Lin Pao-Yuan, Chen Chih-Hung, Wallace Christopher Glenn, Chen Kuan-Hung, Chang Chia-Lo, Chen Hong-Hwa, Sung Pei-Hsun, Lin Kun-Chen, Ko Sheung-Fat, Sun Cheuk-Kwan, Chang Hsueh-Wen, Shao Pei-Lin, Lee Mel S, Yip Hon-Kan
Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung UniversityKaohsiung 83301, Taiwan.
Divisions of General Medicine, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, College of Medicine, Chang Gung UniversityKaohsiung 83301, Taiwan.
Am J Transl Res. 2017 Aug 15;9(8):3827-3841. eCollection 2017.
This study tested the hypothesis that high-cholesterol diet (HCD)-induced fatty liver disease could be ameliorated by rosuvastatin (Ros) and propylthiouracil (PTU) therapy. Thirty-two Zealand rabbits were equally divided into group 1 (sham-control), group 2 (HCD for 8 weeks), group 3 [HCD-Ros (20 mg/kg/day administration after 4-week HFD for 4 weeks)], group 4 [HCD-PTU (0.1% PTU in drinking water) with treatment course as group 3]. Liver weight, fibrosis, collagen deposition area, and serum levels of AST/ALT were highest in group 2, lowest in group 1, and significantly higher in group 4 than group 3 (all P<0.0001). The levels of inflammatory (TNF-α/NF-κB/IL-1ß/IL-6/MMP-9/VCAM-1/PAI-1/TLR-4, MyD88/IL-12/IFN-γ), oxidative stress (NOX-1/NOX-2/oxidized protein), apoptotic (Bax/cleaved-capase-3/PARP), fibrotic (Smad-3/TGF-ß), and mitochondria-damaged (cytosolic-cytochrome-C) proteins showed an identical pattern, whereas antiapoptotic (Bcl-2), mitochondrial-integrity (mitochondrial-cytochrome-C) and antioxidative (SIRT1/SIRT3) biomarkers exhibited an opposite pattern to fibrosis among the four groups (all P<0.0001). The cellular expressions of inflammatory (Kupffer/CD14/CD44), α-fetoprotein-positively stained biomarkers, apoptotic nuclei and fat cells displayed an identical pattern to fibrosis (all P<0.0001). In conclusion, Ros-PTU therapy attenuated liver fibrosis, inflammatory reaction and generation of oxidative stress and fatty liver after HCD challenge in rabbits.
瑞舒伐他汀(Ros)和丙硫氧嘧啶(PTU)治疗可改善高胆固醇饮食(HCD)诱导的脂肪肝疾病。将32只新西兰兔平均分为1组(假手术对照组)、2组(接受8周HCD)、3组[HCD-Ros组(高脂饮食4周后给予20 mg/kg/天的Ros,持续4周)]、4组[HCD-PTU组(饮用水中含0.1% PTU,治疗疗程同3组)]。2组的肝脏重量、纤维化程度、胶原沉积面积及血清AST/ALT水平最高,1组最低,4组显著高于3组(均P<0.0001)。炎症(TNF-α/NF-κB/IL-1ß/IL-6/MMP-9/VCAM-1/PAI-1/TLR-4、MyD88/IL-12/IFN-γ)、氧化应激(NOX-1/NOX-2/氧化蛋白)、凋亡(Bax/裂解型半胱天冬酶-3/PARP)、纤维化(Smad-3/TGF-β)及线粒体损伤(胞质细胞色素C)蛋白水平呈现相同模式,而抗凋亡(Bcl-2)、线粒体完整性(线粒体细胞色素C)及抗氧化(SIRT1/SIRT3)生物标志物在四组中的变化模式与纤维化相反(均P<0.0001)。炎症(库普弗细胞/CD14/CD44)、甲胎蛋白阳性染色生物标志物、凋亡细胞核及脂肪细胞的细胞表达与纤维化呈现相同模式(均P<0.0001)。总之,Ros-PTU治疗减轻了兔HCD攻击后的肝纤维化、炎症反应、氧化应激及脂肪肝的发生。