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miR-182-5p Attenuates High-Fat -Diet-Induced Nonalcoholic Steatohepatitis in Mice
Qionghe Liang*,**, Huan Chen*, Xiaoqun Xu*, Weiwei Jiang
,***,
Corresponding author
wwjiang@njmu.edu.cn

Correspondence and reprint request:
* Department of Neonatal Surgery, Children’s Hospital of Nanjing Medical University, Nanjing, China
** Department of Radiology, Children’s Hospital of Nanjing Medical University, Nanjing, China
*** Institute of Pediatric Research, Children’s Hospital of Nanjing Medical University, Nanjing, China
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="s0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0040">Introduction</span><p id="p0010" class="elsevierStylePara elsevierViewall">In recent years&#44; the morbidity associated with nonalcoholic fatty liver disease &#40;NAFLD&#41;&#44; one of the most common liver diseases worldwide&#44; in younger patients in many countries&#44; such as China&#44;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">1-3</span></a> has increased&#46; The most commonly accepted pathogenic mechanisms associated with nonalcoholic steatohepatitis &#40;NASH&#41; involve increased oxidative stress&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">4</span></a> insulin resistance&#44; and expression of inflammatory cytokines&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">5</span></a></p><p id="p0015" class="elsevierStylePara elsevierViewall">The interest in Toll-like receptor &#40;TLR&#41; 4 in relation to NAFLD pathogenesis has increased&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">6-9</span></a> Activation of TLR4 triggers intracellular signaling molecules&#44; including myeloid differentiation factor &#40;MyD88&#41;-dependent and MyD88-independent pathways&#46; MyD88-dependent pathways induce nuclear translocation of nuclear factor &#40;NF&#41;-<span class="elsevierStyleBold">k</span>B&#44; resulting in the production of inflammatory cytokines&#44; such as interleukin &#40;IL&#41; 6 and tumor necrosis factor &#40;TNF&#41; a&#44; whereas MyD88-independent pathways promote the release of inflammatory cytokines&#44; such as transforming growth factor P&#44; IL6&#44; and TNFa&#44; which subsequently induce inflammation and the formation of fibrosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">10-12</span></a> Moreover&#44; the MyD88-dependent pathway was implicated in high-fat-diet &#40;HFD&#41;-induced NAFLD&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">8</span></a></p><p id="p0020" class="elsevierStylePara elsevierViewall">MicroRNAs &#40;miRNAs&#41; are highly conserved&#44; endogenous&#44; noncoding RNA molecules that silence protein translation by binding to the 3&#39; untranslated regions &#40;3&#39;UTRs&#41; of target mRNA&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">13</span></a> Analysis using TargetScan software &#40;http&#58;&#47;&#47;www&#46;targetscan&#46;org&#47;vert&#95;71&#47;&#41; revealed that the sequence of miRNA-182-5p &#40;miR-182-5p&#41; derived from a 4-kb region of murine chromosome 6q is complementary to the 3&#39;UTR of mouse TLR4&#46;</p><p id="p0025" class="elsevierStylePara elsevierViewall">Currently&#44; there are no reports regarding the role of miR-182-5p in HFD-induced nonalcoholic steatohepatitis in mice <span class="elsevierStyleItalic">in vivo&#44;</span> as well as in lipopolysaccharide &#40;LPS&#41;-in-duced inflammatory response in RAW264&#46;7 cells or oleic acid &#40;OA&#41;-induced lipid accumulation in HepG2 cells <span class="elsevierStyleItalic">in vitro&#46;</span> Here&#44; we studied the roles of miR-182-5p in the inflammatory response in macrophages following LPS administration&#44; in lipid accumulation in HepG2 cells following OA administration&#44; and in HFD-induced nonalcoholic steatohepatitis in mice to investigate miR-182-5p-related mechanisms associated with NAFLD&#46;</p></span><span id="s0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0045">Materials and Methods</span><span id="s0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0050">Cell cultures</span><p id="p0030" class="elsevierStylePara elsevierViewall">The mouse macrophage cell line&#44; RAW 264&#46;7 &#40;American Type Culture Collection&#44; Rockville&#44; MD&#44; USA&#41;&#44; was cultured in high-glucose DMEM &#40;Invitrogen&#44; CA&#44; USA&#41; supplemented with 10&#37; fetal bovine serum &#40;FBS&#59; Invitrogen&#41;&#44; and 1&#37; &#40;w&#47;v&#41; penicillin-streptomycin and streptomycin &#40;100 p&#44;g&#47;mL&#41;&#46; Cells were fasted in serum-free medium for 12 h before stimulation with LPS&#46; RAW264&#46;7 cells were cultured in a six-well culture plate at a density of 2-4 x 10<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">5</span></a> cells per well for 24 h&#44; then the cells were transfected with 50 nM miR-182-5p mimic&#44; miR-182-5p NC&#44; and lip2000 &#40;GenaPharma&#44; Shanghai&#44; China&#41; for 24 h using Lipofectamine 2000 &#40;Invitrogen&#41; according to the manufacturer&#8217;s instructions&#46; Then&#44; RAW264&#46;7 cells were exposed to 1 p&#44;g&#47;mL of LPS&#46;</p><p id="p0035" class="elsevierStylePara elsevierViewall">HepG2 cells were cultured in high-glucose DMEM supplemented with 10&#37; fetal bovine serum and 1&#37; &#40;w&#47;v&#41; penicillin-streptomycin and streptomycin &#40;100 ig&#47;mL&#41;&#46; Oleic acid &#40;OA&#41; was used as a steatosis vector of HepG2 cells&#46; After reaching 30-40&#37; confluence&#44; the cultured cells in six-well plates were transfected with miR-182-5p mimic&#44; miR-182-5p NC&#44; and lip2000&#46; Non-transfected HepG2 cells served as steatotic controls&#46; After 24 h&#44; the cells reached 80&#37; confluence&#44; and then the cells were exposed to 1&#46;0 mmol&#47;L OA&#44; 1&#37; FFA-free BSA&#44; and 100 nmol&#47;L long-acting insulin in DMEM&#46;</p><p id="p0040" class="elsevierStylePara elsevierViewall">All cells were incubated at 37<span class="elsevierStyleSup">o</span>C in a humidified atmosphere with 5&#37; CO<span class="elsevierStyleInf">2</span>&#46; Total RNA and total protein were extracted from harvested cells for mRNA and protein expression by RT-PCR and Western blotting&#44; respectively&#46;</p></span><span id="s0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0055">Animals</span><p id="p0045" class="elsevierStylePara elsevierViewall">Twenty-four male C57BL &#47; 6 mice were purchased from the Laboratory Animal Center of Nanjing Medical University at 3 weeks of age&#46; All mice were