用户名: 密码: 验证码:
肝脏线粒体载体蛋白HDMCP解偶联功能及其与非酒精性脂肪性肝病关系的研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
研究背景与目的:
     非酒精性脂肪性肝病(nonalcoholic fatty liver disease,NAFLD)是指除外酒精和其他明确的肝损因素所致的,以弥漫性肝大泡性脂肪变、伴或不伴炎症为主要特征的临床病理综合征,包括单纯性脂肪肝、脂肪性肝炎、肝纤维化以及肝硬化。近年来,不断有证据提示线粒体功能失常在NAFLD的发生发展中起到重要作用。解偶联蛋白(UCPs)属于线粒体阴离子载体蛋白超家族,定位于线粒体内膜并在多种组织中表达。UCPs通过对氧化磷酸化的解偶联(即质子渗漏)而对线粒体的功能和机体代谢活动产生影响。肝脏是人体最大的代谢器官而其在生理状态下线粒体的质子渗漏占其总耗氧量的20-30%,提示可能存在UCPs在其中起作用。然而迄今为止并未有任何一种UCP在正常肝细胞中表达的报道。肝癌中下调的线粒体载体蛋白(HDMCP)是新近克隆出来并被证明在肝细胞中特异性表达的线粒体载体蛋白,既往研究在细胞株中发现其具有降低线粒体膜电位的作用,因此其可能就是人们长期寻找的肝脏特异性UCP。本研究的目的首先是在酵母菌表达体系中进一步研究HDMCP的解偶联功能;其次研究HDMCP与NAFLD发生发展的关系。
     研究方法:
     在C57小鼠肝脏中用Trizol方法提取总mRNA后逆转录为cDNA,再行PCR特异性扩增HDMCP cDNA,后连接至PMDT_(18)载体,转化大肠杆菌后过夜培养,提取质粒后送测序。将测序证实无突变的PMDT_(18)-HDMCP质粒再PCR扩增并与pYES2载体连接,同样转化大肠杆菌后质粒测序。将测序正确的pYES2-HDMCP质粒转化酵母菌,经过1%的半乳糖诱导表达后,提取线粒体并立即在30℃下进行呼吸功能测定,主要指标包括解偶联率、线粒体呼吸控制及GDP抑制率。随后,本课题通过高脂饮食和油酸、棕榈酸混合物培养成功构建NAFLD大鼠及脂质沉积细胞模型,并使用western blot、RNA干扰等方法研究HDMC在脂质沉积中的作用。最后,本课题还采用分光光度法和萤火虫荧光素酶法分别测定细胞模型中过氧化氢和ATP含量,以研究HDMCP调控脂质水平的下游通路。
     本课题比较多地采用生物信息学的方法,如对HDMCP与UCP1-5的序列比对采用clustalW程序,进化分析主要采用Mega 4软件包中的邻近法进行构树。在统计学上,每项实验至少进行三次,计量资料采用平均数±标准误来表示。非配对的两组间比较采用student's t检验(对于非正态分布的两组间数据比较采用Mann-Whitney法),两变量间相互关系的分析采用直线相关分析进行。所有统计数据均由专人录入并在SPSS 11.0中进行分析,p<0.05为有显著性差异。
     结果:
     通过序列比对发现HDMCP与UCP1-5有约40%的序列相似度,且表现出线粒体载体蛋白的基本特征。进一步通过进化分析,发现HDMCPs显著的与UCP4,UCP5以及无脊椎动物中的UCPs序列更相近,提示进化上其可能更加原始。Westen blot显示HDMCP在分离的酵母线粒体中表达。由于缺乏OXO和UCP1的特异性抗体,本课题采用实时定量RT-PCR证实了二者mRNA在各自转染的酵母线粒体上的表达(OXO:0.73±0.07;UCP1 0.81±0.12)。在提取线粒体并测定解偶联率时,本课题发现HDMCP具有一定GDP非敏感性的解偶联功能,与OXO和pyes2阴性对照及UCP1阳性对照相比,差异具有统计学意义(p<0.05)。
     与对照相比,肝指数、血清胆固醇与甘油三酯、肝脏甘油三酯含量以及HOMA-IR指数在NAFLD均有显著性增高。此外,western blot显示HDMCP在NAFLD模型组中显著增高。而细胞脂质含量及甘油三酯水平在模型组也比对照组有2-7倍的增高。随着高脂培养时间的延长,HDMCP水平逐渐上升。通过RNA干扰,L02与HepG2细胞中HDMCP的表达分别下调了60%与62%,伴细胞脂质含量及甘油三酯的显著增高,而control-shRNA则无显著作用。此外,NAFLD动物与细胞模型中的ATP含量以及细胞模型中的H_2O_2(ROS的代表物)水平比对照均呈显著下降,然而这种作用部分被HDMCP-shRNA通过下调HDMCP水平所抑制。同时ATP水平与其相应的HDMCP水平呈负相关(r=-0.93,L02细胞,p<0.05;r=-0.91 HepG2细胞,p<0.05)。
     结论:
     1)通过在酵母表达系统中表达HDMCP,本课题验证了其具有GDP非敏感性的解偶联功能,支持“HDMCP可能就是研究人员长期寻找的肝脏特异性的解偶联蛋白”这一假说,为全面理解生理状态下肝脏线粒体能量代谢提供理论支持。
     2)本课题首次发现并阐明HDMCP在NAFLD大鼠模型及单纯脂变模型中表达上升,通过进一步研究发现HDMCP具有部分调节NAFLD细胞模型中脂质沉积的作用,而且该调控可能通过降低ATP与H_2O_2的产生起作用,可能是机体面对脂肪过剩情况下的适应性反应。因此,HDMCP可能成为今后NAFLD治疗干预的新靶点。
     3)由于H_2O_2是脂质过氧化的重要产物,因此,本课题的研究也提示HDMCP可能在NAFLD从单纯性脂变向NASH的进展中起到重要作用。
Backgrond/aims:
     Nonalcoholic fatty liver disease(NAFLD) represents a common clinicopathologic condition characterized by lipid deposition in hepatocytes of liver parenchyma without alcohol consumption in amounts considered to be harmful to the liver,ranging from simple steatosis to steatohepatitis,fibrosis,cirrhosis and hepatocellular carcinoma. Nowadays,there are accumulating evidences that mitochondrial dysfunction plays a pivotal role in NAFLD.Uncoupling proteins(UCPs) belong to the superfamily of mitochondrial anion-carrier proteins,which are located on the mitochondrial inner membrane and are identified in various tissues.UCPs uncouple the mitochondrial respiration from ATP synthesis by dissipating the transmembrane proton gradient to further influence mitochondrial function and metabolic process.Therefore,UCPs might be a key cluster of proteins involved in mitochondrial dysfunction.
     Liver is the largest metabolic organ in human body and mitochondrial proton leak accounts for 20-30%of the oxygen consumption of isolated resting hepatocytes.Due to the uncoupling character of UCPs,it is plausible that they might participate in hepatic mitochondrial proton leak and certain dysregulated metabolic pathways.Nevertheless, there are currently no UCPs(UCP 1 to 5) detected in normal hepatocytes. Hepatocellular carcinoma down-regulated mitochondrial carrier protein(HDMCP) was first cloned in the year of 2004 and proved to be exclusively expressed in liver.This protein bears all the hallmark features of the mitochondrial anion-carrier proteins and is significantly down-regulated during the development of hepatocellular carcinoma. However,whether it does have an uncoupling activity needs to be examined by more experimental systems.Therefore,our aim of this study is to explore the uncoupling activity of HDMCP in a yeast expression system and its function in NAFLD.
     Methods:
     CDNAs of UCP1,OXO and HDMCP were obtained using routine RT-PCR amplification from mice livers and then sequentially cloned into PMDT_(18) and pYES2 expression vector.Thereafter,Saccharomyces cerevisae was transformed with purified pYES2 vectors containing UCP1,OXO,HDMCP and empty vector and further grown in SC-ura liquid medium.After approximately 48h growth,mitochondria were isolated from the yeast and the uncoupling activity was measured.NAFLD cell model was established by exposing L02 and HepG2 cells at 80%confluency to HFFA,a mixture of oleate(OA) and palmitate(PA),at the final ratio of 2:1 and concentration of 1mM for serial time spots(24 h,36h,48h,60h and 72h).Nile Red(1 mg/ml in PBS) was used to display the cellular lipid content.Cellular protein content was assessed by the lowry method and TG level was measured using the method of GPO/POD enzymatic reaction. For NAFLD animal model,a total of 24 twelve-week-old SDrats weighing 158g-172g were randomly divided into NAFLD(n=12) and control group(n=12).Control group was given basic diet while NAFLD group was given fat-rich diet.The successful establishment of both two models was confirmed by pathologic(Nile red and H-E staining) and biochemical changes(TG,Tch,fasting glucose,fasting insulin,et al).
