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IL-10 attenuates metabolic dysfunction–associated steatotic liver disease via modulation of hepatic responses to lipotoxicity
Akira Kado, Kazuya Okushin, Takeya Tsutsumi, Toshiyuki Kishida, Kazuhiko Ikeuchi, Hiroshi Yotsuyanagi, Kyoji Moriya, Kazuhiko Koike, Mitsuhiro Fujishiro
Akira Kado, Kazuya Okushin, Takeya Tsutsumi, Toshiyuki Kishida, Kazuhiko Ikeuchi, Hiroshi Yotsuyanagi, Kyoji Moriya, Kazuhiko Koike, Mitsuhiro Fujishiro
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Research Article Hepatology Immunology Metabolism

IL-10 attenuates metabolic dysfunction–associated steatotic liver disease via modulation of hepatic responses to lipotoxicity

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Abstract

Lipotoxicity associated with metabolic dysfunction–associated steatotic liver disease (MASLD) causes dysregulated fatty acid (FA) and glucose metabolism, inducing cellular energy imbalance, oxidative stress (OS), and hepatocellular injury. IL-10 is altered in MASLD, including increased IL-10 transcripts in peripheral immune cells; however, its role in hepatic responses to lipotoxic stress remains unclear. We evaluated whether IL-10 treatment attenuates lipotoxic injury and MASLD-related phenotypes in vivo and in vitro to reveal MASLD treatment strategies. As MASLD models, mice fed a high-fat diet and in vitro normal human hepatocytes under palmitic acid exposure were treated with IL-10, along with confirmatory experiments in HepG2 cells. We assessed FA and glucose metabolism, OS, and apoptosis with histological changes and mechanisms related to hepatocellular viability/metabolic activity and stress-responsive survival signaling in vitro. IL-10 modulated FA synthesis and β-oxidation, reducing lipid accumulation, and IL-10 altered glucose metabolic pathways, consistent with improved glucose handling under lipotoxic stress. Furthermore, IL-10 reduced OS and cell death markers while enhancing antioxidant responses, consistent with hepatocellular protection. These data suggest that IL-10 attenuates lipotoxic injury by modulating hepatic response pathways, thereby improving MASLD-related phenotypes, and support the potential of IL-10 as a therapeutic target for MASLD.

Authors

Akira Kado, Kazuya Okushin, Takeya Tsutsumi, Toshiyuki Kishida, Kazuhiko Ikeuchi, Hiroshi Yotsuyanagi, Kyoji Moriya, Kazuhiko Koike, Mitsuhiro Fujishiro

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Figure 1

IL-10 suppresses hepatic lipid accumulation in HFD-fed mice.

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IL-10 suppresses hepatic lipid accumulation in HFD-fed mice.
(A) Four ex...
(A) Four experimental groups (ND, ND+IL-10, HFD, and HFD+IL-10). (B) Representative images of mice from 4 experimental groups before euthanasia and body weights in each group. *P < 0.05 versus ND-fed mice (control); #P < 0.05 versus HFD-fed mice. Scale bar: 2 cm. (C) Food intake in each group. Food intake is monitored throughout the treatment period and expressed as mean (g/d) per mouse. (D) Fasting serum levels of AST, ALT, TG, T-CHO, and NEFA at euthanasia. (E) Oil Red O staining of the liver tissue sections and Oil Red O–positive area (percentage) in each view. Scale bar: 200 μm. The analysis was performed 4 times per group using different views. (F) Serum IL-10 levels at euthanization; quantitative hepatic IL-10 levels and relative fold-changes compared with control. (G and H) Immunoblot analysis of IL-10Rα, FAS, CPT1, CPT2, and PPARα. Protein band intensities are normalized to β-actin and expressed as ratios. Box-and-whisker plots show the median, IQR, and full data range. One-way ANOVA followed by Tukey’s multiple-comparison test; n = 4, *P < 0.05, **P < 0.01, ***P < 0.001. CPT, carnitine palmitoyltransferase; FAS, fatty acid synthase; HFD, high-fat diet; ND, normal diet.

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