Fructose stimulated de novo lipogenesis is promoted by inflammation

Nat Metab. 2020 Oct;2(10):1034-1045. doi: 10.1038/s42255-020-0261-2. Epub 2020 Aug 24.

Abstract

Benign hepatosteatosis, affected by lipid uptake, de novo lipogenesis and fatty acid (FA) oxidation, progresses to non-alcoholic steatohepatitis (NASH) on stress and inflammation. A key macronutrient proposed to increase hepatosteatosis and NASH risk is fructose. Excessive intake of fructose causes intestinal-barrier deterioration and endotoxaemia. However, how fructose triggers these alterations and their roles in hepatosteatosis and NASH pathogenesis remain unknown. Here we show, using mice, that microbiota-derived Toll-like receptor (TLR) agonists promote hepatosteatosis without affecting fructose-1-phosphate (F1P) and cytosolic acetyl-CoA. Activation of mucosal-regenerative gp130 signalling, administration of the YAP-induced matricellular protein CCN1 or expression of the antimicrobial peptide Reg3b (beta) peptide counteract fructose-induced barrier deterioration, which depends on endoplasmic-reticulum stress and subsequent endotoxaemia. Endotoxin engages TLR4 to trigger TNF production by liver macrophages, thereby inducing lipogenic enzymes that convert F1P and acetyl-CoA to FA in both mouse and human hepatocytes.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetyl Coenzyme A / pharmacology
  • Animals
  • Endotoxemia / blood
  • Female
  • Fructose / pharmacology*
  • Fructosephosphates / pharmacology
  • Gastrointestinal Microbiome
  • Hepatocytes / drug effects
  • Hepatocytes / metabolism
  • Humans
  • Inflammation / metabolism*
  • Intestines / drug effects
  • Lipidomics
  • Lipogenesis / drug effects*
  • Macrophages / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Regeneration / drug effects
  • Toll-Like Receptors / agonists

Substances

  • Fructosephosphates
  • Toll-Like Receptors
  • fructose-1-phosphate
  • Fructose
  • Acetyl Coenzyme A