     Routine real time RT-PCR and western blot were used to detect HDMCP mRNA and protein levels.RNA interference was used to knockdown HDMCP level by adding HDMCP-shRNA into cell models using Lipofectamine 2000.Mitochondrial ATP was extracted and measured using a luciferin-luciferase bioluminescent assay.The rate of mitochondrial H_2O_2 production was determined according to the manufacturer's instructions.Each experiment was performed in at least triplicate and data were expressed as means±SE(standard error).Unpaired student's t-test for normal distributed numerical variance and Mann-Whitney for skewed data were executed by SPSS 11.0.Linear correlation was used to explore the association between two variables.The differences were considered statistically significant at p<0.05.
     Results:
     Firstly,we successfully expressed HDMCP in yeast mitochondria and found a significant GDP insensitive uncoupling activity of HDMCP.Secondly,on the basis of successfully established animal and cell NAFLD models,we found a significantly increased expression of HDMCP in both two models,where the increment of HDMCP in cell model was correlated with culture time and steatosis was aggravated when HDMCP level was knocked down by RNA interference.Finally,we found that the effect of HDMCP in steatosis alleviation might function through promoting ATP depletion and decreasing H_2O_2 production,as these two markers were both significantly decreased in L02 and HepG2 cells with high expression of HDMCP.Furthermore, down-regulation of HDMCP could significantly antagonize these changes.
     Conclusion:
     This study adds supportive data to the hypothesis that HDMCP might be a long postulated liver specific uncoupling protein and broaden our understanding of the pathogenesis of NAFLD.More importantly,HDMCP might become a novel drug target for its property in alleviating hepatic steatosis.
引文
[1] Clark JM,Brancati FL,Diehl AM.Nonalcoholic fatty liver disease.Gastroenterology 2002 May; 122(6):1649-57.
    [2] Younossi ZM,Diehl AM,Ong JR Nonalcoholic fatty liver disease:an agenda for clinical research.Hepatology 2002 Apr;35(4):746-52.
    [3] Fan JG,Farrell GC.Epidemiology of non-alcoholic fatty liver disease in China.J Hepatol 2009 Jan;50(1):204-10.
    [4] Ong JP,Younossi ZM.Epidemiology and natural history of NAFLD and NASH.Clin Liver Dis 2007 Feb;11(1):1-16,vii.
    [5] Krauss S,Zhang CY,Lowell BB.The mitochondrial uncoupling-protein homologues.Nat Rev Mol Cell Biol 2005 Mar;6(3):248-61.
    [6] Cannon B,Nedergaard J.Brown adipose tissue:function and physiological significance.Physiol Rev 2004 Jan;84(1):277-359.
    [7] Nicholls DG,Locke RM.Thermogenic mechanisms in brown fat.Physiol Rev 1984 Jan;64(1):1-64.
    [8] Fleury C,Neverova M,Collins S,Raimbault S,Champigny O,Levi-Meyrueis C,et al.Uncoupling protein-2:a novel gene linked to obesity and hyperinsulinemia.Nat Genet 1997 Mar;15(3):269-72.
    [9] Gimeno RE,Dembski M,Weng X,Deng N,Shyjan AW,Gimeno CJ,et al.Cloning and characterization of an uncoupling protein homolog:a potential molecular mediator of human thermogenesis.Diabetes 1997 May;46(5):900-6.
    [10]Boss O,Samec S,Paoloni-Giacobino A,Rossier C,Dulloo A,Seydoux J,et al.Uncoupling protein-3:a new member of the mitochondrial carrier family with tissue-specific expression.FEBS Lett 1997 May 12;408(1):39-42.
    [11] Vidal-Puig A,Solanes G,Grujic D,Flier JS,Lowell BB.UCP3:an uncoupling protein homologue expressed preferentially and abundantly in skeletal muscle and brown adipose tissue.Biochem Biophys Res Commun 1997 Jun 9;235(1):79-82.
    [12] Gong DW,He Y,Karas M,Reitman M.Uncoupling protein-3 is a mediator of thermogenesis regulated by thyroid hormone,beta3-adrenergic agonists,and leptin.J Biol Chem 1997 Sep 26;272(39):24129-32.
    [13]Nedergaard J,Cannon B.The 'novel' 'uncoupling' proteins UCP2 and UCP3:what do they really do? Pros and cons for suggested functions.Exp Physiol 2003 Jan;88(1):65-84.
    [14]Mao W,Yu XX,Zhong A,Li W,Brush J,Sherwood SW,et al.UCP4,a novel brain-specific mitochondrial protein that reduces membrane potential in mammalian cells.FEBS Lett 1999 Jan 29;443(3):326-30.
    [15]Yu XX,Mao W,Zhong A,Schow P,Brush J,Sherwood SW,et al.Characterization of novel UCP5/BMCP1 isoforms and differential regulation of UCP4 and UCP5 expression through dietary or temperature manipulation.FASEBJ2000Aug;14(11):1611-8.
    [16]Klingenberg M,Appel M.The uncoupling protein dimer can form a disulfide cross-link between the mobile C-terminal SH groups.Eur J Biochem 1989 Marl;180(1):123-31.
    [17] Stuart JA,Harper JA,Brindle KM,Jekabsons MB,Brand MD.A mitochondrial uncoupling artifact can be caused by expression of uncoupling protein 1 in yeast.Biochem J 2001 Jun 15;356(Pt 3):779-89.
    [18]Huang X,Miller WE.A time-efficient,linear-space local similarity algorithm.Adv Appl Math 1991;12:337-57.
    [19]Pebay-Peyroula E,hout-Gonzalez C,Kahn R,Trezeguet V,Lauquin GJ,Brandolin G.Structure of mitochondrial ADP/ATP carrier in complex with carboxyatractyloside.Nature 2003 Nov 6;426(6962):39-44.
    [20]Miroux B,Frossard V,Raimbault S,Ricquier D,Bouillaud F.The topology of the brown adipose tissue mitochondrial uncoupling protein determined with antibodies against its antigenic sites revealed by a library of fusion proteins.EMBO J 1993 Oct;12(10):3739-45.
    [21]Arechaga I,Ledesma A,Rial E.The mitochondrial uncoupling protein UGP1:a gated pore.IUBMB Life 2001 Sep;52(3-5):165-73.
    [22]Winkler E,Klingenberg M.Effect of fatty acids on H+ transport activity of the reconstituted uncoupling protein.J Biol Chem 1994 Jan 28;269(4):2508-15.
    [23]Skulachev VP.Fatty acid circuit as a physiological mechanism of uncoupling of oxidative phosphorylation.FEBS Lett 1991 Dec 9;294(3):158-62.
    [24]Jezek P,Orosz DE,Modriansky M,Garlid KD.Transport of anions and protons by the mitochondrial uncoupling protein and its regulation by nucleotides and fatty acids.A new look at old hypotheses.J Biol Chem 1994 Oct 21;269(42):26184-90.
    [25] Modriansky M,Murdza-Inglis DL,Patel HV,Freeman KB,Garlid KD.Identification by site-directed mutagenesis of three arginines in uncoupling protein that are essential for nucleotide binding and inhibition.J Biol Chem 1997 Oct 3;272(40):24759-62.
    [26]Negre-Salvayre A,Hirtz C,Carrera G,Cazenave R,Troly M,Salvayre R,et al.A role for uncoupling protein-2 as a regulator of mitochondrial hydrogen peroxide generation.FASEB J 1997 Aug;ll(10):809-15.
    [27]Murphy MP,Echtay KS,Blaikie FH,sin-Cayuela J,Cocheme HM,Green K,et al.Superoxide activates uncoupling proteins by generating carbon-centered radicals and initiating lipid peroxidation:studies using a mitochondria-targeted spin trap derived from alpha-phenyl-N-tert-butylnitrone.J Biol Chem 2003 Dec 5;278(49):48534-45.
