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利拉鲁肽通过维甲酸受体相关孤儿受体 α 介导的自噬途径改善肝脂肪变性。

Liraglutide ameliorates hepatic steatosis via retinoic acid receptor-related orphan receptor α-mediated autophagy pathway.

机构信息

Department of Endocrinology and Metabolism, Molecular Medicine Research Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China.

Department of Anaesthesiology, Affiliated Hospital of Chengdu Universtiy, Chengdu, China.

出版信息

IUBMB Life. 2023 Oct;75(10):856-867. doi: 10.1002/iub.2760. Epub 2023 Jun 13.

Abstract

Liraglutide, an analog of human glucagon-like peptide-1 (GLP-1), has been found to improve hepatic steatosis in clinical practice. However, the underlying mechanism remains to be fully defined. Increasing evidence suggests that retinoic acid receptor-related orphan receptor α (RORα) is involved in hepatic lipid accumulation. In the current study, we investigated whether the ameliorating impact of liraglutide on lipid-induced hepatic steatosis is dependent on RORα activity and examined the underlying mechanisms. Cre-loxP-mediated, liver-specific Rorα knockout (Rora LKO) mice, and littermate controls with a Rora genotype were established. The effects of liraglutide on lipid accumulation were evaluated in mice challenged with a high-fat diet (HFD) for 12 weeks. Moreover, mouse AML12 hepatocytes expressing small interfering RNA (siRNA) of Rora were exposed to palmitic acid to explore the pharmacological mechanism of liraglutide. The results showed that liraglutide treatment significantly alleviated HFD-induced liver steatosis, marked by reduced liver weight and triglyceride accumulation, improved glucose tolerance and serum levels of lipid profiles and aminotransferase. Consistently, liraglutide also ameliorated lipid deposits in a steatotic hepatocyte model in vitro. In addition, liraglutide treatment reversed the HFD-induced downregulation of Rora expression and autophagic activity in mouse liver tissues. However, the beneficial effect of liraglutide on hepatic steatosis was not observed in Rora LKO mice. Mechanistically, the ablation of Rorα in hepatocytes diminished liraglutide-induced autophagosome formation and the fusion of autophagosomes and lysosomes, resulting in weakened autophagic flux activation. Thus, our findings suggest that RORα is essential for the beneficial impact of liraglutide on lipid deposition in hepatocytes and regulates autophagic activity in the underlying mechanism.

摘要

利拉鲁肽是一种人胰高血糖素样肽-1(GLP-1)类似物,已被发现可改善临床实践中的肝脂肪变性。然而,其潜在机制仍未完全确定。越来越多的证据表明,维甲酸受体相关孤儿受体α(RORα)参与肝脂质堆积。在本研究中,我们研究了利拉鲁肽改善脂质诱导的肝脂肪变性的作用是否依赖于 RORα 活性,并探讨了潜在机制。通过 Cre-loxP 介导的、肝脏特异性 Rorα 敲除(Rora LKO)小鼠和具有 Rora 基因型的同窝对照小鼠建立了模型。用高脂肪饮食(HFD)喂养 12 周评估利拉鲁肽对脂质堆积的影响。此外,用表达 Rora 小干扰 RNA(siRNA)的鼠 AML12 肝细胞暴露于棕榈酸以探讨利拉鲁肽的药理机制。结果表明,利拉鲁肽治疗可显著缓解 HFD 诱导的肝脂肪变性,表现为肝重和甘油三酯堆积减少,改善葡萄糖耐量和血清脂质谱和转氨酶水平。一致地,利拉鲁肽也改善了体外脂肪变性肝细胞模型中的脂质沉积。此外,利拉鲁肽治疗逆转了 HFD 诱导的鼠肝组织中 Rora 表达和自噬活性的下调。然而,在 Rora LKO 小鼠中未观察到利拉鲁肽对肝脂肪变性的有益作用。机制上,肝细胞中 Rorα 的缺失削弱了利拉鲁肽诱导的自噬体形成和自噬体与溶酶体的融合,导致自噬流激活减弱。因此,我们的研究结果表明,RORα 是利拉鲁肽对肝细胞脂质沉积有益影响所必需的,并且调节自噬活性是其潜在机制。

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