Division of Allergy, Immunology and Rheumatology, Taipei, Taiwan.
Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
BMJ Open Gastroenterol. 2020 May;7(1). doi: 10.1136/bmjgast-2020-000381.
In non-alcoholic steatohepatitis (NASH), muscle wasting was an aggravating factor for the progression of hepatic steatosis. This study explores the potential benefits of chronic treatment with resveratrol, a strong activator of SIRT1 on the muscle wasting of NASH mice.
In vivo and in vitro study, we evaluate the SIRT1-dependent mechanisms and effects of resveratrol administration for 6 weeks with high-fat-methionine and choline deficient diet-induced NASH mice and palmitate-pretreated C2C12 myoblast cells.
Resveratrol treatment improved grip strength and muscle mass of limbs, increased running distance and time on exercise wheels in NASH mice. There is a negative correlation between muscular SIRT1 activity and 3-nitrotyrosine levels of NASH and NASH-resv mice. The SIRT1-dependent effect of muscle wasting was associated with the suppression of oxidative stress, upregulation of antioxidants, inhibition of protein degradation, activation of autophagy, suppression of apoptotic activity, upregulation of lipolytic genes and the reduction of fatty infiltration in limb muscles of NASH mice. In vitro, resveratrol alleviated palmitate acid-induced oxidative stress, lipid deposition, autophagy dysfunction, apoptotic signals, and subsequently reduced fusion index and myotube formation of C2C12 cells. The beneficial effects of resveratrol were abolished by EX527.
Our study suggests that chronic resveratrol treatment is a potential strategy for amelioration of hepatic steatosis and muscle wasting in NASH mouse model.
在非酒精性脂肪性肝炎(NASH)中,肌肉减少是肝脂肪变性进展的加重因素。本研究探讨了慢性使用白藜芦醇(一种强有力的 SIRT1 激活剂)治疗 NASH 小鼠肌肉减少的潜在益处。
在体内和体外研究中,我们评估了白藜芦醇给药 6 周对高脂肪蛋氨酸和胆碱缺乏饮食诱导的 NASH 小鼠和棕榈酸预处理的 C2C12 成肌细胞的 SIRT1 依赖性机制和作用。
白藜芦醇治疗改善了 NASH 小鼠的握力和四肢肌肉质量,增加了它们在运动轮上的跑步距离和时间。NASH 和 NASH-resv 小鼠的肌肉 SIRT1 活性与 3-硝基酪氨酸水平呈负相关。肌肉减少的 SIRT1 依赖性效应与抑制氧化应激、上调抗氧化剂、抑制蛋白质降解、激活自噬、抑制凋亡活性、上调脂肪分解基因以及减少 NASH 小鼠四肢肌肉中的脂肪浸润有关。在体外,白藜芦醇减轻了棕榈酸诱导的氧化应激、脂质沉积、自噬功能障碍、凋亡信号,随后降低了 C2C12 细胞的融合指数和肌管形成。EX527 消除了白藜芦醇的有益作用。
我们的研究表明,慢性白藜芦醇治疗可能是改善 NASH 小鼠模型肝脂肪变性和肌肉减少的一种潜在策略。