Hepatocyte apoptosis is increased in patients with
nonalcoholic steatohepatitis and correlates with disease severity. Long-chain
saturated fatty acids, such as
palmitate and
stearate, induce apoptosis in liver cells. The present study examined
insulin-mediated protection against
saturated fatty acid-induced apoptosis in the rat
hepatoma cell line, H4IIE, and primary rat hepatocytes. Cells were provided a control media (no
fatty acids) or the same media containing 250 micromol/liter of
albumin-bound
oleate or
palmitate for 16 h.
Insulin concentrations were 0, 1, 10, or 100 nmol/liter (n=4-6/treatment).
Palmitate, but not
oleate, activated
caspase-3 and induced DNA fragmentation in the absence of
insulin.
Insulin reduced
palmitate-mediated activation of
caspase-3 and DNA fragmentation in a dose-dependent manner.
Phosphatidylinositol 3-kinase inhibitors abolished these effects of
insulin.
Insulin-mediated inhibition of
palmitate-induced apoptosis was not due to an augmentation in the unfolded protein response or increased expression of genes encoding the
inhibitor of apoptosis proteins, inhibitor of apoptosis protein-2 and X-linked mammalian
inhibitor of apoptosis protein.
Palmitate, but not
oleate, increased c-
Jun NH2 terminal kinase activity in the absence of
insulin.
Insulin or
SP600125, a chemical inhibitor of c-
Jun NH2 terminal kinase, blocked
palmitate-mediated activation of c-
Jun NH2 terminal kinase and reduced apoptosis. These data suggest that
insulin is an important determinant of
saturated fatty acid-induced apoptosis in liver cells and may have implications for
fatty acid-mediated liver cell injury in
insulin-deficient and/or -resistant states.