一项对纤维化非酒精性脂肪性肝炎小鼠模型进行的全身、组织和细胞生理学纵向研究,该模型高度逼真地模拟了人类病情。
A longitudinal study of whole body, tissue, and cellular physiology in a mouse model of fibrosing NASH with high fidelity to the human condition.
作者信息
Krishnan Anuradha, Abdullah Tasduq Sheikh, Mounajjed Taofic, Hartono Stella, McConico Andrea, White Thomas, LeBrasseur Nathan, Lanza Ian, Nair Sreekumaran, Gores Gregory, Charlton Michael
机构信息
Division of Gastroenterology, Mayo Clinic, Rochester, Minnesota.
Indian Institute of Integrative Medicine, Council of Scientific and Industrial Research, Jammu and Kashmir, India.
出版信息
Am J Physiol Gastrointest Liver Physiol. 2017 Jun 1;312(6):G666-G680. doi: 10.1152/ajpgi.00213.2016. Epub 2017 Feb 23.
The sequence of events that lead to inflammation and fibrosing nonalcoholic steatohepatitis (NASH) is incompletely understood. Hence, we investigated the chronology of whole body, tissue, and cellular events that occur during the evolution of diet-induced NASH. Male C57Bl/6 mice were assigned to a fast-food (FF; high calorie, high cholesterol, high fructose) or standard-chow (SC) diet over a period of 36 wk. Liver histology, body composition, mitochondrial respiration, metabolic rate, gene expression, and hepatic lipid content were analyzed. Insulin resistance [homeostasis model assessment-insulin resistance (HOMA-IR)] increased 10-fold after 4 wk. Fibrosing NASH was fully established by 16 wk. Total hepatic lipids increased by 4 wk and remained two- to threefold increased throughout. Hepatic triglycerides declined from sixfold increase at 8 wk to threefold increase by 36 wk. In contrast, hepatic cholesterol levels steadily increased from baseline at 8 wk to twofold by 36 wk. The hepatic immune cell population altered over time with macrophages persisting beyond 16 wk. Mitochondrial oxygen flux rates of FF mice diet were uniformly lower with all the tested substrates (13-276 pmol·s·ml per unit citrate synthase) than SC mice (17-394 pmol·s·ml per unit citrate synthase) and was accompanied by decreased mitochondrial:nuclear gene copy number ratios after 4 wk. Metabolic rate was lower in FF mice. Mitochondrial glutathione was significantly decreased at 24 wk in FF mice. Expression of dismutases and catalase was also decreased in FF mice. The evolution of NASH in the FF diet-induced model is multiphasic, particularly in terms of hepatic lipid composition. Insulin resistance precedes hepatic inflammation and fibrosis. Mitochondrial dysfunction and depletion occur after the histological features of NASH are apparent. Collectively, these observations provide a unique overview of the sequence of changes that coevolve with the histological evolution of NASH. This study demonstrates in a first of kind longitudinal analysis, the evolution of nonalcoholic steatohepatitis (NASH) on a fast-food diet-induced model. Key findings include ) hepatic lipid composition changes in a multiphasic fashion as NASH evolves; ) insulin resistance precedes hepatic inflammation and fibrosis, answering a longstanding chicken-and-egg question regarding the relationship of insulin resistance to liver histology in NASH; and ) mitochondrial dysfunction and depletion occur after the histological features of NASH are apparent.
导致炎症和纤维化非酒精性脂肪性肝炎(NASH)的一系列事件尚未完全明确。因此,我们研究了饮食诱导的NASH发展过程中全身、组织和细胞事件的时间顺序。将雄性C57Bl/6小鼠在36周的时间内分为快餐(FF;高热量、高胆固醇、高果糖)或标准饲料(SC)饮食组。分析了肝脏组织学、身体组成、线粒体呼吸、代谢率、基因表达和肝脏脂质含量。胰岛素抵抗[稳态模型评估-胰岛素抵抗(HOMA-IR)]在4周后增加了10倍。纤维化NASH在16周时完全形成。肝脏总脂质在4周时增加,并在整个过程中保持两到三倍的增加。肝脏甘油三酯从8周时增加6倍下降到36周时增加3倍。相比之下,肝脏胆固醇水平从8周时的基线稳步增加到36周时增加两倍。肝脏免疫细胞群体随时间变化,巨噬细胞持续超过16周。FF小鼠饮食的线粒体氧通量率在所有测试底物(每单位柠檬酸合酶13 - 276 pmol·s·ml)下均低于SC小鼠(每单位柠檬酸合酶17 - 394 pmol·s·ml),并在4周后伴随着线粒体:核基因拷贝数比值的降低。FF小鼠的代谢率较低。FF小鼠在24周时线粒体谷胱甘肽显著降低。FF小鼠中歧化酶和过氧化氢酶的表达也降低。FF饮食诱导模型中NASH的发展是多阶段的,特别是在肝脏脂质组成方面。胰岛素抵抗先于肝脏炎症和纤维化。线粒体功能障碍和耗竭在NASH的组织学特征明显后发生。总的来说,这些观察结果提供了与NASH组织学演变共同发展的变化序列的独特概述。本研究在首次纵向分析中证明了快餐饮食诱导模型中非酒精性脂肪性肝炎(NASH)的演变。主要发现包括:)随着NASH的发展,肝脏脂质组成呈多阶段变化;)胰岛素抵抗先于肝脏炎症和纤维化,回答了关于NASH中胰岛素抵抗与肝脏组织学关系的长期存在的先有鸡还是先有蛋的问题;)线粒体功能障碍和耗竭在NASH的组织学特征明显后发生。
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