De novo lipogenesis

从头脂肪生成
  • 文章类型: Journal Article
    代谢重编程被认为是癌症的标志,使癌细胞获得细胞生长所必需的生物分子,通常以上调的糖酵解和/或脂肪酸合成相关基因为特征。转录因子叉头框M1(FOXM1)与各种癌症有关,对他们的发展做出重大贡献,包括结直肠癌(CRC),一个重大的全球健康问题。尽管FOXM1在癌症中的作用已经确立,其在CRC的Warburg效应和脂肪酸生物合成中的具体参与尚不清楚.我们分析了癌症基因组图谱(TCGA)结肠腺癌和直肠腺癌(COADREAD)数据集,以得出FOXM1和多个基因之间的表达水平与基于FOXM1表达的生存预后的相关性。使用两种人类CRC细胞系,HT29和HCT116,我们进行了RNAi或质粒转染程序,接着是一系列的化验,包括RNA提取,定量实时聚合酶链反应,蛋白质印迹分析,细胞代谢测定,和免疫荧光分析。较高的FOXM1表达水平与较差的生存预后相关。FOXM1的表达与糖酵解相关基因SLC2A1和LDHA呈正相关,从头脂肪生成相关基因ACACA和FASN,MYCFOXM1似乎调节AKT/mTOR信号,c-Myc的表达,与糖酵解和脂肪酸生物合成有关的蛋白质,以及HT29和HCT116细胞的细胞外酸化率。总之,FOXM1在糖酵解中起调节作用,脂肪酸生物合成,和细胞能量消耗,从而影响CRC细胞生长和患者预后。
    Metabolic reprogramming is recognized as a hallmark of cancer, enabling cancer cells to acquire essential biomolecules for cell growth, often characterized by upregulated glycolysis and/or fatty acid synthesis-related genes. The transcription factor forkhead box M1 (FOXM1) has been implicated in various cancers, contributing significantly to their development, including colorectal cancer (CRC), a major global health concern. Despite FOXM1\'s established role in cancer, its specific involvement in the Warburg effect and fatty acid biosynthesis in CRC remains unclear. We analyzed The Cancer Genome Atlas (TCGA) Colonic Adenocarcinoma and Rectal Adenocarcinoma (COADREAD) datasets to derive the correlation of the expression levels between FOXM1 and multiple genes and the survival prognosis based on FOXM1 expression. Using two human CRC cell lines, HT29 and HCT116, we conducted RNAi or plasmid transfection procedures, followed by a series of assays, including RNA extraction, quantitative real-time polymerase chain reaction, Western blot analysis, cell metabolic assay, glucose uptake assay, Oil Red O staining, cell viability assay, and immunofluorescence analysis. Higher expression levels of FOXM1 correlated with a poorer survival prognosis, and the expression of FOXM1 was positively correlated with glycolysis-related genes SLC2A1 and LDHA, de novo lipogenesis-related genes ACACA and FASN, and MYC. FOXM1 appeared to modulate AKT/mammalian target of rapamycin (mTOR) signaling, the expression of c-Myc, proteins related to glycolysis and fatty acid biosynthesis, and glucose uptake, as well as extracellular acidification rate in HT29 and HCT116 cells. In summary, FOXM1 plays a regulatory role in glycolysis, fatty acid biosynthesis, and cellular energy consumption, thereby influencing CRC cell growth and patient prognosis.NEW & NOTEWORTHY Transcription factor forkhead box M1 (FOXM1) regulates glycolysis, fatty acid biosynthesis, and cellular energy consumption, which, together, controls cell growth and patient prognosis in colorectal cancer (CRC).
