Liebig Marie, Dannenberger Dirk, Vollmar Brigitte, Abshagen Kerstin
Rudolf-Zenker-Institute for Experimental Surgery, University Medicine Rostock, 18057 Rostock, Germany.
Institute of Muscle Biology and Growth, Leibniz Institute for Farm Animal Biology (FBN), 18196 Dummerstorf, Germany.
Hepatobiliary Surg Nutr. 2019 Oct;8(5):447-458. doi: 10.21037/hbsn.2019.04.03.
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease worldwide, ranging from simple steatosis to non-alcoholic steatohepatitis (NASH) and fibrosis. Possible reasons for the NAFLD epidemic in industrialized countries are the high intake of pro-inflammatory n-6 polyunsaturated fatty acids (n-6 PUFAs) and low consumption of healthy n-3 PUFAs. Due to their anti-inflammatory properties, n-3 PUFAs may have the potential to alleviate chronic liver disease. Herein, we examined the therapeutic effect of increased n-3 PUFA tissue levels in fat-1 transgenic mice on progressive NASH.
Disease was induced in mice by streptozotocin and high fat diet (STZ/HFD) resulting in NASH. NAFLD in 6 and 8 weeks old wild type and fat-1 transgenic STZ/HFD treated mice was analyzed. Unlike all other mammals, fat-1 transgenic mice ubiquitously express an n-3 fatty acid desaturase, which converts n-6 to n-3 PUFAs, leading to increased n-3 and decreased n-6 PUFA tissue contents.
Liver damage, NAFLD activity score (NAS), hepatic lipid accumulation and inflammation were significantly reduced in fat-1 transgenic STZ/HFD treated mice in the early (6 weeks) but not late (8 weeks) phase of NASH. Simultaneously, mRNA expression of genes involved in fatty acid uptake and storage ( and , respectively) was significantly down-regulated in 6 week old but not 8 week old fat-1 transgenic STZ/HFD treated mice.
Endogenously elevated n-3 PUFA levels in fat-1 transgenic mice transiently delay the onset of STZ/HFD induced NASH but failed to efficiently protect from NASH development.
非酒精性脂肪性肝病(NAFLD)是全球最常见的慢性肝病,范围从单纯性脂肪变性到非酒精性脂肪性肝炎(NASH)和肝纤维化。工业化国家NAFLD流行的可能原因是促炎n-6多不饱和脂肪酸(n-6 PUFAs)的高摄入量和健康n-3 PUFAs的低消耗量。由于其抗炎特性,n-3 PUFAs可能具有缓解慢性肝病的潜力。在此,我们研究了脂肪-1转基因小鼠中n-3 PUFA组织水平升高对进行性NASH的治疗效果。
通过链脲佐菌素和高脂饮食(STZ/HFD)诱导小鼠发病,导致NASH。分析了6周龄和8周龄野生型及脂肪-1转基因STZ/HFD处理小鼠的NAFLD情况。与所有其他哺乳动物不同,脂肪-1转基因小鼠普遍表达一种n-3脂肪酸去饱和酶,该酶将n-6转化为n-3 PUFAs,导致n-3 PUFA组织含量增加,n-6 PUFA组织含量降低。
在NASH的早期(6周)而非晚期(8周),脂肪-1转基因STZ/HFD处理小鼠的肝损伤、NAFLD活动评分(NAS)、肝脏脂质蓄积和炎症显著降低。同时,在6周龄而非8周龄的脂肪-1转基因STZ/HFD处理小鼠中,参与脂肪酸摄取和储存的基因(分别为 和 )的mRNA表达显著下调。
脂肪-1转基因小鼠内源性升高的n-3 PUFA水平可暂时延缓STZ/HFD诱导的NASH的发病,但未能有效预防NASH的发展。