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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 677A<br />

951<br />

Fermented soymilk prevent free fatty acid-induced lipogenesis<br />

and production of reactive oxygen species in<br />

hepatocellular steatosis model<br />

Sang Bong Ahn 1 , Byoung Kwan Son 1 , Dae Won Jun 2 , Yong Kyun<br />

Cho 3 ; 1 Gastroenterology, Eulji University, School of Medicine,<br />

Seoul, Korea (the Republic of); 2 Internal Medicine, Hanyang<br />

University, College of Medicine, Seoul, Korea (the Republic of);<br />

3 Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan<br />

University, School of Medicine, Seoul, Korea (the Republic of)<br />

INTRODUCTION: Ingredients of soy and fermented products<br />

have been widely utilized as food supplement for health-enhancing<br />

properties, such as reducing the risk of osteoporosis,<br />

protection of cardiovascular diseases, and prevention of prostate<br />

and breast cancer. This study was carried out to examine<br />

the effects of fermented soymilk (FSM) on the free fatty acid-induced<br />

lipogenesis in an in vitro model of hepatocellular steatosis<br />

model. MATERIALS AND METHODS: HepG2 cells were<br />

incubated with 0.2 mM of palmitic acid (PA) for 24 h to induce<br />

lipogenesis and to accumulate the intracellular lipid accumulation,<br />

which was observed by oil red O and Nile red staining.<br />

The PA treated cells were co-incubated with 0.04~1.0% of<br />

lyophilized FSM, 0.05 mM of genistein, and 50 nM of estrogen,<br />

respectively. Western blot analysis of sterol regulatory element-binding<br />

protein-1 (SREBP-1) and nuclear factor erythroid<br />

2-related factor-2 (NRF-2) were performed to examine the lipogenesis<br />

related extracellular signal-regulated kinase (ERK) pathway.<br />

Cellular reactive oxygen species (ROS) was measured<br />

by the DCFDA assay kit. RESULTS: Lipid accumulations in the<br />

PA and FSM co-incubated cells were significantly decreased<br />

by 0.5% and 1.0% of FSM without cytotoxicity. Treatments of<br />

PA and combining with genistein and estrogen significantly<br />

increased the expressions of SREBP-1. However, FSM co-incubation<br />

significantly attenuated the expression of SREBP-1<br />

in the PA treated cells. In addition, expression of NRF-2 and<br />

phosphorylation of ERK were significantly increased in the PA<br />

and FSM co-incubated cells. PA induced ROS production was<br />

significantly reduced by 1.0% of FSM. Meanwhile, genistein<br />

or estrogen alone did not lead to significant differences in ROS<br />

production. CONCLUSION: Our results show that bioactive<br />

components, except genistein and phytoestrogen, in fermented<br />

soymilk protect hepatocytes against lipid accumulation and<br />

ROS production induced by free fatty acid. These effects may<br />

be mediated by inhibition of SREBP-1 and activation of NFR-2<br />

via ERK pathway in hepatocytes.<br />

Disclosures:<br />

The following authors have nothing to disclose: Sang Bong Ahn, Byoung Kwan<br />

Son, Dae Won Jun, Yong Kyun Cho<br />

952<br />

Increased 53-binding protein 1 nuclear focus expression<br />

in patients with non-alcoholic steatohepatitis<br />

Koji Okamoto 2 , Yuko Akazawa 4 , Hisamitsu Miyaaki 4 , Satoshi<br />

Miuma 4 , Naota Taura 4 , Hisayoshi Kondo 3 , Masahiro Nakashima 1 ,<br />

Kazuhiko Nakao 4 ; 1 Department of tumor and diagnostic pathology,<br />

Atomic bomb disease institute, Nagasaki, Japan; 2 Nagasaki<br />

University School of Medicine, Nagasaki, Japan; 3 Biostatistics Section,<br />

Division of Scientific Data Registry, Department of Radioisotope<br />

Medicine, Atomic Bomb Disease Institute, Nagasaki, Japan;<br />

4 Gastroenterology and Hepatology, Nagasaki University Hospital,<br />

Nagasaki, Japan<br />

Background : Pathogenesis of Non-alcoholic fatty liver disease<br />

(NAFLD) and the mechanisms of HCC development remain<br />

largely unclear. Elevated DNA damage response can result<br />

in genomic instability, which may lead to transformation to<br />

cancer. The p53-binding protein 1 (53-BP1) localizes at the<br />

sites of DNA double-strand breaks by irradiation and rapidly<br />

forms nuclear foci. We have reported that increased number<br />

and size of 53-BP1 nuclear foci expression represents the level<br />

of sporadic genomic instability during cervical carcinogenesis<br />

(Matsuda K, Histopathology. 2011,441-51). However, the<br />

presence of genomic instability in the NAFLD liver, especially<br />

the expression pattern of 53-BP1, is largely uninvestigated.<br />

Our aim was to assess the double-strand breaks based on<br />

53-BP1 expression in hepatocytes of NAFLD liver and free fatty<br />

acid-treated hepatocytes. Methods: Isolated rat primary hepatocytes<br />

were exposed to saturated free fatty acid palmitate (200<br />

μM) for 16 hour. In addition, 23 human liver biopsy samples,<br />

including 5 from normal livers, 5 from simple steatotic livers,<br />

and 13 from livers with NASH, were examined. Cells and<br />

biopsy samples were studied by using co-immunofluorescence<br />

with the anti-53-BP1 and hepatocyte marker (hepatocyte). The<br />

number of 53-BP1 nuclear foci in hepatocytes and its association<br />

with clinical features including levels of aspartate aminotransferase<br />

(AST), alanine aminotransferase (ALT), platelet (PLT),<br />

serum collagen type 4, and serum hyaluronic acid were then<br />

examined. Results: The palmitate treatment in the rat primary<br />

hepatocytes resulted in a significant increase in the number of<br />

53-BP1 nuclear foci (6.01% vs 24.5%, control vs palmitate,<br />

p< 0.05). Furthermore, in the human liver biopsy tissue samples,<br />

the number of 53-BP1 nuclear foci in the hepatocytes was<br />

increased by approximately 6 folds in the NASH livers compared<br />

to the simple steatotic livers, and approximately 10 folds<br />

compared to normal controls (p < 0.01). 53-BP1 nuclear foci<br />

were evenly distributed throughout zone 1 (portal area), zone<br />

2, and zone 3 (hepatic vein area) in the NASH liver. The rate<br />

of hepatocytes with more than two 53-BP1 foci/ nucleus was<br />

positively associated with age (p

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