Objective: Non-alcoholic fatty liver disease (NAFLD) is associated with hepatic metabolism dysfunction. However, the mechanistic role of miR204 in the development of NAFLD is unknown. We investigated the functional significance of miR204 in the evolution of NAFLD. Design and method: NAFLD was induced in isocitrate dehydrogenase (IDH2) knockout (KO) mice by feeding them with a high-fat diet (HFD). Blood parameters and hepatic fat accumulation were evaluated in IDH2 KO mice and wild-type (WT) mice. A miR204 inhibitor was subcutaneously injected into mice using an osmotic pump. The expression of miR204 was analyzed by quantitative PCR (qPCR). Results: IDH2 KO mice fed a normal diet (ND) or HFD showed significantly increased body weight, epididymal fat-pad weight, cholesterol, triglyceride, and macrophage marker (CD68), and inflammatory cytokine [tumor necrosis factor-a (TNF-a), interleukin (IL)-6 and IL-1b] expression compared to WT mice fed a ND or HFD. Moreover, the expression of miR204 was significantly increased in mice with IDH2 deficiency. miR204 regulates carnitine palmitoyltransferase 1a (cpt1a) synthesis, which inhibits fatty acid b-oxidation. Inhibition of miR204 prevents the disassembly of two fatty acid-related genes—peroxisomal acyl-coenzyme A oxidase 1 (ACOX-1) and peroxisome proliferator-activated receptor alpha (PPARa)—by activating CPT1a expression, which decreases inflammatory cytokines, epididymal fat pad weight, cholesterol, low-density lipoprotein (LDL), and triglycerides. Conclusions: miR204 promotes the pathogenesis of HFD-induced NAFLD by regulating hepatic metabolism and inflammation.
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