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  • 文章类型: Journal Article
    肝细胞癌(HCC),预后不佳的侵袭性恶性肿瘤,构成了重大的公共卫生挑战。最近的研究强调了脂质代谢在肝癌发展中的关键作用,增强的脂质合成和摄取有助于癌细胞的快速增殖和肿瘤发生。脂质,主要在肝脏中合成和利用,在各种癌症的病理进展中起关键作用,特别是HCC。癌细胞经历代谢重编程,对肿瘤微环境(TME)的基本适应,随着脂肪酸代谢成为这个过程中的关键参与者。这篇综述深入探讨了肝癌和脂质代谢之间复杂的相互作用,重点关注四个关键领域:从头脂肪生成,脂肪酸氧化,TME中免疫细胞的脂质代谢失调,以及针对脂肪酸代谢的肝癌治疗策略。
    Hepatocellular carcinoma (HCC), an aggressive malignancy with a dismal prognosis, poses a significant public health challenge. Recent research has highlighted the crucial role of lipid metabolism in HCC development, with enhanced lipid synthesis and uptake contributing to the rapid proliferation and tumorigenesis of cancer cells. Lipids, primarily synthesized and utilized in the liver, play a critical role in the pathological progression of various cancers, particularly HCC. Cancer cells undergo metabolic reprogramming, an essential adaptation to the tumor microenvironment (TME), with fatty acid metabolism emerging as a key player in this process. This review delves into intricate interplay between HCC and lipid metabolism, focusing on four key areas: de novo lipogenesis, fatty acid oxidation, dysregulated lipid metabolism of immune cells in the TME, and therapeutic strategies targeting fatty acid metabolism for HCC treatment.
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  • 文章类型: Journal Article
    在过去的十年里,对癌细胞代谢异常的研究有了显著的增长。然而,与葡萄糖或谷氨酰胺代谢相比,脂质代谢在肿瘤发生中的重要性受到关注较少。脂质组学技术的最新发展允许详细分析癌细胞和肿瘤微环境(TME)中存在的其他细胞参与者内的脂质分布。中药(TCM)及其生物活性成分在癌症治疗中具有悠久的使用历史,并且在TME中调节代谢重编程的潜在作用也正在研究中。这篇综述集中在癌细胞中通过脂质重编程改变的四个核心异常:从头合成和脂肪酸(FAs)的外源摄取,上调脂肪酸氧化(FAO),胆固醇积累,为肿瘤生长和转移提供益处。该综述还讨论了脂质代谢改变如何影响浸润性免疫细胞功能和表型,因为这些癌症-基质之间的相互作用在肿瘤进展期间变得更加明显。最后,最近的文献重点介绍了癌细胞如何通过特定的中草药成分进行代谢重编程,这些成分具有与脂质代谢和信号通路相关的潜在治疗益处.
    In the last ten years, there has been a notable rise in the study of metabolic abnormalities in cancer cells. However, compared to glucose or glutamine metabolism, less attention has been paid to the importance of lipid metabolism in tumorigenesis. Recent developments in lipidomics technologies have allowed for detailed analysis of lipid profiles within cancer cells and other cellular players present within the tumor microenvironment (TME). Traditional Chinese medicine (TCM) and its bioactive components have a long history of use in cancer treatments and are also being studied for their potential role in regulating metabolic reprogramming within TME. This review focuses on four core abnormalities altered by lipid reprogramming in cancer cells: de novo synthesis and exogenous uptake of fatty acids (FAs), upregulated fatty acid oxidation (FAO), cholesterol accumulation, which offer benefits for tumor growth and metastasis. The review also discusses how altered lipid metabolism impacts infiltrating immune cell function and phenotype as these interactions between cancer-stromal become more pronounced during tumor progression. Finally, recent literature is highlighted regarding how cancer cells can be metabolically reprogrammed by specific Chinese herbal components with potential therapeutic benefits related to lipid metabolic and signaling pathways.
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  • 文章类型: Journal Article
    随着非酒精性脂肪性肝炎(NASH)在世界范围内患病率的增加,在临床实践中仍然缺乏有效的药物治疗。以前的研究表明,二苯并氮杂卓(DBZ),缺口抑制剂,可以缓解小鼠模型中的NASH发展。然而,低生物利用度,水溶性差,肝外副作用限制了其临床应用。为了克服这些障碍,我们开发了一种基于胆红素与聚(乙二醇)(PEG)链共轭的活性氧(ROS)敏感纳米颗粒,考虑到非酒精性脂肪性肝炎(NASH)病理状态中肝脏ROS的过度积累。聚乙二醇化胆红素可以在水溶液中自组装成纳米颗粒,并将不溶性DBZ包封到其疏水腔中。DBZ纳米粒子(DBZNps)具有良好的稳定性,响应H2O2快速释放DBZ,并有效清除肝细胞的细胞内ROS。全身给药后,DBZNps可以在NASH小鼠的肝脏中积累,延长循环的持久性,提高DBZ的生物利用度。此外,DBZNps显著改善葡萄糖不耐受,减轻肝脏脂质积聚和炎症,并改善NASH诱导的肝纤维化。此外,DBZNps无明显肝外副作用。一起来看,我们的研究结果凸显了ROS敏感性DBZ纳米颗粒作为NASH治疗策略的潜力.
