Dipeptidyl peptidase-4 inhibition ameliorates Western diet-induced hepatic steatosis and insulin resistance through hepatic lipid remodeling and modulation of hepatic mitochondrial function.

Dipeptidyl peptidase-4 inhibition ameliorates Western diet-induced hepatic steatosis and insulin resistance through hepatic lipid remodeling and modulation of hepatic mitochondrial function.
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DOI:
10.2337/db14-0804
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发表时间:
2015-06
期刊:
影响因子:
7.7
通讯作者:
Rector RS
Rector RS
中科院分区:
医学1区
文献类型:
--
作者:
Aroor AR;Habibi J;Ford DA;Nistala R;Lastra G;Manrique C;Dunham MM;Ford KD;Thyfault JP;Parks EJ;Sowers JR;Rector RS

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西方人群中肝脂肪变性的患病率日益增加,需要新的治疗方法。在这方面,二肽基肽酶 - 4(DPP - 4)抑制剂最近被报道可减轻肝脂肪变性的发展,但其潜在机制仍不明确。在当前的研究中,4周龄的C57Bl / 6小鼠被喂食高脂/高果糖的西方饮食(WD)或含有DPP - 4抑制剂MK0626的西方饮食,持续16周。DPP - 4抑制剂通过增强胰岛素对肝脏葡萄糖输出的抑制作用,防止了西方饮食诱导的肝脂肪变性,并降低了肝脏胰岛素抵抗。西方饮食诱导的肝脏三酰甘油(TAG)和二酰甘油(DAG)含量的积累在DPP - 4抑制剂治疗下显著减少。此外,MK0626显著减少了线粒体棕榈酸不完全氧化,并增加了丙酮酸脱氢酶活性、三羧酸循环通量和肝脏TAG分泌的指标。进一步地,DPP - 4抑制挽救了西方饮食诱导的肝脏PGC - 1α和CPT - 1 mRNA表达以及肝脏Sirt1蛋白含量的下降。而且,MK0626治疗后,喂食西方饮食的小鼠血浆尿酸水平降低。这些研究表明,DPP - 4抑制通过增强线粒体碳水化合物利用和肝脏TAG分泌/输出,同时减少尿酸生成,抑制肝脏TAG和DAG积累,从而改善肝脂肪变性和胰岛素抵抗。
Novel therapies are needed for treating the increasing prevalence of hepatic steatosis in Western populations. In this regard, dipeptidyl peptidase-4 (DPP-4) inhibitors have recently been reported to attenuate the development of hepatic steatosis, but the potential mechanisms remain poorly defined. In the current study, 4-week-old C57Bl/6 mice were fed a high-fat/high-fructose Western diet (WD) or a WD containing the DPP-4 inhibitor, MK0626, for 16 weeks. The DPP-4 inhibitor prevented WD-induced hepatic steatosis and reduced hepatic insulin resistance by enhancing insulin suppression of hepatic glucose output. WD-induced accumulation of hepatic triacylglycerol (TAG) and diacylglycerol (DAG) content was significantly attenuated with DPP-4 inhibitor treatment. In addition, MK0626 significantly reduced mitochondrial incomplete palmitate oxidation and increased indices of pyruvate dehydrogenase activity, TCA cycle flux, and hepatic TAG secretion. Furthermore, DPP-4 inhibition rescued WD-induced decreases in hepatic PGC-1α and CPT-1 mRNA expression and hepatic Sirt1 protein content. Moreover, plasma uric acid levels in mice fed the WD were decreased after MK0626 treatment. These studies suggest that DPP-4 inhibition ameliorates hepatic steatosis and insulin resistance by suppressing hepatic TAG and DAG accumulation through enhanced mitochondrial carbohydrate utilization and hepatic TAG secretion/export with a concomitant reduction of uric acid production.
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