kept in a specific pathogen-free facility under controlled light &#40;06&#58;00 am -06&#58;00 pm&#41; and temperature &#40;22 &#177; 2&#175;C&#41; conditions with free access to tap water&#46; After a 7-day adaptation period&#44; the mice were randomly split into four groups of six mice each and fed a high-fat diet &#40;HF&#59; 4&#46;73 kcal&#47;g with 45&#37; fat&#44; 20&#37; protein&#44; and 35&#37; carbohydrate&#59; Medicience Ltd&#46;&#44; China&#41; for a period of 12 weeks&#46; Three groups of mice were administered 5 mg&#47;kg of Ago-miR-182-5p &#40;Ribobio&#44; Guangzhou&#44; China&#41; via tail vein in saline &#40;182-5p group&#41;&#44; and miR-182-5p normal control &#40;182-5p NC group&#41; twice a week&#59; the HF group was not treated&#46; HFD and miR-182-5p NC groups were the control groups of HFD &#43; miR-182-5p group&#46; Body weight was monitored throughout life&#46; After 12 weeks&#44; the mice were killed at 09&#58;00 am after overnight fasting &#40;12 h&#41;&#46; The animals in each cohort were sacrificed for liver and plasma collection&#46; All animals were treated as recommended in the Guide for the Care and Use of Laboratory Animals&#44; issued by the China Association of Laboratory Animal Care&#46; All of the studies were approved by the University Committee on Use and Care of Animals and overseen by the Unit for Laboratory Animal Medicine at Nanjing Medical University&#46;</p></span><span id="s0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0060">Real-time RT-PCR</span><p id="p0050" class="elsevierStylePara elsevierViewall">Total RNA was isolated from tissue and cultured cells with TRIzol reagent &#40;Invitrogen&#41; and reverse-transcribed with a reaction mixture&#46; Quantitative real-time PCR &#40;qPCR&#41; analysis was performed using the SYBR Green qPCR Master Mix &#40;Applied Biosystems &#91;ABI&#93;&#44; CA&#44; USA&#41; and a Step One Plus real-time PCR system &#40;ABI&#41;&#46; The expression data were normalized to the expression of P-ac-tin&#46; To determine miRNA expression&#44; total RNA was reverse-transcribed and the resulting cDNA was used with miRNA-specific TaqMan primers &#40;ABI&#41; and Taq-Man Universal PCR Master Mix &#40;ABI&#41;&#46; RNU6B was used as an endogenous control for data normalization of miR-182-5p levels&#46; The comparative threshold cycle &#40;Ct&#41; method was used to measure the relative changes in expression&#59; 2<span class="elsevierStyleSup">-</span>AACt represents the fold change in expression&#46;</p></span><span id="s0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0065">Dual-luciferase reporter assays</span><p id="p0055" class="elsevierStylePara elsevierViewall">For the 3&#8217;UTR luciferase reporter assay&#44; the pmirGLO Dual-Luciferase miRNA Target Expression Vector &#40;Promega&#44; WI&#44; USA&#41; was used&#46; The oligonucleotides were ligated into the NheI-XhoI site of pmirGLO&#46; The RAW264&#46;7 or HepG2 cells were co-transfected with the 182-5p mimic or its control&#44; and constructed pmirGLO vectors and pRL-TK &#40;Promega&#41; using Lipofectamine 2000 for 24 h&#44; according to the manufacturer&#8217;s instructions&#46; Firefly luciferase and Renilla luciferase luminescence was measured using the Dual-Glo luciferase Reporter Assay System &#40;Promega&#41; and a GloMax 20&#47;20 Luminometer &#40;Promega&#41;&#46; The ratios of Firefly luciferase luminescence relative to Renilla luciferase luminescence were calculated&#46;</p></span><span id="s0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0070">Western analysis</span><p id="p0060" class="elsevierStylePara elsevierViewall">Total protein from mouse livers or cells were obtained with lysis buffer &#40;Beyotime&#44; Nantong&#44; China&#41;&#44; resolved by SDS-polyacrylamide gel electrophoresis &#40;PAGE&#41;&#44; and transferred to an Immobilon-P polyvinylidene difluoride &#40;PVDF&#59; Millipore&#44; MA&#44; USA&#41; membrane&#46; After blocking the membranes using &#40;5&#37; wt&#47;vol&#41; skim milk for 60 min&#44; the membranes were incubated with an anti-TLR4 antibody &#40;Abcam&#44; Cambs&#44; UK&#41;&#44; and anti-P-actin antibody &#40;Santa Cruz&#44; CA&#44; USA&#41;&#46; After washing&#44; the membranes were probed with the corresponding secondary antibodies before development using an ECL Western blotting detection system &#40;Pierce&#44; NJ&#44; USA&#41; by enhanced chemiluminescence&#46;</p></span><span id="s0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0075">Immunoassay of Tumor Necrosis Factor-a and Interleukin-6</span><p id="p0065" class="elsevierStylePara elsevierViewall">TNF-a and IL-6 levels were detected by ELISA according to the manufacturer&#8217;s protocol &#40;Adlitteram Diagnostic Laboratories anti-rat TNF-a Elisa kit and goat anti-rat IL-6 Elisa kit&#41;&#46;</p></span><span id="s0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0080">Serum levels of triglycerides &#40;TG&#41;</span><p id="p0070" class="elsevierStylePara elsevierViewall">A standard automatic analyzer &#40;Hitachi 7600-10&#59; Hitachi&#44; Japan&#41; was used to determine the serum levels of TG&#46;</p></span><span id="s0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0085">The intraperitoneal glucose tolerance test &#40;IPGTT&#41;</span><p id="p0075" class="elsevierStylePara elsevierViewall">Briefly&#44; at W16&#44; all the groups mice were fasted overnight&#46; The mice injected i&#46;p&#46; with 1&#46;5 g D-glucose &#40;50&#37; stock solution in saline&#41;&#47;kg body weight&#46; Blood samples were taken from tail vein at 0-&#44; 30-&#44; 60-&#44; and 120-min intervals after the glucose injection&#44; and glucose levels were measured by a glucose meter &#40;Accu-Chek&#59; Roche&#41;&#46;</p></span><span id="s0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0090">Histologic analysis</span><p id="p0080" class="elsevierStylePara elsevierViewall">Formalin-fixed&#44; paraffin-embedded mouse liver specimens were sectioned at 4 mm and stained with hematoxylin and eosin&#46; Liver samples were also stained with picrosirius red solution&#46; The sections used for histopathologic analysis were examined by light microscopy&#46; Liver samples were also stained with picrosirius red solution&#44; and the area of liver fibrotic was quantified using the winROOF visual system &#40;Mitani Co&#46;&#44; Tokyo&#44; Japan&#41;&#46;</p></span><span id="s0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0095">Assessment of lipid accumulation in HepG2 cells and liver tissues</span><p id="p0085" class="elsevierStylePara