    With the increased prevalence of nonalcoholic steatohepatitis (NASH) in the world, effective pharmacotherapy in clinical practice is still lacking. Previous studies have shown that dibenzazepine (DBZ), a Notch inhibitor, could alleviate NASH development in a mouse model. However, low bioavailability, poor water solubility, and extrahepatic side effects restrict its clinical application. To overcome these barriers, we developed a reactive oxygen species (ROS)-sensitive nanoparticle based on the conjugation of bilirubin to poly(ethylene glycol) (PEG) chains, taking into account the overaccumulation of hepatic ROS in the pathologic state of nonalcoholic steatohepatitis (NASH). The PEGylated bilirubin can self-assemble into nanoparticles in an aqueous solution and encapsulate insoluble DBZ into its hydrophobic cavity. DBZ nanoparticles (DBZ Nps) had good stability, rapidly released DBZ in response to H2O2, and effectively scavenged intracellular ROS of hepatocytes. After systemic administration, DBZ Nps could accumulate in the liver of the NASH mice, extend persistence in circulation, and improve the bioavailability of DBZ. Furthermore, DBZ Nps significantly improved glucose intolerance, relieved hepatic lipid accumulation and inflammation, and ameliorated NASH-induced liver fibrosis. Additionally, DBZ Nps had no significant extrahepatic side effects. Taken together, our results highlight the potential of the ROS-sensitive DBZ nanoparticle as a promising therapeutic strategy for NASH.
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  • 文章类型: Journal Article
    背景:靶向铁凋亡已被确定为开发癌症疗法的有希望的方法。单不饱和脂肪酸(MUFA)是一种在抑制铁死亡中起关键作用的脂质。Ficolin3(FCN3)是补体系统的组成部分,在凝集素途径中充当针对病原体的识别分子。最近的研究报道FCN3对某些肿瘤的进展具有抑制作用。然而,FCN3是否可以调节脂质代谢和铁凋亡仍在很大程度上未知。
    方法:细胞活力,BODIPY-C11染色,进行MDA测定以检测铁细胞凋亡。利用原发性肝细胞癌(HCC)和异种移植模型来研究FCN3对体内HCC发展的影响。进行代谢组学分析以评估细胞内和HCC肝内脂质水平的变化。
    结果:我们的研究阐明了补体系统组成部分FCN3的表达大幅下降,导致MUFA在人HCC标本中积累,从而显着促进铁凋亡抗性。FCN3的过表达有效地使HCC细胞对铁凋亡敏感,导致抑制原发性HCC和皮下HCC异种移植物的肿瘤发生和进展。机械上,FCN3直接与胰岛素受体β(IR-β)及其前体形式(pro-IR)结合,抑制pro-IR裂解和IR-β磷酸化,最终导致IR-β失活。IR-β的失活抑制了固醇调节元件结合蛋白1c(SREBP1c)的表达,随后抑制与从头脂肪生成(DNL)和脂质去饱和相关的基因的转录,并因此下调细胞内MUFA水平。
    结论:这些发现揭示了FCN3增强HCC细胞对铁凋亡的敏感性的一种新的调节机制,这表明靶向FCN3诱导的铁凋亡是肝癌治疗的一个有希望的策略。
    BACKGROUND: Targeting ferroptosis has been identified as a promising approach for the development of cancer therapies. Monounsaturated fatty acid (MUFA) is a type of lipid that plays a crucial role in inhibiting ferroptosis. Ficolin 3 (FCN3) is a component of the complement system, serving as a recognition molecule against pathogens in the lectin pathway. Recent studies have reported that FCN3 demonstrates inhibitory effects on the progression of certain tumors. However, whether FCN3 can modulate lipid metabolism and ferroptosis remains largely unknown.
