Abstract
Tamoxifen is a potent antagonist of estrogen, and hepatic steatosis is a frequent complication in adjuvant tamoxifen for breast cancer. Impaired hepatic FA β-oxidation in peroxisomes, microsomes, and mitochondria results in progression of massive hepatic steatosis in estrogen deficiency. This impairment, although latent, is potentially serious: About 3% of the general population in the United States is now suffering from nonalcoholic steatohepatitis associated with obesity and hyperlipidemia. Therefore, in the present study we tried to restore impaired hepatic FA β-oxidation by administering a novel statin, pitavastatin, to aromatase-deficient (Ar−/−) mice defective in intrinsic estrogen synthesis. Northern blot analysis of Ar−/− mice liver revealed a significant restoration of mRNA expression of essential enzymes involved in FA β-oxidation such as very long fatty acyl-CoA synthetase in peroxisome, peroxisomal fatty acyl-CoA oxidase, and medium-chain acyl-CoA dehydrogenase. Severe hepatic steatosis observed in Ar−/− mice substantially regressed. Consistent findings were obtained in the in vitro assays of FA β-oxidation activity. These findings demonstrate that pitavastatin is capable of restoring impaired FA β-oxidation in vivo via the peroxisome proliferator-activated receptor-α-mediated signaling pathway and is potent enough to ameliorate severe hepatic steatosis in mice deficient in intrinsic estrogen.
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Abbreviations
- AOX:
-
peroxisomal acyl-CoA oxidase
- Ar+/+ mouse:
-
wildtype mouse
- apo:
-
apolipoprotein
- Ar−/− mouse:
-
aromatase-deficient mouse
- BMI:
-
body mass index
- CYP2EI:
-
microsomal cytochrome P450 2E1
- CYP4A1:
-
microsomal cytochrome P450 4A1
- GAPDH:
-
glyceraldehyde-3-phosphate dehydrogenase
- MCAD:
-
medium-chain acyl-CoA dehydrogenase
- NASH:
-
nonalcoholic steatohepatitis
- PPAR-α:
-
peroxisome proliferator-activated receptor-α
- VLACS:
-
very long fatty acyl-CoA synthetase
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Egawa, T., Toda, K., Nemoto, Y. et al. Pitavastatin ameliorates severe hepatic steatosis in aromatase-deficient (Ar−/−) mice. Lipids 38, 519–523 (2003). https://doi.org/10.1007/s11745-003-1093-x
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DOI: https://doi.org/10.1007/s11745-003-1093-x