Upper gut heat shock proteins HSP70 and GRP78 promote insulin resistance, hyperglycemia, and non-alcoholic steatohepatitis

Autor: Angelini, Giulia, Castagneto-Gissey, Lidia, Salinari, Serenella, Bertuzzi, Alessandro, Anello, Danila, Pradhan, Meenakshi, Zschätzsch, Marlen, Ritter, Paul, Le Roux, Carel W, Rubino, Francesco, Basso, Nicola, Casella, Giovanni, Bornstein, Stefan R, Tremaroli, Valentina, Mingrone, Geltrude
Přispěvatelé: University of Zurich, Mingrone, Geltrude
Rok vydání: 2022
Předmět:
Popis: A high-fat diet increases the risk of insulin resistance, type-2 diabetes, and nonalcoholic steato-hepatitis. Here we identified two heat-shock proteins, Heat- Shock-Protein70 and Glucose-Regulated Protein78, which are increased in the jejunum of rats on a high-fat diet. We demonstrated a causal link between these proteins and hepatic and whole-body insulin-resistance, as well as the metabolic response to bariatric/metabolic surgery. Long-term continuous infusion of Heat-Shock-Protein70 and Glucose-Regulated Protein78 caused insulin-resistance, hyperglycemia, and non-alcoholic steato-hepatitis in rats on a chow diet, while in rats on a high-fat diet continuous infusion of monoclonal antibodies reversed these phenotypes, mimickingmetabolic surgery. Infusion of these proteins or their antibodies was also associated with shifts in fecal microbiota composition. Serum levels of Heat-Shock-Protein70 and Glucose- Regulated Protein78were elevated in patients with non-alcoholic steatohepatitis, but decreased following metabolic surgery. Understanding the intestinal regulation of metabolism may provide options to reverse metabolic diseases.
Databáze: OpenAIRE