151. Ketogenesis prevents diet-induced fatty liver injury and hyperglycemia.
- Author
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Cotter DG, Ercal B, Huang X, Leid JM, d'Avignon DA, Graham MJ, Dietzen DJ, Brunt EM, Patti GJ, and Crawford PA
- Subjects
- Acyl Coenzyme A genetics, Acyl Coenzyme A metabolism, Animals, Citric Acid Cycle drug effects, Citric Acid Cycle genetics, Gluconeogenesis drug effects, Gluconeogenesis genetics, Glucose genetics, Hydroxymethylglutaryl-CoA Synthase deficiency, Hydroxymethylglutaryl-CoA Synthase genetics, Hydroxymethylglutaryl-CoA Synthase metabolism, Hyperglycemia genetics, Hyperglycemia pathology, Hypoglycemia genetics, Hypoglycemia metabolism, Hypoglycemia pathology, Male, Metabolism, Inborn Errors genetics, Metabolism, Inborn Errors metabolism, Metabolism, Inborn Errors pathology, Mice, Mice, Mutant Strains, Mitochondrial Diseases genetics, Mitochondrial Diseases metabolism, Mitochondrial Diseases pathology, Non-alcoholic Fatty Liver Disease genetics, Non-alcoholic Fatty Liver Disease pathology, Dietary Fats adverse effects, Glucose metabolism, Hyperglycemia chemically induced, Hyperglycemia metabolism, Non-alcoholic Fatty Liver Disease chemically induced, Non-alcoholic Fatty Liver Disease metabolism
- Abstract
Nonalcoholic fatty liver disease (NAFLD) spectrum disorders affect approximately 1 billion individuals worldwide. However, the drivers of progressive steatohepatitis remain incompletely defined. Ketogenesis can dispose of much of the fat that enters the liver, and dysfunction in this pathway could promote the development of NAFLD. Here, we evaluated mice lacking mitochondrial 3-hydroxymethylglutaryl CoA synthase (HMGCS2) to determine the role of ketogenesis in preventing diet-induced steatohepatitis. Antisense oligonucleotide-induced loss of HMGCS2 in chow-fed adult mice caused mild hyperglycemia, increased hepatic gluconeogenesis from pyruvate, and augmented production of hundreds of hepatic metabolites, a suite of which indicated activation of the de novo lipogenesis pathway. High-fat diet feeding of mice with insufficient ketogenesis resulted in extensive hepatocyte injury and inflammation, decreased glycemia, deranged hepatic TCA cycle intermediate concentrations, and impaired hepatic gluconeogenesis due to sequestration of free coenzyme A (CoASH). Supplementation of the CoASH precursors pantothenic acid and cysteine normalized TCA intermediates and gluconeogenesis in the livers of ketogenesis-insufficient animals. Together, these findings indicate that ketogenesis is a critical regulator of hepatic acyl-CoA metabolism, glucose metabolism, and TCA cycle function in the absorptive state and suggest that ketogenesis may modulate fatty liver disease.
- Published
- 2014
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