    [28]Day CP,James OF.Steatohepatitis:a tale of two “hits”? Gastroenterology 1998Apr;114(4):842-5.
    [29]Kowdley KV,Pratt DS.Adiponectin—tipping the scales from NAFLD to NASH? Gastroenterology 2005 Feb;128(2):511-3.
    [30]Wei Y,Rector RS,Thyfault JP,Ibdah JA.Nonalcoholic fatty liver disease and mitochondrial dysfunction.World J Gastroenterol 2008 Jan 14;14(2):193-9.
    [31]Pessayre D,Berson A,Fromenty B,Mansouri A.Mitochondria in steatohepatitis.Semin Liver Dis 2001;21(1):57-69.
    [32] Yang S,Zhu H,Li Y,Lin H,Gabrielson K,Trush MA,et al.Mitochondrial adaptations to obesity-related oxidant stress.Arch Biochem Biophys 2000 Jun 15;378(2):259-68.
    [33]Brand MD.The proton leak across the mitochondrial inner membrane.Biochim Biophys Acta 1990 Jul 25;1018(2-3):128-33.
    [34]Baffy G,Zhang CY,Glickman JN,Lowell BB.Obesity-related fatty liver is unchanged in mice deficient for mitochondrial uncoupling protein 2.Hepatology 2002 Apr;35(4):753-61.
    [35]Tan MG,Ooi LL,Aw SE,Hui KM.Cloning and identification of hepatocellular carcinoma down-regulated mitochondrial carrier protein,a novel liver-specific uncoupling protein.J Biol Chem 2004 Oct 22;279(43):45235-44.
    [36] Chen YT,Holcomb C,Moore HP.Expression and localization of two low molecular weight GTP-binding proteins,Rab8 and Rab10,by epitope tag.Proc Natl Acad Sci U S A 1993 Jul 15;90(14):6508-12.
    [37]Palmieri F,Bisaccia F,Capobianco L,Dolce V,Fiermonte G,Iacobazzi V,et al.Mitochondrial metabolite transporters.Biochim Biophys Acta 1996 Jul 18;1275(1-2):127-32.
    [38]Lopez MF,Melov S.Applied proteomics:mitochondrial proteins and effect on function.Circ Res 2002 Mar 8;90(4):380-9.
    [39]Pedersen PL,Amzel LM,Cintron N,Soper JW,Hullihen J,Wehrle J.The ATP synthesizing system of liver mitochondria.Adv Exp Med Biol 1980; 132:317-44.
    [40] Sato N.Central role of mitochondria in metabolic regulation of liver pathophysiology.J Gastroenterol Hepatol 2007 Jun;22 Suppl 1:S1-S6.
    [41]Wolkow CA,Iser WB.Uncoupling protein homologs may provide a link between mitochondria,metabolism and lifespan.Ageing Res Rev 2006 May; 5(2):196-208.
    [42]Ramsey JJ,Harper ME,Humble SJ,Koomson EK,Ram JJ,Bevilacqua L,et al.Influence of mitochondrial membrane fatty acid composition on proton leak and H202 production in liver.Comp Biochem Physiol B Biochem Mol Biol 2005 Jan;140(1):99-108.
    [43]Echtay KS,Winkler E,Frischmuth K,Klingenberg M.Uncoupling proteins 2 and 3 are highly active H(+)transporters and highly nucleotide sensitive when activated by coenzyme Q (ubiquinone).Proc Natl Acad Sci U S A 2001 Feb 13;98(4):1416-21.
    [44]Brand MD,Esteves TC.Physiological functions of the mitochondrial uncoupling proteins UCP2 and UCP3.Cell Metab 2005 Aug;2(2):85-93.
    [45] Chomiki N,Voss JC,Warden CH.Structure-function relationships in UCP1,UCP2 and chimeras:EPR analysis and retinoic acid activation of UCP2.Eur J Biochem2001 Feb;268(4):903-13.
    [46]Zhang CY,Baffy G,Perret P,Krauss S,Peroni 0,Grujic D,et al.Uncoupling protein-2 negatively regulates insulin secretion and is a major link between obesity,beta cell dysfunction,and type 2 diabetes.Cell 2001 Jun 15; 105(6):745-55.
    [47] Serviddio G,Bellanti F,Tamborra R,Rollo T,Capitanio N,Romano AD,et al.Uncoupling protein-2 (UCP2)induces mitochondrial proton leak and increases susceptibility of non-alcoholic steatohepatitis (NASH)liver to ischaemia-reperfusion injury.Gut 2008 Jul;57(7):957-65.
    [48]Uchino S,Yamaguchi Y,Furuhashi T,Wang FS,Zhang JL,Okabe K,et al.Steatotic liver allografts up-regulate UCP-2 expression and suffer necrosis in rats.J Surg Res 2004 Jul;120(1):73-82.
    [49]Davis LM,Rho JM,Sullivan PG.UCP-mediated free fatty acid uncoupling of isolated cortical mitochondria from fasted animals:correlations to dietary modulations.Epilepsia 2008 Nov;49 Suppl 8:117-9.
    [50] Shabalina IG,Petrovic N,Kramarova TV,Hoeks J,Cannon B,Nedergaard J.UCP1 and defense against oxidative stress.4-Hydroxy-2-nonenal effects on brown fat mitochondria are uncoupling protein 1-independent.J Biol Chem 2006 May 19;281(20); 13882-93.
    [51]Matsuda N,Kobayashi H,Katoh H,Ogawa T,Futatsugi L,Nakamura T,et al.Na+-dependent K+ uptake Ktr system from the cyanobacterium Synechocystis sp.PCC 6803 and its role in the early phases of cell adaptation to hyperosmotic shock.J Biol Chem 2004 Dec 24;279(52):54952-62.
    [52]Tan MG,Ooi LL,Aw SE,Hui KM.Cloning and identification of hepatocellular carcinoma down-regulated mitochondrial carrier protein,a novel liver-specific uncoupling protein.J Biol Chem 2004 Oct 22;279(43):45235-44.
    [53]Roussel D,Harding M,Runswick MJ,Walker JE,Brand MD.Does any yeast mitochondrial carrier have a native uncoupling protein function? J Bioenerg Biomembr 2002 Jun;34(3):165-76.
    [54]Douette P,Gerkens P,Navet R,Leprince P,De PE,Sluse FE.Uncoupling protein 1 affects the yeast mitoproteome and oxygen free radical production.Free Radic Biol Med 2006 Jan 15;40(2):303-15.
    [55] Stuart JA,Harper JA,Brindle KM,Jekabsons MB,Brand MD.Physiological levels of mammalian uncoupling protein 2 do not uncouple yeast mitochondria.J Biol Chem 2001 May 25;276(21):18633-9.
    [56]Hinz W,Gruninger S,De PA,Chiesi M.Properties of the human long and short isoforms of the uncoupling protein-3 expressed in yeast cells.FEBS Lett 1999 Dec 3;462(3):411-5.
    [57] Harper JA,Stuart JA,Jekabsons MB,Roussel D,Brindle KM,Dickinson K,et al.Artifactual uncoupling by uncoupling protein 3 in yeast mitochondria at the concentrations found in mouse and rat skeletal-muscle mitochondria.Biochem J 2002 Jan l;361(Pt l):49-56.
    [58]Mozo J,Emre Y,Bouillaud F,Ricquier D,Criscuolo F.Thermoregulation:what role for UCPs in mammals and birds? Biosci Rep 2005 Jun;25(3-4):227-49.
    [59]Palmieri F.Mitochondrial carrier proteins.FEBS Lett 1994 Jun 6;346(1):48-54.
    [60]Walk er JE,Runswick MJ.The mitochondrial transport protein superfamily.J Bioenerg Biomembr 1993 Oct;25(5):435-46.
    [61]Aquila H,Link TA,Klingenberg M.Solute carriers involved in energy transfer of mitochondria form a homologous protein family.FEBS Lett 1987 Feb9;212(1):l-9.
    [62]Pessayre D,Berson A,Fromenty B,Mansouri A.Mitochondria in steatohepatitis.Semin Liver Dis 2001;21(1):57-69.
    [63] Loguercio C,Federico A.Oxidative stress in viral and alcoholic hepatitis.Free Radic Biol Med 2003 Jan 1;34(1):1-10.