    METHODS: Cell viability, BODIPY-C11 staining, and MDA assay were carried out to detect ferroptosis. Primary hepatocellular carcinoma (HCC) and xenograft models were utilized to investigate the effect of FCN3 on the development of HCC in vivo. A metabonomic analysis was conducted to assess alterations in intracellular and HCC intrahepatic lipid levels.
    RESULTS: Our study elucidates a substantial decrease in the expression of FCN3, a component of the complement system, leads to MUFA accumulation in human HCC specimens and thereby significantly promotes ferroptosis resistance. Overexpression of FCN3 efficiently sensitizes HCC cells to ferroptosis, resulting in the inhibition of the oncogenesis and progression of both primary HCC and subcutaneous HCC xenograft. Mechanistically, FCN3 directly binds to the insulin receptor β (IR-β) and its pro-form (pro-IR), inhibiting pro-IR cleavage and IR-β phosphorylation, ultimately resulting in IR-β inactivation. This inactivation of IR-β suppresses the expression of sterol regulatory element binding protein-1c (SREBP1c), which subsequently suppresses the transcription of genes related to de novo lipogenesis (DNL) and lipid desaturation, and consequently downregulates intracellular MUFA levels.
    CONCLUSIONS: These findings uncover a novel regulatory mechanism by which FCN3 enhances the sensitivity of HCC cells to ferroptosis, indicating that targeting FCN3-induced ferroptosis is a promising strategy for HCC treatment.
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  • 文章类型: Journal Article
    肝脏脂肪变性是非酒精性脂肪性肝炎(NASH)发展的关键因素。Sesamin(Ses),从芝麻中分离出的功能性木酚素,患有降血脂,肝脏保护,抗高血压,和抗肿瘤特性。已发现Ses可以改善肝脏脂肪变性,但是塞斯实现这一目标的确切机制还没有得到很好的理解。在这项研究中,我们观察到Ses在棕榈酸盐/油酸盐(PA/OA)孵育的原代小鼠肝细胞中的抗肝脂肪变性作用,AML12肝细胞,和HepG2细胞,以及高脂肪,高胆固醇饮食诱导的NASH小鼠。RNA测序分析显示分化簇36(CD36),游离脂肪酸(FA)转运蛋白,参与了Ses介导的肝脏脂肪积累抑制。此外,CD36的过度表达显著增加了Ses处理的PA/OA孵育的HepG2细胞和NASH小鼠的肝脂肪变性。此外,Ses处理抑制胰岛素诱导的HepG2细胞从头脂肪生成,CD36过表达逆转。机械上,我们发现Ses通过抑制CD36介导的FA摄取和脂肪生成基因的上调来改善NASH,包括FA合成酶,硬脂酰辅酶A去饱和酶1和甾醇调节元件结合蛋白1。我们的研究结果为Ses在NASH治疗中的潜在治疗应用提供了新的见解。
    Hepatic steatosis is a critical factor in the development of nonalcoholic steatohepatitis (NASH). Sesamin (Ses), a functional lignan isolated from Sesamum indicum, possesses hypolipidemic, liver-protective, anti-hypertensive, and anti-tumor properties. Ses has been found to improve hepatic steatosis, but the exact mechanisms through which Ses achieves this are not well understood. In this study, we observed the anti-hepatic steatosis effects of Ses in palmitate/oleate (PA/OA)-incubated primary mouse hepatocytes, AML12 hepatocytes, and HepG2 cells, as well as in high-fat, high-cholesterol diet-induced NASH mice. RNA sequencing analysis revealed that cluster of differentiation 36 (CD36), a free fatty acid (FA) transport protein, was involved in the Ses-mediated inhibition of hepatic fat accumulation. Moreover, the overexpression of CD36 significantly increased hepatic steatosis in both Ses-treated PA/OA-incubated HepG2 cells and NASH mice. Furthermore, Ses treatment suppressed insulin-induced de novo lipogenesis in HepG2 cells, which was reversed by CD36 overexpression. Mechanistically, we found that Ses ameliorated NASH by inhibiting CD36-mediated FA uptake and upregulation of lipogenic genes, including FA synthase, stearoyl-CoA desaturase 1, and sterol regulatory element-binding protein 1. The findings of our study provide novel insights into the potential therapeutic applications of Ses in the treatment of NASH.
