Abstract

Epigallocatechin-3-gallate (EGCG) has been shown to attenuate obesity, fatty liver disease, hepatic inflammation and lipid profiles. Here, we validate the efficacy of EGCG in a murine model of non-alcoholic fatty liver disease (NAFLD) and extend the mechanistic insights. NAFLD was induced in mice by a high-fat diet (HFD) with 30% fructose. EGCG was administered at a low dose (25 mg/kg/day, EGCG-25) or high dose (50 mg/kg/day, EGCG-50) for 8 weeks. In HFD-fed mice, EGCG attenuated body and liver weight by ~22% and 47%, respectively, accompanied by ~47% reduction in hepatic triglyceride (TG) accumulation and ~38% reduction in serum cholesterol, resonating well with previous reports in the literature. In EGCG-treated mice, the hepatic steatosis score and the non-alcoholic steatohepatitis activity score were both reduced by ~50% and ~57%, respectively, accompanied by improvements in hepatic inflammation grade. Liver enzymes were improved ~2–3-fold following EGCG treatment, recapitulating previous reports. Hepatic flow cytometry demonstrated that EGCG-fed mice had lower Ly6C+, MHCII+ and higher CD206+, CD23+ hepatic macrophage infiltration, indicating that EGCG impactedM1/M2 macrophage polarization. Our study further validates the salubrious effects of EGCG on NAFLD and sheds light on a novel mechanistic contribution of EGCG, namely hepatic M1-to-M2 macrophage polarization. These findings offer further support for the use of EGCG in human NAFLD.

Highlights

  • Non-alcoholic fatty liver disease (NAFLD), the most common cause of liver diseases worldwide, is a condition in which excess fat builds up in the liver cells of patients who drink little or no alcohol

  • The disease progresses to the 2nd stage of NAFLD, non-alcoholic steatohepatitis (NASH), with histopathological evidence of liver cell injury, placing patients at high risk of developing cirrhosis, hepatocellular carcinoma, and in some cases, the need for liver transplantation

  • Mice induced to have NAFLD were randomly divided into three groups: phosphate-buffered saline (PBS), EGCG-25, and EGCG-50

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Summary

Introduction

Non-alcoholic fatty liver disease (NAFLD), the most common cause of liver diseases worldwide, is a condition in which excess fat builds up in the liver cells of patients who drink little or no alcohol. The early-stage of NAFLD is a reversible condition characterized by steatosis of the liver, involving more than 5% of parenchyma with no evidence of hepatocyte injury [4,5]. The disease progresses to the 2nd stage of NAFLD, non-alcoholic steatohepatitis (NASH), with histopathological evidence of liver cell injury, placing patients at high risk of developing cirrhosis, hepatocellular carcinoma, and in some cases, the need for liver transplantation. NAFLD has been considered as the hepatic manifestation of metabolic syndrome, being an independent risk factor for cardiovascular diseases and a significant cause of morbidity and mortality worldwide [5,6,7]

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