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The obesogenic effects of polyunsaturated fatty acids are dependent ...

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high dietary PUFAs, the modulation is less clear. PUFAs have been shown to suppress hepatic<br />

Srebp-1c transcription 53 , mRNA stability 54 and its proteolytic activation 55 through liver X receptor<br />

(LXR) 56 - and/or SREBP-1c 55 - mediated pathways. In our study, the suppression on Srebp-1c<br />

transcription was only sustained when diets were supplemented with protein but abolished when<br />

combined with sucrose (Fig1.3B, 2.7A). <strong>The</strong> most straight forward explanation would be that<br />

increased insulin levels played a role, as multiple lines <strong>of</strong> evidence suggested the importance <strong>of</strong><br />

insulin in controlling expression and activity <strong>of</strong> Srebp-1c 57 . But further in our study it was<br />

elucidated otherwise, as modulating insulin secretion by pharmaceutical drugs did not have any<br />

effect on either Srebp-1c mRNA abundance or its activity, judged by the transcription <strong>of</strong> its target<br />

genes Scd1, Fasn and Acaca (Fig2.5E 2.7A).<br />

<strong>The</strong> role <strong>of</strong> glucose in the context <strong>of</strong> this story needs also to be discussed. Besides insulin,<br />

carbohydrate ingestion can very efficiently lead to the induction <strong>of</strong> lipogenic genes 58 . However,the<br />

main sensor <strong>of</strong> glucose carbohydrate-responsive element–binding protein (ChREBP) 59 , like<br />

SREBP-1c, was also suppressed in the presence <strong>of</strong> PUFAs 60 . Mitro et al. has shown that LXRs<br />

could also work as glucose sensors to regulate cholesterol metabolism genes and in some degree<br />

lipogenic genes as well 61 . In the LXRα/β knockout model, high carbohydrate diet-induced hepatic<br />

gene expression <strong>of</strong> Scd1 and Fasn were attenuated 62 . As a whole, they suggest that in response to<br />

glucose stimuli, LXR-<strong>dependent</strong> pathway is indispensable for the full activation <strong>of</strong> Scd1 and Fasn<br />

expression, while the regulation <strong>of</strong> Acaca is mostly under the control <strong>of</strong> ChREBP 60 . So in our high<br />

fish oil feeding supplemented with different starches, the observed elevation <strong>of</strong> Scd1 and Fasn<br />

expression with high GI diet (Fig2.4G) could be explained as under the impact <strong>of</strong> fish oil, only LXR<br />

was still able to sense plasma glucose changes though mechanism that is still under debate 63,64 . Of<br />

course all speculations need supporting evidence from follow up studies. And with mTORC1 65,66<br />

and AMP-activated protein kinase (AMPK) 67,68 also in the picture now, the already intricate control<br />

<strong>of</strong> SREBP-1c and lipogenesis is only going to be more complicated.<br />

Fructose<br />

<strong>The</strong> increased world consumption <strong>of</strong> fructose or high-fructose corn syrup has been associated with<br />

the obesity epidemic 69,70 . Fructose is taken up by the liver rapidly because <strong>of</strong> the low Km <strong>of</strong><br />

fructokinase towards fructose 71 . Without the negative feedback on phosph<strong>of</strong>ructokinase as in<br />

glucose metabolism, the reactions continue to provide substrate for glucose and lipid production 71 .<br />

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