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Prophylactic and therapeutic effects of different doses of vitamin C on high-fat-diet-induced non-alcoholic fatty liver disease in mice - 28/10/20

Doi : 10.1016/j.biopha.2020.110792 
Qingmin Zeng a, 1, Lili Zhao b, 1, Chao Meng c, Xiaotong Zhao c, Yonggang Liu d, Ruifang Shi d, Xu Han a, Ting Wang e, , Jia Li f,
a Department of Hepatology, Tianjin Second People’s Hospital, Tianjin, China 
b Department of Hepatology, Second People’s Clinical College of Tianjin Medical University, Tianjin Second People’s Hospital, Tianjin, China 
c Department of Clinical Laboratory, Tianjin Second People’s Hospital, Tianjin, China 
d Department of Pathology, Tianjin Second People's Hospital, Tianjin Institute of Hepatology, Tianjin, China 
e Center for Urban Transport Emission Research, State Environmental Protection Key Laboratory of Urban Ambient Air Particulate Matter Pollution Prevention and Control, College of Environmental Science and Engineering, Nankai University, Tianjin, China 
f Department of Hepatology, Tianjin Second People’s Hospital, State Key Laboratory of Medicinal Chemical Biology, Nankai University, Tianjin, China 

Corresponding authors.

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Abstract

Epidemiological studies support the association between inadequate vitamin C (Vc) intake and non-alcoholic fatty liver disease (NAFLD). However, the intervention dose of Vc, and the prophylactic and therapeutic effects on NAFLD are unclear. This study aimed to investigate the prophylactic and therapeutic effects of low (LVc), medium (MVc) and high (HVc) doses of Vc on NAFLD. C57BL/6 mice were randomly assigned to prophylactic groups (mice received a high-fat diet (HFD) concomitant with different doses of Vc) and therapeutic groups (HFD-induced NAFLD mice treated with different doses of Vc). Results showed that prophylactic LVc and MVc administration reduced the risk of NAFLD development in HFD-fed mice, as evidenced by significantly lowered body weight, perirenal adipose tissue mass, and steatosis, whereas prophylactic HVc administration did not prevent HFD-induced NAFLD development. Furthermore, therapeutic MVc administration significantly ameliorated HFD-induced increase in body weight, perirenal adipose tissue mass and steatosis, whereas therapeutic LVc and HVc administration did not ameliorate NAFLD symptoms. In fact, therapeutic HVc administration significantly increased body weight, perirenal adipose tissue mass, and lobular inflammation. Moreover, prophylactic LVc administration was more effective than therapeutic LVc administration as evidenced by significantly lower body weight, perirenal adipose tissue mass, steatosis, ballooned hepatocytes, and lobular inflammation in prophylactic LVc administration. The same trends were observed between prophylactic HVc administration and therapeutic HVc administration. In addition, all Vc-administered mice exhibited low blood glucose, triglycerides and homeostasis model assessment of insulin resistance values and high adiponectin levels compared to HFD-fed mice. Our study suggested that MVc was beneficial for HFD-induced NAFLD prophylaxis and therapy. LVc prevented HFD-induced NAFLD development, while HVc for NAFLD management was risky. This study offers valuable insight into the effect of various Vc doses on NAFLD management.

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Keywords : Non-alcoholic fatty liver disease, Vitamin C dose, Prophylaxis, Therapy, Mouse model


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