Huang Wen-Ching, Xu Jin-Wei, Li Shiming, Ng Xin Er, Tung Yu-Tang
Department of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei, 112, Taiwan.
Department of Forestry, National Chung Hsing University, Taichung, 402, Taiwan.
Nutr Metab (Lond). 2022 Feb 16;19(1):10. doi: 10.1186/s12986-022-00644-w.
Non-alcoholic fatty liver disease (NAFLD), which is growing more common in the Western world, has become the main cause of chronic liver disease and is strongly associated with metabolism syndromes. NAFLD can indicate a wide spectrum of hepatic pathologies, ranging from simple hepatic steatosis and inflammatory non-alcoholic steatohepatitis to more severe stages of fibrosis and cirrhosis. Moreover, evidence has demonstrated that physical inactivity and westernized dietary habits may facilitate the development of NAFLD. Lipid modulation and metabolism could be important factors in the development of steatosis. Lipid species, characterized using a lipidomic approach with untargeted analysis, could provide potential biomarkers for the pathogenesis of NAFLD or therapeutic applications. Thus, in this study, the effects of exercise on the improvement of NAFLD were further investigated from a lipidomic perspective through the aspects of lipid regulation and metabolism.
Wild type (WT) C57BL/6 J and C57BL/6-ApoE/Narl mice were assigned to one of four groups: WT mice fed a normal chow diet (CD), apolipoprotein E (ApoE) knockout mice fed a normal CD, ApoE knockout mice fed a high-fat diet (HFD), and ApoE knockout mice fed a HFD and provided with swimming exercise. The treatments (e.g., normal diet, HFD, and exercise) were provided for 12 consecutive weeks before the growth curves, biochemistry, fat composition, pathological syndromes, and lipid profiles were determined.
Exercise significantly reduced the HFD-induced obesity (weight and fat composition), adipocyte hypertrophy, liver lipid accumulation, and pathological steatosis. In addition, exercise ameliorated HFD-induced steatosis in the process of NAFLD. The lipidomic analysis revealed that the changes in plasma triglyceride (14:0/16:0/22:2), phosphatidic acid (18:0/17:2), and phosphatidylglycerol (16:0/20:2) induced by the administration of the HFD could be reversed significantly by exercise.
The 12-week regular exercise intervention significantly alleviated HFD-induced NAFLD through modulation of specific lipid species in plasma. This finding could elucidate the lipids effects behind the hepatic pathogenesis with exercise.
非酒精性脂肪性肝病(NAFLD)在西方世界日益普遍,已成为慢性肝病的主要病因,且与代谢综合征密切相关。NAFLD可表现出广泛的肝脏病变,从单纯性肝脂肪变性、炎症性非酒精性脂肪性肝炎到更严重的纤维化和肝硬化阶段。此外,有证据表明,缺乏运动和西化的饮食习惯可能会促进NAFLD的发展。脂质调节和代谢可能是脂肪变性发展的重要因素。通过非靶向分析的脂质组学方法表征的脂质种类,可为NAFLD的发病机制或治疗应用提供潜在的生物标志物。因此,在本研究中,从脂质组学角度,通过脂质调节和代谢方面,进一步研究了运动对改善NAFLD的影响。
将野生型(WT)C57BL/6 J和C57BL/6-ApoE/Narl小鼠分为四组:喂食正常饲料(CD) 的WT小鼠、喂食正常CD的载脂蛋白E(ApoE)基因敲除小鼠、喂食高脂饮食(HFD)的ApoE基因敲除小鼠,以及喂食HFD并进行游泳运动的ApoE基因敲除小鼠。在测定生长曲线、生化指标、脂肪组成、病理综合征和脂质谱之前,连续12周给予相应处理(如正常饮食、HFD和运动)。
运动显著减轻了HFD诱导的肥胖(体重和脂肪组成)、脂肪细胞肥大、肝脏脂质蓄积和病理性脂肪变性。此外,运动改善了NAFLD过程中HFD诱导的脂肪变性。脂质组学分析显示,HFD给药诱导的血浆甘油三酯(14:0/16:0/22:2)、磷脂酸(18:0/17:2)和磷脂酰甘油(16:0/20:2)的变化可通过运动显著逆转。
为期12周的规律运动干预通过调节血浆中特定脂质种类,显著减轻了HFD诱导的NAFLD。这一发现可以阐明运动在肝脏发病机制背后的脂质作用。