    [64]Jaeschke H.Reactive oxygen and mechanisms of inflammatory liver injury.J Gastroenterol Hepatol 2000 Jul; 15(7):718-24.
    [65]Skulachev VP.Uncoupling:new approaches to an old problem of bioenergetics.Biochim Biophys Acta 1998 Feb 25;1363(2):100-24.
    [66] Rolfe DF,Brand MD.The physiological significance of mitochondrial proton leak in animal cells and tissues.Biosci Rep 1997 Feb;17(1):9-16.
    [67] Ricquier D,Bouillaud F.The uncoupling protein homologues:UCP1,UCP2,UCP3,StUCP and AtUCP.Biochem J 2000 Jan 15;345 Pt 2:161-79.
    [68] Kotani K,Sakane N,Saiga K,Adachi S,Shimohiro H,Mu H,et al.Relationship between A-3826G polymorphism in the promoter of the uncoupling protein-1 gene and high-density lipoprotein cholesterol in Japanese individuals:a cross-sectional study.Arch Med Res 2008 Jan;39(1):142-6.
    [69]Yu X,Jacobs DR,Jr.,Schreiner PJ,Gross MD,Steffes MW,Fornage M.The uncoupling protein 2 Ala55Val polymorphism is associated with diabetes mellitus:the CARDIA study.Clin Chem 2005 Aug;51(8):1451-6.
    [70]Hamada T,Kotani K,Fujiwara S,Sano Y,Domichi M,Tsuzaki K,et al.The common-55 C/T polymorphism in the promoter region of the uncoupling protein 3 gene reduces prevalence of obesity and elevates serum high-density lipoprotein cholesterol levels in the general Japanese population.Metabolism 2008 Mar;57(3):410-5.
    [71] Caldwell SH,Swerdlow RH,Khan EM,Iezzoni JC,Hespenheide EE,Parks JK,et al.Mitochondrial abnormalities in non-alcoholic steatohepatitis.J Hepatol 1999 Sep;31(3):430-4.
    [72] Pessayre D,Mansouri A,Fromenty B.Nonalcoholic steatosis and steatohepatitis.V.Mitochondrial dysfunction in steatohepatitis.Am J Physiol Gastrointest Liver Physiol 2002 Feb;282(2):G193-G199.
    [73] Selzner M,Rudiger HA,Sindram D,Madden J,Clavien PA.Mechanisms of ischemic injury are different in the steatotic and normal rat liver.Hepatology 2000 Dec;32(6):1280-8.
    [74]Carling D.The AMP-activated protein kinase cascade—a unifying system for energy control.Trends Biochem Sci 2004 Jan;29(1):18-24.
    [75] Lieberthal W,Menza SA,Levine JS.Graded ATP depletion can cause necrosis or apoptosis of cultured mouse proximal tubular cells.Am J Physiol 1998 Feb;274(2Pt2):F315-F327.
    [76] Villena J,Henriquez M,Torres V,Moraga F,az-Elizondo J,Arredondo C,et al.Ceramide-induced formation of ROS and ATP depletion trigger necrosis in lymphoid cells.Free Radic Biol Med 2008 Mar 15;44(6):1146-60.
    [77]Yang SQ,Lin HZ,Lane MD,Clemens M,Diehl AM.Obesity increases sensitivity to endotoxin liver injury:implications for the pathogenesis of steatohepatitis.Proc Natl Acad Sci U S A 1997 Mar 18;94(6):2557-62.
    [78] Cortez-Pinto H,Chatham J,Chacko VP,Arnold C,Rashid A,Diehl AM. Alterations in liver ATP homeostasis in human nonalcoholic steatohepatitis:a pilot study.JAMA 1999 Nov 3;282(17):1659-64.
    [79] Day CP,James OF.Hepatic steatosis:innocent bystander or guilty party?Hepatology 1998 Jun;27(6):1463-6.
    [80] Yamaguchi K,Yang L,McCall S,Huang J,Yu XX,Pandey SK,et al.Inhibiting triglyceride synthesis improves hepatic steatosis but exacerbates liver damage and fibrosis in obese mice with nonalcoholic steatohepatitis.Hepatology 2007 Jun;45(6):1366-74.
    [81] Stuart JA,Cadenas S,Jekabsons MB,Roussel D,Brand MD.Mitochondrial proton leak and the uncoupling protein 1 homologues.Biochim Biophys Acta 2001 Mar l;1504(1):144-58.
    [82]Rashid A,Wu TC,Huang CC,Chen CH,Lin HZ,Yang SQ,et al.Mitochondrial proteins that regulate apoptosis and necrosis are induced in mouse fatty liver.Hepatology 1999 Apr;29(4):1131-8.
    [83] Cortez-Pinto H,Zhi LH,Qi YS,Odwin Da CS,Diehl AM.Lipids up-regulate uncoupling protein 2 expression in rat hepatocytes.Gastroenterology 1999 May; 116(5):1184-93.
    [84] Larrouy D,Laharrague P,Carrera G,Viguerie-Bascands N,Levi-Meyrueis C,Fleury C,et al.Kupffer cells are a dominant site of uncoupling protein 2 expression in rat liver.Biochem Biophys Res Commun 1997 Jun 27;235(3):760-4.
    [85] Davis LM,Rho JM,Sullivan PG.UCP-mediated free fatty acid uncoupling of isolated cortical mitochondria from fasted animals:correlations to dietary modulations.Epilepsia 2008 Nov;49 Suppl 8:117-9.
    [86] Anetor JI,Asiribo OA,Adedapo KS,Akingbola TS,Olorunnisola OS,Adeniyi FA.Increased plasma manganese,partially reduced ascorbate,1 and absence of mitochondrial oxidative stress in type 2 diabetes mellitus:implications for the superoxide uncoupling protein 2(UCP-2) pathway.Biol Trace Elem Res 2007;120(1-3):19-27.
    [87]Parker N,Vidal-Puig A,Brand MD.Stimulation of mitochondrial proton conductance by hydroxynonenal requires a high membrane potential.Biosci Rep 2008 Apr;28(2):83-8.
    [88]Zhang CY,Parton LE,Ye CP,Krauss S,Shen R,Lin CT,et al.Genipin inhibits UCP2-mediated proton leak and acutely reverses obesity- and high glucose-induced beta cell dysfunction in isolated pancreatic islets.Cell Metab 2006 Jun;3(6):417-27.
    [1]中华医学会肝脏病学分会脂肪肝和酒精性肝病学组.非酒精性脂肪性肝病诊疗指南.中华肝脏病杂志 2006;14(3):161-1633
    [2]Kopelman,P.G.Obesity as a medical problem.Nature 2000,404:635-643
    [3]DeFronzo,R.A.& Ferrannini,E.Insulin resistance.A multifaceted syndrome responsible for NIDDM,obesity,hypertension,dyslipidemia,and atherosclerotic cardiovascular disease.Diabetes Care 1991,14:173-194
    [4]Schaffner,F.& Thaler,H.Nonalcoholic fatty liver disease.Prog Liver Dis 1986,8:283-298
    [5]Brunt,E.M.Nonalcoholic steatohepatitis:definition and pathology.Semin Liver Dis 2001,21:3-16
    [6]McCullough,A.J.The clinical features,diagnosis and natural history of nonalcoholic fatty liver disease.ClinLiver Dis 2004,8:521-533
    [7]Marrero,J.A.,Fontana,R.J.,Su,G.L.,Conjeevaram,H.S.,Emick,D.M.&Lok,A.S.NAFLD may be acommon underlying liver disease in patients with hepatocellular carcinoma in the United States.Hepatology 2002,36:1349-1354
    [8]Day CP.Steatohepatitis:a tale of two "hits"? Gastroenterology 1998;114:842-8455.
    [9]Mitchell,P.Coupling of phosphorylation to electron and hydrogen transfer by a chemi-osmotic type of mechanism.Naturwissenschaften 1961,191:144-148
    [10]Stuart,J.A.,Cadenas,S.,Jekabsons,M.B.,Roussel,D.& Brand,M.D. Mitochondrial proton leak and the uncoupling protein 1 homologues.Biochim Biophys Acta 2001,1504:144-158
    [11]elMoualij B,DuyckaertsC,Lamotte-Brasseur J.Phylogenetic classification of the mitochondrial carrier family of Saccharomyces cerevisiae.Yeast,1997,13(6):573-581.