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  • 文章类型: Journal Article
    随着世界范围内肥胖患病率的增加,越来越多的流行病学研究逐渐认识到高热量饮食的有害影响。然而,隐蔽性和慢性因果关系粉饰了它的不健康特征。鉴于一个巧妙的机制协调代谢适应高脂肪高果糖(HFF)饮食和纵容其脂毒性,在这项研究中,诱导了一个实验性的肥胖大鼠/小鼠模型,并进行了比较转录组学分析来探索这个谜。我们的结果表明,HFF饮食消耗改变了转录组模式,并且不同的高热量饮食喂养的大鼠/小鼠表现出不同的肝脏转录组。RT-qPCR和Western印迹验证证实SREBP1-FASN参与从头脂肪生成部分介导的代谢自适应。此外,肝脏ACSL1-CPT1A-CPT2通路参与脂肪酸β-氧化,在对HFF的代谢适应中起关键作用。总的来说,我们的发现丰富了慢性适应机制的知识,也为未来的研究提供了启示。同时,我们的研究结果还表明,恢复脂肪酸代谢命运的努力可能是对抗HFF饮食所挑战的肥胖和相关脂肪变性和胰岛素抵抗的有希望的途径.
    Along with the increasing prevalence of obesity worldwide, the deleterious effects of high-calorie diet are gradually recognized through more and more epidemiological studies. However, the concealed and chronic causality whitewashes its unhealthy character. Given an ingenious mechanism orchestrates the metabolic adaptation to high-fat high-fructose (HFF) diet and connive its lipotoxicity, in this study, an experimental rat/mouse model of obesity was induced and a comparative transcriptomic analysis was performed to probe the mystery. Our results demonstrated that HFF diet consumption altered the transcriptomic pattern as well as different high-calorie diet fed rat/mouse manifested distinct hepatic transcriptome. Validation with RT-qPCR and Western blotting confirmed that SREBP1-FASN involved in de novo lipogenesis partly mediated metabolic self-adaption. Moreover, hepatic ACSL1-CPT1A-CPT2 pathway involved in fatty acids β-oxidation, played a key role in the metabolic adaption to HFF. Collectively, our findings enrich the knowledge of the chronic adaptation mechanisms and also shed light on future investigations. Meanwhile, our results also suggest that efforts to restore the fatty acids metabolic fate could be a promising avenue to fight against obesity and associated steatosis and insulin resistance challenged by HFF diet.
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  • 文章类型: Journal Article
    代谢(功能障碍)相关的脂肪性肝炎(MASH)是代谢(功能障碍)相关的脂肪肝(MAFLD)缺乏批准的临床药物的晚期阶段。腺苷A1受体(A1R),属于G蛋白偶联受体(GPCRs)超家族,主要分布在中枢神经系统和主要外周器官中,具有广泛的生理功能;然而,肝A1R在MAFLD中的确切作用尚不清楚.这里,我们报道,A1R的肝脏特异性耗竭加重,而过表达减弱小鼠饮食诱导的代谢相关脂肪肝(MAFL)/MASH.机械上,肝A1R的激活促进甾醇调节元件结合蛋白(SREBP)裂解激活蛋白(SCAP)与螯合体1(SQSTM1)的竞争性结合,而不是导致溶酶体中SCAP降解的蛋白激酶A(PKA)。减少的SCAP阻碍SREBP1c/2成熟并因此抑制从头脂肪生成和炎症。在MAFL/MASH和高脂饮食(HFD)喂养的小鼠中观察到较高的肝A1R表达,这被认为是生理适应性反应,因为A1R激动剂以A1R依赖性方式减弱MAFL/MASH。这些结果强调肝A1R是MAFL/MASH治疗的潜在靶标。
    Metabolic (dysfunction)-associated steatohepatitis (MASH) is the advanced stage of metabolic (dysfunction)-associated fatty liver disease (MAFLD) lacking approved clinical drugs. Adenosine A1 receptor (A1R), belonging to the G-protein-coupled receptors (GPCRs) superfamily, is mainly distributed in the central nervous system and major peripheral organs with wide-ranging physiological functions; however, the exact role of hepatic A1R in MAFLD remains unclear. Here, we report that liver-specific depletion of A1R aggravates while overexpression attenuates diet-induced metabolic-associated fatty liver (MAFL)/MASH in mice. Mechanistically, activation of hepatic A1R promotes the competitive binding of sterol-regulatory element binding protein (SREBP) cleavage-activating protein (SCAP) to sequestosome 1 (SQSTM1), rather than protein kinase A (PKA) leading to SCAP degradation in lysosomes. Reduced SCAP hinders SREBP1c/2 maturation and thus suppresses de novo lipogenesis and inflammation. Higher hepatic A1R expression is observed in patients with MAFL/MASH and high-fat diet (HFD)-fed mice, which is supposed to be a physiologically adaptive response because A1R agonists attenuate MAFL/MASH in an A1R-dependent manner. These results highlight that hepatic A1R is a potential target for MAFL/MASH therapy.
