SGK1 activation exacerbates diet-induced obesity, metabolic syndrome and hypertension

in Journal of Endocrinology
Authors:
Catalina Sierra-Ramos Department of Basic Medical Sciences, Institute of Biomedical Technologies and Center for Biomedical Research of the Canary Islands (CIBICAN), Universidad de La Laguna, Tenerife, Spain

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Silvia Velazquez-Garcia Department of Basic Medical Sciences, Institute of Biomedical Technologies and Center for Biomedical Research of the Canary Islands (CIBICAN), Universidad de La Laguna, Tenerife, Spain

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Arianna Vastola-Mascolo Department of Basic Medical Sciences, Institute of Biomedical Technologies and Center for Biomedical Research of the Canary Islands (CIBICAN), Universidad de La Laguna, Tenerife, Spain

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Guadalberto Hernández Department of Basic Medical Sciences, Institute of Biomedical Technologies and Center for Biomedical Research of the Canary Islands (CIBICAN), Universidad de La Laguna, Tenerife, Spain

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Nourdine Faresse Institute of Anatomy, University of Zurich, Zurich, Switzerland

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Diego Alvarez de la Rosa Department of Basic Medical Sciences, Institute of Biomedical Technologies and Center for Biomedical Research of the Canary Islands (CIBICAN), Universidad de La Laguna, Tenerife, Spain

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Correspondence should be addressed to D Alvarez de la Rosa: diego.alvarez@ull.edu.es

*(C Sierra-Ramos and S Velázquez-García contributed equally to this work)

(N Faresse is now at DIVA Expertise, 1 Place Pierre Potier, Toulouse, France)

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The serum- and glucocorticoid-induced kinase 1 (SGK1) is a transcriptional target of steroid hormones including glucocorticoids or aldosterone in addition to other stimuli such as glucose. SGK1 is activated via phosphoinositide 3-kinase, placing it downstream of insulin signaling. SGK1 participates in the upregulation of kidney Na+ reabsorption by aldosterone and has been linked to obesity-related hypertension in humans. We hypothesized that a systemic increase in SGK1 activity may trigger a multiplicity of mechanisms leading to simultaneous development of the main conditions that characterize the metabolic syndrome (MetS), including hypertension. We used a transgenic mouse model made with a bacterial artificial chromosome containing the whole mouse Sgk1 gene modified to introduce an activating point mutation. Wild type or transgenic 14-week-old male mice were fed with standard chow diet or high-fat diet for up to 18 weeks. Development of the main features of MetS and hepatic steatosis were monitored, and in vitro adipocyte differentiation was studied. Our results show that transgenic animals under high-fat diet rapidly and markedly develop MetS characterized by obesity, glucose intolerance, insulin resistance, dyslipidemia and hypertension. In addition, SGK1 gain-of-function accelerates the development of hepatic steatosis. Our study suggests that inappropriate SGK1 activity represents a risk factor in developing MetS with hypertension and related end-organ damage. Our data support SGK1 as a possible therapeutic target in MetS and related complications and provides a useful gain-of-function model for pre-clinical drug testing.

 

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  • Ackermann TF, Boini KM, Beier N, Scholz W, Fuchss T & Lang F 2011 EMD638683, a novel SGK inhibitor with antihypertensive potency. Cellular Physiology and Biochemistry 137146. (https://doi.org/10.1159/000331722)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Alvarez de la Rosa D & Canessa CM 2003 Role of SGK in hormonal regulation of epithelial sodium channel in A6 cells. American Journal of Physiology: Cell Physiology C404C414. (https://doi.org/10.1152/ajpcell.00398.2002)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Andres-Mateos E, Brinkmeier H, Burks TN, Mejias R, Files DC, Steinberger M, Soleimani A, Marx R, Simmers JL, Lin B, et al. 2013 Activation of serum/glucocorticoid-induced kinase 1 (SGK1) is important to maintain skeletal muscle homeostasis and prevent atrophy. EMBO Molecular Medicine 8091. (https://doi.org/10.1002/emmm.201201443)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Artunc F & Lang F 2014 Mineralocorticoid and SGK1-sensitive inflammation and tissue fibrosis. Nephron. Physiology 3539. (https://doi.org/10.1159/000368267)

