The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30

The prevalence of nonalcoholic steatohepatitis (NASH) caused by estrogen deficiency increased sharply in recent decades and has become a major threat to liver health in postmenopausal women. There is no effective strategy to control the incidence and development of NASH. Dehydroepiandrosterone (DHEA...

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Autores principales: Longlong Li, Hongjun Wang, Yao Yao, Ji Cao, Zhihao Jiang, Weiyuan Yan, Xu Chu, Qian Li, Miaomiao Lu, Haitian Ma
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:7ce63b9390d9470c8ce1f216745309252021-11-14T04:32:43ZThe sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR302213-231710.1016/j.redox.2021.102187https://doaj.org/article/7ce63b9390d9470c8ce1f216745309252021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213231721003475https://doaj.org/toc/2213-2317The prevalence of nonalcoholic steatohepatitis (NASH) caused by estrogen deficiency increased sharply in recent decades and has become a major threat to liver health in postmenopausal women. There is no effective strategy to control the incidence and development of NASH. Dehydroepiandrosterone (DHEA) is the most abundant circulating steroid with immune and metabolic regulatory properties, and its level markedly declines with increasing age in humans. Importantly, DHEA can convert into active sex hormones depending on the local needs of target tissues with little diffusion, which serves to avoid systemic side-effects from other tissues’ exposure to estrogen. Here, we found that DHEA prevented the incidence and development of NASH, which is characterized by the reduction of hepatic steatosis, fibrosis, and inflammation in female mice fed with high-fat/high-cholesterol diets and effectively attenuated lipid accumulation, inflammatory response, and oxidative stress in palmitic acid-challenged hepatocytes. Mechanistically, in vitro and in vivo studies showed that the anti-NASH function of DHEA depended on its biotransformation into estrogen rather than androgen, and which up-regulates the expression of G protein-coupled estrogen receptor (GPR30), a non-classical estrogen receptor. The activation of GPR30-mediated AMP-activated protein kinase signaling is a necessary prerequisite for the alleviative effects of DHEA on NASH. Collectively, our data show the mechanisms of DHEA treatment and its effects on NASH that were previously overlooked; the data also show that GPR30 can be used as a target for treating lipid metabolism disorders and related diseases, such as NASH. Furthermore, these findings have the potential to help researchers develop new strategies for preventing NASH in postmenopausal women.Longlong LiHongjun WangYao YaoJi CaoZhihao JiangWeiyuan YanXu ChuQian LiMiaomiao LuHaitian MaElsevierarticleDehydroepiandrosteroneBiotransformationNonalcoholic steatohepatitisAMP-Activated protein kinaseG protein-coupled estrogen receptorMedicine (General)R5-920Biology (General)QH301-705.5ENRedox Biology, Vol 48, Iss , Pp 102187- (2021)
institution DOAJ
collection DOAJ
language EN
topic Dehydroepiandrosterone
Biotransformation
Nonalcoholic steatohepatitis
AMP-Activated protein kinase
G protein-coupled estrogen receptor
Medicine (General)
R5-920
Biology (General)
QH301-705.5
spellingShingle Dehydroepiandrosterone
Biotransformation
Nonalcoholic steatohepatitis
AMP-Activated protein kinase
G protein-coupled estrogen receptor
Medicine (General)
R5-920
Biology (General)
QH301-705.5
Longlong Li
Hongjun Wang
Yao Yao
Ji Cao
Zhihao Jiang
Weiyuan Yan
Xu Chu
Qian Li
Miaomiao Lu
Haitian Ma
The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30
description The prevalence of nonalcoholic steatohepatitis (NASH) caused by estrogen deficiency increased sharply in recent decades and has become a major threat to liver health in postmenopausal women. There is no effective strategy to control the incidence and development of NASH. Dehydroepiandrosterone (DHEA) is the most abundant circulating steroid with immune and metabolic regulatory properties, and its level markedly declines with increasing age in humans. Importantly, DHEA can convert into active sex hormones depending on the local needs of target tissues with little diffusion, which serves to avoid systemic side-effects from other tissues’ exposure to estrogen. Here, we found that DHEA prevented the incidence and development of NASH, which is characterized by the reduction of hepatic steatosis, fibrosis, and inflammation in female mice fed with high-fat/high-cholesterol diets and effectively attenuated lipid accumulation, inflammatory response, and oxidative stress in palmitic acid-challenged hepatocytes. Mechanistically, in vitro and in vivo studies showed that the anti-NASH function of DHEA depended on its biotransformation into estrogen rather than androgen, and which up-regulates the expression of G protein-coupled estrogen receptor (GPR30), a non-classical estrogen receptor. The activation of GPR30-mediated AMP-activated protein kinase signaling is a necessary prerequisite for the alleviative effects of DHEA on NASH. Collectively, our data show the mechanisms of DHEA treatment and its effects on NASH that were previously overlooked; the data also show that GPR30 can be used as a target for treating lipid metabolism disorders and related diseases, such as NASH. Furthermore, these findings have the potential to help researchers develop new strategies for preventing NASH in postmenopausal women.
format article
author Longlong Li
Hongjun Wang
Yao Yao
Ji Cao
Zhihao Jiang
Weiyuan Yan
Xu Chu
Qian Li
Miaomiao Lu
Haitian Ma
author_facet Longlong Li
Hongjun Wang
Yao Yao
Ji Cao
Zhihao Jiang
Weiyuan Yan
Xu Chu
Qian Li
Miaomiao Lu
Haitian Ma
author_sort Longlong Li
title The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30
title_short The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30
title_full The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30
title_fullStr The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30
title_full_unstemmed The sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the AMPK pathway mediated by GPR30
title_sort sex steroid precursor dehydroepiandrosterone prevents nonalcoholic steatohepatitis by activating the ampk pathway mediated by gpr30
publisher Elsevier
publishDate 2021
url https://doaj.org/article/7ce63b9390d9470c8ce1f21674530925
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