학술논문

Fructose stimulated de novo lipogenesis is promoted by inflammation
Document Type
article
Source
Nature Metabolism. 2(10)
Subject
Medical Biochemistry and Metabolomics
Medical Physiology
Biomedical and Clinical Sciences
Nutrition and Dietetics
Digestive Diseases
Liver Disease
Hepatitis
Aetiology
2.1 Biological and endogenous factors
Acetyl Coenzyme A
Animals
Endotoxemia
Female
Fructose
Fructosephosphates
Gastrointestinal Microbiome
Hepatocytes
Humans
Inflammation
Intestines
Lipidomics
Lipogenesis
Macrophages
Mice
Mice
Inbred C57BL
Non-alcoholic Fatty Liver Disease
Regeneration
Toll-Like Receptors
Medical biochemistry and metabolomics
Medical physiology
Nutrition and dietetics
Language
Abstract
Benign hepatosteatosis, affected by lipid uptake, de novo lipogenesis and fatty acid (FA) oxidation, progresses to non-alcoholic steatohepatitis (NASH) on stress and inflammation. A key macronutrient proposed to increase hepatosteatosis and NASH risk is fructose. Excessive intake of fructose causes intestinal-barrier deterioration and endotoxaemia. However, how fructose triggers these alterations and their roles in hepatosteatosis and NASH pathogenesis remain unknown. Here we show, using mice, that microbiota-derived Toll-like receptor (TLR) agonists promote hepatosteatosis without affecting fructose-1-phosphate (F1P) and cytosolic acetyl-CoA. Activation of mucosal-regenerative gp130 signalling, administration of the YAP-induced matricellular protein CCN1 or expression of the antimicrobial peptide Reg3b (beta) peptide counteract fructose-induced barrier deterioration, which depends on endoplasmic-reticulum stress and subsequent endotoxaemia. Endotoxin engages TLR4 to trigger TNF production by liver macrophages, thereby inducing lipogenic enzymes that convert F1P and acetyl-CoA to FA in both mouse and human hepatocytes.