Biological/Pharmacological Research Laboratories, Takatsuki Research Center, Central Pharmaceutical Research Institute, Japan Tobacco Inc., Takatsuki, Osaka, Japan.
Physiol Res. 2023 Jul 14;72(3):371-382. doi: 10.33549/physiolres.934981.
Non-alcoholic fatty liver disease (NAFLD) is a general term for fatty liver disease not caused by viruses or alcohol. Fibrotic hepatitis, cirrhosis, and hepatocellular carcinoma can develop. The recent increase in NAFLD incidence worldwide has stimulated drug development efforts. However, there is still no approved treatment. This may be due in part to the fact that non-alcoholic steatohepatitis (NASH) pathogenesis is very complex, and its mechanisms are not well understood. Studies with animals are very important for understanding the pathogenesis. Due to the close association between the establishment of human NASH pathology and metabolic syndrome, several animal models have been reported, especially in the context of overnutrition. In this study, we investigated the induction of NASH-like pathology by enhancing cholesterol absorption through treatment with hydroxypropyl-beta-cyclodextrin (CDX). Female Sprague-Dawley rats were fed a normal diet with normal water (control group); a high-fat (60 kcal%), cholesterol (1.25 %), and cholic acid (0.5 %) diet with normal water (HFCC group); or HFCC diet with 2 % CDX water (HFCC+CDX group) for 16 weeks. Compared to the control group, the HFCC and HFCC+CDX groups showed increased blood levels of total cholesterol, aspartate aminotransferase, and alanine aminotransferase. At autopsy, parameters related to hepatic lipid synthesis, oxidative stress, inflammation, and fibrosis were elevated, suggesting the development of NAFLD/NASH. Elevated levels of endoplasmic reticulum stress-related genes were evident in the HFCC+CDX group. In the novel rat model, excessive cholesterol intake and accelerated absorption contributed to NAFLD/NASH pathogenesis.
非酒精性脂肪性肝病(NAFLD)是一种由非病毒和酒精引起的脂肪性肝病的统称。可能会发展为纤维性肝炎、肝硬化和肝细胞癌。最近全球范围内 NAFLD 发病率的增加刺激了药物开发的努力。然而,目前仍没有被批准的治疗方法。这可能部分是由于非酒精性脂肪性肝炎(NASH)的发病机制非常复杂,其机制尚未得到很好的理解。动物研究对于理解发病机制非常重要。由于人类 NASH 病理学的建立与代谢综合征密切相关,因此已经报道了几种动物模型,特别是在营养过剩的情况下。在这项研究中,我们通过用羟丙基-β-环糊精(CDX)处理来增强胆固醇吸收,从而研究诱导 NASH 样病理学的情况。雌性 Sprague-Dawley 大鼠分别用正常饮食和正常水(对照组);高脂肪(60 卡路里)、胆固醇(1.25%)和胆酸(0.5%)饮食和正常水(HFCC 组);或 HFCC 饮食和 2% CDX 水(HFCC+CDX 组)喂养 16 周。与对照组相比,HFCC 组和 HFCC+CDX 组的总胆固醇、天冬氨酸转氨酶和丙氨酸转氨酶的血液水平升高。尸检时,与肝脂质合成、氧化应激、炎症和纤维化相关的参数升高,表明发生了非酒精性脂肪性肝病/非酒精性脂肪性肝炎。HFCC+CDX 组中内质网应激相关基因的水平升高。在新的大鼠模型中,过量的胆固醇摄入和吸收加速促进了非酒精性脂肪性肝病/非酒精性脂肪性肝炎的发病机制。