Although glucagon-like peptide-1 (GLP-1) analogue has been reported to suppress
oxidative stress in non-alcoholic fatty liver disease (NAFLD), an effective
therapeutic agent for NAFLD is currently unavailable. Therefore, in this study,
we aimed to investigate the protective effects of the GLP-1 analogue liraglutide
against lipotoxicity-induced oxidative stress in HepG2 cells and to elucidate
the underlying mechanisms. HepG2 cells were cultured for 48 hours and treated
with a free fatty acid (FFA) mixture: FFA mixture and liraglutide or FFA
mixture, liraglutide, and exendin (9–39). Lipid accumulation was
examined by oil red O staining. Oxidative stress was assessed by measuring the
levels of intracellular reactive oxygen species using
2′,7′-dichlorofluorescein diacetate and thiobarbituric
acid-reactive substances, whereas antioxidant capacity was assessed by measuring
the activity of superoxide dismutase and catalase. Expression of the nuclear
factor erythroid-2-related factor 2 (NRF2) gene and the genes encoding
antioxidant enzymes was analyzed using quantitative RT-PCR. Cellular and nuclear
NRF2 expression levels were assessed using immunofluorescence cell staining and
western blotting. Liraglutide treatment reduced high fat-induced lipid formation
and the levels of oxidative stress markers and increased antioxidant enzyme
activity in HepG2 cells. Liraglutide treatment increased the mRNA expression of
NRF2 target genes, induced NRF2 nuclear translocation, and increased nuclear
NRF2 levels without altering NRF2 mRNA expression. Collectively, these
results indicate that liraglutide exhibits a protective effect against
lipotoxicity-induced oxidative stress, possibly via modulation of NRF2 and
expression of antioxidant enzymes in liver cells.