Universitas Gadjah Mada, Faculty of Medicine, Public Health, and Nursing, Department of Anatomy, Indonesia.
Med J Malaysia. 2021 May;76(3):304-310.
Obesity, the main risk factor for type 2 diabetes mellitus (T2DM), affects the secretion of various hormones that lead to change in metabolism. Visceral adipose tissue accumulation may contribute to Non-alcoholic Fatty Liver Disease (NAFLD) and induce liver injury. This study was aimed to investigate the association between adipose tissue inflammation and liver fibrosis.
Wistar male rats (3 months old, 160- 230 grams) were divided into 4 groups that consisted of six rats in each group. The obesity model was induced through the administration of high-fat diet for a month (OB1), two months (OB2), and four months (OB4). Standard chow was provided for the control group for four months. After the specified date the rats were euthanized and the liver and retroperitoneal white adipose tissue (RWAT) were harvested. We performed RT-PCR to assess the mRNA expressions involved in proinflammatory mediators, fibrosis and antifibrosis signaling. Sirius red staining was performed to assess liver fibrosis. Data were analyzed with SPSS 23 for Windows with significance set as p<0.05.
Obesity-induced high-fat diet stimulated an increase of body mass index (BMI) in the OB groups (p<0.05) compared to the control group. Increased BMI was followed by upregulation of proinflammatory mediators (MCP-1, CD68, TLR4, and NFκB) of the RWAT and liver in the obese groups (p<0.05), which promoted hepatic fibrosis in triad portal areas and upregulation of TGFβ (p<0.05) mRNA expression as well as downregulation of HGF and c-Met (p<0.05). In addition, hepatic ppET1 and EDNRB mRNA level expressions (p<0.05) were obviously upregulated in the obese groups followed by downregulation of eNOS (p<0.05) mRNA expressions.
Obesity enhanced inflammation in RWAT and was associated with inflammation and fibrosis of liver.
肥胖是 2 型糖尿病(T2DM)的主要危险因素,它会影响各种激素的分泌,导致代谢发生变化。内脏脂肪组织的堆积可能导致非酒精性脂肪性肝病(NAFLD),并引发肝损伤。本研究旨在探讨脂肪组织炎症与肝纤维化之间的关系。
雄性 Wistar 大鼠(3 个月龄,体重 160-230 克)分为 4 组,每组 6 只。通过给予高脂肪饮食 1 个月(OB1)、2 个月(OB2)和 4 个月(OB4)来诱导肥胖模型。对照组则给予标准饲料 4 个月。指定日期后,处死大鼠并采集肝脏和腹膜后白色脂肪组织(RWAT)。我们进行 RT-PCR 以评估参与促炎介质、纤维化和抗纤维化信号的 mRNA 表达。进行天狼星红染色以评估肝纤维化。数据使用 SPSS 23 for Windows 进行分析,显著性水平设为 p<0.05。
肥胖诱导的高脂肪饮食刺激 OB 组的体重指数(BMI)增加(p<0.05),与对照组相比。肥胖组 RWAT 和肝脏中的促炎介质(MCP-1、CD68、TLR4 和 NFκB)上调,导致三核门区肝纤维化,并上调 TGFβ(p<0.05)mRNA 表达以及下调 HGF 和 c-Met(p<0.05)。此外,肥胖组肝 ppET1 和 EDNRB mRNA 水平表达(p<0.05)明显上调,随后 eNOS(p<0.05)mRNA 表达下调。
肥胖增强了 RWAT 中的炎症,并与肝脏的炎症和纤维化有关。