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  • 文章类型: Journal Article
    Testosterone is closely associated with lipid metabolism and known to affect body fat composition and muscle mass in males. However, the mechanisms by which testosterone acts on lipid metabolism are not yet fully understood, especially in teleosts. In this study, cyp17a1-/- zebrafish ( Danio rerio) exhibited excessive visceral adipose tissue (VAT), lipid content, and up-regulated expression and activity of hepatic de novo lipogenesis (DNL) enzymes. The assay for transposase accessible chromatin with sequencing (ATAC-seq) results demonstrated that chromatin accessibility of DNL genes was increased in cyp17a1-/- fish compared to cyp17a1+/+ male fish, including stearoyl-CoA desaturase ( scd) and fatty acid synthase ( fasn). Androgen response element (ARE) motifs in the androgen signaling pathway were significantly enriched in cyp17a1+/+ male fish but not in cyp17a1-/- fish. Both androgen receptor ( ar)-/- and wild-type (WT) zebrafish administered with Ar antagonist flutamide displayed excessive visceral adipose tissue, lipid content, and up-regulated expression and activity of hepatic de novo lipogenesis enzymes. The Ar agonist BMS-564929 reduced the content of VAT and lipid content, and down-regulated acetyl-CoA carboxylase a ( acaca), fasn, and scd expression. Mechanistically, the rescue effect of testosterone on cyp17a1-/- fish in terms of phenotypes was abolished when ar was additionally depleted. Collectively, these findings reveal that testosterone inhibits lipid deposition by down-regulating DNL genes via Ar in zebrafish, thus expanding our understanding of the relationship between testosterone and lipid metabolism in teleosts.
    睾酮可以影响雄性体内脂肪成分和肌肉质量,与脂质代谢密切相关。然而,在硬骨鱼中,睾酮对脂质代谢的作用机制尚不清晰。在该研究中,我们首先观察到雄激素合成的 cyp17a1-/-斑马鱼表现出增多的内脏脂肪组织(VAT),其脂肪含量以及肝脏脂肪从头合成(DNL)酶的表达和活性上调。染色质转座酶可及性测序分析(ATAC-seq)的结果表明,与 cyp17a1+/+雄鱼相比, cyp17a1-/-鱼的DNL基因的染色质可及性增加,包括硬脂酰辅酶a去饱和酶( scd)和脂肪酸合成酶( fasn)。雄激素信号通路中的雄激素反应元件(ARE)基序在 cyp17a1+/+雄鱼中显著富集,但未在 cyp17a1-/-鱼中富集。同样地,雄激素受体( ar)-/-斑马鱼和雄激素受体拮抗剂氟他胺(Flutamide)处理的野生型斑马鱼也表现出VAT增多和脂质含量增加,肝脏脂肪从头合成酶的表达和活性上调。相反,雄激素受体激动剂BMS-564929显著减少了VAT和脂质含量,下调了乙酰辅酶a羧化酶a( acaca)、 fasn和 scd的表达。有趣的是,睾酮处理可以有效挽救 cyp17a1-/-斑马鱼的上述表型,但在 ar被额外敲除后(即在 cyp17a1-/-; ar-/-斑马鱼中)则未见挽救效果。综上所述,我们的研究揭示了睾酮通过Ar下调DNL基因表达和活性,进而抑制斑马鱼的脂质沉积。该研究有助于深入理解硬骨鱼类的雄激素调节脂质代谢的分子机制。.
