间歇性缺氧(IH)是代谢功能障碍相关脂肪肝(MAFLD)的独立危险因素。铜缺乏会破坏氧化还原稳态,铁,和脂质代谢。这里,我们调查了肝铜缺乏是否在IH相关MAFLD中起作用,并探讨了潜在的机制.雄性C57BL/6小鼠饲喂西方型饮食,其中含有足够的铜(CuA)或少量缺乏铜(CuD),并分别暴露于室内空气(RA)或IH。肝脏组织学,血浆生物标志物,铜铁状态,和氧化应激进行了评估。使用体外HepG2细胞脂毒性模型和蛋白质组学分析来阐明所涉及的特定靶标。我们观察到,在RA下,饲喂CuA和饲喂CuD的小鼠之间的肝表型没有差异。然而,在IH暴露中,CuD喂养的小鼠表现出更明显的肝脂肪变性,肝损伤,和氧化应激比CuA喂养的小鼠。IH诱导大脑和心脏中的铜积累,并加剧了肝铜缺乏和继发性铁沉积。体外,用IH暴露的CuD处理的细胞显示脂质积累水平升高,氧化应激,和铁性凋亡易感性。蛋白质组学分析发现,在IH下,CuA和CuD组之间有360个上调和359个下调的差异表达蛋白;这些蛋白主要富集在柠檬酸盐循环中,氧化磷酸化,脂肪酸代谢,过氧化物酶体增殖物激活受体(PPAR)α途径,和铁中毒。在IH暴露中,CuD显著上调铁凋亡促进因子花生四烯基辅酶A合成酶长链家族成员(ACSL)4。ACSL4敲低可明显消除IH暴露中CuD诱导的铁凋亡和脂质积累。在总结中,IH可导致肝铜储备减少和二次铁沉积,从而诱导铁凋亡和随后的MAFLD进展。膳食铜不足可能会恶化与IH相关的MAFLD。
Intermittent hypoxia (IH) is an independent risk factor for metabolic dysfunction-associated fatty liver disease (MAFLD).
Copper deficiency can disrupt redox homeostasis, iron, and lipid metabolism. Here, we investigated whether hepatic copper deficiency plays a role in IH-associated MAFLD and explored the underlying mechanism(s). Male C57BL/6 mice were fed a western-type diet with adequate
copper (CuA) or marginally deficient
copper (CuD) and were exposed separately to room air (RA) or IH. Hepatic histology, plasma biomarkers,
copper-iron status, and oxidative stress were assessed. An in vitro HepG2 cell lipotoxicity model and proteomic analysis were used to elucidate the specific targets involved. We observed that there were no differences in hepatic phenotypes between CuA-fed and CuD-fed mice under RA. However, in IH exposure, CuD-fed mice showed more pronounced hepatic steatosis, liver injury, and oxidative stress than CuA-fed mice. IH induced
copper accumulation in the brain and heart and exacerbated hepatic
copper deficiency and secondary iron deposition. In vitro, CuD-treated cells with IH exposure showed elevated levels of lipid accumulation, oxidative stress, and ferroptosis susceptibility. Proteomic analysis identified 360 upregulated and 359 downregulated differentially expressed proteins between CuA and CuD groups under IH; these proteins were mainly enriched in citrate cycle, oxidative phosphorylation, fatty acid metabolism, the peroxisome proliferator-activated receptor (PPAR)α pathway, and ferroptosis. In IH exposure, CuD significantly upregulated the ferroptosis-promoting factor arachidonyl-CoA synthetase long chain family member (ACSL)4. ACSL4 knockdown markedly eliminated CuD-induced ferroptosis and lipid accumulation in IH exposure. In conculsion, IH can lead to reduced hepatic copper reserves and secondary iron deposition, thereby inducing ferroptosis and subsequent MAFLD progression. Insufficient dietary
copper may worsen IH-associated MAFLD.