Yang Hanyu, Su Mengxiang, Liu Ming, Sheng Yun, Zhu Liang, Yang Lu, Mu Ruijing, Zou Jianjun, Liu Xiaodong, Liu Li
State Key Laboratory of Natural Medicines, Key Laboratory of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, China.
Department of Pharmacology, School of Pharmacy, China Pharmaceutical University, Nanjing 210009, China.
Acta Pharm Sin B. 2023 Sep;13(9):3728-3743. doi: 10.1016/j.apsb.2023.06.014. Epub 2023 Jun 27.
Type 2 diabetes (T2D) is often accompanied with an induction of retinaldehyde dehydrogenase 1 (RALDH1 or ALDH1A1) expression and a consequent decrease in hepatic retinaldehyde (Rald) levels. However, the role of hepatic Rald deficiency in T2D progression remains unclear. In this study, we demonstrated that reversing T2D-mediated hepatic Rald deficiency by Rald or citral treatments, or liver-specific silencing substantially lowered fasting glycemia levels, inhibited hepatic glucogenesis, and downregulated phosphoenolpyruvate carboxykinase 1 (PCK1) and glucose-6-phosphatase (G6PC) expression in diabetic mice. Fasting glycemia and mRNA expression levels were strongly negatively correlated with hepatic Rald levels, indicating the involvement of hepatic Rald depletion in T2D deterioration. A similar result that liver-specific silencing improved glucose metabolism was also observed in high-fat diet-fed mice. In primary human hepatocytes and oleic acid-treated HepG2 cells, Rald or Rald + silencing resulted in decreased glucose production and downregulated / mRNA and protein expression. Mechanistically, Rald downregulated direct repeat 1-mediated and expression by antagonizing retinoid X receptor , as confirmed by luciferase reporter assays and molecular docking. These results highlight the link between hepatic Rald deficiency, glucose dyshomeostasis, and the progression of T2D, whilst also suggesting RALDH1 as a potential therapeutic target for T2D.
2型糖尿病(T2D)常伴有视黄醛脱氢酶1(RALDH1或ALDH1A1)表达的诱导以及随之而来的肝脏视黄醛(Rald)水平的降低。然而,肝脏Rald缺乏在T2D进展中的作用仍不清楚。在本研究中,我们证明通过Rald或柠檬醛处理逆转T2D介导的肝脏Rald缺乏,或肝脏特异性沉默,可显著降低糖尿病小鼠的空腹血糖水平,抑制肝脏糖异生,并下调磷酸烯醇式丙酮酸羧激酶1(PCK1)和葡萄糖-6-磷酸酶(G6PC)的表达。空腹血糖和mRNA表达水平与肝脏Rald水平呈强烈负相关,表明肝脏Rald消耗参与了T2D的恶化。在高脂饮食喂养的小鼠中也观察到了肝脏特异性沉默改善葡萄糖代谢的类似结果。在原代人肝细胞和油酸处理的HepG2细胞中,Rald或Rald +沉默导致葡萄糖生成减少以及/ mRNA和蛋白质表达下调。从机制上讲,如荧光素酶报告基因测定和分子对接所证实的,Rald通过拮抗视黄酸X受体下调直接重复序列1介导的和表达。这些结果突出了肝脏Rald缺乏、葡萄糖稳态失衡与T2D进展之间的联系,同时也表明RALDH1是T2D的潜在治疗靶点。