Exendin-4 Improves Steatohepatitis by Increasing Sirt1 Expression in High-Fat Diet-Induced Obese C57BL/6J Mice
Open accessAbstract
The effects of exendin-4 on Sirt1 expression as a mechanism of reducing fatty liver have not been previously reported. Therefore, we investigated whether the beneficial effects of exendin-4 treatment on fatty liver are mediated via Sirt1 in high-fat (HF) diet-induced obese C57BL/6J mice and related cell culture models. Exendin-4 treatment decreased body weight, serum free fatty acid (FA), and triglyceride levels in HF-induced obese C57BL/6J mice. Histological analysis showed that exendin-4 reversed HF-induced hepatic accumulation of lipids and inflammation. Exendin-4 treatment increased mRNA and protein expression of Sirt1 and its downstream factor, AMPK, in vivo and also induced genes associated with FA oxidation and glucose metabolism. In addition, a significant increase in the hepatic expression of Lkb1 and Nampt mRNA was observed in exendin-4-treated groups. We also observed increased expression of phospho-Foxo1 and GLUT2, which are involved in hepatic glucose metabolism. In HepG2 and Huh7 cells, mRNA and protein expressions of GLP-1R were increased by exendin-4 treatment in a dose-dependent manner. Exendin-4 enhanced protein expression of Sirt1 and phospho-AMPKα in HepG2 cells treated with 0.4 mM palmitic acid. We also found that Sirt1 was an upstream regulator of AMPK in hepatocytes. A novel finding of this study was the observation that expression of GLP-1R is proportional to exendin-4 concentration and exendin-4 could attenuate fatty liver through activation of Sirt1.
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Liraglutide or exendin-4 (1 nmol/kg/day) treatment dose-dependently reduced steatosis and lobular inflammation in HFD-fed rats or mice compared with the saline-injected group.
“Liraglutide or exendin-4 (1 nmol/kg/day) treatment dose-dependently reduced steatosis and lobular inflammation in HFD-fed rats or mice compared with the saline-injected group [28, 95], probably due to an increase of SIRT1 [96].”
From Anti-Inflammatory Effects of GLP-1-Based Therapies beyond Glucose Control (2016) · cites this paper as [95]
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- Authors
- Lee, J., Hong, S.-W., Chae, S. W., Kim, D. H., Choi, J. H., Bae, J. C., Park, S. E., Rhee, E.-J., Park, C.-Y., Oh, K.-W., Park, S.-W., Kim, S.-W., & Lee, W.-Y.
- Affiliations
- Kangbuk Samsung Hospital (KR)
- Corresponding author
- Lee, Won-Young
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2012-02-17
- Volume
- 7
- Issue
- 2
- Pages
- e31394
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3281956
- OpenAlex
- W2056990561
- Cited by
- 157
- References
- 2
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 8 · 2023: 6 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 17 · 2016: 13 · 2015: 19 · 2014: 18 · 2013: 15 · 2012: 5
- FWCI
- 8.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Korea Science and Engineering Foundation
- Ministry of Education, Science and Technology
- Samsung
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- exendin-4, SIRT1, steatohepatitis, hepatic steatosis, high-fat diet-induced obesity, GLP-1 receptor, AMPK, LKB1, visfatin, FOXO1, GLUT2, hepatic glucose metabolism, fatty acid oxidation, hepatic lipid accumulation, liver inflammation, GLP-1 receptor agonists
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, Exenatide, Animals, Body Weight, Fatty Liver, Feeding Behavior, Gene Expression Regulation, Glucose, Homeostasis, Humans, Liver, Mice, Inbred C57BL, Mice, Obese, Oxidation-Reduction, Peptides, Triglycerides, Venoms, Cytokines, Protein Serine-Threonine Kinases, Receptors, Glucagon, Palmitic Acid, Cell Line, Tumor, Lipogenesis, Mice, Nicotinamide Phosphoribosyltransferase, AMP-Activated Protein Kinases, Sirtuin 1, Diet, High-Fat
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