Skip to main content
Log in

Inhibition of exendin-4-induced steatosis by protein kinase A in cultured HepG2 human hepatoma cells

  • Published:
In Vitro Cellular & Developmental Biology - Animal Aims and scope Submit manuscript

Abstract

Nonalcoholic fatty liver is characterized by the abnormal accumulation of triglycerides within hepatocytes, resulting in a steatotic liver. Glucagon-like peptide 1 and its analog exendin-4 can ameliorate certain aspects of this syndrome by inducing weight loss and reducing hepatic triglyceride accumulation, but it is unclear whether these effects result from the effects of glucagon-like peptide 1 on the pancreas, or from direct action on the liver. This study investigated the direct action and putative cellular mechanism of exendin-4 on steatotic hepatocytes in culture. Steatosis was induced in cultured HepG2 human hepatoma cells by incubation in media supplemented with 2 mM each of linoleic acid and oleic acid. Steatotic hepatocytes were then pre-incubated in the protein kinase A inhibitor H89 for 30 min, then treated with exendin-4 over a period of 24 h. Cell viability and triglyceride content were characterized by a TUNEL assay and AdipoRed staining, respectively. Our results showed that steatotic cells maintained high levels of intracellular triglycerides (80%) compared to lean controls (25%). Exendin-4 treatment caused a significant reduction in intracellular triglyceride content after 12 h that persisted through 24 h, while protein kinase A inhibitors abolished the effects of exendin-4. The results demonstrate the exendin-4 induces a partial reduction in triglycerides in steatotic hepatocytes within 12 h via the GLP-1 receptor-mediated activation of protein kinase A. Thus, the reduction in hepatocyte triglyceride accumulation is likely driven primarily by downregulation of lipogenesis and upregulation of β-oxidation of free fatty acids.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1.
Figure 2.
Figure 3.
Figure 4.

Similar content being viewed by others

References

  • Angulo P (2002) Nonalcoholic fatty liver disease. NE J Med 346:1221–1231

    Article  CAS  Google Scholar 

  • Armstrong MJ, Gaunt P, Aithal GP, Barton D, Hull D, Parker R, Hazlehurst JM, Guo K, Abouda G, Aldersley MA, Stocken D (2016) Liraglutide safety and efficacy in patients with non-alcoholic steatohepatitis (LEAN): a multicentre, double-blind, randomised, placebo-controlled phase 2 study. Lancet 387:679–690

    Article  CAS  PubMed  Google Scholar 

  • Baggio LL, Drucker DJ (2007) Biology of incretins: GLP-1 and GIP. Gastroenterol 132:2131–2157

    Article  CAS  Google Scholar 

  • Battaglia M, Pozzi D, Crimaldi S, Parasassi T (1994) Hoechst 33258 staining for detecting mycoplasma contamination in cell cultures: a method for reducing fluorescence photobleaching. Biotech Histochem 69:152–156

    Article  CAS  PubMed  Google Scholar 

  • Ben-Shlomo S, Zvibel I, Shnell M, Shlomai A, Chepurko E, Halpern Z, Barzilai N, Oren R, Fishman S (2011) Glucagon-like peptide-1 reduces hepatic lipogenesis via activation of AMP-activated protein kinase. J Hepatol 54:1214–1223

    Article  CAS  PubMed  Google Scholar 

  • Brown MS, Goldstein JL (2008) Selective versus total insulin resistance: a pathogenic paradox. Cell Metab 7:95–96

    Article  CAS  PubMed  Google Scholar 

  • Cawano Y, Cohen DE (2013) Mechanisms of hepatic triglyceride accumulation in non-alcoholic fatty liver disease. J Gastroenterol 48:434–441

    Article  Google Scholar 

  • Ding X, Saxena NK, Lin S, Gupta NA, Anania FA (2006) Exendin-4, a glucagon-like protein-1 (GLP-1) receptor agonist, reverses hepatic steatosis in ob/ob mice. Hepatology 43:173–181

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Göke R, Fehmann HC, Linn T, Schmidt H, Krause M, Eng J, Göke B (1993) Exendin-4 is a high potency agonist and truncated exendin-(9-39)-amide an antagonist at the glucagon-like peptide 1-(7-36)-amide receptor of insulin-secreting beta-cells. J Biol Chem 268:19650–19655

    PubMed  Google Scholar 

  • Greenspan P, Mayer EP, Fowler SD (1985) Nile red: a selective fluorescent stain for intracellular lipid droplets. J Cell Biol 100:965–973

    Article  CAS  PubMed  Google Scholar 

  • Guguen-Guillouzo C, Guillouzo A (2010) General review on in vitro hepatocyte models and their applications. In: Maurel P (ed) Hepatocytes: methods and protocols. Springer, New York, pp 1–40

