PMID- 24129399 OWN - NLM STAT- MEDLINE DCOM- 20140212 LR - 20181202 IS - 1522-1555 (Electronic) IS - 0193-1849 (Linking) VI - 305 IP - 11 DP - 2013 Dec 1 TI - Eplerenone ameliorates the phenotypes of metabolic syndrome with NASH in liver-specific SREBP-1c Tg mice fed high-fat and high-fructose diet. PG - E1415-25 LID - 10.1152/ajpendo.00419.2013 [doi] AB - Because the renin-angiotensin-aldosterone system has been implicated in the development of insulin resistance and promotion of fibrosis in some tissues, such as the vasculature, we examined the effect of eplerenone, a selective mineralocorticoid receptor (MR) antagonist, on nonalcoholic steatohepatitis (NASH) and metabolic phenotypes in a mouse model reflecting metabolic syndrome in humans. We adopted liver-specific transgenic (Tg) mice overexpressing the active form of sterol response element binding protein-1c (SREBP-1c) fed a high-fat and fructose diet (HFFD) as the animal model in the present study. When wild-type (WT) C57BL/6 and liver-specific SREBP-1c Tg mice grew while being fed HFFD for 12 wk, body weight and epididymal fat weight increased in both groups with an elevation in blood pressure and dyslipidemia. Glucose intolerance and insulin resistance were also observed. Adipose tissue hypertrophy and macrophage infiltration with crown-like structure formation were also noted in mice fed HFFD. Interestingly, the changes noted in both genotypes fed HFFD were significantly ameliorated with eplerenone. HFFD-fed Tg mice exhibited the histological features of NASH in the liver, including macrovesicular steatosis and fibrosis, whereas HFFD-fed WT mice had hepatic steatosis without apparent fibrotic changes. Eplerenone effectively ameliorated these histological abnormalities. Moreover, the direct suppressive effects of eplerenone on lipopolysaccharide-induced TNFalpha production in the presence and absence of aldosterone were observed in primary-cultured Kupffer cells and bone marrow-derived macrophages. These results indicated that eplerenone prevented the development of NASH and metabolic abnormalities in mice by inhibiting inflammatory responses in both Kupffer cells and macrophages. FAU - Wada, Tsutomu AU - Wada T AD - Department of Clinical Pharmacology and. FAU - Miyashita, Yusuke AU - Miyashita Y FAU - Sasaki, Motohiro AU - Sasaki M FAU - Aruga, Yusuke AU - Aruga Y FAU - Nakamura, Yuto AU - Nakamura Y FAU - Ishii, Yoko AU - Ishii Y FAU - Sasahara, Masakiyo AU - Sasahara M FAU - Kanasaki, Keizo AU - Kanasaki K FAU - Kitada, Munehiro AU - Kitada M FAU - Koya, Daisuke AU - Koya D FAU - Shimano, Hitoshi AU - Shimano H FAU - Tsuneki, Hiroshi AU - Tsuneki H FAU - Sasaoka, Toshiyasu AU - Sasaoka T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131015 PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (Dietary Carbohydrates) RN - 0 (Mineralocorticoid Receptor Antagonists) RN - 0 (Srebf1 protein, mouse) RN - 0 (Sterol Regulatory Element Binding Protein 1) RN - 27O7W4T232 (Spironolactone) RN - 30237-26-4 (Fructose) RN - 6995V82D0B (Eplerenone) SB - IM MH - Animals MH - Cells, Cultured MH - Diet, High-Fat/adverse effects MH - Dietary Carbohydrates/administration & dosage MH - Eplerenone MH - Fatty Liver/etiology/*prevention & control MH - Fructose/administration & dosage MH - Liver/metabolism/pathology MH - Male MH - Metabolic Syndrome/complications/*drug therapy MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Mineralocorticoid Receptor Antagonists/*administration & dosage MH - Non-alcoholic Fatty Liver Disease MH - Phenotype MH - Rats MH - Rats, Wistar MH - Spironolactone/administration & dosage/*analogs & derivatives MH - Sterol Regulatory Element Binding Protein 1/*genetics OTO - NOTNLM OT - Kupffer cells OT - eplerenone OT - inflammation OT - nonalcoholic steatohepatitis OT - sterol response element-binding protein-1c OT - transgenic EDAT- 2013/10/17 06:00 MHDA- 2014/02/13 06:00 CRDT- 2013/10/17 06:00 PHST- 2013/10/17 06:00 [entrez] PHST- 2013/10/17 06:00 [pubmed] PHST- 2014/02/13 06:00 [medline] AID - ajpendo.00419.2013 [pii] AID - 10.1152/ajpendo.00419.2013 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2013 Dec 1;305(11):E1415-25. doi: 10.1152/ajpendo.00419.2013. Epub 2013 Oct 15.