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LIVER AND BILIARY TRACT
1Division of Gastroenterology and Hepatology, 2Harry S. Truman Memorial Veterans Medical Center, Departments of 3Nutritional Sciences, 4Medical Pharmacology and Physiology, 5Biomedical Sciences, and 6Dalton Cardiovascular Research Center, University of Missouri; Columbia, Missouri
Submitted 21 September 2007 ; accepted in final form 2 January 2008
Exercise training is commonly prescribed for treatment of nonalcoholic fatty liver disease (NAFLD). We sought to determine whether exercise training prevents the development of NAFLD in Otsuka Long-Evans Tokushima Fatty (OLETF) rats and to elucidate the molecular mechanisms underlying the effects of exercise on hepatic steatosis. Four-week-old OLETF rats were randomly assigned to either a sedentary control group (Sed) or a group given access to voluntary running wheels for 16 wk (Ex). Wheels were locked 2 days before euthanasia in the Ex animals, and both groups were euthanized at 20 wk old. Voluntary wheel running attenuated weight gain and reduced serum glucose, insulin, free fatty acids, and triglycerides in Ex animals compared with Sed (P < 0.001). Ex animals exhibited significantly reduced hepatic triglyceride levels and displayed fewer lipid droplets (Oil Red O staining) and reduced lipid droplet size compared with Sed. Wheel running increased by threefold the percent of palmitate oxidized completely to CO2 in the Ex animals but did not alter AMP-activated protein kinase-
(AMPK
) or AMPK phosphorylation status. However, fatty acid synthase and acetyl-coenzyme A carboxylase (ACC) content were significantly reduced (
70 and
35%, respectively), and ACC phosphorylation and cytochrome c content were significantly elevated (
35 and
30%, respectively) in the Ex animals. These results unequivocally demonstrate that daily physical activity attenuates hepatic steatosis and NAFLD in an obese rodent model and suggest that this effect is likely mediated, in part, through enhancement of hepatic fatty acid oxidation and reductions in key protein intermediates of fatty acid synthesis.
wheel running; nonalcoholic fatty liver disease; metabolic syndrome; physical activity; palmitate oxidation
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