    [12]Champigny,0.,Levi-Meyrueis,C.,Bouillaud,F.,Seldin,M.F.,Surwit,R.S.,Ricquier,D,et al.Uncoupling protein-2:a novel gene linked to obesity and hyperinsulinemia.Nat Genet 1997,15:269-272
    [13]Gimeno,R.E.,Dembski,M.,Weng,X.,Deng,N.,Shyjan,A.W.,Gimeno,C.J.,et al.Cloning and characterization of anuncoupling protein homolog:a potential molecular mediator of human thermogenesis.Diabetes 1997,46:900-906
    [14]Bouillaud,F.,Couplan,E.,Pecqueur,C.& Ricquier,D.Homologues of the uncoupling protein from brown adipose tissue (UCP1):UCP2,UCP3,BMCP1 and UCP4.Biochim Biophys Acta 2001,1504:107-119
    [15]Winkler E,Klingenberg M.Effect of fatty acids on H+ transport activity of the reconstituted uncoupling protein.J Biol Chem 1994 Jan 28; 269(4):2508-15.
    [16]Skulachev VP.Fatty acid circuit as a physiological mechanism of uncoupling of oxidative phosphorylation.FEBS Lett 1991 Dec 9; 294(3):158-62.
    [17]Jezek P,Orosz DE,Modriansky M,Garlid KD.Transport of anions and protons by the mitochondrial uncoupling protein and its regulation by nucleotides and fatty acids.A new look at old hypotheses.J Biol Chem 1994 Oct 21;269 (42):26184-90.
    [18]Modriansky M,Murdza-Inglis DL,Patel HV,Freeman KB,Garlid KD.Identification by site-directed mutagenesis of three arginines in uncoupling protein that are essential for nucleotide binding and inhibition.J Biol Chem 1997 Oct 3;272(40):24759-62.
    [19]Negre-Salvayre A,Hirtz C,Carrera G,Cazenave R,Troly M,Salvayre R,et al.A role for uncoupling protein-2 as a regulator of mitochondrial hydrogen peroxide generation.FASEB J 1997 Aug;11(10):809-15.
    [20]Murphy MP,Echtay KS,Blaikie FH,sin-Cayuela J,Cocheme HM,Green K,et al.Superoxide activates uncoupling proteins by generating carbon-centered radicals and initiating lipid peroxidation:studies using a mitochondria-targeted spin trap derived from alpha-phenyl-N-tert-butylnitrone.J Biol Chem 2003 Dec 5; 278(49):48534-45.
    [21]Fleury,C,Neverova,M.,Collins,S.,Raimbault,S.,Champigny,O.,Levi-Meyrueis,C,et al.Uncoupling protein-2:a novel gene linked to obesity and hyperinsulinemia.Nat Genetl 997,15:269-272
    [22]Esterbauer,H.,Schneitler,C,Oberkofler,H.,Ebenbichler,C,Paulweber,B.,Sandhofer,F.,et al.A common polymorphism in the promoter of UCP2 is associated with decreased risk of obesity inmiddle-aged humans.Nat Genet 2001,28:178-183
    [23]Stuart,J.A.,Harper,J.A.,Brindle,K.M.,Jekabsons,M.B.& Brand,M.D.Physiological levels of mammalian uncoupling protein 2 do not uncouple yeast mitochondria.JBiol Chem 2001,276:18633-18639
    [24]Jezek,P.,Zackova,M.,Ruzicka,M,Skobisova,E.&Jaburek,M.Mitochondrial uncoupling proteins-facts and fantasies.Physiol Res 2004,53 Suppl 1:S199-211(2004)
    [25]Arsenijevic,D.,Onuma,H.,Pecqueur,C,Raimbault,S.,Manning,B.S.,Miroux,B.,et al.Disruption of the uncoupling protein-2 gene in mice reveals a role in immunity and reactive oxygen species production.Nat Genet 2000,26: 435-439.
    [26]Horimoto,M.,Fulop,P.,Derdak,Z.,Resnick,M.,Wands,J.R.& Baffy,G.:Uncoupling protein-2 deficiency promotes oxidant stress and delays liver regeneration in mice.Hepatology 2004,39:386-392
    [27]Teshima,Y.,Akao,M.,Jones,S.P.& Marban,E.Uncoupling protein-2 overe-xpression inhibits mitochondrial death pathway in cardiomyocytes.Circ Res 2003,93:192-200
    [28]Mattiasson,G,,Shamloo,M.,Gido,G.,Mathi,K.,Tomasevic,G.,Yi,S,et al Uncoupling protein-2 prevents neuronal death and diminishesbrain dysfunction after stroke and brain trauma.Nat Med 2003,9:1062-1068
    [29]Chavin,K.D.,Yang,S.,Lin,H.Z.,Chatham,J.,Chacko,V.P.,Hoek,J.B.,et al.Obesity induces expression of uncoupling protein-2 in hepatocytes and promotes liver ATP depletion.J Biol Chem 1999,274:5692-5700
    [30]Rashid,A.,Wu,T.C,Huang,C.C,Chen,C.H.,Lin,H.Z.,Yang,S.Q.,et al.Mitochondrial proteins that regulate apoptosis and necrosis are induced in mouse fatty liver.Hepatology 1999,29:1131-1138
    [31]Baffy,G.,Zhang,C.Y.,Glickman,J.N.& Lowell,B.B.Obesity-related fatty liver is unchanged in micedeficient for mitochondrial uncoupling protein 2.Hepatology 2002,35:753-761
    [32]Starkel,P.,Sempoux,C,Leclercq,I.,Herin,M.,Deby,C,Desager,J.P.et al Oxidative stress,KLF6 and transforming growth factor-beta up-regulation differentiatenon-alcoholic steatohepatitis progressing to fibrosis from uncomplicated steatosis in rats.J Hepatol 2003,39:538-546
    [33]Armstrong,M.B.& Towle,H.C.Polyunsaturated fatty acids stimulate hepatic UCP-2 expression via a PPARalpha-mediated pathway.Am J Physiol Endocrinol Metab 2001,281:E1 197-1204
    [34]Nakatani,T.,Tsuboyama-Kasaoka,N.,Takahashi,M.,Miura,S.& Ezaki,O.Mechanism for peroxisome proliferator-activated receptor-alpha activator-induced upregulation of UCP2 mRNA in rodent hepatocytes.J Biol Chem 2002,277:9562-9569
    [35]Rahimian,R.,Masih-Khan,E.,Lo,M.,van Breemen,C,McManus,B.M.& Dube,G.P.Hepatic overexpression of peroxisome proliferator activated receptorgamma2 in the ob/ob mouse model of non-insulindependent diabetes mellitus.Mol Cell Biochem 2001,224:29-37
    [36]Nobes,C.D.,Hay,W.W.,Jr.& Brand,M.D.The mechanism of stimulation of respiration by fatty acids in isolated hepatocytes.J Biol Chem 1990,265:12910-12915
    [37]Eaton,S.Control of mitochondrial beta-oxidation flux.Prog Lipid Res 2002,41:197-239
    [38]Hunt,M.C.& Alexson,S.E.The role Acyl-CoA thioesterases play in mediating intracellular lipid metabolism.Prog Lipid Res 2002,41:99-130
    [39]Listenberger,L.L.,Han,X.,Lewis,S.E.,Cases,S.,Farese,RV.Jr.,Ory,D.S.et al.Triglyceride accumulation protects against fatty acid-induced lipotoxicity.Proc Natl Acad Sci U S A 2003,100:3077-3082
    [40]Carling,D.The AMP-activated protein kinase cascade-a unifying system for energy control.Trends Biochem Sci 2004,29:18-24
    [41]Song,S.Uncoupling protein-2:Evidence for its function as a metabolic regulator.Comment.Diabetologia 2003,46:132-133 [42]Baffy,G.,Zhang,C.Y.,Glickman,J.N.& Lowell,B.B.Obesity-related fatty liver is unchanged in mice deficient for mitochondrial uncoupling protein 2. Hepatology 2002,35:753-761
    [43]Fulop,P.,Wands,J.R.& Baffy,G.:UCP2 affects fasting induced steatosis and metabolic parameters in lean and obese mice.Hepatology 2002,36:413A
    [44]Yang,S.,Zhu,H.,Li,Y.,Lin,H.,Gabrielson,K.,Trush,M.A,et al.Mitochondrial adaptations to obesity-related oxidant stress.Arch Biochem Biophys 2000,378:259-268.