  • Bowe JE, Franklin ZJ, Hauge-Evans AC, King AJ, Persaud SJ & Jones PM 2014 Metabolic phenotyping guidelines: assessing glucose homeostasis in rodent models. Journal of Endocrinology G13G25. (https://doi.org/10.1530/JOE-14-0182)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Brunet A, Park J, Tran H, Hu LS, Hemmings BA & Greenberg ME 2001 Protein kinase SGK mediates survival signals by phosphorylating the forkhead transcription factor FKHRL1 (FOXO3a). Molecular and Cellular Biology 952965. (https://doi.org/10.1128/MCB.21.3.952-965.2001)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Busjahn A, Aydin A, Uhlmann R, Krasko C, Bahring S, Szelestei T, Feng Y, Dahm S, Sharma AM, Luft FC, et al. 2002 Serum- and glucocorticoid-regulated kinase (SGK1) gene and blood pressure. Hypertension 256260. (https://doi.org/10.1161/01.hyp.0000030153.19366.26)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Chen SY, Bhargava A, Mastroberardino L, Meijer OC, Wang J, Buse P, Firestone GL, Verrey F & Pearce D 1999 Epithelial sodium channel regulated by aldosterone-induced protein sgk. PNAS 25142519. (https://doi.org/10.1073/pnas.96.5.2514)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cornier MA, Dabelea D, Hernandez TL, Lindstrom RC, Steig AJ, Stob NR, Van Pelt RE, Wang H & Eckel RH 2008 The metabolic syndrome. Endocrine Reviews 777822. (https://doi.org/10.1210/er.2008-0024)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Debonneville C, Flores SY, Kamynina E, Plant PJ, Tauxe C, Thomas MA, Munster C, Chraibi A, Pratt JH, Horisberger JD, et al. 2001 Phosphorylation of Nedd4-2 by Sgk1 regulates epithelial Na(+) channel cell surface expression. EMBO Journal 70527059. (https://doi.org/10.1093/emboj/20.24.7052)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Deng Y, Xiao Y, Yuan F, Liu Y, Jiang X, Deng J, Fejes-Toth G, Naray-Fejes-Toth A, Chen S, Chen Y, et al. 2018 SGK1/FOXO3 signaling in hypothalamic POMC neurons mediates glucocorticoid-increased adiposity. Diabetes 569580. (https://doi.org/10.2337/db17-1069)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Desarzens S & Faresse N 2016 Adipocyte glucocorticoid receptor has a minor contribution in adipose tissue growth. Journal of Endocrinology 111. (https://doi.org/10.1530/JOE-16-0121)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Di Chiara M, Glaudemans B, Loffing-Cueni D, Odermatt A, Al-Hasani H, Devuyst O, Faresse N & Loffing J 2015 Rab-GAP TBC1D4 (AS160) is dispensable for the renal control of sodium and water homeostasis but regulates GLUT4 in mouse kidney. American Journal of Physiology: Renal Physiology 309 F779F790. (https://doi.org/10.1152/ajprenal.00139.2015)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Di Pietro N, Panel V, Hayes S, Bagattin A, Meruvu S, Pandolfi A, Hugendubler L, Fejes-Toth G, Fejes-Tóth G, Naray-Fejes-Tóth A & Mueller E 2010 Serum- and glucocorticoid-inducible kinase 1 (SGK1) regulates adipocyte differentiation via forkhead box O1. Molecular Endocrinology 370380. (https://doi.org/10.1210/me.2009-0265)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Dieter M, Palmada M, Rajamanickam J, Aydin A, Busjahn A, Boehmer C, Luft FC & Lang F 2004 Regulation of glucose transporter