1. Lipotoxicity in steatohepatitis occurs despite an increase in tricarboxylic acid cycle activity
- Author
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Mary K. Reinhard, Manisha Nautiyal, Srilaxmi Kalavalapalli, Nishanth E. Sunny, Kenneth Cusi, James R. Rocca, Richard A. Yost, Timothy J. Garrett, Rainey E. Patterson, Janie Martinez, Danielle J. McDougall, Justin T. Mathew, and Caroline M. Williams
- Subjects
0301 basic medicine ,Magnetic Resonance Spectroscopy ,Physiology ,Endocrinology, Diabetes and Metabolism ,Mitochondria, Liver ,Fatty Acids, Nonesterified ,Mitochondrion ,Severity of Illness Index ,Mice ,0302 clinical medicine ,Dietary Sucrose ,Non-alcoholic Fatty Liver Disease ,Tandem Mass Spectrometry ,Ketogenesis ,Carbon Isotopes ,Trans Fatty Acids ,Liver ,Lipotoxicity ,Metabolome ,Call for Papers ,Oxidation-Reduction ,medicine.medical_specialty ,Cellular respiration ,Citric Acid Cycle ,Pyruvate cycling ,030209 endocrinology & metabolism ,Fructose ,Biology ,Ceramides ,Real-Time Polymerase Chain Reaction ,Diglycerides ,03 medical and health sciences ,Carnitine ,Physiology (medical) ,Internal medicine ,medicine ,Animals ,RNA, Messenger ,Inflammation ,medicine.disease ,Dietary Fats ,Citric acid cycle ,Disease Models, Animal ,030104 developmental biology ,Endocrinology ,Glucose Clamp Technique ,Insulin Resistance ,Steatosis ,Steatohepatitis ,Transcriptome ,Chromatography, Liquid - Abstract
The hepatic tricarboxylic acid (TCA) cycle is central to integrating macronutrient metabolism and is closely coupled to cellular respiration, free radical generation, and inflammation. Oxidative flux through the TCA cycle is induced during hepatic insulin resistance, in mice and humans with simple steatosis, reflecting early compensatory remodeling of mitochondrial energetics. We hypothesized that progressive severity of hepatic insulin resistance and the onset of nonalcoholic steatohepatitis (NASH) would impair oxidative flux through the hepatic TCA cycle. Mice (C57/BL6) were fed a high- trans-fat high-fructose diet (TFD) for 8 wk to induce simple steatosis and NASH by 24 wk. In vivo fasting hepatic mitochondrial fluxes were determined by13C-nuclear magnetic resonance (NMR)-based isotopomer analysis. Hepatic metabolic intermediates were quantified using mass spectrometry-based targeted metabolomics. Hepatic triglyceride accumulation and insulin resistance preceded alterations in mitochondrial metabolism, since TCA cycle fluxes remained normal during simple steatosis. However, mice with NASH had a twofold induction ( P < 0.05) of mitochondrial fluxes (μmol/min) through the TCA cycle (2.6 ± 0.5 vs. 5.4 ± 0.6), anaplerosis (9.1 ± 1.2 vs. 16.9 ± 2.2), and pyruvate cycling (4.9 ± 1.0 vs. 11.1 ± 1.9) compared with their age-matched controls. Induction of the TCA cycle activity during NASH was concurrent with blunted ketogenesis and accumulation of hepatic diacylglycerols (DAGs), ceramides (Cer), and long-chain acylcarnitines, suggesting inefficient oxidation and disposal of excess free fatty acids (FFA). Sustained induction of mitochondrial TCA cycle failed to prevent accretion of “lipotoxic” metabolites in the liver and could hasten inflammation and the metabolic transition to NASH.
- Published
- 2016
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