Abstract

Non-alcoholic fatty liver disease is prevalent in human obesity and type 2 diabetes, and is characterized by increases in both hepatic triglyceride accumulation (denoted as steatosis) and expression of pro-inflammatory cytokines such as IL-1β. We report here that the development of hepatic steatosis requires IL-1 signaling, which upregulates Fatty acid synthase to promote hepatic lipogenesis. Using clodronate liposomes to selectively deplete liver Kupffer cells in ob/ob mice, we observed remarkable amelioration of obesity-induced hepatic steatosis and reductions in liver weight, triglyceride content and lipogenic enzyme expressions. Similar results were obtained with diet-induced obese mice, although visceral adipose tissue macrophage depletion also occurred in response to clodronate liposomes in this model. There were no differences in the food intake, whole body metabolic parameters, serum β-hydroxybutyrate levels or lipid profiles due to clodronate-treatment, but hepatic cytokine gene expressions including IL-1β were decreased. Conversely, treatment of primary mouse hepatocytes with IL-1β significantly increased triglyceride accumulation and Fatty acid synthase expression. Furthermore, the administration of IL-1 receptor antagonist to obese mice markedly reduced obesity-induced steatosis and hepatic lipogenic gene expression. Collectively, our findings suggest that IL-1β signaling upregulates hepatic lipogenesis in obesity, and is essential for the induction of pathogenic hepatic steatosis in obese mice.

Highlights

  • The prevalence of obesity represents a fully fledged epidemic as greater than 300 million adults are clinically obese worldwide [1]

  • The key results presented here demonstrate that the macrophage-derived inflammatory mediator IL-1b potentiates the hepatic manifestation of the metabolic syndrome by stimulating lipogenesis and hepatic steatosis in obese mice (Figs. 5–7)

  • Utilizing clodronate liposomes to selectively deplete liver Kupffer cells (KCs) in genetically obese ob/ob mice, we report remarkable amelioration of hepatic steatosis and significant reductions in hepatic inflammation and lipogenic gene expression (Figs. 4–5)

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Summary

Introduction

The prevalence of obesity represents a fully fledged epidemic as greater than 300 million adults are clinically obese worldwide [1]. A major hallmark of obesity is adipose tissue (AT) dysfunction, which is characterized by a chronic state of lowgrade inflammation, and by a decreased ability of adipocytes to efficiently store excess nutrients and lipids as triglycerides (TGs) [1,2,3] This in turn is thought to increase circulating free fatty acids (FFAs) and ectopic lipid deposition within insulin sensitive tissues, such as muscle and liver, causing IR. The intracellular hepatic lipid accumulation and subsequent formation of lipid droplets within hepatocytes can activate resident tissue macrophages, otherwise denoted as Kupffer cells (KCs), which release pro-inflammatory cytokines, including TNF-a, IL-6 and IL-1b [4,5,6] This inflammation enhances NAFLD progression to fibrosis, cirrhosis, chronic liver disease, and exacerbates IR [4,5,6,7,8]

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