Key Laboratory of Prevention and Treatment of Cardiovascular and Cerebrovascular DiseasesMinistry of Education, Gannan Medical University, Ganzhou, 341000, China.
KingMed Diagnostics, Guangzhou, 510320, China.
Eur J Nutr. 2021 Apr;60(3):1655-1668. doi: 10.1007/s00394-020-02362-6. Epub 2020 Aug 17.
Nonalcoholic fatty liver disease (NAFLD) is currently the leading cause of chronic liver disease in developing countries. The pathogenesis is complex, and there is currently no effective treatment. Betaine is an essential intermediate in choline catabolism and an important component of the methionine cycle. Betaine deficiency is associated with NAFLD severity, and its mechanism needs to be further elaborated.
In this study, an NAFLD mouse model was established by feeding ApoE mice a high-fat diet. The effects of betaine on NAFLD were investigated, including its mechanism.
In this study, after treatment with betaine, blood lipid levels and liver damage were significantly decreased in the NAFLD mouse model. The fat infiltration of the liver tissues of high-fat diet (HFD)-fed mice after betaine administration was significantly improved. Betaine treatment significantly upregulated AMP-activated protein kinase (AMPK), fibroblast growth factor 10 (FGF10), and adipose triglyceride lipase (ATGL) protein levels both in vivo and in vitro and suppressed lipid metabolism-related genes. Furthermore, the overexpression of FGF10 increased the protein level of AMPK and decreased lipid accumulation in HepG2 cells.
Taken together, the data strongly suggest that betaine significantly prevents high-fat diet-induced NAFLD through the FGF10/AMPK signaling pathway in ApoE mice.
非酒精性脂肪性肝病(NAFLD)是目前发展中国家慢性肝病的主要原因。其发病机制复杂,目前尚无有效的治疗方法。甜菜碱是胆碱分解代谢的必需中间产物,也是蛋氨酸循环的重要组成部分。甜菜碱缺乏与 NAFLD 的严重程度有关,其机制尚需进一步阐述。
本研究通过给载脂蛋白 E(ApoE)小鼠喂食高脂肪饮食建立了 NAFLD 小鼠模型。研究了甜菜碱对 NAFLD 的影响,包括其作用机制。
在本研究中,甜菜碱治疗后,NAFLD 小鼠模型的血脂水平和肝损伤明显降低。给予甜菜碱后,高脂肪饮食(HFD)喂养小鼠的肝组织脂肪浸润明显改善。甜菜碱治疗在体内和体外均显著上调 AMP 激活的蛋白激酶(AMPK)、成纤维细胞生长因子 10(FGF10)和脂肪甘油三酯脂肪酶(ATGL)蛋白水平,并抑制脂质代谢相关基因。此外,FGF10 的过表达增加了 HepG2 细胞中 AMPK 的蛋白水平并减少了脂质堆积。
综上所述,数据强烈表明,甜菜碱通过 ApoE 小鼠中的 FGF10/AMPK 信号通路显著预防高脂肪饮食诱导的 NAFLD。