Abstract:Obesity-induced fatty liver disease is associated with increased hypothalamic inflammation. Previous reports have demonstrated that the deletion of SIRT1 in hepatocytes increases hepatic steatosis and inflammation. Using myeloid cell-specific SIRT1 knockout (KO) mice, we investigated whether ablation of SIRT1 in macrophages plays a role in regulating hepatic steatosis and hypothalamic inflammation. When challenged with a high-fat diet (HFD) for 24 weeks, hyperleptinemia, hyperinsulinemia, hepatic steatosis and… Show more
“…Cases with the strongest radiologic evidence for MBH gliosis also had elevations of both fasting plasma insulin levels and HOMA‐IR that were not fully explained by their higher BMIs. These data in humans echo evidence from animal models showing that glucose homeostasis might be impaired independently by inflammatory responses in the hypothalamus . The MBH and specifically the arcuate nucleus play a critical role in the regulation of energy homeostasis, glucose metabolism , and non‐insulin‐mediated glucose disposal .…”
Objective
To utilize quantitative magnetic resonance imaging (MRI) to test whether mediobasal hypothalamic (MBH) gliosis is associated with obesity and insulin resistance in humans.
Methods
Sixty-seven participants underwent a fasting blood draw and MRI. Cases with radiologic evidence of MBH gliosis (N=22) were identified as the upper tertile of left MBH T2 relaxation time and were compared to controls (N=23) from the lowest tertile. In a separate postmortem study, brain slices (N=10) through the MBH were imaged by MRI and stained for glial fibrillary acidic protein (GFAP).
Results
In all participants, longer T2 relaxation time in the left MBH was associated with higher BMI (P=0.01). Compared to controls, cases had longer T2 relaxation times in the right MBH (P<0.05), as well as higher BMI (P<0.05), fasting insulin concentrations (P<0.01), and HOMA-IR values (P<0.01), adjusted for sex and age. Elevations in insulin and HOMA-IR were also independent of BMI. In the postmortem study, GFAP staining intensity was positively associated with MBH T2 relaxation time (P<0.05), validating an MRI-based method for the detection of MBH gliosis in humans.
Conclusions
These findings link hypothalamic gliosis to insulin resistance in humans and suggest that the link is independent of the level of adiposity.
“…Cases with the strongest radiologic evidence for MBH gliosis also had elevations of both fasting plasma insulin levels and HOMA‐IR that were not fully explained by their higher BMIs. These data in humans echo evidence from animal models showing that glucose homeostasis might be impaired independently by inflammatory responses in the hypothalamus . The MBH and specifically the arcuate nucleus play a critical role in the regulation of energy homeostasis, glucose metabolism , and non‐insulin‐mediated glucose disposal .…”
Objective
To utilize quantitative magnetic resonance imaging (MRI) to test whether mediobasal hypothalamic (MBH) gliosis is associated with obesity and insulin resistance in humans.
Methods
Sixty-seven participants underwent a fasting blood draw and MRI. Cases with radiologic evidence of MBH gliosis (N=22) were identified as the upper tertile of left MBH T2 relaxation time and were compared to controls (N=23) from the lowest tertile. In a separate postmortem study, brain slices (N=10) through the MBH were imaged by MRI and stained for glial fibrillary acidic protein (GFAP).
Results
In all participants, longer T2 relaxation time in the left MBH was associated with higher BMI (P=0.01). Compared to controls, cases had longer T2 relaxation times in the right MBH (P<0.05), as well as higher BMI (P<0.05), fasting insulin concentrations (P<0.01), and HOMA-IR values (P<0.01), adjusted for sex and age. Elevations in insulin and HOMA-IR were also independent of BMI. In the postmortem study, GFAP staining intensity was positively associated with MBH T2 relaxation time (P<0.05), validating an MRI-based method for the detection of MBH gliosis in humans.
Conclusions
These findings link hypothalamic gliosis to insulin resistance in humans and suggest that the link is independent of the level of adiposity.
