Warner Dennis R, Warner Jeffrey B, Hardesty Josiah E, Song Ying L, Chen Chi-Yu, Chen Zoe, Kang Jing X, McClain Craig J, Kirpich Irina A
Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Louisville, Louisville, KY, USA.
Department of Pharmacology and Toxicology, University of Louisville School of Medicine, Louisville, KY, USA.
FASEB J. 2021 Feb;35(2):e21377. doi: 10.1096/fj.202001202R.
Alcohol-associated liver disease (ALD) is a major human health issue for which there are limited treatment options. Experimental evidence suggests that nutrition plays an important role in ALD pathogenesis, and specific dietary fatty acids, for example, n6 or n3-PUFAs, may exacerbate or attenuate ALD, respectively. The purpose of the current study was to determine whether the beneficial effects of n3-PUFA enrichment in ALD were mediated, in part, by improvement in Wnt signaling. Wild-type (WT) and fat-1 transgenic mice (that endogenously convert n6-PUFAs to n3) were fed ethanol (EtOH) for 6 weeks followed by a single LPS challenge. fat-1 mice had less severe liver damage than WT littermates as evidenced by reduced plasma alanine aminotransferase, hepatic steatosis, liver tissue neutrophil infiltration, and pro-inflammatory cytokine expression. WT mice had a greater downregulation of Axin2, a key gene in the Wnt pathway, than fat-1 mice in response to EtOH and LPS. Further, there were significant differences between WT and fat-1 EtOH+LPS-challenged mice in the expression of five additional genes linked to the Wnt signaling pathway, including Apc, Fosl1/Fra-1, Mapk8/Jnk-1, Porcn, and Nkd1. Compared to WT, primary hepatocytes isolated from fat-1 mice exhibited more effective Wnt signaling and were more resistant to EtOH-, palmitic acid-, or TNFα-induced cell death. Further, we demonstrated that the n3-PUFA-derived lipid mediators, resolvins D1 and E1, can regulate hepatocyte expression of several Wnt-related genes that were differentially expressed between WT and fat-1 mice. These data demonstrate a novel mechanism by which n3-PUFAs can ameliorate ALD.
酒精性肝病(ALD)是一个重大的人类健康问题,针对该疾病的治疗选择有限。实验证据表明,营养在ALD发病机制中起重要作用,特定的膳食脂肪酸,例如n6或n3多不饱和脂肪酸(PUFAs),可能分别加重或减轻ALD。本研究的目的是确定在ALD中n3-PUFA富集的有益作用是否部分通过Wnt信号通路的改善来介导。野生型(WT)和fat-1转基因小鼠(能将内源性n6-PUFAs转化为n3)接受6周乙醇(EtOH)喂养,随后进行单次脂多糖(LPS)刺激。与WT同窝小鼠相比,fat-1小鼠的肝损伤较轻,血浆丙氨酸转氨酶降低、肝脂肪变性、肝组织中性粒细胞浸润及促炎细胞因子表达减少均证明了这一点。响应EtOH和LPS时,WT小鼠中Wnt通路的关键基因Axin2的下调程度比fat-1小鼠更大。此外,在与Wnt信号通路相关的另外五个基因(包括Apc、Fosl1/Fra-1、Mapk8/Jnk-1、Porcn和Nkd1)的表达上,WT和接受EtOH+LPS刺激的fat-1小鼠之间存在显著差异。与WT相比,从fat-1小鼠分离的原代肝细胞表现出更有效的Wnt信号传导,并且对EtOH、棕榈酸或TNFα诱导的细胞死亡更具抗性。此外,我们证明了n3-PUFA衍生的脂质介质、消退素D1和E1可以调节WT和fat-1小鼠之间差异表达的几个Wnt相关基因的肝细胞表达。这些数据证明了n3-PUFAs改善ALD的一种新机制。