2013
DOI: 10.1111/iep.12052
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Therapeutic reversal of chronic alcohol‐related steatohepatitis with the ceramide inhibitor myriocin

Abstract: SUMMARYAlcohol-related liver disease (ALD) is associated with steatohepatitis and insulin resistance. Insulin resistance impairs growth and disrupts lipid metabolism in hepatocytes. Dysregulated lipid metabolism promotes ceramide accumulation and oxidative stress, leading to lipotoxic states that activate endoplasmic reticulum (ER) stress pathways and worsen inflammation and insulin resistance. In a rat model of chronic alcohol feeding, we characterized the effects of a ceramide inhibitor, myriocin, on the his… Show more

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Cited by 36 publications
(28 citation statements)
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References 73 publications
(202 reference statements)
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“…For examples, there is a link between the role of glycoceramides and hepatic steatosis in ob/ob mice fed with high-fat diet (29, 30). Ceramide accumulation has also been implicated in alcohol-related steatohepatitis (31, 32). We thus turned our attention to the possible beneficial roles of sphingolipids that contribute to both the nodular steatosis and the expansion of residual gp96+ cells in the liver of KO mice.…”
Section: Resultsmentioning
confidence: 99%
“…For examples, there is a link between the role of glycoceramides and hepatic steatosis in ob/ob mice fed with high-fat diet (29, 30). Ceramide accumulation has also been implicated in alcohol-related steatohepatitis (31, 32). We thus turned our attention to the possible beneficial roles of sphingolipids that contribute to both the nodular steatosis and the expansion of residual gp96+ cells in the liver of KO mice.…”
Section: Resultsmentioning
confidence: 99%
“…A reduction of GSL biosynthesis in the adipose tissue of ob/ob mice restored insulin signaling in isolated ex vivo insulinstimulated adipocytes (168,172,176). The improved adipogenesis was a result of the reduced number of larger adipocytes and increased expression of PPAR␥, insulin-responsive glucose transporter (GLUT)-4, and adipsin (103,107,168,169,172,176). Adiponectin gene expression and protein were increased by AMP-DNM, leading to a decreased inflammation in adipose tissue.…”
Section: Glucosylceramide Synthase Inhibitors and Other Inhibitors Ofmentioning
confidence: 99%
“…Alcohol-related liver disease (ALD) is also associated with altered Cer profiles, steatohepatitis, insulin resistance, disruptions in lipid metabolism in hepatocytes, increased proinflammatory cytokines, dysregulated lipid metabolism, ER, and oxidative stress (53, 169,173). Altered lipid metabolism promotes Cer accumulation and oxidative stress, and these can result in a "lipotoxic state" in which there is activation of ER-stress pathways, inflammation, and insulin resistance (54,143,147).…”
Section: Sl Pathways In Diabetes Nafld and Nashmentioning
confidence: 99%
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“…To minimize the possibility that our observations were the result of nonspecific pharmacological effects, we used inhibitors capable of blocking separate enzymes in the various pathways. First, the fungal toxins myriocin and fumonisin B1 inhibit separate enzymes that are required for de novo ceramide synthesis (19,25), and both protected EPCs from the accumulation of ceramide induced by PA. Second, NOE, an inhibitor of ceramidase (4), was able to aggravated the effect of PAinduced ceramide accumulation. Thus, by using various inhibitors, our data indicated that PA can induce the accumulation of ceramide in EPCs.…”
Section: Discussionmentioning
confidence: 99%