    Google Scholar 

  • Gupta NA, Mells J, Dunham RM, Grakoui A, Handy J, Saxena NK, Anania FA (2010) Glucagon-like peptide receptor is present on human hepatocytes and has a direct role in decreasing hepatic steatosis in vitro by modulating element of the insulin signaling pathway. Hepatology 51:1584–1592

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Horton JD, Goldstein JL (2002) SREBPs: activators of the complete program of cholesterol and fatty acid synthesis in the liver. J Clin Invest 109:1255–1131

    Article  Google Scholar 

  • Jacome-Sosa M, Parks EJ (2014) Fatty acid sources and their fluxes as they contribute to plasma triglyceride concentrations and fatty liver in humans. Curr Opin Lipidol 25:213–220

    Article  CAS  PubMed  Google Scholar 

  • Khan S, Kumar S, Jena G (2016) Valproic acid reduces insulin-resistance, fat deposition and FOXO1-mediated gluconeogenesis in type-2 diabetic rat. Biochimie 125:42–52

    Article  CAS  PubMed  Google Scholar 

  • Lee J, Hong SW, Chae SW, Kim DH, Choi JH, Bae JC, Park SE, Rhee EJ, Park CY, Oh KW, Park SW (2012) Exendin-4 improves steatohepatitis by increasing Sirt1 expression in high-fat diet-induced obese C57BL/6J mice. PLoS One 7:e31394

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • López-Delgado MI, Morales M, Villanueva-Peñacarrillo ML, Malaisse WJ, Valverde I (1998) Effects of glucagon-like peptide 1 on the kinetics of glycogen synthase A in hepatocytes from normal and diabetic rats. Endocrinol 139:2811–2817

    Article  Google Scholar 

  • Matsumoto M, Pocai A, Rossetti L, DePinho RA, Accili D (2007) Impaired regulation of hepatic glucose production in mice lacking the forkhead transcription factor Foxo1 in liver. Cell Metabol 6:208–216

    Article  CAS  Google Scholar 

  • Moon YA, Ochoa CR, Mitsche MA, Hammer RE, Horton JD (2014) Deletion of ELOVL6 blocks the synthesis of oleic acid but does not prevent the development of fatty liver or insulin resistance. J Lipid Res 55:2597–2605

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nativ NI, Yarmush G, So A, Barminko J, Maguire TJ, Schloss R, Berthiaume F, Yarmush ML (2014) Elevated sensitivity of macrosteatotic hepatocytes to hypoxia/reoxygenation stress is reversed by a novel defatting protocol. Liver Transpl 20:1000–1011

    Article  PubMed  PubMed Central  Google Scholar 

  • Portillo-Sanchez P, Cusi K (2016) Treatment of nonalcoholic fatty liver disease (NAFLD) in patients with type 2 diabetes mellitus. Clin Diabet Endocrinol 2:9

    Article  Google Scholar 

  • Ress C, Kaser S (2016) Mechanisms of intrahepatic triglyceride accumulation. World J Gastroenterol 22:1664–1673

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Taher J, Baker CL, Cuizon C, Masoudpour H, Zhang R, Farr S, Naples M, Bourbon C, Pausova Z, Adeli K (2014) GLP-1 receptor agonism ameliorates hepatic VLDL overproduction and de novo lipogenesis in insulin resistance. Molec Metabol 3:823–833

    Article  CAS  Google Scholar 

  • Thonpho A, Sereeruk C, Rojvirat P, Jitrapakdee S (2010) Identification of the cyclic AMP responsive element (CRE) that mediates transcriptional regulation of the pyruvate carboxylase gene in HepG2 cells. Biochem Biophys Res Comm 393:714–719

    Article  CAS  PubMed  Google Scholar 

  • Utzschneider KR, Kahn SE (2006) The role of insulin resistance in nonalcoholic fatty liver disease. J Endocrin Metab 91:4753–4761

    Article  CAS  Google Scholar 

  • Wang H, Zhao M, Sud N, Christian P, Shen J, Song Y, Pashaj A, Zhang K, Carr T, Su Q (2016) Glucagon regulates hepatic lipid metabolism via cAMP and Insig-2 signaling: implication for the pathogenesis of hypertriglyceridemia and hepatic steatosis. Sci Rep 6:32246

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This work was pioneered by AC as part of the Cellular Bioengineering Summer Undergraduate Research Program at Rutgers University (supported by the NSF EEC 1262924). This work was supported by the Ellen Miller Casey Award to AC, Research as a High Impact Practice student funding program awarded to GH, and internal funds from the University of Scranton awarded to GG.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to George Gomez.

Additional information

Editor: Tetsuji Okamoto

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen-Liaw, A.Y., Hammel, G. & Gomez, G. Inhibition of exendin-4-induced steatosis by protein kinase A in cultured HepG2 human hepatoma cells. In Vitro Cell.Dev.Biol.-Animal 53, 721–727 (2017). https://doi.org/10.1007/s11626-017-0181-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11626-017-0181-y

Keywords

Navigation