Abstract Objectives Nonalcoholic Steatohepatitis (NASH), the aggressive subtype of nonalcoholic fatty liver disease, affects about 1.5–6.45% of population in the world. Understanding the pathophysiology of NASH is critical to develop a therapeutic strategy for NASH. In this study, we investigated whether thermoneutrality can modulate the progression of NASH. Methods Male C57BL/6 J mice were randomly assigned to 2 groups (16 mice/group), and fed with either a control chow diet (CHD) (Picolab rodent diet 20, LabDiet) with a regular drinking water or an “fast food” diet (FFD) (Research Diets, D12079B) plus fructose 23.1 g/L and glucose 18.9 g/L added to the drinking water for 20 weeks. Half of mice in each group were housed at the standard temperature (ST) (22°C), and the other half of mice were housed at the thermoneutral temperature (TT) (27°C). Body weight, food intake, and body composition were measured weekly. Histological assessments, including H&E staining, trichrome staining, and Picro Sirius Red staining, were used to examine lipid accumulation and collagen formation in liver. In addition, Real-time PCR was performed to study gene expression in the liver and brown adipose tissue (BAT). Results In the FFD group, mice under TT compared to ST had significantly higher body weight gain, total fat mass, higher plasma levels of aspartate aminotransferase, alanine aminotransferase, total cholesterol, and low-density lipoprotein cholesterol. Moreover, FFD mice under TT demonstrated more pronounced lipid accumulation and presence of collagen, higher expression of several genes involved in lipid synthesis (Fasn, Acc1, and Serbp1c) and collagen formation (Col1a1), and significantly higher expression of inflammation markers including Ccl5, Nos2, Mcp1, and Il12b in the liver. As expected, TT housing significantly inhibited expression of thermogenesis markers, such as Ucp1, Elov3, and Cidea in BAT regardless of diets. Mice fed CHD did not present NASH even they were exposed to TT. Conclusions Thermoneutrality exacerbated the progression of NASH in mice. Further studies are warranted to investigate how brown fat activity regulates the development of NASH. Funding Sources The College of Human Sciences of Texas Tech University; the National Center for Complementary & Integrative Health (Grant R15AT008733).
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