Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, P. R. China.
Xiamen Key Laboratory of Cardiovascular Diseases, Xiamen Cardiovascular Hospital of Xiamen University, Xiamen, Fujian, P. R. China.
Clin Transl Med. 2024 Oct;14(10):e70035. doi: 10.1002/ctm2.70035.
Patients with non-alcoholic fatty liver disease (NAFLD) often exhibit hepatic steatosis and dyslipidemia. Studies have shown that intestinal microorganisms are closely related to the occurrence of NAFLD and atherosclerosis. Our previous study has underscored the protective role of microRNA-30a-5p (miR-30a-5p) against atherosclerosis.
In the present study, we aimed to elucidate the effect and underlying mechanism of the intestinal microorganisms of miR-30a-5p knockout (KO) mice on NAFLD. Our findings demonstrated that KO exacerbated high-fat diet (HFD)-induced hepatic steatosis and disrupted liver function, as evidenced by elevated levels of total cholesterol, low-density lipoprotein, alanine aminotransferase, aspartate transaminase, and total bile acids in serum. Fecal microbiota from HFD-fed KO mice induced hepatic steatosis, dyslipidemia, and higher levels of enzymes indicative of liver damage in wild-type mice. Remarkably, KO mice significantly intensified the above effects. 16s rDNA sequencing and metabolomics of the intestinal microbiota in the HFD-treated KO and WT mice showed that the loss of miR-30a-5p resulted in intestinal microbiota imbalance and was highly related to the arachidonic acid metabolic pathway. Targeted metabolomic in the liver tissues unveiled upregulation of COX-related (PGF2a, 8-iso-PGF2a and PGF2) and LOX-related (LTB4, LTD4, 12S-HETE and 15S-HETE) factors in HFD-treated KO mice. Immunohistochemistry and transcriptional analyses showed that miR-30a-5p affected arachidonic acid metabolism through the LOX/COX pathways. Besides, COX/LOX pathways and hepatic steatosis were reversed after reintroducing miR-30a-5p in HFD-treated KO mice.
This study reveals the pivotal mechanism by which miR-30a-5p and intestinal microbes regulate hepatic steatosis and abnormal lipid metabolism, offering promising avenues for NAFLD and atherosclerosis therapeutics.
MiR-30a-5p deletion aggravated hepatic steatosis and lipid disorder induced by an HFD in mice. Gut microbiota participated in the regulation of hepatic steatosis in the context of miR-30a-5p. Gut microbiota metabolism-related arachidonic acid metabolic pathway contributed to miR-30a-5p-regulated hepatic steatosis and lipid disorder. Reintroducing miR-30a-5p reversed hepatic steatosis and arachidonic acid metabolism disorder caused by HFD and miR-30a-5p deletion.
非酒精性脂肪性肝病(NAFLD)患者常表现为肝脂肪变性和血脂异常。研究表明,肠道微生物与 NAFLD 和动脉粥样硬化的发生密切相关。我们之前的研究强调了 microRNA-30a-5p(miR-30a-5p)对动脉粥样硬化的保护作用。
本研究旨在阐明 miR-30a-5p 敲除(KO)小鼠的肠道微生物对 NAFLD 的影响及其潜在机制。我们的研究结果表明,KO 加重了高脂肪饮食(HFD)诱导的肝脂肪变性并破坏了肝功能,血清中总胆固醇、低密度脂蛋白、丙氨酸氨基转移酶、天冬氨酸氨基转移酶和总胆汁酸水平升高。HFD 喂养的 KO 小鼠的粪便微生物群可诱导野生型小鼠发生肝脂肪变性、血脂异常和更高水平的肝损伤酶。值得注意的是,KO 小鼠显著加剧了上述作用。HFD 处理的 KO 和 WT 小鼠的肠道微生物 16s rDNA 测序和代谢组学显示,miR-30a-5p 的缺失导致肠道微生物群失衡,与花生四烯酸代谢途径高度相关。在肝组织中的靶向代谢组学揭示了 HFD 处理的 KO 小鼠中 COX 相关(PGF2a、8-iso-PGF2a 和 PGF2)和 LOX 相关(LTB4、LTD4、12S-HETE 和 15S-HETE)因子的上调。免疫组织化学和转录分析表明,miR-30a-5p 通过 LOX/COX 途径影响花生四烯酸代谢。此外,在 HFD 处理的 KO 小鼠中重新引入 miR-30a-5p 后,COX/LOX 途径和肝脂肪变性得到逆转。
本研究揭示了 miR-30a-5p 和肠道微生物调节肝脂肪变性和异常脂质代谢的关键机制,为 NAFLD 和动脉粥样硬化的治疗提供了有希望的途径。
miR-30a-5p 缺失加剧了 HFD 诱导的小鼠肝脂肪变性和脂质紊乱。肠道微生物参与了 miR-30a-5p 调节的肝脂肪变性。肠道微生物代谢相关的花生四烯酸代谢途径有助于 miR-30a-5p 调节的肝脂肪变性和脂质紊乱。重新引入 miR-30a-5p 逆转了 HFD 和 miR-30a-5p 缺失引起的肝脂肪变性和花生四烯酸代谢紊乱。