elsevierViewall">Lipid accumulation in HepG2 cells was detected using Oil-red O staining&#46; In brief&#44; cells were washed with phosphate-buffered saline &#40;PBS&#41; and fixed with 4&#37; &#40;w&#47;v&#41; paraformaldehyde in PBS for 5 min&#46; Then cells were incubated with 0&#46;5&#37; &#40;w&#47;v&#41; Oil-red O in an isopropyl alcohol&#47;water &#40;60&#47;40&#44; v&#47;v&#41; solution for 30 min&#44; and washed twice with PBS&#46; The percentage of lipid-positive cells was analyzed with image software &#40;Jeda&#44; Jiangsu&#44; China&#41;&#46; Liver sections were stained with Oil-red O to detect TG&#46; At least three slices per tissue sample &#40;x 100 magnification&#41; or three different microscopic fields per culture &#40;x 400 magnification&#41; were photographed&#46; Each photograph was assessed by two investigators&#46;</p></span><span id="s0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0100">NAFLD activity score &#40;NAS&#41;</span><p id="p0090" class="elsevierStylePara elsevierViewall">The NAS&#44; designed and validated by the Pathology Committee of the NASH Clinical Research Network&#44; is used to assess the severity of NAFLD&#46; An activity score was generated by adding the individual scores for the following features&#58; steatosis &#40;&#60; 5&#37; &#61; 0&#59; 5 - 33&#37; &#61; 1&#59; 33 - 66&#37; &#61; 2&#59; &#62; 66&#37; &#61; 3&#41;&#59; lobular inflammation &#40;none &#61; 0&#59; &#60; 2 foci &#61; 1&#59; 2 - 4 foci &#61; 2&#59; &#62; 4 foci &#61; 3&#41;&#59; and ballooning &#40;none &#61; 0&#59; few &#61; 1&#59; prominent &#61; 2&#41;&#46; A NAS &#60; 3 correlates with mild non-alcoholic fatty liver&#44; a NAS of 3-4 correlates with moderate non-alcoholic fatty liver&#44; and a NAS &#62; 5 correlates with NASH&#46;</p></span><span id="s0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0105">Statistical analysis</span><p id="p0095" class="elsevierStylePara elsevierViewall">Statistical analysis was performed using SPSS software &#40;version 14&#46;0&#59; SPSS&#44; Inc&#46;&#44; Chicago&#44; IL&#44; USA&#41;&#46; Significant differences between groups were analyzed by one-way ANOVA&#44; followed by <span class="elsevierStyleItalic">post-hoc</span> Fisher&#8217;s least significance difference &#40;LSD&#41; test&#46; Body weight and serum glucose during IPGTT were analyzed by one-way ANOVA with repeated measures&#44; followed by a LSD test&#46; A P &#60; 0&#46;05 was considered significant&#46;</p></span></span><span id="s0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0110">Results</span><span id="s0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0115">miR-182-5p reduces macrophage inflammatory response by inhibiting TLR4 expression</span><p id="p0100" class="elsevierStylePara elsevierViewall">We used TargetScan version 5&#46;2 to identify putative miR-182-5p-binding sequences in the 3&#39;UTR of TLR4 &#40;<a class="elsevierStyleCrossRef" href="#f0010">Figure 1A</a>&#41;&#44; and a luciferase reporter was used to confirm the role of miR-182-5p in TLR4 inactivation in macrophages&#46; Our results verified that the miR-182-5p mimic inhibited luciferase activity by &#62; 50&#37; &#40;<a class="elsevierStyleCrossRef" href="#f0010">Figure 1B</a>&#41;&#44; thereby demonstrating the ability of miR-182-5p to decrease TLR4 expression in macrophages&#46; Additionally&#44; transfection with the miR-182-5p mimic resulted in decreased TLR4 mRNA &#40;<a class="elsevierStyleCrossRef" href="#f0015">Figure 2A</a>&#41; and protein &#40;<a class="elsevierStyleCrossRef" href="#f0015">Figure 2B</a>&#41; levels in LPS-treated RAW264&#46;7 cells&#46; Furthermore&#44; miR-182-5p transfection attenuated TNFa &#40;<a class="elsevierStyleCrossRef" href="#f0015">Figure 2C</a>&#41; and IL-6 &#40;<a class="elsevierStyleCrossRef" href="#f0015">Figure 2D</a>&#41; levels&#46;</p><elsevierMultimedia ident="f0010"></elsevierMultimedia><elsevierMultimedia ident="f0015"></elsevierMultimedia></span><span id="s0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0120">OA administration in miR-182-5p-transfected HepG2 cells downregulates TLR4 expression</span><p id="p0105" class="elsevierStylePara elsevierViewall">OA-administered HepG2 cells transfected with the miR-182-5p mimic inhibited TLR4 mRNA &#40;<a class="elsevierStyleCrossRef" href="#f0020">Figure 3A</a>&#41; and protein &#40;<a class="elsevierStyleCrossRef" href="#f0020">Figure 3B</a>&#41; expression&#46; miR-182-5p transfection also attenuated TNFa &#40;<a class="elsevierStyleCrossRef" href="#f0020">Figure 3C</a>&#41; and IL-6 &#40;<a class="elsevierStyleCrossRef" href="#f0020">Figure 3D</a>&#41; levels and decreased lipid accumulation &#40;<a class="elsevierStyleCrossRef" href="#f0020">Figures 3E</a> and <a class="elsevierStyleCrossRef" href="#f0020">3F</a>&#41;&#46;</p><elsevierMultimedia ident="f0020"></elsevierMultimedia><p id="p0110" class="elsevierStylePara elsevierViewall">A luciferase reporter was used to confirm the role of miR-182-5p in TLR4 inactivation in HepG2 cells&#46; Our results indicated that transfection with the miR-182-5p mimic inhibited luciferase activity by &#62; 50&#37; &#40;<a class="elsevierStyleCrossRef" href="#f0010">Figure 1C</a>&#41;&#44; thereby demonstrating the ability of miR-182-5p to decrease TLR4 expression in hepatic parenchymal cells&#46;</p></span><span id="s0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0125">Effects of miR-182-5p and HFD on the liver weight&#47;body weight ratio and triglyceride &#40;TG&#41; levels in mice</span><p id="p0115" class="elsevierStylePara elsevierViewall">As shown in <a class="elsevierStyleCrossRef" href="#f0025">figure 4G</a>&#44; the liver weight&#47;body weight ratio in the HFD &#43; miR-182-5p group was lower than that observed in HFD and HFD &#43; miR-182-5p groups&#46; The TG level in the HFD &#43; miR-182-5p group was also lower than that observed in HFD and HFD&#43;miR-182-5p groups &#40;<a class="elsevierStyleCrossRef" href="#f0025">Figure 4H</a>&#41;&#46; The body weight in the HFD &#43; miR-182-5p group was also lower than that observed in HFD and HFD&#43;miR-182-5p groups at 16 weeks &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5P</a>&#41;&#46;</p><elsevierMultimedia ident="f0025"></elsevierMultimedia><elsevierMultimedia ident="f0030"></elsevierMultimedia></span><span id="s0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0130">The intraperitoneal glucose tolerance test</span><p id="p0120" class="elsevierStylePara elsevierViewall">The intraperitoneal glucose tolerance test show glucose levels