Abstract

Obesity is closely associated with non-alcoholic fatty liver disease (NAFLD), and elevated serum palmitate is the link between obesity and excessive hepatic lipid accumulation. Forkhead box O-1 (FoxO1) is one of the FoxO family members of transcription factors and can stimulate adipose triglyceride lipase (ATGL) and suppress its inhibitor G0/G1 switch gene 2 (G0S2) expression in the liver. However, previous researches have also shown conflicting results regarding the role of FoxO1 in hepatic lipid accumulation. We therefore examined the role of FoxO1 as a downstream suppressor to palmitate-stimulated hepatic steatosis. Palmitate significantly promoted lipid accumulation but inhibited lipid decomposition in human HepG2 hepatoma cells. Palmitate also significantly reduced FoxO1, ATGL and its activator comparative gene identification-58 (CGI-58) expression but increased peroxisome proliferator-activated receptorγ (PPARγ) and its target gene G0S2 expression. FoxO1 overexpression significantly increased palmitate-inhibited ATGL and CGI-58 expression but reduced palmitate-stimulated PPARγ and its target gene G0S2 expression. FoxO1 overexpression also inhibited lipid accumulation and promoted lipolysis in palmitate-treated hepatocytes. Overall, these results indicate that FoxO1-mediated ATGL-dependent lipolysis may be an effective molecular mechanism in protecting hepatocytes from palmitate-induced fat accumulation.

Highlights

  • During the past few decades, obesity has been sharply increasing in developed and developing countries, and is a worldwide epidemic [1]

  • The exposure of HepG2 hepatocytes to palmitate caused a concentration-dependent decrease in lipolytic activity, as demonstrated by the glycerol and free fatty acids (FFAs) amount released into the cell media (Fig 1D and 1E)

  • To investigate the underlying molecular mechanism of palmitate-stimulated hepatic triglyceride accumulation, the effects of palmitate on the expression of Forkhead box O-1 (FoxO1), adipose triglyceride lipase (ATGL), comparative gene identification-58 (CGI-58), peroxisome proliferator-activated receptorγ (PPARγ), and G0S2 were evaluated in HepG2 hepatocytes

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Summary

Introduction

During the past few decades, obesity has been sharply increasing in developed and developing countries, and is a worldwide epidemic [1]. The global trend of obesity has led to a very high prevalence of obesity-associated non-alcoholic fatty liver disease (NAFLD) [2]. Hepatic lipid accumulation is the initial stage of NAFLD. Individuals with hepatic lipid accumulation may develop to nonalcoholic steatohepatitis, fibrosis, cirrhosis and possibly hepatocellular carcinoma progressing from simple steatosis [3]. Multiple evidences have indicated that NAFLD is associated with increased risk of developing type 2 diabetes mellitus.

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