1. Glucagon promotes increased hepatic mitochondrial oxidation and pyruvate carboxylase flux in humans with fatty liver disease.
- Author
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Petersen KF, Dufour S, Mehal WZ, and Shulman GI
- Subjects
- Humans, Male, Middle Aged, Female, Adult, Liver metabolism, Mitochondria, Liver metabolism, Gluconeogenesis, 3-Hydroxybutyric Acid metabolism, Glucose metabolism, Pyruvate Carboxylase metabolism, Glucagon metabolism, Oxidation-Reduction, Fatty Liver metabolism, Fatty Liver pathology
- Abstract
We assessed in vivo rates of hepatic mitochondrial oxidation, gluconeogenesis, and β-hydroxybutyrate (β-OHB) turnover by positional isotopomer NMR tracer analysis (PINTA) in individuals with metabolic-dysfunction-associated steatotic liver (MASL) (fatty liver) and MASL disease (MASLD) (steatohepatitis) compared with BMI-matched control participants with no hepatic steatosis. Hepatic fat content was quantified by localized
1 H magnetic resonance spectroscopy (MRS). We found that in vivo rates of hepatic mitochondrial oxidation were unaltered in the MASL and MASLD groups compared with the control group. A physiological increase in plasma glucagon concentrations increased in vivo rates of hepatic mitochondrial oxidation by 50%-75% in individuals with and without MASL and increased rates of glucose production by ∼50% in the MASL group, which could be attributed in part to an ∼30% increase in rates of mitochondrial pyruvate carboxylase flux. These results demonstrate that (1) rates of hepatic mitochondrial oxidation are not substantially altered in individuals with MASL and MASLD and (2) glucagon increases rates of hepatic mitochondrial oxidation., Competing Interests: Declaration of interests G.I.S. is an inventor on Yale patents for liver-targeted mitochondrial agents and a scientific co-founder of and advisor for Orsobio, which is developing liver-targeted mitochondrial uncoupling agents for the treatment of MASL/MASLD and cardiometabolic disease. G.I.S. and K.F.P. are inventors on Yale patents for PINTA technology., (Copyright © 2024 Elsevier Inc. All rights reserved.)- Published
- 2024
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