Abstract

Low levels of n-3 polyunsaturated fatty acids (PUFAs) in serum and liver tissue biopsies are the common characteristics in patients with alcoholic liver disease. The α-linolenic acid (ALA) is a plant-derived n-3 PUFA and is rich in flaxseed oil. However, the impact of ALA on alcoholic fatty liver is largely unknown. In this study, we assessed the potential protective effects of ALA-rich flaxseed oil (FO) on ethanol-induced hepatic steatosis and observed that dietary FO supplementation effectively attenuated the ethanol-induced hepatic lipid accumulation in mice. Ethanol exposure stimulated adipose lipolysis but reduced fatty acid/lipid uptake, which were normalized by FO. Our investigations into the corresponding mechanisms demonstrated that the ameliorating effect of FO might be associated with the lower endoplasmic reticulum stress and normalized lipid metabolism in adipose tissue. In the liver, alcohol exposure stimulated hepatic fatty acid uptake and triglyceride synthesis, which were attenuated by FO. Additionally, dietary FO upregulated plasma adiponectin concentration, hepatic adiponectin receptor 2 expression, and the activation of hepatic adenosine monophosphate-activated protein kinase. Collectively, dietary FO protects against alcoholic hepatic steatosis by improving lipid homeostasis at the adipose tissue-liver axis, suggesting that dietary ALA-rich flaxseed oil might be a promising approach for prevention of alcoholic fatty liver.

Highlights

  • Adipokines, such as adiponectin that modulates hepatic lipid homeostasis towards a reduction of lipid content[5]

  • Accumulating clinical evidence has revealed that a low levels of omega-3 (n-3) polyunsaturated fatty acids (PUFAs), including α-linolenic acid (ALA, 18:3 n-3), in serum and liver tissue biopsies is a common characteristic of patients with alcoholic and non-alcoholic liver disease[9,10]

  • Several studies have reported that fish oil or long chain n-3 PUFAs protect against fatty liver induced by alcohol[12,13,14]

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Summary

Introduction

Adipokines, such as adiponectin that modulates hepatic lipid homeostasis towards a reduction of lipid content[5]. An increasing number of studies have addressed the role of fish oil or long chain n-3 PUFAs (e.g., eicosapentaenoic acid (EPA, 20:5 n-3), docosahexaenoic acid (DHA, 22:6 n-3)) in alcoholic hepatic steatosis[11,12,13,14,15,16]. Several studies have reported that fish oil or long chain n-3 PUFAs protect against fatty liver induced by alcohol[12,13,14]. Several studies have shown that fish oil promotes the pathogenesis of ethanol-induced hepatic steatosis and liver injury[15,16]. The aims of this study were to evaluate the possible protective effects of dietary ALA-rich flaxseed oil against alcoholic hepatic steatosis in a mouse model of chronic-plus-single-binge ethanol feeding, and to investigate its impacts on lipid homeostasis at the adipose tissue-liver axis

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