title: Attenuated progression of diet-induced steatohepatitis in glutathione-deficient mice.
abstract: In nonalcoholic fatty liver disease (NAFLD), depletion of hepatic antioxidants may contribute to the progression of steatosis to nonalcoholic steatohepatitis (NASH) by increasing oxidative stress that produces lipid peroxidation, inflammation, and fibrosis. We investigated whether depletion of glutathione (GSH) increases NASH-associated hepatic pathology in mice fed a diet deficient in methionine and choline (MCD diet). Wild-type (wt) mice and genetically GSH-deficient mice lacking the modifier subunit of glutamate cysteine ligase (Gclm null mice), the rate-limiting enzyme for de novo synthesis of GSH, were fed the MCD diet, a methionine/choline-sufficient diet, or standard chow for 21 days. We assessed NASH-associated hepatic pathology, including steatosis, fibrosis, inflammation, and hepatocyte ballooning, and used the NAFLD Scoring System to evaluate the extent of changes. We measured triglyceride levels, determined the level of lipid peroxidation products, and measured by qPCR the expression of mRNAs for several proteins associated with lipid metabolism, oxidative stress, and fibrosis. MCD-fed GSH-deficient Gclm null mice were to a large extent protected from MCD diet-induced excessive fat accumulation, hepatocyte injury, inflammation, and fibrosis. Compared with wt animals, MCD-fed Gclm null mice had much lower levels of F₂-isoprostanes, lower expression of acyl-CoA oxidase, carnitine palmitoyltransferase 1a, uncoupling protein-2, stearoyl-coenzyme A desaturase-1, transforming growth factor-β, and plasminogen activator inhibitor-1 mRNAs, and higher activity of catalase, indicative of low oxidative stress, inhibition of triglyceride synthesis, and lower expression of profibrotic proteins. Global gene analysis of hepatic RNA showed that compared with wt mice, the livers of Gclm null mice have a high capacity to metabolize endogenous and exogenous compounds, have lower levels of lipogenic proteins, and increased antioxidant activity. Thus, metabolic adaptations resulting from severe GSH deficiency seem to protect against the development of steatohepatitis.
authors.affiliation: Department of Pathology, University of Washington, Seattle, WA 98195-7470, USA.
authors.forename: Jamil A
authors.initials: JA
authors.lastname: Haque
authors.forename: Ryan S
authors.initials: RS
authors.lastname: McMahan
authors.forename: Jean S
authors.initials: JS
authors.lastname: Campbell
authors.forename: Masami
authors.initials: M
authors.lastname: Shimizu-Albergine
authors.forename: Angela M
authors.initials: AM
authors.lastname: Wilson
authors.forename: Dianne
authors.initials: D
authors.lastname: Botta
authors.forename: Theo K
authors.initials: TK
authors.lastname: Bammler
authors.forename: Richard P
authors.initials: RP
authors.lastname: Beyer
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Montine
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Yeh
authors.forename: Terrance J
authors.initials: TJ
authors.lastname: Kavanagh
authors.forename: Nelson
authors.initials: N
authors.lastname: Fausto
mesh_terms: D000214:Acyl Coenzyme A / Q000378:metabolism; D042962:Acyl-CoA Oxidase / Q000378:metabolism; D000818:Animals; D000975:Antioxidants / Q000378:metabolism; D002334:Carnitine O-Palmitoyltransferase / Q000378:metabolism; D002794:Choline / Q000378:metabolism; D004032:Diet / Q000009:adverse effects*; D018450:Disease Progression; D005234:Fatty Liver / Q000150:complications / Q000235:genetics / Q000378:metabolism* / Q000473:pathology*; D005978:Glutathione / Q000378:metabolism*; D022781:Hepatocytes / Q000378:metabolism / Q000473:pathology; D007249:Inflammation / Q000150:complications / Q000378:metabolism / Q000473:pathology; D007473:Ion Channels / Q000378:metabolism; D050356:Lipid Metabolism / Q000502:physiology; D015227:Lipid Peroxidation / Q000502:physiology; D008099:Liver / Q000378:metabolism / Q000473:pathology; D008297:Male; D008715:Methionine / Q000172:deficiency / Q000378:metabolism; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D024101:Mitochondrial Proteins / Q000378:metabolism; D018384:Oxidative Stress / Q000502:physiology; D000071246:Uncoupling Protein 2
chemical_list: D000214:Acyl Coenzyme A; D000975:Antioxidants; D007473:Ion Channels; D024101:Mitochondrial Proteins; C000604390:Ucp2 protein, mouse; D000071246:Uncoupling Protein 2; C017725:stearoyl-coenzyme A; D008715:Methionine; D042962:Acyl-CoA Oxidase; D002334:Carnitine O-Palmitoyltransferase; D005978:Glutathione; D002794:Choline