SGLT1 by ubiquitin ligase Nedd4-2 and kinases SGK1, SGK3, and PKB. Obesity Research 862870. (https://doi.org/10.1038/oby.2004.104)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ding L, Zhang L, Biswas S, Schugar RC, Brown JM, Byzova T & Podrez E 2017 Akt3 inhibits adipogenesis and protects from diet-induced obesity via WNK1/SGK1 signaling. JCI Insight 95687. (https://doi.org/10.1172/jci.insight.95687)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Draznin B 2006 Molecular mechanisms of insulin resistance: serine phosphorylation of insulin receptor substrate-1 and increased expression of p85alpha: the two sides of a coin. Diabetes 23922397. (https://doi.org/10.2337/db06-0391)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Faresse N, Lagnaz D, Debonneville A, Ismailji A, Maillard M, Fejes-Toth G, Náray-Fejes-Tóth A & Staub O 2012 Inducible kidney-specific Sgk1 knockout mice show a salt-losing phenotype. American Journal of Physiology: Renal Physiology F977F985. (https://doi.org/10.1152/ajprenal.00535.2011)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Garcia-Martinez JM & Alessi DR 2008 mTOR complex 2 (mTORC2) controls hydrophobic motif phosphorylation and activation of serum- and glucocorticoid-induced protein kinase 1 (SGK1). Biochemical Journal 375385. (https://doi.org/10.1042/BJ20081668)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gomez-Sanchez CE 2015 What is the role of the adipocyte mineralocorticoid receptor in the metabolic syndrome? Hypertension 1719. (https://doi.org/10.1161/HYPERTENSIONAHA.115.05148)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gupte M, Boustany-Kari CM, Bharadwaj K, Police S, Thatcher S, Gong MC, English VL & Cassis LA 2008 ACE2 is expressed in mouse adipocytes and regulated by a high-fat diet. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology R781R788. (https://doi.org/10.1152/ajpregu.00183.2008)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hong J, Stubbins RE, Smith RR, Harvey AE & Nunez NP 2009 Differential susceptibility to obesity between male, female and ovariectomized female mice. Nutrition Journal 11. (https://doi.org/10.1186/1475-2891-8-11)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Huang DY, Boini KM, Friedrich B, Metzger M, Just L, Osswald H, Wulff P, Kuhl D, Vallon V & Lang F 2006a Blunted hypertensive effect of combined fructose and high-salt diet in gene-targeted mice lacking functional serum- and glucocorticoid-inducible kinase SGK1. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology R935R944. (https://doi.org/10.1152/ajpregu.00382.2005)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Huang DY, Boini KM, Osswald H, Friedrich B, Artunc F, Ullrich S, Rajamanickam J, Palmada M, Wulff P, Kuhl D, et al. 2006b Resistance of mice lacking the serum- and glucocorticoid-inducible kinase SGK1 against salt-sensitive hypertension induced by a high-fat diet. American Journal of Physiology: Renal Physiology F1264F1273. (https://doi.org/10.1152/ajprenal.00299.2005)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kennedy AJ, Ellacott KL, King VL & Hasty AH 2010 Mouse models of the metabolic syndrome. Disease Models and Mechanisms 156166. (https://doi.org/10.1242/dmm.003467)

