Olanzapine-induced liver injury in mice: aggravation by high-fat diet and protection with sulforaphane

Autor: Robin H. Isaacson, Juliane I. Beier, Nicholas K.H. Khoo, Bruce A. Freeman, Zachary Freyberg, Gavin E. Arteel
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Olanzapine
Endocrinology
Diabetes and Metabolism

Clinical Biochemistry
Biochemistry
Antioxidants
chemistry.chemical_compound
Mice
0302 clinical medicine
Isothiocyanates
Prevalence
Diet
Fat-Restricted

Liver injury
education.field_of_study
Nutrition and Dietetics
Liver
Sulfoxides
030211 gastroenterology & hepatology
Female
medicine.symptom
Chemical and Drug Induced Liver Injury
medicine.drug
Antipsychotic Agents
medicine.medical_specialty
NF-E2-Related Factor 2
Population
Diet
High-Fat

Article
03 medical and health sciences
Internal medicine
medicine
Animals
Humans
Obesity
education
Molecular Biology
business.industry
Body Weight
Lipid metabolism
medicine.disease
Lipid Metabolism
Fatty Liver
Mice
Inbred C57BL

Oxidative Stress
030104 developmental biology
Endocrinology
chemistry
Steatosis
business
Weight gain
Dyslipidemia
Sulforaphane
Zdroj: J Nutr Biochem
Popis: Olanzapine is effective to treat for schizophrenia and other mood disorders, but limited by side effects such as weight gain, dyslipidemia, and liver injury. Obesity in the US is at epidemic levels, and is a significant risk factor for drug-induced liver injury. Obesity incidence in the psychiatric population is even higher than in the US population as a whole. The purpose of this study was to test the hypothesis that obesity worsens olanzapine-induced hepatic injury, and to investigate the potential protective effects of sulforaphane. 8-week old female C57BL/6 mice were fed either a high-fat or low-fat control diet (HFD and LFD). Mice also received either olanzapine (8 mg/kg/d) or vehicle by osmotic minipump for 4 weeks. A subset of mice in the HFD + olanzapine group was administered sulforaphane, a prototypical Nrf2 inducer (90 mg/kg/d). Olanzapine alone increased body weight, without a commensurate increase in food consumption. Olanzapine also caused hepatic steatosis and injury. Combining olanzapine and HFD caused further dysregulation of glucose and lipid metabolism. Liver damage from concurrent HFD and olanzapine was worse than liver damage from high-fat diet or olanzapine alone. Sulforaphane alleviated many metabolic side effects of olanzapine and HFD. Taken together, these data show that olanzapine dysregulates glucose and lipid metabolism and exacerbates hepatic changes caused by eating a HFD. Activation of the intrinsic antioxidant defense pathway with sulforaphane can partially prevent these effects of olanzapine and may represent a useful strategy to protect against liver injury.
Databáze: OpenAIRE