    [45]Soltys,K.,Dikdan,G.& Koneru,B.Oxidative stress in fatty livers of obese Zucker rats:rapid amelioration and improved tolerance to warm ischemia with tocopherol.Hepatology 2001,34:13-18
    [46]Larrouy,D.,Laharrague,P.,Carrera,G.,Viguerie-Bascands,N.,Levi-Meyrueis,C,Fleury,C,et al.Kupffer cells are a dominant site of uncoupling protein 2 expression in rat liver.Biochem Biophys Res Commun 1998,235:760-764
    [47]Lee,F.Y.,Li,Y.,Yang,E.K.,Yang,S.Q.,Lin,H.Z.,Trush,M.A.,et al.Phenotypic abnormalities in macrophages from leptindeficient,obese mice.Am J Physiol 1999,276:C386-394
    [48]Alves-Guerra,M.C,Rousset,S.,Pecqueur,C,Mallat,Z.,Blanc,J.,Tedgui,A.,et al Bone marrow transplantation reveals the in vivo expression of the mitochondrial uncoupling protein 2 in immune and non immune cells during inflammation.J Biol Chem 2003,278(43):42307-12
    [49]Pecqueur,C,Alves-Guerra,M.C,Gelly,C,Levi-Meyrueis,C,Couplan,E.,Collins,S.,et al.Uncoupling protein 2,in vivo distribution,induction upon oxidative stress,and evidence for translational regulation.J Biol Chem 2001,276:8705-8712
    [50]Yang,S.Q.,Lin,H.Z.,Lane,M.D.,Clemens,M.& Diehl,A.M.Obesity increases sensitivity to endotoxin liver injury:implications for the pathogenesis of steatohepatitis.Proc Natl Acad Sci U S A 1999,94:2557-2562
    [51]Nair,S.,V,P.C,Arnold,C.& Diehl,A.M.Hepatic ATP reserve and efficiency of replenishing:comparison between obese and nonobese normal individuals.Am J Gastroenterol 2003,98:466-470
    [52]Clavien,P.A.& Selzner,M.Hepatic steatosis and transplantation.Liver Transpl 2002,8:980 (2002)
    [53]Cortez-Pinto,H.,Chatham,J.,Chacko,V.P.,Arnold,C,Rashid,A.& Diehl,A.M.Alterations in liver ATP homeostasis in human nonalcoholic steatohepatitis:a pilot study.JAMA 1999,282:1659-1664
    [54]Vendemiale,G.,Grattagliano,I.,Caraceni,P.,Caraccio,G.,Domenicali,M.,Dall'Agata,M.,et al.Mitochondrial oxidative injury and energy metabolism alteration in rat fatty liver:effect of the nutritional status.Hepatology 2001,33:808-815
    [55]Brand MD.The proton leak across the mitochondrial inner membrane.Biochim Biophys Acta 1990 Jul 25;1018 (2-3):128-33.
    [56]Tan MG,Ooi LL,Aw SE,Hui KM.Cloning and identification of hepatocellular carcinoma down-regulated mitochondrial carrier protein,a novel liver-specific uncoupling protein.J Biol Chem 2004 Oct 22;279 (43):45235-44.
    [57]Xi Jin,Yi-da Yang,Kun Chen,Zhi-yuan Lv,Lin Zheng,Ya-ping Liu,et al HDMCP uncouples yeast mitochondrial respiration and alleviates steatosis in L02 and HepG2 cells by decreasing ATP and H_2O_2 levels,a novel mechanism for NAFLD.Article in press.doi:10.1016/j.jhep.2008.10.034
    [1]中华医学会肝脏病学分会脂肪肝和酒精性肝病学组.非酒精性脂肪性肝病诊疗指南.中华肝脏病杂志 2006;14(3):161-1633.
    [2]Day CP.Steatohepatitis:a tale of two "hits"? Gastroenterology 1998;114:842-8455.
    [3]Mofrad P,Contos MJ,Haque M,et al.Clinical and histologic spectrum of nonalcoholic fatty liver disease associated with normal ALT values.Hepatology 2003;37:1286-1292.
    [4]Ryan CK,Johnson LA,Germin BI,et al.One hundred consecutive hepatic biopsies in the workup of living donors for right lobe liver transplantation.Liver Transpl 2002;8:1114-1122.
    [5]Chalasani N,Deeg MA,Crabb DW.Systemic levels of lipid peroxidation and its metabolic and dietary correlates in patients with nonalcoholic steatohepatitis.Am J Gastroenterol 2004;99:1497-1502.
    [6]Solga SF,Alkhuraishe A,Cope K,et al.Breath biomarkers and non-alcoholic fatty liver disease:preliminary observations.Biomarkers 2006;11:174-183.
    [7]Musso G,Gambino R,Biroli G,et al.Hypoadiponectinemia predicts the severity of hepatic fibrosis and pancreatic Beta-cell dysfunction in nondiabetic nonobese patients with nonalcoholic steatohepatitis.Am J Gastroenterol 2005;100:2438-2446.
    [8]Abiru S,Migita K,Maeda Y,et al.Serum cytokine and soluble cytokine receptor levels in patients with non-alcoholic steatohepatitis.Liver Int 2006;26:39-45.
    [9] Hui JM,Farrell GC,Knech JG,et al.High sensitivity C-reactive protein values do not reliably predict the severity of histological changes in NAFLD.Hepatology 2004; 39(1458):1459.
    [10]Haukeland JW,Damas JK,Konopski Z,et al.Systemic inflammation in nonalcoholic fatty liver disease is characterized by elevated levels of CCL2.J Hepatol 2006; 44:1167-1174.
    [11]Feldstein A,Gores GJ.Steatohepatitis and apoptosis:therapeutic implications.Am J Gastroenterol 2004; 99:1718-1719.
    [12]Feldstein AE,Canbay A,Guicciardi ME,et al.Diet associated hepatic steatosis sensitizes to Fas mediated liver injury in mice.J Hepatol 2003; 3 9:978-983.
    [13]Wieckowska A,Zein NN,Yerian LM,et al.In vivo assessment of liver cell apoptosis as a novel biomarker of disease severity in nonalcoholic fatty liver disease.Hepatology 2006;44:27-33.
    [14]Ratziu V,Giral P,Charlotte F,et al.Liver fibrosis in overweight patients.Gastroenterology 2000; 118:1117-1123.
    [15]Ratziu V,Massard J,Charlotte F,et al.Diagnostic value of biochemical markers(Fibro Test-FibroSURE)for the prediction of liver fibrosis in patients with non-alcoholic fatty liver disease.BMC Gastroenterol 2006; 6:6.
    [16]Angulo P,Hui JM,Marchesini G,et al.The NAFLD fibrosis score:A noninvasive system that accurately indentifies liver fibrosis in patients with NAFLD.Hepatology 2007; 45:846-854.
    [17]Suzuki A,Angulo P,Lymp J,et al.Hyaluronic acid,an accurate serum marker for severe hepatic fibrosis in patients with non-alcoholic fatty liver disease.Liver Int 2005; 25:779-786.
    [18]Rosenberg WM,Voelker M,Thiel R,et al.Serum markers detect the presence of liver fibrosis:a cohort study.Gastroenterology 2004; 127:1704-1713.
    [19]Castera L,Vergniol J,Foucher J,et al.Prospective comparison of transient elastography,Fibrotest,APRI,and liver biopsy for the assessment of fibrosis in chronic hepatitis C.Gastroenterology 2005;128:343-350.