in the HFD &#43; miR-182-5p group was significantly reduced compared to the HFD&#44; and HFD &#43; miR-182-5p negative control &#40;NC&#41; groups at W16 &#40;<a class="elsevierStyleCrossRef" href="#f0025">Figures 4E</a> and <a class="elsevierStyleCrossRef" href="#f0025">4F</a>&#41;&#46;</p></span><span id="s0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0135">Histologic changes</span><p id="p0125" class="elsevierStylePara elsevierViewall">Hematoxylin and eosin staining in the control&#44; HFD&#44; HFD &#43; miR-182-5p NC&#44; and HFD &#43; miR-182-5p groups revealed that the HFD &#43; miR-182-5p group exhibited lower average adipose-cell cross-sectional areas as compared with the HFD and HFD &#43; miR-182-5p NC groups &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figures 5E-5H</a>&#41;&#46;</p></span><span id="s0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0140">Assessment of lipid accumulation in liver tissue</span><p id="p0130" class="elsevierStylePara elsevierViewall">As shown in <a class="elsevierStyleCrossRef" href="#f0030">figures 5B</a> and <a class="elsevierStyleCrossRef" href="#f0030">5C</a>&#44; Oil Red O staining indicated that the liver was filled with large droplets in the HFD and HFD &#43; miR-182-5p NC groups&#59; however&#44; in the HFD &#43; miR-182-5p group &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5D</a>&#41;&#44; the lipid droplets were smaller&#46; Oil-red O staining revealed lipid droplets in 5&#46;5&#37; of cells in the HFD &#43; miR-182-5p group&#59; lipid droplets were found in 1&#46;80&#37;&#44; 11&#46;2&#37;&#44; and 10&#46;6&#37; of the cells in the NF&#44; HFD&#44; and HFD &#43; miR-182-5p NC groups&#44; respectively &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5M</a>&#41;&#46;</p></span><span id="s0115" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0145">NAFLD Activity Score &#40;NAS&#41;</span><p id="p0135" class="elsevierStylePara elsevierViewall">The severity of the NAFLD in the livers was assessed by NAS &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5N</a>&#41;&#46; In HFD and HFD &#43; miR-182-5p NC groups&#44; NAS scores is 3&#46;4 and 3&#46;2&#44; which show inflammation&#44; liver steatosis&#44; and ballooning was greater than the HFD&#43;miR-182-5p group&#44; which score is 1&#46;2&#46;</p></span><span id="s0120" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0150">Assessment of the fibrotic index in liver tissue</span><p id="p0140" class="elsevierStylePara elsevierViewall">Picrosirius red solution was used to calculated the fibrotic index&#46; The red-solution range for the miR-182-5p group &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5L</a>&#41; was smaller than that observed for the HFD &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5J</a>&#41; and HFD&#43;miR-182-5p NC &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5K</a>&#41; groups&#46; The fibrotic index was significantly lower in HFD &#43; miR-182-5p group than in HFD and HFD &#43; miR-182-5p NC groups &#40;<a class="elsevierStyleCrossRef" href="#f0030">Figure 5O</a>&#41;&#46;</p></span></span><span id="s0125" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0155">Discussion</span><p id="p0145" class="elsevierStylePara elsevierViewall">Our results indicated that the levels of TLR4 and proinflammatory cytokines decreased following miR-182-5p administration in a mouse model of HFD-induced NASH&#46; Moreover&#44; HFD-induced NASH attenuation was accompanied by decreases in TG levels and improved glucose tolerance&#46;</p><p id="p0150" class="elsevierStylePara elsevierViewall">Our previous studies demonstrated that the TLR4-signaling pathway is induced in a variety of liver pathological and physiological processes&#44; including liver warm ischemia&#47;reperfusion &#40;I&#47;R&#41; injury&#44;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">14</span></a> graft injury in small-for-size liver transplantation&#44;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">15&#44;16</span></a> and NASH pathogenesis&#44;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">17</span></a> which are all attenuated by inactivation of TLR4-signaling&#46; In our previous study&#44; we have shown miR-146b ameliorated HFD induced NASH by directly suppressing IL-1 receptor-associated kinase 1 &#40;IRAK1&#41; and tumor necrosis factor receptor-associated factor 6 &#40;TRAF6&#41;&#44; which are two key adaptor molecules downstream of TLR4&#46; In this article&#44; miR-182-5p directly inhibits the expression of TLR4&#44; which also can ameliorate HFD-induced NASH&#46; Therefore&#44; miR-146b and miR-182-5p both can ameliorate HFD-induced NASH by inhibiting TLR4 signaling pathway&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">17</span></a></p><p id="p0155" class="elsevierStylePara elsevierViewall">Moreover&#44; we first verified that miR-182-5p can inhibit the expression of TLR4&#44; and miR-182-5p can ameliorates liver I&#47;R injury by targeting Toll-Like Receptor 4&#46;18 Qin SB&#44; <span class="elsevierStyleItalic">et al&#46;</span> found that miR-182-5p inhibited spoptosis triggered and oxidative stress by targeting TLR4&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">19</span></a></p><p id="p0160" class="elsevierStylePara elsevierViewall">TLR4 is potential therapeutic target for NASH&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">6-9&#44;17</span></a> Previous studies reported TLR4 effects on NASH pathogenesis in Kupffer cells&#59;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">6&#44;7</span></a> however&#44; Liang&#44; <span class="elsevierStyleItalic">et al</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">8</span></a> showed that liver parenchymal cells also play a primary role in NASH pathogenesis&#46; Moreover&#44; we using TargetScan software found that the sequence of miR-182-5p is complementary to the 3&#39;UTR of mouse TLR4&#46; Based on these findings&#44; we transfected different cells lines with an miR-182-5p mimic&#44; with the results indicating significant suppression of TLR4 expression&#44; as well as the downstream pro-inflammatory cytokines TNFa and IL-6&#44; in both mouse macrophages and liver parenchymal cells&#46; As a result&#44; miR-182-5p can reduce the expression of inflammatory factors by inhibiting the expression of TLR4 <span class="elsevierStyleItalic">in vivo</span> and <span class="elsevierStyleItalic">in vitro&#44;</span> and it can play a protective role for high-fat - diet-induced nonalcoholic steatohepatitis in mice&#46;</p><p