Department of Endocrinology, Linyi People's Hospital, Linyi, Shandong, People's Republic of China.
Am J Physiol Endocrinol Metab. 2020 Jul 1;319(1):E34-E42. doi: 10.1152/ajpendo.00528.2019. Epub 2020 Mar 31.
Nonalcoholic fatty liver disease (NAFLD) amplifies the risk of various liver diseases, ranging from simple steatosis to nonalcoholic steatohepatitis, fibrosis, and cirrhosis, and ultimately hepatocellular carcinoma. Accumulating evidence suggests the involvement of aberrant microRNAs (miRNAs or miRs) in the activation of cellular stress, inflammation, and fibrogenesis in hepatic cells at different stages of NAFLD and liver fibrosis. Here, we explored the potential role of miR-130b-5p in the pathogenesis of NAFLD, including lipid accumulation and insulin resistance, as well as the underlying mechanism. Initially, the expression of miR-130b-5p and insulin-like growth factor binding protein 2 (IGFBP2) was examined in the established high-fat diet-induced NAFLD mouse models. Then, the interaction between miR-130b-5p and IGFBP2 was validated using dual luciferase reporter assay. The effects of miR-130b-5p and IGFBP2 on lipid accumulation and insulin resistance, as well as the AKT pathway-related proteins, were evaluated using gain or loss-of-function approaches. miR-130b-5p was upregulated, and IGFBP2 was downregulated in liver tissues of NAFLD mice. miR-130b-5p targeted IGFBP2 and downregulated its expression. MiR-130b-5p inhibition or IGFBP2 overexpression reduced the expression of SREBP-1, LXRα, ChREBP, stearoyl CoA desaturase 1, acetyl CoA carboxylase 1, and fatty acid synthase, and levels of fasting blood glucose, fasting insulin, and homeostasis model assessment-insulin resistance, while increasing the ratio of p-AKT/AKT in NAFLD mice. Overall, downregulation of miR-130b-5p can prevent hepatic lipid accumulation and insulin resistance in NAFLD by activating IGFBP2-dependent AKT pathway, highlighting the potential use of anti-miR-130b-5p as therapeutic approaches for the prevention and treatment of NAFLD.
非酒精性脂肪性肝病 (NAFLD) 增加了各种肝病的风险,从单纯的脂肪变性到非酒精性脂肪性肝炎、纤维化和肝硬化,最终发展为肝细胞癌。越来越多的证据表明,异常 microRNAs (miRNAs 或 miRs) 参与了 NAFLD 和肝纤维化不同阶段肝细胞中细胞应激、炎症和纤维化的激活。在这里,我们探讨了 miR-130b-5p 在 NAFLD 发病机制中的潜在作用,包括脂质积累和胰岛素抵抗,以及潜在的机制。首先,在建立的高脂肪饮食诱导的 NAFLD 小鼠模型中检测了 miR-130b-5p 和胰岛素样生长因子结合蛋白 2 (IGFBP2) 的表达。然后,使用双荧光素酶报告基因检测验证了 miR-130b-5p 和 IGFBP2 之间的相互作用。通过增益或缺失功能方法评估了 miR-130b-5p 和 IGFBP2 对脂质积累和胰岛素抵抗以及 AKT 通路相关蛋白的影响。miR-130b-5p 在 NAFLD 小鼠的肝组织中上调,而 IGFBP2 下调。miR-130b-5p 靶向 IGFBP2 并下调其表达。miR-130b-5p 抑制或 IGFBP2 过表达可降低 SREBP-1、LXRα、ChREBP、硬脂酰辅酶 A 去饱和酶 1、乙酰辅酶 A 羧化酶 1 和脂肪酸合酶的表达,降低空腹血糖、空腹胰岛素和稳态模型评估-胰岛素抵抗的水平,并增加 AKT 通路相关蛋白 p-AKT/AKT 的比值,从而减轻 NAFLD 小鼠的肝脂肪堆积和胰岛素抵抗。总之,下调 miR-130b-5p 通过激活 IGFBP2 依赖性 AKT 通路可预防 NAFLD 中的肝脂质积累和胰岛素抵抗,提示抗 miR-130b-5p 可能作为预防和治疗 NAFLD 的治疗方法。