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Eliciting the mitochondrial unfolded protein response by nicotinamide adenine dinucleotide repletion reverses fatty liver disease in mice.

Hepatology (Baltimore, Md.)
April 1, 2016
Karim Gariani et al. (23 authors)
Journal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tAnimal Study
Study Details

Study Goal

The researchers aimed to determine whether NAD(+) repletion via nicotinamide riboside (NR) could prevent or reverse NAFLD in mice by improving mitochondrial function and hepatic β-oxidation.

Results Summary

NR supplementation prevented and reversed NAFLD in mice by activating SIRT1- and SIRT3-dependent mitochondrial responses, enhancing β-oxidation, and improving mitochondrial content and activity. The benefits were observed in both preventive and therapeutic interventions, including in liver-specific Sirt1 knockout and Apoe-deficient mice.

Population

C57BL/6J mice, liver-specific Sirt1 knockout mice (Sirt1(hep-/-)), and apolipoprotein E-deficient mice (Apoe(-/-)).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-fat high-sucrose (HFHS) diet
decrease
hepatic nicotinamide adenine dinucleotide (NAD(+)) levels
C57BL/6J mice
-
lowers
#1
high-fat high-sucrose (HFHS) diet
decrease
hepatic mitochondrial content
C57BL/6J mice
-
driving reductions in
#2
high-fat high-sucrose (HFHS) diet
decrease
hepatic mitochondrial function
C57BL/6J mice
-
driving reductions in
#3
high-fat high-sucrose (HFHS) diet
decrease
hepatic adenosine triphosphate (ATP) levels
C57BL/6J mice
-
driving reductions in
#4
high-fat high-sucrose (HFHS) diet
increase
hepatic weight
C57BL/6J mice
-
robust increases in
#5
high-fat high-sucrose (HFHS) diet
increase
hepatic lipid content
C57BL/6J mice
-
robust increases in
#6
high-fat high-sucrose (HFHS) diet
increase
hepatic peroxidation
C57BL/6J mice
-
robust increases in
#7
nicotinamide riboside (NR) added to the HFHS diet
decrease
NAFLD
mice
-
prevents and reverts
#8
nicotinamide riboside (NR) added to the HFHS diet
increase
hepatic β-oxidation
mice
-
inducing a sirtuin (SIRT)1- and SIRT3-dependent mitochondrial unfolded protein response, triggering an adaptive mitohormetic pathway to increase
#9
nicotinamide riboside (NR) added to the HFHS diet
increase
mitochondrial complex content
mice
-
inducing a sirtuin (SIRT)1- and SIRT3-dependent mitochondrial unfolded protein response, triggering an adaptive mitohormetic pathway to increase
#10
nicotinamide riboside (NR) added to the HFHS diet
increase
mitochondrial complex activity
mice
-
inducing a sirtuin (SIRT)1- and SIRT3-dependent mitochondrial unfolded protein response, triggering an adaptive mitohormetic pathway to increase
#11
NR treatment
neutral
-
liver-specific Sirt1 knockout mice (Sirt1(hep-/-))
-
revealed the cell-autonomous beneficial component of
#12
NR
neutral
-
apolipoprotein E-deficient mice (Apoe(-/-)) challenged with a high-fat high-cholesterol diet
-
affirmed the use of
#13
Abstract

UNLABELLED: With no approved pharmacological treatment, nonalcoholic fatty liver disease (NAFLD) is now the most common cause of chronic liver disease in Western countries and its worldwide prevalence continues to increase along with the growing obesity epidemic. Here, we show that a high-fat high-sucrose (HFHS) diet, eliciting chronic hepatosteatosis resembling human fatty liver, lowers hepatic nicotinamide adenine dinucleotide (NAD(+) ) levels driving reductions in hepatic mitochondrial content, function, and adenosine triphosphate (ATP) levels, in conjunction with robust increases in hepatic weight, lipid content, and peroxidation in C57BL/6J mice. To assess the effect of NAD(+) repletion on the development of steatosis in mice, nicotinamide riboside, a precursor of NAD(+) biosynthesis, was added to the HFHS diet, either as a preventive strategy or as a therapeutic intervention. We demonstrate that NR prevents and reverts NAFLD by inducing a sirtuin (SIRT)1- and SIRT3-dependent mitochondrial unfolded protein response, triggering an adaptive mitohormetic pathway to increase hepatic β-oxidation and mitochondrial complex content and activity. The cell-autonomous beneficial component of NR treatment was revealed in liver-specific Sirt1 knockout mice (Sirt1(hep-/-) ), whereas apolipoprotein E-deficient mice (Apoe(-/-) ) challenged with a high-fat high-cholesterol diet affirmed the use of NR in other independent models of NAFLD. CONCLUSION: Our data warrant the future evaluation of NAD(+) boosting strategies to manage the development or progression of NAFLD.

Medical Subject Headings (MeSH)
Analysis of VarianceAnimalsArea Under CurveBiopsy, NeedleDiet, High-FatDisease Models, AnimalFatty LiverImmunohistochemistryLipid MetabolismMaleMiceMice, Inbred C57BLMitochondriaNADNiacinamidePyridinium CompoundsRandom AllocationSensitivity and SpecificityTreatment OutcomeUnfolded Protein Response
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations284
Citations/Year31.6
Relative Citation Ratio9.80
NIH Percentile97.8%
Research Impact Scores
APT Score0.75
Weight Score1.12
Normalized Score0.70