PMID- 31510077 OWN - NLM STAT- MEDLINE DCOM- 20200225 LR - 20211204 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 11 IP - 9 DP - 2019 Sep 10 TI - A Low Iron Diet Protects from Steatohepatitis in a Mouse Model. LID - 10.3390/nu11092172 [doi] LID - 2172 AB - High tissue iron levels are a risk factor for multiple chronic diseases including type 2 diabetes mellitus (T2DM) and non-alcoholic fatty liver disease (NAFLD). To investigate causal relationships and underlying mechanisms, we used an established NAFLD model-mice fed a high fat diet with supplemental fructose in the water ("fast food", FF). Iron did not affect excess hepatic triglyceride accumulation in the mice on FF, and FF did not affect iron accumulation compared to normal chow. Mice on low iron are protected from worsening of markers for non-alcoholic steatohepatitis (NASH), including serum transaminases and fibrotic gene transcript levels. These occurred prior to the onset of significant insulin resistance or changes in adipokines. Transcriptome sequencing revealed the major effects of iron to be on signaling by the transforming growth factor beta (TGF-beta) pathway, a known mechanistic factor in NASH. High iron increased fibrotic gene expression in vitro, demonstrating that the effect of dietary iron on NASH is direct. Conclusion: A lower tissue iron level prevents accelerated progression of NAFLD to NASH, suggesting a possible therapeutic strategy in humans with the disease. FAU - Salaye, Lipika AU - Salaye L AUID- ORCID: 0000-0001-5256-6565 AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. FAU - Bychkova, Ielizaveta AU - Bychkova I AD - Department of Internal Medicine, University of Utah Medical Center, Salt Lake City, UT 84112, USA. FAU - Sink, Sandy AU - Sink S AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. FAU - Kovalic, Alexander J AU - Kovalic AJ AD - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. FAU - Bharadwaj, Manish S AU - Bharadwaj MS AD - Sticht Center on Aging, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. AD - Agilent Technologies, 121 Hartwell Ave, Lexington, MA 02421, USA. FAU - Lorenzo, Felipe AU - Lorenzo F AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. FAU - Jain, Shalini AU - Jain S AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. FAU - Harrison, Alexandria V AU - Harrison AV AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. FAU - Davis, Ashley T AU - Davis AT AD - Department of Comparative Medicine, Wake Forest University, Winston-Salem, NC 27157, USA. FAU - Turnbull, Katherine AU - Turnbull K AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. AD - Department of Comparative Medicine, Wake Forest University, Winston-Salem, NC 27157, USA. FAU - Meegalla, Nuwan T AU - Meegalla NT AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. AD - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. FAU - Lee, Soh-Hyun AU - Lee SH AUID- ORCID: 0000-0001-6620-8961 AD - Department of Internal Medicine, University of Utah Medical Center, Salt Lake City, UT 84112, USA. FAU - Cooksey, Robert AU - Cooksey R AD - Department of Internal Medicine, University of Utah Medical Center, Salt Lake City, UT 84112, USA. AD - VA Medical Center, Salt Lake City, UT 84148, USA. FAU - Donati, George L AU - Donati GL AUID- ORCID: 0000-0002-3686-5327 AD - Department of Chemistry, Wake Forest University, Winston-Salem, NC 27109, USA. FAU - Kavanagh, Kylie AU - Kavanagh K AUID- ORCID: 0000-0001-8772-6186 AD - Department of Comparative Medicine, Wake Forest University, Winston-Salem, NC 27157, USA. AD - Department of Biomedicine, University of Tasmania, Hobart, Tasmania 7000, Australia. FAU - Bonkovsky, Herbert L AU - Bonkovsky HL AD - Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA. FAU - McClain, Donald A AU - McClain DA AD - Center on Diabetes, Obesity and Metabolism, Department of Internal Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC 27101, USA. dmcclain@wakehealth.edu. AD - VA Medical Center, Salt Lake City, UT 84148, USA. dmcclain@wakehealth.edu. AD - VA Medical Center, Salisbury, NC 28144, USA. dmcclain@wakehealth.edu. LA - eng GR - P30 CA012197/CA/NCI NIH HHS/United States GR - T35 OD010946/OD/NIH HHS/United States GR - 5R01DK081842, DAM; 5UL1 TR001420, DAM/NH/NIH HHS/United States GR - 2I01 BX001140, DAM/Research Service of the Department of Veterans Affairs/ PT - Journal Article DEP - 20190910 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Iron, Dietary) RN - 30237-26-4 (Fructose) RN - E1UOL152H7 (Iron) SB - IM MH - Animal Feed MH - Animals MH - Diet, High-Fat MH - Disease Models, Animal MH - Disease Progression MH - Fructose MH - Gene Expression Regulation MH - Hep G2 Cells MH - Humans MH - Iron/blood MH - *Iron Deficiencies MH - Iron, Dietary/*administration & dosage/blood MH - Liver/*metabolism/pathology MH - Liver Cirrhosis/blood/genetics/pathology/*prevention & control MH - Male MH - Mice, Inbred C57BL MH - Non-alcoholic Fatty Liver Disease/blood/genetics/pathology/*prevention & control MH - Signal Transduction PMC - PMC6769937 OTO - NOTNLM OT - NAFLD OT - RNA-seq OT - iron OT - metabolic syndrome COIS- The authors declare no conflict of interest. EDAT- 2019/09/13 06:00 MHDA- 2020/02/26 06:00 PMCR- 2019/09/01 CRDT- 2019/09/13 06:00 PHST- 2019/08/11 00:00 [received] PHST- 2019/08/31 00:00 [revised] PHST- 2019/09/06 00:00 [accepted] PHST- 2019/09/13 06:00 [entrez] PHST- 2019/09/13 06:00 [pubmed] PHST- 2020/02/26 06:00 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - nu11092172 [pii] AID - nutrients-11-02172 [pii] AID - 10.3390/nu11092172 [doi] PST - epublish SO - Nutrients. 2019 Sep 10;11(9):2172. doi: 10.3390/nu11092172.