Abstract

Non-alcoholic fatty liver disease (NAFLD) and -steatohepatitis (NASH) imply a state of excessive fat built-up in livers with/or without inflammation and have led to serious medical concerns in recent years. Antrodan (Ant), a purified β-glucan from A. cinnamomea has been shown to exhibit tremendous bioactivity, including hepatoprotective, antihyperlipidemic, antiliver cancer, and anti-inflammatory effects. Considering the already well-known alleviating bioactivity of A. cinnamomea for the alcoholic steatohepatitis (ASH), we propose that Ant can be beneficial to NAFLD, and that the AMPK/Sirt1/PPARγ/SREBP-1c pathways may be involved in such alleviations. To uncover this, we carried out this study with 60 male C57BL/6 mice fed high-fat high-fructose diet (HFD) for 60 days, in order to induce NAFLD/NASH. Mice were then grouped and treated (by oral administration) as: G1: control; G2: HFD (HFD control); G3: Ant, 40 mgkg (Ant control); G4: HFD+Orlistat (10 mg/kg) (as Orlistat control); G5: HFD+Ant L (20 mg/kg); and G6: HFD+Ant H (40 mg/kg) for 45 days. The results indicated Ant at 40 mg/kg effectively suppressed the plasma levels of malondialdehyde, total cholesterol, triglycerides, GOT, GPT, uric acid, glucose, and insulin; upregulated leptin, adiponectin, pAMPK, Sirt1, and down-regulated PPARγ and SREBP-1c. Conclusively, Ant effectively alleviates NAFLD via AMPK/Sirt1/CREBP-1c/PPARγ pathway.

Highlights

  • Patient with non-alcoholic fatty liver disease (NAFLD) implies a state of excessive fat built-up in livers with, or without minimal inflammation [1,2,3,4]

  • A high dose Antrodan cotreatment in high-fructose diet (HFD) significantly suppressed the bodyH- aFnDdsliigvneirf-iwcaenigtlhytsi,nacnredatsheedrtahteiobloivdeyr-watn/dboldivyewr-wt, ebieginhgtsmoformeiecffe.ecTthiveebtohdany-thaendpolisviteirv-ewceoingthrtosl ‘aOnrdlisthtaet’r(aTtaioblleiv1e)r. wt/body wt in the Antrogen (40 mg/kg) control group remained normal as the control (Table 1)

  • Dietary supplementation from fermentation products may be used as strategies for preventing or alleviating the fatty liver symptoms

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Summary

Introduction

Patient with non-alcoholic fatty liver disease (NAFLD) implies a state of excessive fat built-up in livers with, or without minimal inflammation [1,2,3,4]. NAFLD is the hepatic manifestation of the metabolic syndrome associated with obesity [5]. High fructose consumption (HFC) leads to increased body weight with elevated systolic blood pressure, blood glucose, insulin, and serum triglyceride (TG) levels [7]. HFC reduces energy expenditure, thereby causing obesity, adipocyte hypertrophy, and inflammation [8]; lipid spillover further causes hepatic steatosis, peripheral insulin resistance and diabetes, raised levels of LDL and a decrease in HDL [9]. A high-fructose and high-fat diet potentially tends to damage liver mitochondria, increasing the risk from fatty-liver disease and metabolic syndrome [8]

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