Sinusoidal endothelial dysfunction precedes inflammation and fibrosis in a model of NAFLD

PLoS One. 2012;7(4):e32785. doi: 10.1371/journal.pone.0032785. Epub 2012 Apr 3.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is the hepatic manifestation of the metabolic syndrome. Most morbidity associated with the metabolic syndrome is related to vascular complications, in which endothelial dysfunction is a major pathogenic factor. However, whether NAFLD is associated with endothelial dysfunction within the hepatic vasculature is unknown. The aims of this study were to explore, in a model of diet-induced overweight that expresses most features of the metabolic syndrome, whether early NAFLD is associated with liver endothelial dysfunction. Wistar Kyoto rats were fed a cafeteria diet (CafD; 65% of fat, mostly saturated) or a control diet (CD) for 1 month. CafD rats developed features of the metabolic syndrome (overweight, arterial hypertension, hypertryglyceridemia, hyperglucemia and insulin resistance) and liver steatosis without inflammation or fibrosis. CafD rats had a significantly higher in vivo hepatic vascular resistance than CD. In liver perfusion livers from CafD rats had an increased portal perfusion pressure and decreased endothelium-dependent vasodilation. This was associated with a decreased Akt-dependent eNOS phosphorylation and NOS activity. In summary, we demonstrate in a rat model of the metabolic syndrome that shows features of NAFLD, that liver endothelial dysfunction occurs before the development of fibrosis or inflammation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Diet / adverse effects
  • Endothelium, Vascular / pathology*
  • Fatty Liver / complications
  • Fatty Liver / etiology
  • Fatty Liver / pathology*
  • Fatty Liver / physiopathology*
  • Hemodynamics
  • Inflammation / complications
  • Liver / blood supply
  • Liver / metabolism
  • Liver / pathology
  • Liver / physiopathology
  • Liver Cirrhosis / complications*
  • Male
  • Metabolic Syndrome / etiology
  • Metabolic Syndrome / pathology
  • Metabolic Syndrome / physiopathology
  • Microcirculation
  • Non-alcoholic Fatty Liver Disease
  • Obesity / etiology
  • Obesity / pathology
  • Obesity / physiopathology
  • Rats
  • Rats, Wistar
  • Splanchnic Circulation