利拉鲁肽可改善非酒精性脂肪性肝炎 3 周饮食诱导的小鼠模型中的肝脂肪变性和代谢功能障碍。
Liraglutide improves hepatic steatosis and metabolic dysfunctions in a 3-week dietary mouse model of nonalcoholic steatohepatitis.
机构信息
INSERM, Université de Toulouse, UMR1048, Institute of Metabolic and Cardiovascular Diseases (I2MC), Toulouse, France.
Physiogenex SAS, Prologue Biotech, Labège-Innopole, France.
出版信息
Am J Physiol Gastrointest Liver Physiol. 2019 Oct 1;317(4):G508-G517. doi: 10.1152/ajpgi.00139.2019. Epub 2019 Aug 28.
Nonalcoholic steatohepatitis (NASH) is an emerging health problem worldwide. However, efficacious pharmacological treatment for NASH is lacking. A major issue for preclinical evaluation of potential therapeutics for NASH is the limited number of appropriate animal models, i.e., models that do not require long-term dietary intervention and adequately mimic disease progression in humans. The present study aimed to evaluate a 3-wk dietary mouse model of NASH and validate it by studying the effects of liraglutide, a compound in advanced clinical development for NASH. C57BL6/J mice were fed a diet high in fat (60%), cholesterol (1.25%), and cholic acid (0.5%), along with 2% hydroxypropyl-β-cyclodextrin in drinking water (HFCC-CDX diet). Histological and biological parameters were measured at 1 and 3 wk. After 1-wk diet induction, liraglutide was administrated daily for 2 wk and then NASH-associated phenotypic aspects were evaluated in comparison with control mice. Prior to treatment with liraglutide, mice fed the HFCC-CDX diet for 1 wk developed liver steatosis and had increased levels of oxidative-stress markers and hepatic and systemic inflammation. For mice not treated with liraglutide, these aspects were even more pronounced after 3 wk of the dietary period, with additional liver insulin resistance and fibrosis. Liraglutide treatment corrected the diet-induced alterations in glucose metabolism and significantly reduced hepatic steatosis and inflammation. This study provides a novel 3-wk dietary model of mice that rapidly develop NASH features, and this model will be suitable for evaluating the therapeutic efficacy of compounds in preclinical drug development for NASH. We propose a diet high in fat (60%), cholesterol (1.25%), and cholic acid (0.5%) along with 2% hydroxypropyl-β-cyclodextrin in drinking water (HFCC-CDX diet) as a new dietary model of nonalcoholic steatohepatitis. We used the HFCC-CDX model to reproduce the main features of disease development in humans for the purpose of facilitating the rapid screening of drug candidates and prioritizing the more promising candidates for advanced preclinical assessment and subsequent clinical trials.
非酒精性脂肪性肝炎(NASH)是全球范围内日益严重的健康问题。然而,目前缺乏有效的 NASH 药物治疗方法。临床前评估 NASH 潜在治疗方法的一个主要问题是合适的动物模型数量有限,即不需要长期饮食干预且能充分模拟人类疾病进展的模型。本研究旨在评估一种为期 3 周的 NASH 饮食诱导的小鼠模型,并通过研究处于临床开发后期的利拉鲁肽对 NASH 的影响来验证该模型。C57BL6/J 小鼠给予高脂肪(60%)、高胆固醇(1.25%)和胆酸(0.5%)饮食,并在饮用水中添加 2%羟丙基-β-环糊精(HFCC-CDX 饮食)。在 1 周和 3 周时测量组织学和生物学参数。在饮食诱导 1 周后,每日给予利拉鲁肽治疗 2 周,然后与对照组小鼠比较评估 NASH 相关表型。在给予利拉鲁肽治疗前,给予 HFCC-CDX 饮食 1 周的小鼠发生肝脂肪变性,氧化应激标志物和肝内及全身炎症水平升高。对于未给予利拉鲁肽治疗的小鼠,在饮食期 3 周后这些方面更为明显,且伴有肝胰岛素抵抗和纤维化。利拉鲁肽治疗纠正了饮食诱导的葡萄糖代谢改变,并显著减少了肝脂肪变性和炎症。本研究提供了一种新的快速发展 NASH 特征的 3 周饮食诱导的小鼠模型,该模型将适用于评价临床前药物开发中 NASH 化合物的治疗效果。我们提出了一种高脂肪(60%)、高胆固醇(1.25%)和胆酸(0.5%)饮食,并在饮用水中添加 2%羟丙基-β-环糊精(HFCC-CDX 饮食)作为一种新的非酒精性脂肪性肝炎饮食模型。我们使用 HFCC-CDX 模型来重现人类疾病发展的主要特征,以便于快速筛选候选药物,并优先选择更有前途的候选药物进行进一步的临床前评估和随后的临床试验。