    [20]American Gastroenterological Association medical position statement:nonalcoholic fatty liver disease.Gastroenterology 2002; 123:1702-1704
    [21]Andersen T,Gluud C,Franzmann MB,Christoffersen P.Hepatic effects of dietary weight loss in morbidly obese subjects.J Hepatol 1991; 12:224-229
    [22]Luyckx FH,Scheen AJ,Desaive C,Dewe W,Gielen JE,Lefebvre PJ.Effects of gastroplasty on body weight and related biological abnormalities in morbid obesity.Diabetes Metab 1998; 24:355-361
    [23]Drenick EJ,Simmons F,Murphy JF.Effect on hepatic morphology of treatment of obesity by fasting,reducing diets and small-bowel bypass.N Engl J Med 1970; 282:829-834
    [24]Cox KL,Burke V,Morton AR,Beilin LJ,Puddey IB.Independent and additive effects of energy restriction and exercise on glucose and insulin concentrations in sedentary overweightmen.Am J Clin Nutr 2004; 80:308-316
    [25]Rollins G.Moderate exercise reduces the risk of heart disease and death in men with type 2 diabetes.Rep Med Guidel Outcomes Res 2003; 14:10,12
    [26]Archer WR,Lamafche B,Deriaz O,Landry N,Corneau L,Despres JP,et al..Variations in body composition and plasma lipids in response to a high carbohydrate diet.Obes Res 2003; 11:978-986
    [27]Sondike SB,Copperman N,Jacobson MS.Effects of a lowcarbohydrate diet on weight loss and cardiovascular risk factor in overweight adolescents.J Pediatr 2003; 142:253-258
    [28]Vajro P,Fontanella A,Perna C,Orso G,Tedesco M,De Vincenzo A.Persistent hyperaminotransferasemia resolving after weight reduction in obese children.J Pediatr 1994; 125:239-241
    [29]Knobler H,Schattner A,Zhornicki T,Malnick SD,Keter D,Sokolovskaya N,et al.Fatty liver-an additional and treatable feature of the insulin resistance syndrome.QJM 1999; 92:73-79
    [30]Ueno T,Sugawara H,Sujaku K,Hashimoto O,Tsuji R,Tamaki S,et al.Therapeutic effects of restricted diet and exercise in obese patients with fatty liver.J Hepatol 1997; 27:103-107
    [31]Huang MA,Greenson JK,Chao C,Anderson L,Peterman D,Jacobson J,et al.One-year intense nutritional counseling results in histological improvement in patients with non-alcoholic steatohepatitis:a pilot study.Am J Gastroenterol 2005; 100:1072-1081
    [32]Ryan DH.Use of sibutramine to treat obesity.Prim Care 2003;30:405-426,viii
    [33]Sabuncu T,Nazligul Y,Karaoglanoglu M,Ucar E,Kilic FB.The effects of sibutramine and orlistat on the ultrasonographic findings,insulin resistance and liver enzyme levels in obese patients with non-alcoholic steatohepatitis.Rom J Gastroenterol 2003; 12:189-192
    [34]Luyckx FH,Scheen AJ,Desaive C,Thiry A,Lefebvre PJ.Parallel reversibility of biological markers of the metabolic syndrome and liver steatosis after gastroplasty-induced weight loss in severe obesity.J Clin Endocrinol Metab 1999; 84:4293
    [35]Luyckx FH,Desaive C,Thiry A,Dewe W,Scheen AJ,Gielen JE,et al.Liver abnormalities in severely obese subjects:effect of drastic weight loss after gastroplasty.Int J Obes Relat Metab Disord 1998; 22:222-226
    [36]Parola M,Muraca R,Dianzani I,Barrera G,Leonarduzzi G,Bendinelli P,et al.Vitamin E dietary supplementation inhibits transforming growth factor beta 1 gene expression in the rat liver.FEBS Lett 1992; 308:267-270
    [37]Parola M,Leonarduzzi G,Biasi F,Albano E,Biocca ME,Poli G,et al.Vitamin E dietary supplementation protects against carbon tetrachloride-induced chronic liver damage and cirrhosis.Hepatology 1992; 16:1014-1021
    [38]Houglum K,Venkataramani A,Lyche K,Chojkier M.A pilot study of the effects of d-alpha-tocopherol on hepatic stellate cell activation in chronic hepatitis C.Gastroenterology 1997; 113:1069-1073
    [39]Lavine JE.Vitamin E treatment of nonalcoholic steatohepatitis in children:a pilot study.J Pediatr 2000; 136:734-738
    [40]Hasegawa T,Yoneda M,Nakamura K,Makino I,Terano A.Plasma transforming growth factor-betal level and effi cacy of alpha-tocopherol in patients with non-alcoholic steatohepatitis:a pilot study.Aliment Pharmacol Ther 2001; 15:1667-1672
    [41]Harrison SA,Torgerson S,Hayashi P,Ward J,Schenker S.Vitamin E and vitamin C treatment improves fibrosis in patients with nonalcoholic steatohepatitis.Am J Gastroenterol 2003; 98:2485-2490
    [42]Angulo P.Use of ursodeoxycholic acid in patients with liver disease.Curr Gastroenterol Rep 2002; 4:37-44
    [43]Laurin J,Lindor KD,Crippin JS,Gossard A,Gores GJ,Ludwig J,et al.Ursodeoxycholic acid or clofibrate in the treatment of nonalcohol induced steatohepatitis:a pilot study.Hepatology 1996; 23:1464-1467
    [44]Lindor KD,Kowdley KV,Heathcote EJ,Harrison ME,Jorgensen R,Angulo P, et al.Ursodeoxycholic acid for treatment of nonalcoholic steatohepatitis:results of a randomized trial.Hepatology 2004; 39:770-778
    [45]Lin HZ,Yang SQ,Chuckaree C,Kuhajda F,Ronnet G,Diehl AM.Metformin reverses fatty liver disease in obese,leptin deficient mice.Nat Med 2000; 6:998-1003
    [46]Marchesini G,Brizi M,Bianchi G,Tomassetti S,Zoli M,Melchionda N.Metformin in non-alcoholic steatohepatitis.Lancet 2001; 358:893-894
    [47]Nair S,Diehl AM,Wiseman M,Farr GH Jr,Perrillo RP.Metformin in the treatment of non-alcoholic steatohepatitis:a pilot open label trial.Aliment Pharmacol Ther 2004; 20:23-28
    [48]Uygun A,Kadayifci A,Isik AT,Ozgurtas T,Deveci S,Tuzun A,et al.Metformin in the treatment of patients with non-alcoholic steatohepatitis.Aliment Pharmacol Ther 2004; 19:537-544
    [49]Bugianesi E,Gentilcore E,Manini R,Natale S,Vanni E,Villanova Net al.A randomized controlled trial of metformin versus vitamin E or prescriptive diet in nonalcoholic fatty liver disease.Am J Gastroenterol 2005; 100:1082-1090
    [50]Kakuma T,Lee Y,Higa M,Wang Z,Pan W,Shimomura I,et al.Leptin,troglitazone,and the expression of sterol regulatory element binding proteins in liver and pancreatic islets.Proc Natl Acad Sci U S A 2000; 97:8536-8541
    [51]Caldwell SH,Hespenheide EE,Redick JA,Iezzoni JC,Battle EH,Sheppard BL.A pilot study of a thiazolidinedione,troglitazone,in nonalcoholic steatohepatitis.Am J Gastroenterol 2001; 96:519-525
    [52]Kohlroser J,Mathai J,Reichheld J,Banner BF,Bonkovsky HL.Hepatotoxicity due to troglitazone:report of two cases and review of adverse events reported to the United States Food and Drug Administration.Am J Gastroenterol 2000; 95:272-276
    [53]Menon KVN,Angulo P,Lindor KD.Severe cholestatic hepatitis from troglitazone in a patient with nonalcoholic steatohepatitis and diabetes mellitus.Am J Gastroenterol 2001; 96:1631-1634
    [54]Neuschwander-Tetri BA,Brunt EM,Wehmeier KR,Oliver D,Bacon BR.Improved nonalcoholic steatohepatitis after 48 weeks of treatment with the PPAR-gamma ligand rosiglitazone.Hepatology 2003; 38:1008-1017
    [55]Promrat K,Dutchman G,Uwaifo GI,Freedman RJ,Soza A,Heller T,et al.A pilot study of pioglitazone treatment for nonalcoholic steatohepatitis.Hepatology 2004; 39:188-196
    [56]Sanyal AJ,Mofrad PS,Contos MJ,Sargeant C,Luketic VA,Sterling RK,et al.A pilot study of vitamin E versus vitamin E and pioglitazone for the treatment of nonalcoholic steatohepatitis.Clin Gastroenterol Hepatol 2004; 2:1107-1115.