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  • 文章类型: Journal Article
    背景:非酒精性脂肪性肝病(NAFLD)已迅速成为儿童和青少年慢性肝病的最常见原因,但其病因尚不清楚。Adrenarche是荷尔蒙变化的关键阶段,在此期间的任何障碍都与代谢紊乱有关,包括肥胖和血脂异常。然而,肾上腺素障碍与儿童NAFLD患病率增加之间是否存在因果关系尚不清楚.
    结果:使用年轻雌性大鼠作为模型,我们发现,肝脏经历了一个短暂的生长放缓时期,伴随着肾上腺源性类固醇前体的上升。特别是使用雄激素受体拮抗剂氟他胺阻断整个肾上腺阶段的雄激素作用,使肝脏重量增加了47.97%,并导致肝脏中明显的脂肪沉积,从而导致年轻雌性大鼠的严重NAFLD。相反,在肾上腺期进一步向年轻雌性大鼠施用非芳香族二氢睾酮(DHT)可以有效减少肝脏脂肪沉积。但是,芳香化酶抑制剂的给药,跨肾上腺的formestane对肝脏从头脂肪酸合成和肝脏脂肪沉积的影响最小,提示肾上腺源性类固醇前体通过转化为活性雄激素而不是活性雌激素在年轻女性中发挥其抗NAFLD作用。机械上,转录组学分析和综合数据分析显示,从肾上腺性类固醇前体转化的活性雄激素主要通过灭活肝甾醇调节元件结合转录因子1(Srebf1)信号来预防年轻女性的NAFLD。
    结论:我们首先证明了肾上腺伴随的性类固醇前体的升高在年轻女性中通过转化为活性雄激素并使肝Srebf1信号失活而预防NAFLD的发生中起主要作用。我们的新发现为NAFLD的病因提供了新的见解,对于制定儿童NAFLD的有效预防和管理策略至关重要。
    BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) has rapidly become the most common cause of chronic liver disease in children and adolescents, but its etiology remains largely unknown. Adrenarche is a critical phase for hormonal changes, and any disturbance during this period has been linked to metabolic disorders, including obesity and dyslipidemia. However, whether there is a causal linkage between adrenarche disturbance and the increasing prevalence of NAFLD in children remains unclear.
    RESULTS: Using the young female rat as a model, we found that the liver undergoes a transient slowdown period of growth along with the rise of adrenal-derived sex steroid precursors during adrenarche. Specifically blocking androgen actions across adrenarche phase using androgen receptor antagonist flutamide largely increased liver weight by 47.97% and caused marked fat deposition in liver, thus leading to severe NAFLD in young female rats. Conversely, further administrating nonaromatic dihydrotestosterone (DHT) into young female rats across adrenarche phase could effectively reduce liver fat deposition. But, administration of the aromatase inhibitor, formestane across adrenarche had minimal effects on hepatic de novo fatty acid synthesis and liver fat deposition, suggesting adrenal-derived sex steroid precursors exert their anti-NAFLD effects in young females by converting into active androgens rather than into active estrogens. Mechanistically, transcriptomic profiling and integrated data analysis revealed that active androgens converted from the adrenal sex steroid precursors prevent NAFLD in young females primarily by inactivating hepatic sterol regulatory element-binding transcription factor 1 (Srebf1) signaling.
    CONCLUSIONS: We firstly evidenced that adrenarche-accompanied rise of sex steroid precursors plays a predominant role in preventing the incidence of NAFLD in young females by converting into active androgens and inactivating hepatic Srebf1 signaling. Our novel finding provides new insights into the etiology of NAFLD and is crucial in developing effective prevention and management strategies for NAFLD in children.
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