“…Consequently, the deletion of SIRT1 exacerbates the development of hepatic inflammation and fatty liver diseases when challenged with high-fat diet or even mediate-fat diet 27 , 28 . Consistent with these observations, myeloid cell-specific disruption of SIRT1 in mice reveals that SIRT1 deficiency in macrophages induces NF-κB hyperacetylation and increases NF-κB transcriptional activation in the liver, resulting in hepatic inflammation 114 and hepatic steatosis upon high-fat diet 115 , whereas overexpression of SIRT1 in transgenic mice shows beneficial effects on fatty liver induced by high-fat diet and lower activation of pro-inflammatory cytokines, such as IL-6 and TNF-α, via down-regulation of NF-κB activity 30 . These results are consistent to those with activation of SIRT1 by resveratrol or nicotinamide riboside treatment under high-fat or high-fat plus high-sucrose diet conditions 78 , 80 , 87 , 107 , 116 .…”
Section: Role Of Sirt1 In Hepatic Inflammationsupporting
Fatty liver diseases, which are commonly associated with high-fat/calorie diet, heavy alcohol consumption and/or other metabolic disorder causes, lead to serious medical concerns worldwide in recent years. It has been demonstrated that metabolic homeostasis disruption is most likely to be responsible for this global epidemic. Sirtuins are a group of conserved nicotinamide adenine dinucleotide (NAD+) dependent histone and/or protein deacetylases belonging to the silent information regulator 2 (Sir2) family. Among seven mammalian sirtuins, sirtuin 1 (SIRT 1) is the most extensively studied one and is involved in both alcoholic and nonalcoholic fatty liver diseases. SIRT1 plays beneficial roles in regulating hepatic lipid metabolism, controlling hepatic oxidative stress and mediating hepatic inflammation through deacetylating some transcriptional regulators against the progression of fatty liver diseases. Here we summarize the latest advances of the biological roles of SIRT1 in regulating lipid metabolism, oxidative stress and inflammation in the liver, and discuss the potential of SIRT1 as a therapeutic target for treating alcoholic and nonalcoholic fatty liver diseases.
“…For double immunofluorescence, sections of deparaffinized epididymal fat tissue were incubated at 4 °C overnight with the primary antibodies ( Table S3 ). Double immunofluorescence procedures were performed as previously described [ 38 ]. Additionally, we performed double immunofluorescence staining for SHIP1 and TUNEL to measure the degree of SHIP1-positive apoptotic adipocytes using an in situ cell death detection kit (Roche Molecular Biochemicals, Mannheim, Germany) according to the manufacturer’s instructions.…”
Obesity-induced adipocyte apoptosis promotes inflammation and insulin resistance. Src homology domain-containing inositol 5′-phosphatase 1 (SHIP1) is a key factor of apoptosis and inflammation. However, the role of SHIP1 in obesity-induced adipocyte apoptosis and autophagy is unclear. We found that diet-induced obesity (DIO) mice have significantly greater crown-like structures and terminal deoxynucleotidyl transferase deoxyuridine triphosphate (dUTP) nick-end labeling (TUNEL)-positive cells than ob/ob or control mice. Using RNA sequencing (RNA-seq) analysis, we identified that the apoptosis- and inflammation-related gene Ship1 is upregulated in DIO and ob/ob mice compared with control mice. In particular, DIO mice had more SHIP1-positive macrophages and lysosomal-associated membrane protein 1 (LAMP1) as well as a higher B-cell lymphoma 2 (Bcl-2)-associated X protein (Bax)/Bcl-2 ratio compared with ob/ob or control mice. Furthermore, caloric restriction attenuated adipose tissue inflammation, apoptosis, and autophagy by reversing increases in SHIP1-associated macrophages, Bax/Bcl2-ratio, and autophagy in DIO and ob/ob mice. These results demonstrate that DIO, not ob/ob, aggravates adipocyte inflammation, apoptosis, and autophagy due to differential SHIP1 expression. The evidence of decreased SHIP1-mediated inflammation, apoptosis, and autophagy indicates new therapeutic approaches for obesity-induced chronic inflammatory diseases.
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