Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men

<p style="text-align:justify;"> <b>Context and Objective:</b> In most populations a greater proportion of men have hepatic steatosis than women. Sex-specific differences in hepatic dietary fatty acid (FA) metabolism have not been well characterized. We compared fasting a...

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المؤلفون الرئيسيون: Pramfalk, C, Pavlides, M, Banerjee, R, McNeil, C, Neubauer, S, Karpe, F, Hodson, L
التنسيق: Journal article
اللغة:English
منشور في: Endocrine Society 2015
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author Pramfalk, C
Pavlides, M
Banerjee, R
McNeil, C
Neubauer, S
Karpe, F
Hodson, L
author_facet Pramfalk, C
Pavlides, M
Banerjee, R
McNeil, C
Neubauer, S
Karpe, F
Hodson, L
author_sort Pramfalk, C
collection OXFORD
description <p style="text-align:justify;"> <b>Context and Objective:</b> In most populations a greater proportion of men have hepatic steatosis than women. Sex-specific differences in hepatic dietary fatty acid (FA) metabolism have not been well characterized. We compared fasting and postprandial hepatic FA synthesis (de novo lipogenesis [DNL]) and oxidation in men and women.<br/> <b>Participants and Methods:</b> Fasting and postprandial hepatic FA metabolism was studied in 22 healthy men (n = 11) and women with similar age, body mass index, and liver fat content using metabolic substrates labeled with stable-isotope tracers (2H2O and [U13C]palmitate). Dietary FA oxidation was assessed by appearance of 13C into plasma 3-hydroxybutyrate and breath CO2 as markers of liver and whole-body FA oxidation, respectively.<br/> <b>Results:</b> Despite similar liver fat content, fasting and postprandial plasma triacylglycerol (TG) concentrations were significantly (P &lt; .05) higher in men compared with women. The appearance of 13C from dietary FA into plasma 3-hydroxybutyrate and breath CO2 was greater (P &lt; .05) in women compared with men. Although the contribution of DNL into very low-density lipoprotein (VLDL)-TG was similar (∼10%) in the fasting state, there was a divergence in pattern over the course of the study, with men maintaining a higher contribution of DNL to VLDL-TG than women (P = .006 time x sex interaction).<br/> <b>Conclusions:</b> The combination of lower dietary FA oxidation and a prolonged increase in DNL observed in men may represent partitioning of FA into esterification and storage pathways within the liver, leading to greater VLDL-TG production, and predispose to the sex difference in hepatic steatosis.</p>
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spelling oxford-uuid:95266c0c-557f-4352-b181-010342c995ce2022-03-26T23:44:13ZSex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in menJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:95266c0c-557f-4352-b181-010342c995ceEnglishSymplectic Elements at OxfordEndocrine Society2015Pramfalk, CPavlides, MBanerjee, RMcNeil, CNeubauer, SKarpe, FHodson, L <p style="text-align:justify;"> <b>Context and Objective:</b> In most populations a greater proportion of men have hepatic steatosis than women. Sex-specific differences in hepatic dietary fatty acid (FA) metabolism have not been well characterized. We compared fasting and postprandial hepatic FA synthesis (de novo lipogenesis [DNL]) and oxidation in men and women.<br/> <b>Participants and Methods:</b> Fasting and postprandial hepatic FA metabolism was studied in 22 healthy men (n = 11) and women with similar age, body mass index, and liver fat content using metabolic substrates labeled with stable-isotope tracers (2H2O and [U13C]palmitate). Dietary FA oxidation was assessed by appearance of 13C into plasma 3-hydroxybutyrate and breath CO2 as markers of liver and whole-body FA oxidation, respectively.<br/> <b>Results:</b> Despite similar liver fat content, fasting and postprandial plasma triacylglycerol (TG) concentrations were significantly (P &lt; .05) higher in men compared with women. The appearance of 13C from dietary FA into plasma 3-hydroxybutyrate and breath CO2 was greater (P &lt; .05) in women compared with men. Although the contribution of DNL into very low-density lipoprotein (VLDL)-TG was similar (∼10%) in the fasting state, there was a divergence in pattern over the course of the study, with men maintaining a higher contribution of DNL to VLDL-TG than women (P = .006 time x sex interaction).<br/> <b>Conclusions:</b> The combination of lower dietary FA oxidation and a prolonged increase in DNL observed in men may represent partitioning of FA into esterification and storage pathways within the liver, leading to greater VLDL-TG production, and predispose to the sex difference in hepatic steatosis.</p>
spellingShingle Pramfalk, C
Pavlides, M
Banerjee, R
McNeil, C
Neubauer, S
Karpe, F
Hodson, L
Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men
title Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men
title_full Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men
title_fullStr Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men
title_full_unstemmed Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men
title_short Sex-specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for NAFLD in men
title_sort sex specific differences in hepatic fat oxidation and synthesis may explain the higher propensity for nafld in men
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