗和蛋白表达。此外,在该组中,葡萄糖硫苷减弱了肝脏脂质生成基因表达、脂质过氧化、经典激活的 M1 样巨噬细胞积累和炎症信号通路。通过促进脂肪棕色化、限制代谢性内毒素血症相关的慢性炎症和调节氧化应激,葡萄糖硫苷可能减轻肥胖症、胰岛素抵抗和非酒精性脂肪性肝病。