Nonalcoholic steatohepatitis (NASH) is a progressive liver disease, and some patients
develop hepatic cirrhosis/carcinoma. Animal models play key roles in the development of
new therapies for NASH. In this study, the pharmacological effects of metformin and
pioglitazone were investigated in female Spontaneously Diabetic Torii (SDT) fatty rats to
verify the utility of this model. The anti-diabetic drugs were administered to SDT fatty
rats fed a cholesterol-enriched diet from 4 to 25 weeks, and changes in food intake, body
weight, and blood chemistry parameters were evaluated every 4 weeks. The hepatic lipid
content, mRNA expression in relation to lipid synthesis, inflammation, and fibrosis, and
histopathological analyses were performed at 25 weeks. Pioglitazone improved
hyperglycemia, hyperlipidemia, and abnormalities in hepatic parameters. The insulin levels
were lower than those in the control rats before 16 weeks. Plasma glucose levels in the
metformin-treated rats were lower than those in the control rats, and plasma alanine
aminotransferase levels temporarily decreased. The lipid content and some mRNA expression
in relation to fibrosis in the liver decreased with pioglitazone treatment, and the mRNA
expression of microsomal triglyceride transfer protein increased. Hepatic fibrosis
observed in the SDT fatty rats improved with pioglitazone treatment; however, the effect
with metformin treatment was partial. These results in both drugs are in line with results
in the human study, suggesting that the SDT fatty rat is useful for developing new
anti-NASH drugs that show potential to regulate glucose/lipid metabolism.