  • Kim JI, Huh JY, Sohn JH, Choe SS, Lee YS, Lim CY, Jo A, Park SB, Han W & Kim JB 2015 Lipid-overloaded enlarged adipocytes provoke insulin resistance independent of inflammation. Molecular and Cellular Biology 16861699. (https://doi.org/10.1128/MCB.01321-14)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kleiner DE, Brunt EM, Van Natta M, Behling C, Contos MJ, Cummings OW, Ferrell LD, Liu YC, Torbenson MS, Unalp-Arida A, et al. 2005 Design and validation of a histological scoring system for nonalcoholic fatty liver disease. Hepatology 13131321. (https://doi.org/10.1002/hep.20701)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kobayashi T & Cohen P 1999 Activation of serum- and glucocorticoid-regulated protein kinase by agonists that activate phosphatidylinositide 3-kinase is mediated by 3-phosphoinositide-dependent protein kinase-1 (PDK1) and PDK2. Biochemical Journal 319328. (https://doi.org/10.1042/bj3390319)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kolterman OG, Insel J, Saekow M & Olefsky JM 1980 Mechanisms of insulin resistance in human obesity: evidence for receptor and postreceptor defects. Journal of Clinical Investigation 12721284. (https://doi.org/10.1172/JCI109790)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lang F, Bohmer C, Palmada M, Seebohm G, Strutz-Seebohm N & Vallon V 2006 (Patho)physiological significance of the serum- and glucocorticoid-inducible kinase isoforms. Physiological Reviews 11511178. (https://doi.org/10.1152/physrev.00050.2005)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lee MJ & Fried SK 2014 Reply to Armani et al. Can cortisol stimulate adipogenesis without the glucocorticoid receptor? International Journal of Obesity 15781579. (https://doi.org/10.1038/ijo.2014.71)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Li P, Pan F, Hao Y, Feng W, Song H & Zhu D 2013 SGK1 is regulated by metabolic-related factors in 3T3-L1 adipocytes and overexpressed in the adipose tissue of subjects with obesity and diabetes. Diabetes Research and Clinical Practice 3542. (https://doi.org/10.1016/j.diabres.2013.08.009)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Li P, Hao Y, Pan FH, Zhang M, Ma JQ & Zhu DL 2016 SGK1 inhibitor reverses hyperglycemia partly through decreasing glucose absorption. Journal of Molecular Endocrinology 301309. (https://doi.org/10.1530/JME-15-0285)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Liu H, Yu J, Xia T, Xiao Y, Zhang Q, Liu B, Guo Y, Deng J, Deng Y, Chen S, et al. 2014 Hepatic serum- and glucocorticoid-regulated protein kinase 1 (SGK1) regulates insulin sensitivity in mice via extracellular-signal-regulated kinase 1/2 (ERK1/2). Biochemical Journal 281289. (https://doi.org/10.1042/BJ20141005)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mammi C, Marzolla V, Armani A, Feraco A, Antelmi A, Maslak E, Chlopicki S, Cinti F, Hunt H, Fabbri A, et al. 2016 A novel combined glucocorticoid-mineralocorticoid receptor selective modulator markedly prevents weight gain and fat mass expansion in mice fed a high-fat diet. International Journal of Obesity 964972. (https://doi.org/10.1038/ijo.2016.13)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Marshall NJ, Liang L, Bodkin J, Dessapt-Baradez C, Nandi M, Collot-Teixeira S, Smillie SJ, Lalgi K, Fernandes ES, Gnudi L, et al. 2013 A role for TRPV1 in influencing the onset of cardiovascular disease in obesity. Hypertension 246252. (https://doi.org/10.1161/HYPERTENSIONAHA.112.201434)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Marzolla V, Armani A, Zennaro MC, Cinti F, Mammi C, Fabbri A, Rosano GM & Caprio M 2012 The role of the mineralocorticoid receptor in adipocyte biology and fat metabolism. Molecular and Cellular Endocrinology 281288. (https://doi.org/10.1016/j.mce.2011.09.011)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Miranda P, Cadaveira-Mosquera A, Gonzalez-Montelongo R, Villarroel A, Gonzalez-Hernandez T, Lamas JA, Alvarez de la Rosa D & Giraldez T 2013 The neuronal serum- and glucocorticoid-regulated kinase 1.1 reduces neuronal excitability and protects against seizures through upregulation of the M-current. Journal of Neuroscience 26842696. (https://doi.org/10.1523/JNEUROSCI.3442-12.2013)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Muniyappa R, Lee S, Chen H & Quon MJ 2008 Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage. American Journal of Physiology: Endocrinology and Metabolism E15E26. (https://doi.org/10.1152/ajpendo.00645.2007)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nam M, Choi MS, Jung S, Jung Y, Choi JY, Ryu DH & Hwang GS 2015 Lipidomic profiling of liver tissue from obesity-prone and obesity-resistant mice fed a high fat diet. Scientific Reports 16984. (https://doi.org/10.1038/srep16984)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Náray-Fejes-Tóth A, Canessa C, Cleaveland ES, Aldrich G & Fejes-Tóth G 1999 sgk is an aldosterone-induced kinase in the renal collecting duct. Effects on epithelial na+ channels. Journal of Biological Chemistry 1697316978. (https://doi.org/10.1074/jbc.274.24.16973)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Newell-Price J, Bertagna X, Grossman AB & Nieman LK 2006 Cushing’s syndrome. Lancet 16051617. (https://doi.org/10.1016/S0140-6736(06)68699-6)

