Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Key Laboratory of Diagnostic Medicine (Ministry of Education) and Department of Clinical Biochemistry, College of Laboratory Medicine, Chongqing Medical University, Chongqing, China.
Diabetes. 2019 Oct;68(10):1902-1914. doi: 10.2337/db18-1055. Epub 2019 Jul 10.
Previous cross-sectional studies have established that circulating osteoprotegerin (OPG) levels are associated with nonalcoholic fatty liver disease (NAFLD). However, the role of OPG in metabolic diseases, such as diabetes and NAFLD, is still unclear. In the current study, we demonstrated that hepatic OPG expression was downregulated in NAFLD individuals and in obese mice. OPG deficiency decreased lipid accumulation and expression of CD36 and peroxisome proliferator-activated receptor-γ (PPAR-γ) in the livers of OPG mice and cultured cells, respectively, whereas OPG overexpression elicited the opposite effects. The stimulatory role of OPG in lipid accumulation was blocked by CD36 inactivation in hepatocytes isolated from CD36 mice. The overexpression of OPG led to a decrease in extracellular signal-regulated kinase (ERK) phosphorylation in the livers of OPG mice and in cultured cells, while OPG deficiency resulted in the opposite effect. The inhibition of PPAR-γ or the activation of ERK blocked the induction of CD36 expression by OPG in cultured cells. Mechanistically, OPG facilitated CD36 expression by acting on PPAR response element (PPRE) present on the CD36 promoter. Taken together, our study revealed that OPG signaling promotes liver steatosis through the ERK-PPAR-γ-CD36 pathway. The downregulation of OPG in NAFLD might be a compensatory response of the body to dampen excess hepatic fat accumulation in obesity.
先前的横断面研究已经证实,循环骨保护素(OPG)水平与非酒精性脂肪性肝病(NAFLD)有关。然而,OPG 在代谢性疾病(如糖尿病和非酒精性脂肪性肝病)中的作用仍不清楚。在本研究中,我们证明了 OPG 在 NAFLD 个体和肥胖小鼠的肝脏中表达下调。OPG 缺乏可降低 OPG 小鼠肝脏和培养细胞中 CD36 和过氧化物酶体增殖物激活受体-γ(PPAR-γ)的脂质积累和表达,而 OPG 过表达则产生相反的效果。OPG 在脂质积累中的刺激作用可被 CD36 敲除小鼠肝细胞中的 CD36 失活所阻断。OPG 的过表达导致 OPG 小鼠肝脏和培养细胞中细胞外信号调节激酶(ERK)磷酸化减少,而 OPG 缺乏则产生相反的效果。PPAR-γ 的抑制或 ERK 的激活可阻断 OPG 在培养细胞中诱导 CD36 表达。在机制上,OPG 通过作用于 CD36 启动子上的 PPAR 反应元件(PPRE)促进 CD36 表达。综上所述,我们的研究表明,OPG 信号通过 ERK-PPAR-γ-CD36 通路促进肝脏脂肪变性。NAFLD 中 OPG 的下调可能是机体对肥胖时肝脏脂肪过度积累的一种代偿反应。