Graduate Program in Gastroenterology and Hepatology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Experimental Laboratory of Hepatology and Gastroenterology, Center for Experimental Research, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Sci Rep. 2021 May 26;11(1):11037. doi: 10.1038/s41598-021-90563-2.
Obesity is key to liver steatosis development and progression. Transcranial direct current stimulation (tDCS) is a promising tool for eating disorders management but was not yet evaluated in steatosis. This study investigated tDCS' effects on liver steatosis and inflammation in an experimental obesity model. Male Wistar rats (60 days-old) were randomly allocated (n = 10/group) as follows: standard-diet/sham tDCS (SDS), standard-diet/tDCS (SDT), hypercaloric-cafeteria-diet/sham tDCS (HDS), and hypercaloric-cafeteria-diet/tDCS (HDT). After 40 days of diet, animals received active or sham tDCS for eight days and were euthanized for liver fat deposition and inflammation analysis. HDS and HDT animals showed cumulative food consumption, total liver lipid deposits, IL-1β, TNF-α levels, IL-1β/IL-10 and TNF-α/IL-10 ratios significantly higher than the SDS and SDT groups (p < 0.001 for all parameters). tDCS (SDT and HDT) reduced liver lipid deposits (0.7 times for both, p < 0.05), IL-1β (0.7 times and 0.9 times, respectively, p < 0.05) and IL-1β/IL-10 index (0.6 times and 0.8 times, respectively, p < 0.05) in relation to sham (SDS and HDS). There was an interaction effect on the accumulation of hepatic triglycerides (p < 0.05). tDCS reduced 0.8 times the average liver triglyceride concentration in the HDT vs. HDS group (p < 0.05). In this obesity model, tDCS significantly decreased liver steatosis and hepatic inflammation. These results may justify looking into tDCS utility for human steatosis.
肥胖是肝脂肪变性发展和进展的关键。经颅直流电刺激(tDCS)是一种有前途的饮食失调管理工具,但尚未在脂肪变性中进行评估。本研究在实验性肥胖模型中研究了 tDCS 对肝脂肪变性和炎症的影响。雄性 Wistar 大鼠(60 天大)随机分为以下四组(每组 10 只):标准饮食/假 tDCS(SDS)、标准饮食/tDCS(SDT)、高卡路里自助餐饮食/假 tDCS(HDS)和高卡路里自助餐饮食/tDCS(HDT)。在饮食 40 天后,动物接受主动或假 tDCS 治疗 8 天,然后处死进行肝脏脂肪沉积和炎症分析。HDS 和 HDT 动物的累积食物消耗、总肝脂质沉积、IL-1β、TNF-α 水平、IL-1β/IL-10 和 TNF-α/IL-10 比值明显高于 SDS 和 SDT 组(所有参数 p<0.001)。tDCS(SDT 和 HDT)降低了肝脂质沉积(分别减少了 0.7 倍和 0.7 倍,p<0.05)、IL-1β(分别减少了 0.7 倍和 0.9 倍,p<0.05)和 IL-1β/IL-10 指数(分别减少了 0.6 倍和 0.8 倍,p<0.05)与假 tDCS(SDS 和 HDS)相比。肝甘油三酯积累存在交互效应(p<0.05)。与 HDS 组相比,HDT 组 tDCS 降低了 0.8 倍的平均肝甘油三酯浓度(p<0.05)。在该肥胖模型中,tDCS 显著降低了肝脂肪变性和肝炎症。这些结果可能证明 tDCS 在人类脂肪变性中的应用是合理的。
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