id="p0165" class="elsevierStylePara elsevierViewall">miR-182-5p also participates in developmental processes&#44; including involvement in the regulation of circadian rhythms in the retina and cellular homeostasis in the inner ear&#46;<a class="elsevierStyleCrossRefs" href="#bib0105"><span class="elsevierStyleSup">20&#44;21</span></a> In cancer processes&#44; miR-182-5p is involved in apoptosis and cellular invasiveness&#46;<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">22-24</span></a> In human gastric cancer cells&#44; miR-182-5p improves the viability&#44; migration&#44; mitosis&#44; and invasion ability by targeting the expression of RAB27A&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">25</span></a> miR-182-5p can regulate the process of nerve injury-induced nociceptive hypersensitivity by inhibiting Ephrin Type-b Receptor 1&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">26</span></a> These findings indicated that miR-182-5p may attenuate HFD-induced NASH through additional signaling pathways&#44; which require further study&#46;</p><p id="p0170" class="elsevierStylePara elsevierViewall">In summary&#44; our study revealed potential therapeutic roles for miR-182-5p based on its attenuation of NASH in a mouse model following miR-182-5p administration and overexpression&#46; The underlying mechanism associated with this process might involve decreased inflammatory reactions in hepatic macrophages&#44; as well as decreased inflammation and lipid metabolism in hepatic parenchymal cells&#46;</p></span><span id="s0130" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0160">Abbreviations</span><p id="p0175" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="l0010"><li class="elsevierStyleListItem" id="u0010"><span class="elsevierStyleLabel">&#8226;</span><p id="p0180" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">ABI</span>&#58; Applied Biosystems&#46;</p></li><li class="elsevierStyleListItem" id="u0015"><span class="elsevierStyleLabel">&#8226;</span><p id="p0185" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Ct</span>&#58; threshold cycle&#46;</p></li><li class="elsevierStyleListItem" id="u0020"><span class="elsevierStyleLabel">&#8226;</span><p id="p0190" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">HFD</span>&#58; high -fat-diet&#46;</p></li><li class="elsevierStyleListItem" id="u0025"><span class="elsevierStyleLabel">&#8226;</span><p id="p0195" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">I&#47;R</span>&#58; ischemia&#47;reperfusion&#46;</p></li><li class="elsevierStyleListItem" id="u0030"><span class="elsevierStyleLabel">&#8226;</span><p id="p0200" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">IL</span>&#58; interleukin&#46;</p></li><li class="elsevierStyleListItem" id="u0035"><span class="elsevierStyleLabel">&#8226;</span><p id="p0205" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">IRAKI</span>&#58; IL-1 receptor-associated kinase 1&#46;</p></li><li class="elsevierStyleListItem" id="u0040"><span class="elsevierStyleLabel">&#8226;</span><p id="p0210" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">LPS</span>&#58; ipopolysaccharide&#46;</p></li><li class="elsevierStyleListItem" id="u0045"><span class="elsevierStyleLabel">&#8226;</span><p id="p0215" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">LSD</span>&#58; least significance difference&#46;</p></li><li class="elsevierStyleListItem" id="u0050"><span class="elsevierStyleLabel">&#8226;</span><p id="p0220" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">miR-182-5p</span>&#58; miRNA-182-5p&#46;</p></li><li class="elsevierStyleListItem" id="u0055"><span class="elsevierStyleLabel">&#8226;</span><p id="p0225" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">miRNAs</span>&#58; microRNAs&#46;</p></li><li class="elsevierStyleListItem" id="u0060"><span class="elsevierStyleLabel">&#8226;</span><p id="p0230" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">NAFLD</span>&#58; nonalcoholic fatty liver disease&#46;</p></li><li class="elsevierStyleListItem" id="u0065"><span class="elsevierStyleLabel">&#8226;</span><p id="p0235" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">NAS</span>&#58; NAFLD activity score&#46;</p></li><li class="elsevierStyleListItem" id="u0070"><span class="elsevierStyleLabel">&#8226;</span><p id="p0240" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">NASH</span>&#58; nonalcoholic steatohepatitis&#46;</p></li><li class="elsevierStyleListItem" id="u0075"><span class="elsevierStyleLabel">&#8226;</span><p id="p0245" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">NC</span>&#58; negative control&#46;</p></li><li class="elsevierStyleListItem" id="u0080"><span class="elsevierStyleLabel">&#8226;</span><p id="p0250" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">NF</span>&#58; nuclear factor&#46;</p></li><li class="elsevierStyleListItem" id="u0085"><span class="elsevierStyleLabel">&#8226;</span><p id="p0255" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">OA</span>&#58; oleic acid&#46;</p></li><li class="elsevierStyleListItem" id="u0090"><span class="elsevierStyleLabel">&#8226;</span><p id="p0260" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">PBS</span>&#58; phosphate-buffered saline&#46;</p></li><li class="elsevierStyleListItem" id="u0095"><span class="elsevierStyleLabel">&#8226;</span><p id="p0265" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">PVDF</span>&#58; polyvinylidene difluoride&#46;</p></li><li class="elsevierStyleListItem" id="u0100"><span class="elsevierStyleLabel">&#8226;</span><p id="p0270" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">qPCR</span>&#58; quantitative real-time PCR&#46;</p></li><li class="elsevierStyleListItem" id="u0105"><span class="elsevierStyleLabel">&#8226;</span><p id="p0275" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">TG</span>&#58; triglyceride&#46;</p></li><li class="elsevierStyleListItem" id="u0110"><span class="elsevierStyleLabel">&#8226;</span><p id="p0280" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">TLR</span>&#58; toll-like receptor&#46;</p></li><li class="elsevierStyleListItem" id="u0115"><span class="elsevierStyleLabel">&#8226;</span><p id="p0285" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">TNF</span>&#58; tumor necrosis factor&#46;</p></li><li class="elsevierStyleListItem" id="u0120"><span class="elsevierStyleLabel">&#8226;</span><p id="p0290" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">TRAF6</span>&#58; tumor necrosis factor receptor-associated factor 6&#46;</p></li></ul></p></span><span id="s0135" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0165">Conflict of Interest</span><p id="p0295" class="elsevierStylePara elsevierViewall">The authors declares that there is no conflict of interest regarding the publication of this article&#46;</p></span><span id="s0140" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0170">Support</span><p id="p0300" class="elsevierStylePara elsevierViewall">This study was supported by National Natural Science Foundation of China &#40;81100318&#41;&#44; Young medical talents in Jiangsu Province &#40;QNRC2016081&#41;&#46;</p></span><span id="s0145" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0175">Acknowledgments</span><p id="p0305" class="elsevierStylePara elsevierViewall">We thank Dr&#46; Nan Zhou for the histologic analysis&#46;</p></span></span>"