  • Norlander AE, Saleh MA, Pandey AK, Itani HA, Wu J, Xiao L, Kang J, Dale BL, Goleva SB, Laroumanie F, et al. 2017 A salt-sensing kinase in T lymphocytes, SGK1, drives hypertension and hypertensive end-organ damage. JCI Insight 92801. (https://doi.org/10.1172/jci.insight.92801)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pacini G, Omar B & Ahren B 2013 Methods and models for metabolic assessment in mice. Journal of Diabetes Research 986906. (https://doi.org/10.1155/2013/986906)

  • Pearce D 2003 SGK1 regulation of epithelial sodium transport. Cellular Physiology and Biochemistry 1320. (https://doi.org/10.1159/000070245)

  • Police SB, Thatcher SE, Charnigo R, Daugherty A & Cassis LA 2009 Obesity promotes inflammation in periaortic adipose tissue and angiotensin II-induced abdominal aortic aneurysm formation. Arteriosclerosis, Thrombosis, and Vascular Biology 14581464. (https://doi.org/10.1161/ATVBAHA.109.192658)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Schwab M, Lupescu A, Mota M, Mota E, Frey A, Simon P, Mertens PR, Floege J, Luft F, Asante-Poku S, et al. 2008 Association of SGK1 gene polymorphisms with type 2 diabetes. Cellular Physiology and Biochemistry 151160. (https://doi.org/10.1159/000113757)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Shoelson SE, Lee J & Goldfine AB 2006 Inflammation and insulin resistance. Journal of Clinical Investigation 17931801. (https://doi.org/10.1172/JCI29069)

  • Singh PK, Singh S & Ganesh S 2013 Activation of serum/glucocorticoid-induced kinase 1 (SGK1) underlies increased glycogen levels, mTOR activation, and autophagy defects in Lafora disease. Molecular Biology of the Cell 37763786. (https://doi.org/10.1091/mbc.E13-05-0261)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sun K, Kusminski CM & Scherer PE 2011 Adipose tissue remodeling and obesity. Journal of Clinical Investigation 20942101. (https://doi.org/10.1172/JCI45887)

  • Urbanet R, Nguyen Dinh Cat A, Feraco A, Venteclef N, El Mogrhabi S, Sierra-Ramos C, Alvarez de la Rosa D, Adler GK, Quilliot D, Rossignol P, et al. 2015 Adipocyte mineralocorticoid receptor activation leads to metabolic syndrome and induction of prostaglandin D2 synthase. Hypertension 149157. (https://doi.org/10.1161/HYPERTENSIONAHA.114.04981)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Verrey F, Loffing J, Zecevic M, Heitzmann D & Staub O 2003 SGK1: aldosterone-induced relay of Na+ transport regulation in distal kidney nephron cells. Cellular Physiology and Biochemistry 2128. (https://doi.org/10.1159/000070246)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • von Wowern F, Berglund G, Carlson J, Mansson H, Hedblad B & Melander O 2005 Genetic variance of SGK-1 is associated with blood pressure, blood pressure change over time and strength of the insulin-diastolic blood pressure relationship. Kidney International 21642172. (https://doi.org/10.1111/j.1523-1755.2005.00672.x)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wang J, Barbry P, Maiyar AC, Rozansky DJ, Bhargava A, Leong M, Firestone GL & Pearce D 2001 SGK integrates insulin and mineralocorticoid regulation of epithelial sodium transport. American Journal of Physiology: Renal Physiology F303F313. (https://doi.org/10.1152/ajprenal.2001.280.2.F303)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Webster MK, Goya L, Ge Y, Maiyar AC & Firestone GL 1993 Characterization of sgk, a novel member of the serine/threonine protein kinase gene family which is transcriptionally induced by glucocorticoids and serum. Molecular and Cellular Biology 20312040. (https://doi.org/10.1128/mcb.13.4.2031)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wulff P, Vallon V, Huang DY, Volkl H, Yu F, Richter K, Jansen M, Schlunz M, Klingel K, Loffing J, et al. 2002 Impaired renal Na(+) retention in the sgk1-knockout mouse. Journal of Clinical Investigation 12631268. (https://doi.org/10.1172/JCI15696)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wyatt AW, Hussain A, Amann K, Klingel K, Kandolf R, Artunc F, Grahammer F, Huang DY, Vallon V, Kuhl D, et al. 2006 DOCA-induced phosphorylation of glycogen synthase kinase 3beta. Cellular Physiology and Biochemistry 137144. (https://doi.org/10.1159/000092075)

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yamaguchi K, Yang L, McCall S, Huang J, Yu XX, Pandey SK, Bhanot S, Monia BP, Li YX & Diehl AM 2007 Inhibiting triglyceride synthesis improves hepatic steatosis but exacerbates liver damage and fibrosis in obese mice with nonalcoholic steatohepatitis. Hepatology 13661374. (https://doi.org/10.1002/hep.21655)

    • PubMed
    • Search Google Scholar
    • Export Citation