Liang Guojin, Fang Jie, Zhang Pingping, Ding Shuxia, Zhao Yudan, Feng Yueying
Anesthesiology Department, Ningbo First Hospital, Ningbo, China.
Paediatrics Department, Ningbo Women and Children's Hospital, Zhejiang, 315000, China.
Open Med (Wars). 2024 Feb 13;19(1):20240900. doi: 10.1515/med-2024-0900. eCollection 2024.
This study investigated how Metformin (Met) combined with L-carnitine (L-car) modulates brown adipose tissue (BAT) to affect obesity. High-fat-induced obese rats received daily oral gavage with Met and/or L-car, followed by serum biochemical analysis, histopathological observation on adipose tissues, and immunochemistry test for the abdominal expression of BAT-specific uncoupling protein 1 (UCP1). Mouse-embryonic-fibroblast cells were induced into adipocytes, during which Met plus L-car was added with/without saturated fatty acid (SFA). The role of nuclear factor erythroid 2-related factor 2 (Nrf2) in adipocyte browning was investigated by gene silencing. Mitochondria biogenesis in adipocytes was inspected by Mitotracker staining. Nrf2/heme oxygenase-1 (HO-1)/BAT-related genes/proinflammatory marker expressions in adipose tissues and/or adipocytes were analyzed by Western blot, qRT-PCR, and/or immunofluorescence test. Met or L-car improved metabolic disorders, reduced adipocyte vacuolization and swelling, upregulated levels of BAT-related genes including UCP1 and downregulated proinflammatory marker expressions, and activated the Nrf2/HO-1 pathway in adipose tissues of obese rats. Met and L-car functioned more strongly than alone. In adipocytes, Met plus L-car upregulated BAT-related gene levels and protected against SFA-caused inflammation promotion and mitochondria degeneration, which yet was attenuated by Nrf2 silencing. Met plus L-car enhances BAT activity and white adipose tissue browning via the Nrf2/HO-1 pathway to reduce lipid accumulation and inflammation in obese rats.
本研究调查了二甲双胍(Met)与左旋肉碱(L-car)联合使用如何调节棕色脂肪组织(BAT)以影响肥胖。高脂诱导的肥胖大鼠每天接受Met和/或L-car的口服灌胃,随后进行血清生化分析、脂肪组织的组织病理学观察以及腹部BAT特异性解偶联蛋白1(UCP1)表达的免疫化学检测。将小鼠胚胎成纤维细胞诱导为脂肪细胞,在此过程中添加/不添加饱和脂肪酸(SFA)的Met加L-car。通过基因沉默研究核因子红细胞2相关因子2(Nrf2)在脂肪细胞褐变中的作用。通过Mitotracker染色检查脂肪细胞中的线粒体生物发生。通过蛋白质免疫印迹、定量逆转录-聚合酶链反应和/或免疫荧光检测分析脂肪组织和/或脂肪细胞中Nrf2/血红素加氧酶-1(HO-1)/BAT相关基因/促炎标志物的表达。Met或L-car改善了代谢紊乱,减少了脂肪细胞的空泡化和肿胀,上调了包括UCP1在内的BAT相关基因的水平,下调了促炎标志物的表达,并激活了肥胖大鼠脂肪组织中的Nrf2/HO-1途径。Met和L-car联合使用的作用比单独使用更强。在脂肪细胞中,Met加L-car上调了BAT相关基因的水平,并防止了SFA引起的炎症促进和线粒体退化,但这一作用被Nrf2沉默所减弱。Met加L-car通过Nrf2/HO-1途径增强BAT活性和白色脂肪组织褐变,以减少肥胖大鼠的脂质积累和炎症。