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              "titulo" => "Cell cultures"
            ]
            1 => array:2 [
              "identificador" => "s0025"
              "titulo" => "Animals"
            ]
            2 => array:2 [
              "identificador" => "s0030"
              "titulo" => "Real-time RT-PCR"
            ]
            3 => array:2 [
              "identificador" => "s0035"
              "titulo" => "Dual-luciferase reporter assays"
            ]
            4 => array:2 [
              "identificador" => "s0040"
              "titulo" => "Western analysis"
            ]
            5 => array:2 [
              "identificador" => "s0045"
              "titulo" => "Immunoassay of Tumor Necrosis Factor-a and Interleukin-6"
            ]
            6 => array:2 [
              "identificador" => "s0050"
              "titulo" => "Serum levels of triglycerides &#40;TG&#41;"
            ]
            7 => array:2 [
              "identificador" => "s0055"
              "titulo" => "The intraperitoneal glucose tolerance test &#40;IPGTT&#41;"
            ]
            8 => array:2 [
              "identificador" => "s0060"
              "titulo" => "Histologic analysis"
            ]
            9 => array:2 [
              "identificador" => "s0065"
              "titulo" => "Assessment of lipid accumulation in HepG2 cells and liver tissues"
            ]
            10 => array:2 [
              "identificador" => "s0070"
              "titulo" => "NAFLD activity score &#40;NAS&#41;"
            ]
            11 => array:2 [
              "identificador" => "s0075"
              "titulo" => "Statistical analysis"
            ]
          ]
        ]
        4 => array:3 [
          "identificador" => "s0080"
          "titulo" => "Results"
          "secciones" => array:8 [
            0 => array:2 [
              "identificador" => "s0085"
              "titulo" => "miR-182-5p reduces macrophage inflammatory response by inhibiting TLR4 expression"
            ]
            1 => array:2 [
              "identificador" => "s0090"
              "titulo" => "OA administration in miR-182-5p-transfected HepG2 cells downregulates TLR4 expression"
            ]
            2 => array:2 [
              "identificador" => "s0095"
              "titulo" => "Effects of miR-182-5p and HFD on the liver weight&#47;body weight ratio and triglyceride &#40;TG&#41; levels in mice"
            ]
            3 => array:2 [
              "identificador" => "s0100"
              "titulo" => "The intraperitoneal glucose tolerance test"
            ]
            4 => array:2 [
              "identificador" => "s0105"
              "titulo" => "Histologic changes"
            ]
            5 => array:2 [
              "identificador" => "s0110"
              "titulo" => "Assessment of lipid accumulation in liver tissue"
            ]
            6 => array:2 [
              "identificador" => "s0115"
              "titulo" => "NAFLD Activity Score &#40;NAS&#41;"
            ]
            7 => array:2 [
              "identificador" => "s0120"
              "titulo" => "Assessment of the fibrotic index in liver tissue"
            ]
          ]
        ]
        5 => array:2 [
          "identificador" => "s0125"
          "titulo" => "Discussion"
        ]
        6 => array:2 [
          "identificador" => "s0130"
          "titulo" => "Abbreviations"
        ]
        7 => array:2 [
          "identificador" => "s0135"
          "titulo" => "Conflict of Interest"
        ]
        8 => array:2 [
          "identificador" => "s0140"
          "titulo" => "Support"
        ]
        9 => array:2 [
          "identificador" => "s0145"
          "titulo" => "Acknowledgments"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-10-17"
    "fechaAceptado" => "2018-01-29"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec1138820"
          "palabras" => array:4 [
            0 => "miR-182-5p"
            1 => "Non-alcoholic fatty liver disease"
            2 => "Non-alcoholic steatohepatitis"
            3 => "Toll-like receptor 4"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abs0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction and aim</span>&#46; Patients with NASH have increased risk for sepsis or cardiovascular disease after Liver transplantation&#46; An important role of Toll-like receptor &#40;TLR&#41; 4 in the pathogenesis of nonalcoholic steatohepatitis &#40;NASH&#41; was demonstrated&#46; Here&#44; we study the role of miR-182-5p in TLR4 expression and high-fat-diet &#40;HFD&#41;-induced NASH <span class="elsevierStyleItalic">in vitro</span> and <span class="elsevierStyleItalic">in vivo</span></p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods</span>&#46; Following transfection with a miR-182-5p mimic&#44; the effect of miR-182-5p on TLR4 in RAW264&#46;7 and HepG2 cells was investigated&#46; Following administration of the miR-182-5p mimic into the livers of HFD-induced NASH mice&#44; we determined the <span class="elsevierStyleItalic"><span class="elsevierStyleBold">in vivo</span></span> expression of TLR4&#44; TNFa&#44; and IL-6 and assessed the histologic features of the livers&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results</span> Following lipopolysaccharide &#40;LPS&#41; treatment of RAW264&#46;7 cells&#44; real-time RT-PCR and western blot results indicated decreases levels of TLR4 mRNA and protein in the miR-182-5p group as compared with levels observed in controls&#44; with similar trends were observed in TNFa and IL-6 protein levels&#46; Following oleic acid &#40;OA&#41; treatment of HepG2 cells&#44; TLR4&#44; TNFa&#44; and IL-6 levels were significantly decreased in the miR-182-5p group as compared with levels observed in controls&#46; Following miR-182-5p administration&#44; TLR4 mRNA and protein levels decreased along with those of TNFa and IL-6 proteins&#44; and the liver weight&#47;body weight ratio of treated mice was less than that observed in controls&#46; Furthermore&#44; hematoxylin and eosin staining showed that the miR-182-5p-treated group exhibited low adiposecell cross-sectional areas&#44; and Oil Red O staining showed decreases in the size of lipid droplets in the miR-182-5p-treated group&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions</span>&#46; miR-182-5p ameliorated HFD-induced NASH by suppressing TLR4&#46;</p></span>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "f0010"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
