Dept of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.
Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
PLoS One. 2020 Dec 11;15(12):e0243179. doi: 10.1371/journal.pone.0243179. eCollection 2020.
The comparison of hepatic steatosis animal models has allowed the understanding of mechanisms involved in the pathogenesis of non-alcoholic fatty liver disease (NAFLD) and the progression to nonalcoholic steatohepatitis (NASH). We investigated the changes in serum levels of trace elements and inflammation markers in fatty livers using two rat models of NAFLD, the methionine and choline deficient (MCD) diet model and Obese-Zucker rats.
NAFLD was induced in male Wistar rats by 3-week MCD diet administration, after which, blood samples were collected. 12-week old Obese (fa/fa) and Lean (fa/-) male Zucker rats were also used. Serum levels of hepatic enzymes, Urea, Uric acid, Ca2+, Cl, Fe, K, Na, Mg and Zn were quantified, as well as the inflammation markers TNF-alpha, IL-1beta and IL-6.
In MCD rats, a serum increase in Cl, Mg and Na and a decrease in Ca2+, Zn were detected in comparison with control rats. An increase in only serum Ca2+ was found in Obese-Zucker rats. In MCD rat serum, Zn was inversely correlated with IL-1beta, IL-6, TNF-alpha, Urea and Uric Acid; Ca2+ was inversely correlated with IL-1beta, IL-6 and Urea; Cl and Mg were directly correlated with Uric Acid and Urea, respectively. In Obese-Zucker rats, Cl and IL-1beta were inversely correlated, whereas Ca2+ and Urea where directly correlated, as well Fe and TNF-alpha.
The serum concentrations of trace elements change significantly only in MCD rats, which spontaneously progress to NASH. The causes of these changes may be a result of defense strategies of the organism, which is regulated by immunoregulatory cytokines. These results might suggest that the impairment of trace element status should be taken into account when the effectiveness of a pharmacological treatment is under evaluation.
肝脂肪变性动物模型的比较,有助于理解非酒精性脂肪性肝病(NAFLD)发病机制及向非酒精性脂肪性肝炎(NASH)进展的相关机制。我们通过两种 NAFLD 大鼠模型,即蛋氨酸和胆碱缺乏(MCD)饮食模型和肥胖 Zucker 大鼠,研究了脂肪肝患者血清中微量元素和炎症标志物水平的变化。
雄性 Wistar 大鼠通过 3 周 MCD 饮食喂养诱导 NAFLD,之后采集血样。我们还使用了 12 周龄肥胖(fa/fa)和瘦型(fa/-)雄性 Zucker 大鼠。定量检测了血清肝酶、尿素、尿酸、Ca2+、Cl、Fe、K、Na、Mg 和 Zn 水平,以及炎症标志物 TNF-α、IL-1β 和 IL-6。
与对照组大鼠相比,MCD 大鼠血清中 Cl、Mg 和 Na 增加,Ca2+和 Zn 减少。肥胖 Zucker 大鼠仅发现血清 Ca2+增加。在 MCD 大鼠血清中,Zn 与 IL-1β、IL-6、TNF-α、尿素和尿酸呈负相关;Ca2+与 IL-1β、IL-6 和尿素呈负相关;Cl 和 Mg 分别与尿酸和尿素呈正相关。在肥胖 Zucker 大鼠中,Cl 和 IL-1β 呈负相关,而 Ca2+和尿素呈正相关,Fe 和 TNF-α 也呈正相关。
只有在 MCD 大鼠中,微量元素的血清浓度才会发生显著变化,而 MCD 大鼠会自发进展为 NASH。这些变化的原因可能是机体免疫调节细胞因子调控的防御策略所致。这些结果提示,在评估药物治疗效果时,应考虑微量元素状态的损害。