Research paperIncrease in liver cytosolic lipases activities and VLDL-TAG secretion rate do not prevent the non-alcoholic fatty liver disease in cafeteria diet-fed rats
Introduction
Non-alcoholic fatty liver disease (NAFLD) is now considered to be one of the most common forms of chronic liver disease in the Western world. NAFLD refers to a clinical-pathological spectrum of conditions ranging from simple steatosis to nonalcoholic steatohepatitis (NASH), involving inflammation and some evidence of liver cell damage, and in some cases, cirrhosis [1]. In the United States, the prevalence of NAFLD is approximately 30%, while the incidence of NASH is about 3% [1,2]. The NAFLD prevalence increases among overweight (58%) and non-diabetic obese (98%) individuals [3,4].
There is considerable traffic of both non-esterified fatty acids (NEFAs) and triacylglycerols (TAGs) in the liver, independent of food state [5]. In the postprandial state, the liver synthesizes fatty acids (FAs) and takes up chylomicron remnants from the bloodstream [5]. NEFAs may be converted into other lipid species, such as glycerolipids, glycerophospholipids, and sterols, which can be packaged into very low density lipoprotein (VLDL) particles and secreted from the liver into the plasma [5]. Under fasting conditions, NEFAs are released from adipose tissue and returned to the liver, where they are oxidized in the mitochondria to provide energy or converted into TAGs and packaged in VLDL particles that are secreted into the plasma [5]. Thus, the TAG content in the cytoplasm of hepatocytes is influenced by the balance of all these metabolic pathways.
Nutritional, hormonal, and neural mechanisms regulate the lipid metabolism. Fructose increases the generation of acetyl-CoA and glycerol-3-phosphate because fructokinase is not regulated [6]. Insulin stimulates lipogenic enzymes and inhibits FA oxidation [7], while the sympathetic nervous system increases the rate of VLDL-TAG secretion [8] and mobilization of FAs from adipose tissue [9]. Several studies have described an increase in VLDL secretion in models of insulin resistance, characterized by hyperinsulinemia and hyperglycemia, such as type 2 diabetics individuals [10], high-fructose diet-fed hamsters [11], high-fat diet-fed mice [12], tumor necrosis factor-α-treated hamsters [13], and high-fat diet-fed and LDL receptor-null mice [14]. However, ob/ob mice, despite hyperinsulinemia and hyperglycemia, have similar VLDL-TAG secretion to lean mice [15]. Also, acute hyperinsulinemia reduces the VLDL-TAG production in these groups, showing a more pronounced effect in lean mice than ob/ob mice [15]. Thus, insulin effects on VLDL secretion are not fully clarified. The regulation of VLDL secretion is frequently associated with apolipoprotein B (ApoB) synthesis and secretion. It has been suggested that either the inhibitory effects of insulin signaling on ApoB secretion is very short-lived or the hepatic TAGs are the dominant regulator of ApoB secretion [16].
Furthermore, studies using adipose triglyceride lipase (ATGL)- and hormone-sensitive lipase (HSL)-deficient mice have suggested that these enzymes can contribute to the development of hepatic steatosis [17,18], although HSL and ATGL are responsible for only approximately 40% of the total hydrolases activity in the hepatic tissue [18,19]. Recently, we demonstrated that the high-fructose diet induces severe liver steatosis accompanied by a decrease in cytosolic lipases activities [20]. Here, our main objective was to investigate the biochemical pathways involved in the development of NAFLD induced by a cafeteria diet. Thus, we evaluated the effect of chronic treatment with a cafeteria diet on the liver lipid accumulation, rates of de novo FA synthesis, cytosolic lipases activities, VLDL-TAG secretion rates, and mRNA expression of genes involved in lipid oxidation and secretion, as well as the possible involvement of the sympathetic nervous system activity.
Section snippets
Animals and treatment
Male Wistar rats with a body weight (BW) of 60–80 g, were obtained from the Breeding Centre of the Federal University of São João Del-Rei (Brazil) and kept in cages in an environmentally controlled room with a 12/12 h light/dark cycle and 23 ± 2 °C. The rats were fed a cafeteria diet for 3 weeks that consisted of a standard balanced diet [Nuvilab CR1, Nuvital, Brazil (55% carbohydrate, 22% protein, and 4.5% lipid)] supplemented each day with 4 different lipid-rich palatable food items, selected
Results
Cafeteria diet feeding did not induce changes in the BW gain of rats (Table 1). Nonetheless, it triggered significant increases in the body adiposity, evaluated by the weight of retroperitoneal (225%) and epididymal (68%) white adipose tissues, in addition to the liver TAG (120%) and cholesterol (29%) content, as well as serum insulin (56%) and TAG (171%) levels (Table 1, Table 2). The increase in liver lipid content induced by cafeteria diet is also qualitatively demonstrated by histological
Discussion
In order to explain the effects of the cafeteria diet on liver lipid homeostasis, we evaluated the routes of lipid synthesis, catabolism, and exportation. Our data showed that the chronic cafeteria diet feeding induced a liver lipid accumulation, the main feature of NAFLD (Table 1, Fig. 1). This effect resulted from a marked increase in liver FA synthesis (Fig. 3), despite increased cytosolic lipases activities (Fig. 5) and VLDL-TAG secretion rate (Fig. 6). These changes were independent of the
Funding
This work received support of Federal University of São João del-Rei. C.C.L.M. and H.F.R. received a postdoctoral fellowship from Fundação de Amparo à Pesquisa do Estado de Minas Gerais and Fundação de Amparo à Pesquisa do Estado de São Paulo, respectively. C.F.S. and T.R. received a fellowship from Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorCoordenação de Aperfeiçoamento de Pessoal de Nível Superior.
Conflicts of interest
The authors report no conflicts of interest.
Ethical approval
The care and treatment of the rats
Acknowledgements
We thank Dr. H.B. Santos and Dr. R.G. Thomé from Tissue Processing Laboratory - Federal University of São João del-Rei for assistance in hematoxylin and eosin staining.
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