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        "figura" => array:1 [
          0 => array:4 [
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        "descripcion" => array:1 [
          "en" => "<p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">TLR4 is a miR-182-5p target according to dual-luciferase-reporter assay&#46; &#40;A&#41; The putative miR-182-5p binding sequences in the TLR4 mRNA 3&#8217;-UTR according to TargetScan version 5&#46;2&#46; Transfection with a miR-182-5p mimic inhibits luciferase activity by more than 50&#37; in &#40;B&#41; RAW264&#46;7 and &#40;C&#41; HepG2 cells&#46; &#42;&#42; P &#60; 0&#44;01&#44; miR-182-5p group vs&#46; other groups&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "f0015"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
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        "figura" => array:1 [
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        "descripcion" => array:1 [
          "en" => "<p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">miR-182-5p down-regulates TLR4 in macrophages following LPS administration</span> i n vitro&#46; <span class="elsevierStyleItalic"><span class="elsevierStyleBold">A</span>&#46; RT-PCR analysis of TLR4 expression in macrophages following LPS administration&#46; B&#46; TLR4 protein levels according to western blot analysis&#46; The levels of &#40;<span class="elsevierStyleBold">C</span>&#41; TNFa and &#40;<span class="elsevierStyleBold">D</span>&#41; IL-6 levels in supernatants according to ELISA&#46; Results represent the mean &#177; standard deviation&#46; &#42;P &#60; 0&#46;05 and &#42;&#42;P &#60; 0&#46;01&#44; miR-182-5p group</span> vs&#46; <span class="elsevierStyleItalic">other groups&#46;</span></p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "f0020"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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        "descripcion" => array:1 [
          "en" => "<p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">&#46; miR-182-5p down-regulates TLR4 in HepG2 cells following OA administration&#46; <span class="elsevierStyleBold">A</span>&#46; RT-PCR analysis of TLR4 in HepG2 cells following OA administration&#46; <span class="elsevierStyleBold">B</span>&#46; TLR4 protein levels according to western blot analysis&#46; <span class="elsevierStyleBold">C&#46;</span> TNFa and &#40;<span class="elsevierStyleBold">D</span>&#41; IL-6 levels in supernatants according to ELISA&#46; <span class="elsevierStyleBold">E</span> and <span class="elsevierStyleBold">F&#46;</span> Lipid accumulation decreased following miR-182-5p transfection&#46; Results are the mean &#177; standard deviation&#46; &#42; P &#60; 0&#46;05 and &#42;&#42; P &#60; 0&#46;01&#44; miR-182-5p group</span> vs&#46; <span class="elsevierStyleItalic">other groups&#46;</span></p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "f0025"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">miR-182-5p downregulates TLR4 and decreases liver weight&#47;body weight ratio and TG levels in HFD mice&#46; &#40;<span class="elsevierStyleBold">A</span>&#41; RT-PCR and &#40;<span class="elsevierStyleBold">B</span>&#41; western blot analyses revealed significant decreases in TLR4 mRNA and protein levels&#44; respectively&#44; in the liver following miR-182-5p administration&#46; &#40;<span class="elsevierStyleBold">C</span>&#41; TNFa and &#40;<span class="elsevierStyleBold">D</span>&#41; IL-6 levels in the liver decreased significantly following transfection with the miR-182-5p mimic&#46; &#40;<span class="elsevierStyleBold">E</span> and <span class="elsevierStyleBold">F</span>&#41; Blood glucose area under the concentration-time curve &#40;AUC&#41; values for the 0-h to 2-h interval following glucose injection&#46; <span class="elsevierStyleBold">G</span> Liver weight&#47;body weight ratio and <span class="elsevierStyleBold">H</span> TG levels in the miR-182-5p group were lower than those observed in the HFD and HFD&#43;miR-182-5p NC groups after 16 weeks&#46; Results represent the mean &#177; standard deviation&#46; &#42; P &#60; 0&#46;05 and &#42;&#42; P &#60; 0&#46;01&#44; miR-182-5p group vs&#46; HFD and HFD&#43;miR-182-5p NC groups&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "f0030"
        "etiqueta" => "Figure 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
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        "figura" => array:1 [
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            "imagen" => "gr5.jpeg"
            "Alto" => 2088
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">miR-182-5p decreased lipid accumulation in liver tissue and histological damage in HFD mice&#46; <span class="elsevierStyleBold">&#40;A-D&#41;</span> Representative Oil Red O staining in the NC&#44; HFD&#44; HFD&#43;miR-182-5p NC&#44; and HFD&#43;miR-182-5p groups&#46; &#40;<span class="elsevierStyleBold">B</span> and <span class="elsevierStyleBold">C</span>&#41; Livers of the HFD and HFD&#43;miR-182-5p NC groups were filled with large droplets&#46; &#40;D&#41; Livers of the miR-182-5p group were filled with small lipid droplets&#46; &#40;<span class="elsevierStyleBold">E</span> and <span class="elsevierStyleBold">H</span>&#41; Representative hematoxylin and eosin staining in the NC&#44; HFD&#44; HFD&#43;miR-182-5p NC&#44; and HFD&#43;miR-182-5p groups&#46; &#40;<span class="elsevierStyleBold">F</span> and <span class="elsevierStyleBold">G</span>&#41; Livers of the HFD and HFD&#43;miR-182-5p NC groups exhibited high average adipose-cell cross-sectional areas&#44; &#40;<span class="elsevierStyleBold">H</span>&#41; The miR-182-5p group exhibited low average adipose-cell cross-sectional areas as compared with areas observed