    [57]Basaranoglu M,Acbay O,Sonsuz A.A controlled trial of gemfibrozil in the treatment of patients with nonalcoholic steatohepatitis.J Hepatol 1999; 31:384.
    [58]Hatzitolios A,Savopoulos C,Lazaraki G,Sidiropoulos I,Haritanti P,Lefkopoulos A,et al.Efficacy of omega-3 fatty acids,atorvastatin and orlistat in non-alcoholic fatty liver disease with dyslipidemia.Indian J Gastroenterol 2004;23:131-134
    [59]Chalasani N,Aljadhey H,Kesterson J,Murray MD,Hall SD.Patients with elevated liver enzymes are not at higher risk for statin hepatotoxicity.Gastroenterology 2004; 126:1287-1292
    [60]Nagaev I,Smith U.Insulin resistance and type 2 diabetes are not related to resistin expression in human fat cells or skeletal muscle.Biochem Biophys Res Commun 2001;285:561-564
    [61]Chitturi S,Farrell G,Frost L,Kriketos A,Lin R,Fung C,et al.Serum leptin in NASH correlates with hepatic steatosis but not fibrosis:a manifestation of lipotoxicity? Hepatology 2002;36:403-409
    [62]Kugelmas M,Hill DB,Vivian B,Marsano L,McClain CJ.Cytokines and NASH:a pilot study of the effects of lifestyle modification and vitamin E.Hepatology 2003;38:413-419
    [63]Wigg AJ,Roberts-Thomson IC,Dymock RB,McCarthy PJ,Grose RH,Cummins AG.The role of small intestinal bacterial overgrowth,intestinal permeability,endotoxaemia,and tumor necrosis factor alpha in the pathogenesis of nonalcoholic steatohepatitis.Gut 2001;48:206-211
    [64]Crespo J,Cayon A,Fernandez-Gil P,Hernandez-Guerra M,Mayorga M,Dominguez-Diez A,et al.Gene expression of tumor necrosis factor alpha and TNF-receptors,p55 and p75,in nonalcoholic steatohepatitis patients.Hepatology 2001;34:1158-1163
    [65]Li Z,Yang S,Lin H,Huang J,Watkins PA,Moser AB,et al.Probiotics and antibodies to TNF inhibit inflammatory activity and improve nonalcoholic fatty liver disease.Hepatology 2003;37:343-350
    [66]Memon RA,Grunfeld C,Feingold KR.TNF-alpha is not the cause of fatty liver disease in obese diabetic mice.Nat Med 2001;7:2-3
    [67]Satapathy SK,Garg S,Chauhan R,Sakhuja P,Malhotra V,Sharma BC,et al.Beneficial effects of tumor necrosis factor-alpha inhibition by pentoxifylline on clinical,biochemical,and metabolic parameters of patients with nonalcoholic steatohepatitis.Am J Gastroenterol 2004;99:1946-1952
    [68]Adams LA,Zein CO,Angulo P,Lindor KD.A pilot trial of pentoxifylline in nonalcoholic steatohepatitis.Am J Gastroenterol 2004;99:2365-2368.
    [69]Berg AH,Combs TP,Scherer PE.ACRP30/adiponectin:an adipokine regulating glucose and lipid metabolism.Trends Endocrinol Metab 2002;13:84-89.
    [70]Arita Y,Kihara S,Ouchi N,Takahashi M,Maeda K,Miyagawa J,et al.Paradoxical decrease of an adipose-specifi c protein,adiponectin,in obesity.Biochem Biophys Res Commun 1999;257:79-83.
    [71]Shapiro L,Scherer PE.The crystal structure of a complement-1q family protein suggests an evolutionary link to tumor necrosis factor.Curr Biol 1998;8:335-338.
    [72]Maeda N,Shimomura I,Kishida K,Nishizawa H,Matsuda M,Nagaretani H,et al.Diet-induced insulin resistance in mice lacking adiponectin/ACRP30.Nat Med 2002;8:731-737.
    [73]Shklyaev S,Aslanidi G,Tennant M,Prima V,Kohlbrenner E,Kroutov V,et al.Sustained peripheral expression of transgene adiponectin offsets the development of diet-induced obesity in rats.Proc Natl Acad Sci USA 2003;100:14217-14222.
    [74]Berg AH,Combs TP,Du X,Brownlee M,Scherer PE.The adipocyte-secreted protein Acrp30 enhances hepatic insulin action.Nat Med 2001;7:947-953.
    [75]Fruebis J,Tsao TS,Javorschi S,Ebbets-Reed D,Erickson MR,Yen FT,et al.Proteolytic cleavage product of 30-kDa adipocyte complement-related protein increases fatty acid oxidation in muscle and causes weight loss in mice.Proc Natl Acad Sci USA 2001;98:2005-2010.
    [76]Xu A,Wang Y,Keshaw H,Xu LY,Lam KS,Cooper GJ.The fat-derived hormone adiponectin alleviates alcoholic and nonalcoholic fatty liver diseases in mice.J Clin Invest 2003;112:91-100.
    [77]Hui JM,Hodge A,Farrell GC,Kench JG,Kriketos A,George J.Beyond insulin resistance in NASH:TNF-alpha or adiponectin? Hepatology 2004;40:46-54.
    [78]Yokohama S,Yoneda M,Haneda M,Okamoto S,Okada M,Aso K,et al.Therapeutic efficacy of an angiotensin Ⅱ receptor antagonist in patients with nonalcoholic steatohepatitis.Hepatology 2004 Nov;40(5):1222-5..
    [79]Nardone G,Rocco A.Probiotics:a potential target for the prevention and treatment of steatohepatitis.J Clin Gastroenterol 2004 Jul;38(6 Suppl):S121-2.
    [80]Abdelmalek MF,Angulo P,Jorgensen RA,Sylvestre PB,Lindor KD.Betaine,a promising new agent for patients with nonalcoholic steatohepatitis:results of a pilot study.Am J Gastroenterol 2001 Sep;96(9):2711-7.
    [81]Miglio F,Rovati LC,Santoro A,Setnikar I.Efficacy and safety of oral betaine glucuronate in non-alcoholic steatohepatitis.A double-blind,randomized,parallel-group,placebo-controlled prospective clinical study.Arzneimittelforschung.2000 Aug;50(8):722-7.
    [82]杨建新,邹剑铭,白录军.牛磺酸治疗非酒精性脂肪肝临床观察.陕西医学杂志.36(3):354-355.
    [83]de Oliveira CP,Simplicio FI,de Lima VM,Yuahasi K,Lopasso FP,Alves VA,et al.Oral administration of S-nitroso-N-acetylcysteine prevents the onset of non alcoholic fatty liver disease in rats.World J Gastroenterol.2006 Mar 28;12(12):1905-11.
    [84]邬亚妙 多烯磷脂酰胆碱治疗非酒精性脂肪性肝病32例.中国药业.2008,17(11):71.
    [85]Caldwell SH,Oelsner DH,lezzoni JC,Hespenheide EE,Battle EH,Driscoll CJ.Cryptogenic cirrhosis:clinical characterization and risk factors for underlying disease.Hepatology 1999; 29:664-669.
    [86]Matteoni CA,Younossi ZM,Gramlich T,Boparai N,Liu YC,McCullough AJ.Nonalcoholic fatty liver disease:a spectrum of clinical and pathological severity.Gastroenterology 1999; 116:1413-1419.
    [87]Marrero JA,Fontana RJ,Su GL,Conjeevaram HS,Emick DM,Lok AS.NAFLD may be a common underlying liver disease in patients with hepatocellular carcinoma in the United States.Hepatology 2002; 36:1349-1354.
    [88]Kim WR,Poterucha JJ,Porayko MK,Dickson ER,Steers JL,Wiesner RH.Recurrence of nonalcoholic steatohepatitis following liver transplantation.Transplantation 1996; 62:1802-1805.
    [89]Charlton M,Kasparova P,Weston S,Lindor K,Maor-Kendler Y,Wiesner RH,et al.Frequency of nonalcoholic steatohepatitis as a cause of advanced liver disease.Liver Transpl 2001; 7:608-614.
    [90]Contos MJ,Cales W,Sterling RK,Luketic VA,Shiffman ML,Mills AS,et al.Development of nonalcoholicfatty liver disease after orthotopic liver transplantationfor cryptogenic cirrhosis.Liver Transpl 2001; 7:363-373.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700