Sattari Mahboobe, Karimpour Amin, Akhavan Taheri Maryam, Larijani Bagher, Meshkani Reza, Tabatabaei-Malazy Ozra, Panahi Ghodratollah
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Clinical Biochemistry, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Diabetes Res. 2025 Apr 14;2025:2795127. doi: 10.1155/jdr/2795127. eCollection 2025.
Fat accumulation in the pancreas, known as nonalcoholic fatty pancreatic disease (NAFPD), is associated with obesity and may lead to prediabetes and Type 2 diabetes. Reducing endoplasmic reticulum stress and enhancing autophagy could offer therapeutic benefits. This study examines the effects of fisetin (FSN) and hydroxychloroquine (HCQ) on NAFPD. Forty-eight Male C57BL/6 J mice were assigned to a standard chow diet (SCD) or a high-fat diet (HFD) for 16 weeks. The HFD group was divided into five subgroups; each group contains eight mice: HFD, HFD + V (vehicle), HFD + FSN, HFD + HCQ, and HFD + FSN + HCQ. FSN was given daily at 80 mg/kg, and HCQ was injected IP at 50 mg/kg twice weekly for more 8 weeks. Insulin resistance was assessed through OGTT and HOMA-IR. Histological analysis of pancreatic tissue was conducted, and the protein and mRNA levels of molecules associated with ER stress and autophagy were assessed using PCR and immunoblotting techniques. FSN and HCQ significantly reduced weight gain, pancreatic adipocyte accumulation, and insulin resistance caused by HFD in obese mice, with the combination of the two compounds producing even more pronounced effects. Additionally, the HFD increased the expression of UPR markers ATF4 and CHOP, a response that was further intensified by HCQ. In contrast, FSN attenuated the UPR by regulating GRP78 levels. Furthermore, the HFD resulted in a significant decrease in the LC3II/LC3I ratio and an accumulation of p62 protein due to reduced p-AMPK levels. Following treatment with FSN, these alterations were reversed, leading to decreased mTOR expression and increased levels of autophagy markers such as ATG5 and Beclin1. Our study reveals that FSN and HCQ effectively combat HFD-induced NAFPD, improving insulin sensitivity and addressing pancreatic fat deposition linked to metabolic syndrome. While HCQ may cause endoplasmic reticulum stress, FSN offers protective effects, supporting their combined use for better treatment outcomes.
胰腺中的脂肪堆积,即非酒精性脂肪性胰腺疾病(NAFPD),与肥胖相关,并可能导致糖尿病前期和2型糖尿病。减轻内质网应激和增强自噬可能具有治疗益处。本研究考察了非瑟酮(FSN)和羟氯喹(HCQ)对NAFPD的影响。将48只雄性C57BL/6 J小鼠分为标准饲料饮食(SCD)组或高脂饮食(HFD)组,持续16周。HFD组再分为五个亚组;每组包含8只小鼠:HFD、HFD + V(赋形剂)、HFD + FSN、HFD + HCQ和HFD + FSN + HCQ。FSN每日按80 mg/kg给药,HCQ每周两次腹腔注射50 mg/kg,持续8周以上。通过口服葡萄糖耐量试验(OGTT)和稳态模型评估胰岛素抵抗(HOMA-IR)。对胰腺组织进行组织学分析,并使用聚合酶链反应(PCR)和免疫印迹技术评估与内质网应激和自噬相关分子的蛋白质和信使核糖核酸(mRNA)水平。FSN和HCQ显著减轻了肥胖小鼠因HFD导致的体重增加、胰腺脂肪细胞堆积和胰岛素抵抗,两种化合物联合使用产生的效果更显著。此外,HFD增加了未折叠蛋白反应(UPR)标志物活化转录因子4(ATF4)和C/EBP同源蛋白(CHOP)的表达,HCQ进一步加剧了这种反应。相比之下,FSN通过调节葡萄糖调节蛋白78(GRP78)水平减弱了UPR。此外,HFD导致微管相关蛋白1轻链3II/微管相关蛋白1轻链3I(LC3II/LC3I)比值显著降低,由于磷酸化腺苷酸活化蛋白激酶(p-AMPK)水平降低,p62蛋白积累。用FSN治疗后,这些改变被逆转,导致雷帕霉素靶蛋白(mTOR)表达降低,自噬标志物如自噬相关蛋白5(ATG5)和Beclin1水平升高。我们的研究表明,FSN和HCQ有效对抗HFD诱导的NAFPD,改善胰岛素敏感性,并解决与代谢综合征相关的胰腺脂肪沉积。虽然HCQ可能会引起内质网应激,但FSN具有保护作用,支持二者联合使用以获得更好的治疗效果。