PMID- 12971963 OWN - NLM STAT- MEDLINE DCOM- 20040713 LR - 20190817 IS - 0168-8278 (Print) IS - 0168-8278 (Linking) VI - 39 IP - 4 DP - 2003 Oct TI - Oxidative stress, KLF6 and transforming growth factor-beta up-regulation differentiate non-alcoholic steatohepatitis progressing to fibrosis from uncomplicated steatosis in rats. PG - 538-46 AB - BACKGROUND/AIMS: Pathogenesis of non-alcoholic steatohepatitis (NASH) remains poorly understood. Cytochrome P450 2E1 (CYP 2E1), cytokines, oxidative stress and activation of hepatic stellate cells seem to play a role in this process. The aim was to determine the potential implication of these factors in the progression from uncomplicated steatosis to steatohepatitis with progressive fibrosis. METHODS: Animals were fed a standard diet, a 5% orotic acid-diet (OA) developing hepatic steatosis, or the methionine-choline deficient (MCD) diet inducing steatohepatitis for 2 and 6 weeks. Lipid peroxidation, CYP 2E1 expression and activity, expression of UCP-2, interleukin (IL)-6, transforming growth factor (TGF)beta1, KLF6 mRNAs, and activation of hepatic stellate cells were examined by gas chromatography, high-performance liquid chromatography, Western blotting, quantitative polymerase chain reaction and immunohistochemistry. RESULTS: Lipid peroxidation increased in the MCD model whereas only minor changes occurred in the OA model. KLF6 and TGFbeta1 mRNAs were selectively up-regulated in MCD animals. Stellate cell activation, inflammation and collagen deposition only occurred in the MCD group. CYP 2E1 expression and activity increased in the OA group while both decreased in MCD animals. UCP-2 and IL-6 mRNA increased in both groups. CONCLUSIONS: In the context of steatosis, lipid peroxidation is associated with inflammation and stellate cell activation with concomitant increase in TGFbeta1 production, possibly through up-regulation of KLF6. FAU - Starkel, Peter AU - Starkel P AD - Laboratory of Gastroenterology, St. Luc University Hospital, Universite Catholique de Louvain, Avenue Hippocrate 10, 1200 Brussels, Belgium. FAU - Sempoux, Christine AU - Sempoux C FAU - Leclercq, Isabelle AU - Leclercq I FAU - Herin, Michel AU - Herin M FAU - Deby, C AU - Deby C FAU - Desager, Jean-Pierre AU - Desager JP FAU - Horsmans, Yves AU - Horsmans Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Hepatol JT - Journal of hepatology JID - 8503886 RN - 0 (Actins) RN - 0 (Interleukin-6) RN - 0 (Ion Channels) RN - 0 (Klf6 protein, rat) RN - 0 (Kruppel-Like Factor 6) RN - 0 (Kruppel-Like Transcription Factors) RN - 0 (Membrane Transport Proteins) RN - 0 (Mitochondrial Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RNA, Messenger) RN - 0 (Tgfb1 protein, rat) RN - 0 (Trans-Activators) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Ucp2 protein, rat) RN - 0 (Uncoupling Protein 2) RN - 9035-51-2 (Cytochrome P-450 Enzyme System) SB - IM MH - Actins/metabolism MH - Animals MH - Cytochrome P-450 Enzyme System/metabolism MH - Diagnosis, Differential MH - Disease Progression MH - Fatty Liver/*complications/*diagnosis/pathology MH - Immunohistochemistry MH - Interleukin-6/genetics MH - Ion Channels MH - Kruppel-Like Factor 6 MH - Kruppel-Like Transcription Factors MH - Lipid Metabolism MH - Lipid Peroxidation MH - Liver/metabolism MH - Liver Cirrhosis/*etiology MH - Male MH - Membrane Transport Proteins/genetics MH - Microsomes, Liver/metabolism MH - Mitochondrial Proteins/genetics MH - Muscle, Smooth/metabolism MH - *Oxidative Stress MH - *Proto-Oncogene Proteins MH - RNA, Messenger/metabolism MH - Rats MH - Rats, Wistar MH - Trans-Activators/genetics/*metabolism MH - Transforming Growth Factor beta/genetics/*metabolism MH - Transforming Growth Factor beta1 MH - Uncoupling Protein 2 MH - Up-Regulation EDAT- 2003/09/16 05:00 MHDA- 2004/07/14 05:00 CRDT- 2003/09/16 05:00 PHST- 2003/09/16 05:00 [pubmed] PHST- 2004/07/14 05:00 [medline] PHST- 2003/09/16 05:00 [entrez] AID - S016882780300360X [pii] AID - 10.1016/s0168-8278(03)00360-x [doi] PST - ppublish SO - J Hepatol. 2003 Oct;39(4):538-46. doi: 10.1016/s0168-8278(03)00360-x.