PMID- 32933722 OWN - NLM STAT- MEDLINE DCOM- 20210609 LR - 20210609 IS - 1532-3072 (Electronic) IS - 0040-8166 (Linking) VI - 66 DP - 2020 Oct TI - Liraglutide in combination with human umbilical cord mesenchymal stem cell could improve liver lesions by modulating TLR4/NF-kB inflammatory pathway and oxidative stress in T2DM/NAFLD rats. PG - 101382 LID - S0040-8166(20)30079-3 [pii] LID - 10.1016/j.tice.2020.101382 [doi] AB - Studies have shown that liraglutide, or human umbilical cord mesenchymal stem cell (hUC-MSCs) can improve non-alcoholic fatty liver disease (NAFLD). However there have been no studies on the combination of the two used to treat NAFLD. This study aimed to explore the therapeutic effects of combination of liraglutide and hUC-MSCs on liver injury in rats with type 2 diabetes mellitus (T2DM) and NAFLD, and further investigate their mechanisms. Sprague Dawley rats fed by a high fat and high sucrose diet were randomly divided into 5 groups, including NC group, T2DM/NAFLD group, liraglutide group (treated with liraglutide, 200 mug/kg, twice daily for 8 weeks), hUC-MSCs group (treated with hUC-MSCs at the first and fifth weeks), liraglutid+hUC-MSCs group (treated with liraglutide and hUC-MSCs). Liver tissue was procured for histological examination, real-time qRT-PCR and Western blot analysis. After treatment, liraglutide and hUC-MSCs reduced serum ALT and AST levels, alleviate liver inflammation and improved liver histopathology. The expressions of inflammatory cytokines, TLR4 and NF-kappaB in serum and liver were significantly inhibited, particularly in the combination treatment group. Eight weeks after liraglutide or hUC-MSCs administration, FBG, HbA1c, HOMA-IR, ALT, AST, Liver wet eight and hepatic TLR4, NF-kappaB, IL-6, TNF-alpha, 8-OHdG mRNA and proteins were significantly decreased, and the levels of SOD expression were significantly increased in three treatment groups compared with T2DM/NAFLD group. This study suggests that liraglutide in combination with hUC-MSCs could significantly improve glycolipid metabolism, insulin resistance and liver injury in T2DM/NAFLD rats. Its mechanism may be related to the down-regulation of the TLR4/NF-kappaB inflammatory pathway and improvement in oxidative stress. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Xu, Xiangjin AU - Xu X AD - 900 Hospital of the Joint Logistics Team, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou 365000, Fujian, China. FAU - Wang, Wenqing AU - Wang W AD - The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China. FAU - Lin, Lu AU - Lin L AD - 900 Hospital of the Joint Logistics Team, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou 365000, Fujian, China. FAU - Chen, Pin AU - Chen P AD - 900 Hospital of the Joint Logistics Team, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou 365000, Fujian, China. Electronic address: chenpin@21cn.com. LA - eng PT - Journal Article DEP - 20200512 PL - Scotland TA - Tissue Cell JT - Tissue & cell JID - 0214745 RN - 0 (Cytokines) RN - 0 (NF-kappa B) RN - 0 (Toll-Like Receptor 4) RN - 839I73S42A (Liraglutide) RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM MH - 8-Hydroxy-2'-Deoxyguanosine/metabolism MH - Animals MH - Combined Modality Therapy MH - Cytokines/blood/genetics MH - Diabetes Mellitus, Type 2/blood/*complications MH - Humans MH - Inflammation/*pathology MH - Liraglutide/*pharmacology MH - Liver/pathology/ultrastructure MH - Liver Neoplasms/blood/pathology/*therapy MH - Male MH - Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/*cytology/drug effects MH - NF-kappa B/genetics/*metabolism MH - Non-alcoholic Fatty Liver Disease/blood/*complications MH - *Oxidative Stress/drug effects MH - Rats, Sprague-Dawley MH - Superoxide Dismutase/genetics/metabolism MH - Toll-Like Receptor 4/genetics/*metabolism MH - Umbilical Cord/cytology OTO - NOTNLM OT - Human umbilical cord mesenchymal stem cell OT - Liraglutide OT - Non-alcoholic fatty liver disease OT - Oxidative stress OT - TLR4/NF-kappaB OT - Type 2 diabetes mellitus EDAT- 2020/09/17 06:00 MHDA- 2021/06/10 06:00 CRDT- 2020/09/16 05:30 PHST- 2020/02/12 00:00 [received] PHST- 2020/05/08 00:00 [revised] PHST- 2020/05/08 00:00 [accepted] PHST- 2020/09/16 05:30 [entrez] PHST- 2020/09/17 06:00 [pubmed] PHST- 2021/06/10 06:00 [medline] AID - S0040-8166(20)30079-3 [pii] AID - 10.1016/j.tice.2020.101382 [doi] PST - ppublish SO - Tissue Cell. 2020 Oct;66:101382. doi: 10.1016/j.tice.2020.101382. Epub 2020 May 12.