Metabolic pathways promoting intrahepatic fatty acid accumulation in methionine and choline deficiency: implications for the pathogenesis of steatohepatitis

Autor: Ruth Andrew, John P. Iredale, Xiantong Zou, Nicholas M. Morton, Moffat J. Nyirenda, Rebecca L. Aucott, David P. Macfarlane, Dawn E W Livingstone, Brian R. Walker
Rok vydání: 2011
Předmět:
nonalcoholic fatty liver disease
Male
Physiology
Endocrinology
Diabetes and Metabolism

Hepatitis
Eating
Mice
chemistry.chemical_compound
methionine- and choline-deficient diet
Methionine
0302 clinical medicine
Nonalcoholic fatty liver disease
chemistry.chemical_classification
0303 health sciences
Fatty Acids
Fatty liver
free fatty acids
Articles
Organ Size
Immunohistochemistry
Choline Deficiency
3. Good health
choline-deficient diet
Adipose Tissue
Liver
Lipogenesis
030211 gastroenterology & hepatology
Metabolic Networks and Pathways
medicine.medical_specialty
steatohepatitis
Palmitic Acids
Biology
Gas Chromatography-Mass Spectrometry
03 medical and health sciences
Physiology (medical)
Internal medicine
medicine
Animals
Triglycerides
030304 developmental biology
Triglyceride
Fatty acid metabolism
Fatty acid
medicine.disease
Diet
Fatty Liver
Mice
Inbred C57BL

Kinetics
B vitamins
de novo lipogenesis
Endocrinology
chemistry
Hepatocytes
Steatohepatitis
Zdroj: American Journal of Physiology-Endocrinology and Metabolism
ISSN: 1522-1555
0193-1849
DOI: 10.1152/ajpendo.00331.2010
Popis: The pathological mechanisms that distinguish simple steatosis from steatohepatitis (or NASH, with consequent risk of cirrhosis and hepatocellular cancer) remain incompletely defined. Whereas both a methionine- and choline-deficient diet (MCDD) and a choline-deficient diet (CDD) lead to hepatic triglyceride accumulation, MCDD alone is associated with hepatic insulin resistance and inflammation (steatohepatitis). We used metabolic tracer techniques, including stable isotope ([13C4]palmitate) dilution and mass isotopomer distribution analysis (MIDA) of [13C2]acetate, to define differences in intrahepatic fatty acid metabolism that could explain the contrasting effect of MCDD and CDD on NASH in C57Bl6 mice. Compared with control-supplemented (CS) diet, liver triglyceride pool sizes were similarly elevated in CDD and MCDD groups (24.37 ± 2.4, 45.94 ± 3.9, and 43.30 ± 3.5 μmol/liver for CS, CDD, and MCDD, respectively), but intrahepatic neutrophil infiltration and plasma alanine aminotransferase (31 ± 3, 48 ± 4, 231 ± 79 U/l, P < 0.05) were elevated only in MCDD mice. However, despite loss of peripheral fat in MCDD mice, neither the rate of appearance of palmitate (27.2 ± 3.5, 26.3 ± 2.3, and 28.3 ± 3.5 μmol·kg−1·min−1) nor the contribution of circulating fatty acids to the liver triglyceride pool differed between groups. Unlike CDD, MCDD had a defect in hepatic triglyceride export that was confirmed using intravenous tyloxapol (142 ± 21, 122 ± 15, and 80 ± 7 mg·kg−1·h−1, P < 0.05). Moreover, hepatic de novo lipogenesis was significantly elevated in the MCDD group only (1.4 ± 0.3, 2.3 ± 0.4, and 3.4 ± 0.4 μmol/day, P < 0.01). These findings suggest that important alterations in hepatic fatty acid metabolism may promote the development of steatohepatitis. Similar mechanisms may predispose to hepatocyte damage in human NASH.
Databáze: OpenAIRE