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ANGIOTENSIN‐CONVERTING ENZYME INHIBITORS IMPROVE HEPATIC STEATOSIS BY MODULATING EXPRESSION OF TUMOUR NECROSIS FACTOR‐α, INTERLEUKIN‐6 AND ADIPONECTIN RECEPTOR‐2 IN RATS WITH TYPE 2 DIABETES
Author(s) -
Zhang Xia,
Li ZhongZhuan,
Liu DongFang,
Xu Xin,
Mei ZheChuan,
Shen Wei
Publication year - 2009
Publication title -
clinical and experimental pharmacology and physiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 103
eISSN - 1440-1681
pISSN - 0305-1870
DOI - 10.1111/j.1440-1681.2008.05129.x
Subject(s) - medicine , endocrinology , adiponectin , steatosis , fosinopril , insulin resistance , insulin , adipokine , angiotensin converting enzyme , blood pressure
SUMMARY1 Angiotensin‐converting enzyme inhibitors (ACEI) are hypotensive drugs that have been shown to prevent Type 2 diabetes mellitus (T2DM) in high‐risk individuals. However, in T2DM, the effects of ACEI on hepatic steatosis are not known. The aim of the present study was to examine the effects of ACEI on changes in liver histology and hepatic mRNA expression of adipokines in rats with T2DM. 2 Thirty‐six rats were divided into a normal control group, a T2DM group and a fosinopril‐treated group. After six weeks of treatment with 5 mg/kg per day fosinopril, an ACEI, changes in liver histology, serum fasting glucose (FG), insulin, triglyceride (TG), total cholersterol (TC), alanine aminotransferase (ALT), aspartate aminotransferase (AST), tumour necrosis factor (TNF)‐α, interleukin (IL)‐6, adiponectin were evaluated, as was hepatic TNF‐α, IL‐6 and adiponectin receptor‐2 (adipoR2) mRNA expression. 3 The degree of hepatic steatosis and inflammation, serum FG, insulin, TG, TC, ALT, TNF‐α and IL‐6 concentrations and hepatic TNF‐α and IL‐6 mRNA expression were significantly higher in rats with T2DM than in normal controls. Serum adiponectin concentrations and hepatic adipoR2 mRNA expression in rats with T2DM were significantly lower than in normal controls. Fosinopril significantly reduced the degree of hepatic steatosis, serum FG, insulin, ALT, TNF‐α and IL‐6 concentrations and hepatic TNF‐α and IL‐6 mRNA expression. Fosinopril significantly increased serum adiponectin concentrations and hepatic adipoR2 mRNA expression. 4 In conclusion, the ACEI improved insulin sensitivity and hepatic steatosis in rats with T2DM by increasing circulating adiponectin and hepatic adipoR2 levels, in addition to reducing pro‐inflammatory cytokine levels in the circulation and liver.