Department of Metabolic Health Research, The Netherlands Organization for Applied Scientific Research (TNO), 2333 CK Leiden, The Netherlands.
Human and Animal Physiology, Wageningen University, 6708 WD Wageningen, The Netherlands.
Int J Mol Sci. 2019 Sep 5;20(18):4359. doi: 10.3390/ijms20184359.
Obesity characterized by adiposity and ectopic fat accumulation is associated with the development of non-alcoholic fatty liver disease (NAFLD). Treatments that stimulate lipid utilization may prevent the development of obesity and comorbidities. This study evaluated the potential anti-obesogenic hepatoprotective effects of combined treatment with L-carnitine and nicotinamide riboside, i.e., components that can enhance fatty acid transfer across the inner mitochondrial membrane and increase nicotinamide adenine nucleotide (NAD+) levels, which are necessary for β-oxidation and the TCA cycle, respectively. Ldlr -/-.Leiden mice were treated with high-fat diet (HFD) supplemented with L-carnitine (LC; 0.4% /), nicotinamide riboside (NR; 0.3% /) or both (COMBI) for 21 weeks. L-carnitine plasma levels were reduced by HFD and normalized by LC. NR supplementation raised its plasma metabolite levels demonstrating effective delivery. Although food intake and ambulatory activity were comparable in all groups, COMBI treatment significantly attenuated HFD-induced body weight gain, fat mass gain (-17%) and hepatic steatosis (-22%). Also, NR and COMBI reduced hepatic 4-hydroxynonenal adducts. Upstream-regulator gene analysis demonstrated that COMBI reversed detrimental effects of HFD on liver metabolism pathways and associated regulators, e.g., ACOX, SCAP, SREBF, PPARGC1B, and INSR. Combination treatment with LC and NR exerts protective effects on metabolic pathways and constitutes a new approach to attenuate HFD-induced obesity and NAFLD.
肥胖的特征是脂肪过多和异位脂肪积累,与非酒精性脂肪性肝病 (NAFLD) 的发展有关。刺激脂质利用的治疗方法可能预防肥胖和合并症的发展。本研究评估了联合使用左旋肉碱和烟酰胺核糖苷(即可以增强脂肪酸穿过线粒体内膜的转移并增加烟酰胺腺嘌呤二核苷酸 (NAD+) 水平的成分,分别是β-氧化和 TCA 循环所必需的)治疗的潜在抗肥胖肝保护作用。用高脂肪饮食 (HFD) 处理 Ldlr -/-。莱顿小鼠补充左旋肉碱 (LC;0.4% /)、烟酰胺核糖苷 (NR;0.3% /) 或两者 (COMBI) 21 周。HFD 降低了左旋肉碱的血浆水平,而 LC 使其恢复正常。NR 补充提高了其血浆代谢物水平,表明有效输送。尽管所有组的食物摄入量和活动量相似,但 COMBI 治疗显着减轻了 HFD 引起的体重增加、脂肪量增加(-17%)和肝脂肪变性(-22%)。此外,NR 和 COMBI 降低了肝 4-羟壬烯醛加合物。上游调节剂基因分析表明,COMBI 逆转了 HFD 对肝脏代谢途径和相关调节剂的有害影响,例如 ACOX、SCAP、SREBF、PPARGC1B 和 INSR。LC 和 NR 的联合治疗对代谢途径具有保护作用,是减轻 HFD 诱导的肥胖和 NAFLD 的新方法。