in the &#40;<span class="elsevierStyleBold">F</span>&#41; HFD and &#40;<span class="elsevierStyleBold">G</span>&#41; HFD&#43;miR-182-5p NC groups&#46; &#40;<span class="elsevierStyleBold">I</span> and <span class="elsevierStyleBold">L</span>&#41; Representative picrosirius red staining to assess the fibrotic index in the NC&#44; HFD&#44; HFD&#43;miR-182-5p NC&#44; and HFD&#43;miR-182-5p groups&#46; The fibrotic index was significantly lower in the HFD&#43;miR-182-5p group as compared with areas observed in the &#40;<span class="elsevierStyleBold">J</span>&#41; HFD and &#40;<span class="elsevierStyleBold">K</span>&#41; HFD&#43;miR-182-5p NC groups&#46; Data represent the mean &#177; standard error of the mean &#40;n &#61; 6&#44; each group&#41;&#46; &#40;<span class="elsevierStyleBold">M</span>&#41; Oil-red O staining revealed lipid droplets in 55&#37; of cells in HFD&#43;miR-182-5p group&#44; which is lower than HFD and HFD&#43;miR-182-5p NC groups&#46; &#40;<span class="elsevierStyleBold">N</span>&#41; The severity of the NAFLD in the mouse livers was assessed using the NAS&#46; The NAS scores of HFD&#43;miR-182-5p score is 0&#46;7&#44; which is lower than HFD and HFD&#43;miR-182-5p NC groups&#46; &#40;<span class="elsevierStyleBold">O</span>&#41; The fibrotic index was significantly lower in HFD&#43;miR-182-5p than HFD and HFD&#43;miR-182-5p NC groups&#46; &#40;<span class="elsevierStyleBold">P</span>&#41;The body weight in the HFD&#43; miR-182-5p group was also lower than that observed in HFD and HFD&#43;miR-182-5p groups at 16 weeks&#46; &#42;P &#60; 0&#46;05&#44; miR-182-5p group</span> vs&#46; <span class="elsevierStyleItalic">HFD and HFD&#43;miR-182-5p NC groups&#46;</span></p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
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          "bibliografiaReferencia" => array:26 [
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                      "titulo" => "Nonalcoholic fatty liver disease&#58; a systematic review&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "Rinella M&#46;E&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2015.5370"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2015"
                        "volumen" => "313"
                        "paginaInicial" => "2263"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26057287"
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                    ]
                  ]
                ]
              ]
            ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Targher G&#46;"
                            1 => "Chonchol M&#46;B&#46;"
                            2 => "Byrne C&#46;D&#46;"
                          ]
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                    ]
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                ]
              ]
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            2 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "3"
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                  "contribucion" => array:1 [
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                      "titulo" => "Ectopic fat depots and left ventricular function in non-diabetic men with nonalcoholic fatty liver disease&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:7 [
                            0 => "Graner M&#46;"
                            1 => "Nyman K&#46;"
                            2 => "Siren R&#46;"
                            3 => "Pentikainen M&#46;O&#46;"
                            4 => "Lundbom J&#46;"
                            5 => "Hakkarainen A&#46;"
                            6 => "Lauerma K&#46;"
                          ]
                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCIMAGING.114.001979"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Steatohepatitis&#58; a tale of two &#8220;hits&#8221;&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Day C&#46;P&#46;"
                            1 => "James O&#46;F&#46;"
                          ]
                        ]
                      ]
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                    0 => array:2 [
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            ]
            4 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "From fat to inflammation&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Day C&#46;P&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1053/j.gastro.2005.11.017"
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                        "tituloSerie" => "Gastroenterology"
                        "fecha" => "2006"
                        "volumen" => "130"
                        "paginaInicial" => "207"
                        "paginaFinal" => "210"
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                        ]
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                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Toll-like receptor-4 signaling and Kupffer cells play pivotal roles in the pathogenesis of non-alcoholic steatohepatitis&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "Rivera C&#46;A&#46;"
                            1 => "Adegboyega P&#46;"
                            2 => "van Rooijen N&#46;"
                            3 => "Tagalicud A&#46;"
                            4 => "Allman M&#46;"
                            5 => "Wallace M&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "J Hepatol"
                        "fecha" => "2007"
                        "volumen" => "47"
                        "paginaInicial" => "571"
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                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Toll-Like Receptor 4 Is Involved in the Development of Fructose-Induced Hepatic Steatosis in Mice&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "Spruss A&#46;"
                            1 => "Kanuri G&#46;"
                            2 => "Wagnerberger S&#46;"
                            3 => "Haub S&#46;"
                            4 => "Bischoff S&#46;C&#46;"
                            5 => "Bergheim I&#46;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/hep.23122"
                      "Revista" => array:6 [
                        "tituloSerie" => "Hepatology"
                        "fecha" => "2009"
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Article information
ISSN: 16652681
Original language: English
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