Research Article Details

Article ID: A17547
PMID: 27572941
Source: Dig Dis Sci
Title: Diet-Induced Nonalcoholic Fatty Liver Disease Is Associated with Sarcopenia and Decreased Serum Insulin-Like Growth Factor-1.
Abstract: BACKGROUND: Decreased muscle mass or sarcopenia has been associated with nonalcoholic fatty liver disease (NAFLD). However, the functional consequences of this association and its pathogenesis remain ill-defined. AIMS: To evaluate muscle mass and function in a diet-induced NAFLD mouse model and explore its association with changes in serum insulin-like growth factor-1 (IGF-1). METHODS: Weight gain, visceral fat, serum biochemical parameters, liver histology, and hepatic triglyceride content (HTC) were assessed in C57/Bl6 mice fed a westernized diet during 16&#160;weeks. In addition, we determined muscle fiber size and strength of limb skeletal muscle, myosin heavy chain (MHC) protein levels, and IGF-1 serum levels. RESULTS: Westernized diet feeding was associated with weight gain, increased visceral fat mass (epididymal pad weight: 0.76&#160;g&#160;&#177;&#160;0.13 vs. 0.33&#160;&#177;&#160;0.27&#160;g; p&#160;=&#160;0.0023), hepatic steatosis (HTC: 118.2&#160;&#177;&#160;6.88&#160;mg/g liver vs. 43.26&#160;&#177;&#160;5.63&#160;mg/g<, p&#160;<&#160;0.05), and necroinflammation (histological scores: 1.29&#160;&#177;&#160;0.42 vs. 4.00&#160;&#177;&#160;0.53<, p&#160;<&#160;0.05). Also, mice fed the experimental diet had an increased proportion of low-diameter muscle fibers (0-30&#160;&#956;m) and a decreased proportion of high-diameter muscle fibers (60-90&#160;&#956;m), which correlated with decreased MHC protein levels, consistent with significant muscle atrophy. Functional studies showed that mice fed a westernized diet had reduced muscle strength and lower serum levels of IGF-1 (284.2&#160;&#177;&#160;20.04&#160;pg/ml) compared with chow-fed mice (366.0&#160;&#177;&#160;12.42&#160;pg/ml, p&#160;<&#160;0.05). CONCLUSION: Experimental NAFLD is associated with sarcopenia, decreased muscle strength, and reduced IGF-1 serum levels. IGF-1 reduction may be involved in pathogenesis of NAFLD-associated sarcopenia.
DOI: 10.1007/s10620-016-4285-0