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COX-2 induction in mice with experimental nutritional steatohepatitis: Role as pro-inflammatory mediator.

Abstract
The underlying mechanisms that perpetuate liver inflammation in nonalcoholic steatohepatitis are poorly understood. We explored the hypothesis that cyclooxygenase-2 (COX-2) can exert pro-inflammatory effects in metabolic forms of fatty liver disease. Male wild-type (WT) C57BL6/N or peroxisome proliferator-activated receptor alpha knockout (PPAR-alpha-/-) mice were fed a lipogenic, methionine- and choline-deficient (MCD) diet or the same diet with supplementary methionine and choline (control). COX-2 was not expressed in livers of mice fed the control diet. In mice fed the MCD diet, hepatic expression of COX-2 messenger RNA and protein occurred from day 5, continued to rise, and was 10-fold higher than controls after 5 weeks, thereby paralleling the development of steatohepatitis. Upregulation of COX-2 was even more pronounced in PPAR-alpha-/- mice. Induction of COX-2 was completely prevented by dietary supplementation with the potent PPAR-alpha agonist Wy-14,643 in WT but not PPAR-alpha-/- mice. COX-2 upregulation was preceded by activation of nuclear factor kappaB (NF-kappaB) and coincided with increased levels of tumor necrosis factor alpha (TNF-alpha), interleukin (IL)-6, and intercellular adhesion molecule 1 (ICAM-1). Selective COX-2 inhibitors (celecoxib and NS-398) protected against the development of steatohepatitis in WT but not PPAR-alpha-/- mice. In conclusion, induction of COX-2 occurs in association with NF-kappaB activation and upregulation of TNF-alpha, IL-6, and ICAM-1 in MCD diet-induced steatohepatitis. PPAR-alpha suppresses both COX-2 and development of steatohepatitis, while pharmacological inhibition of COX-2 activity ameliorates the severity of experimental steatohepatitis. COX-2 may therefore be a pro-inflammatory mediator in metabolic forms of steatohepatitis.
AuthorsJun Yu, Emilia Ip, Aileen Dela Peña, Jing Yun Hou, Jayshree Sesha, Natasha Pera, Pauline Hall, Richard Kirsch, Isabelle Leclercq, Geoffrey C Farrell
JournalHepatology (Baltimore, Md.) (Hepatology) Vol. 43 Issue 4 Pg. 826-36 (Apr 2006) ISSN: 0270-9139 [Print] United States
PMID16557554 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cyclooxygenase 2 Inhibitors
  • Inflammation Mediators
  • Interleukin-6
  • NF-kappa B
  • PPAR alpha
  • Tumor Necrosis Factor-alpha
  • Intercellular Adhesion Molecule-1
  • Methionine
  • Cyclooxygenase 2
Topics
  • Animals
  • Choline Deficiency
  • Cyclooxygenase 2 (biosynthesis, metabolism)
  • Cyclooxygenase 2 Inhibitors (pharmacology)
  • Diet
  • Enzyme Induction
  • Fatty Liver (enzymology, etiology, pathology)
  • Inflammation Mediators (metabolism)
  • Intercellular Adhesion Molecule-1 (metabolism)
  • Interleukin-6 (metabolism)
  • Lipogenesis
  • Liver (drug effects, enzymology, metabolism, pathology)
  • Male
  • Methionine (deficiency)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • NF-kappa B (metabolism)
  • PPAR alpha (deficiency, metabolism)
  • Tumor Necrosis Factor-alpha (metabolism)

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