Department of Medical Physiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.
Department of Human Anatomy and Embryology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.
J Mol Histol. 2023 Apr;54(2):119-134. doi: 10.1007/s10735-023-10118-9. Epub 2023 Mar 17.
Non-alcoholic fatty liver disease (NAFLD) is the commonest cause of liver morbidity and mortality and has multiple unclear pathogenic mechanisms. Vitamin D deficiency was associated with increased incidence and severity of NAFLD. Increased hepatic expression of 3-mercaptopyruvate sulfur transferase (MPST) and dysregulated hepatocyte apoptosis were involved in NAFLD pathogenesis. We aimed to explore the protective effect of 1,25-Dihydroxycholecalciferol (1,25-(OH) D3) against development of NAFLD and the possible underlying mechanisms, regarding hepatic MPST and caspase-3 expression. 60 male adult rats were divided into 4 and 12 week fed groups; each was subdivided into control, high-fat diet (HFD), and HFD + VD. Serum levels of lipid profile parameters, liver enzymes, insulin, glucose, C-reactive protein (CRP), tumor necrosis factor alpha (TNF-α), and hepatic levels of malondialdehyde (MDA), total antioxidant capacity (TAC), and reactive oxygen species (ROS) were measured. BMI and HOMA-IR were calculated, and liver tissues were processed for histopathological and immunohistochemical studies. The present study found that 1,25-(OH) D3 significantly decreased BMI, HOMA-IR, serum levels of glucose, insulin, liver enzymes, lipid profile parameters, CRP, TNF-α, hepatic levels of MDA, ROS, hepatic expression of MPST, TNF-α, 8-hydroxy-2'-deoxyguanosine (8-OHdG), and caspase-3; and significantly increased hepatic TAC in both HFD-fed groups. In conclusion: Administration of 1,25-(OH) D3 with HFD abolished the NAFLD changes associated with HFD in 4-week group, and markedly attenuated the changes in 12-week group. The anti-apoptotic effect via decrement of caspase-3 and MPST expression are novel mechanisms suggested to be implicated in the protective effect of 1,25-(OH) D3.
非酒精性脂肪性肝病 (NAFLD) 是肝脏发病率和死亡率的最常见原因,其发病机制尚不清楚。维生素 D 缺乏与 NAFLD 的发生率和严重程度增加有关。肝 3-巯基丙酮酸硫转移酶 (MPST) 表达增加和肝细胞凋亡失调参与了 NAFLD 的发病机制。我们旨在探讨 1,25-二羟胆钙化醇 (1,25-(OH)D3) 对 NAFLD 发展的保护作用及其可能的机制,特别是关于肝 MPST 和 caspase-3 表达。60 只雄性成年大鼠分为 4 周和 12 周喂养组;每组再分为对照组、高脂肪饮食组 (HFD) 和 HFD+VD 组。测定血清脂质谱参数、肝酶、胰岛素、血糖、C 反应蛋白 (CRP)、肿瘤坏死因子-α (TNF-α) 和肝丙二醛 (MDA)、总抗氧化能力 (TAC) 和活性氧 (ROS) 水平。计算体重指数和 HOMA-IR,并对肝组织进行组织病理学和免疫组织化学研究。本研究发现,1,25-(OH)D3 可显著降低 BMI、HOMA-IR、血清葡萄糖、胰岛素、肝酶、脂质谱参数、CRP、TNF-α、肝 MDA、ROS、肝 MPST、TNF-α、8-羟基-2'-脱氧鸟苷 (8-OHdG) 和 caspase-3 水平;并显著增加两组 HFD 喂养大鼠的肝 TAC。结论:HFD 加用 1,25-(OH)D3 可消除 4 周组 HFD 引起的 NAFLD 变化,并显著减轻 12 周组的变化。通过降低 caspase-3 和 MPST 表达的抗凋亡作用可能是 1,25-(OH)D3 保护作用的新机制。