Folic acid supplementation during high-fat diet feeding restores AMPK activation via an AMP-LKB1-dependent mechanism.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
folic acid supplementation | decrease | hepatic oxidative stress | high-fat diet-fed mice | - | attenuated | #1 |
folic acid supplementation | decrease | hepatic lipid accumulation | high-fat diet-fed mice | - | attenuated | #2 |
high-fat diet | increase | hyperglycemia | Male C57BL/6J mice | - | exhibited | #3 |
high-fat diet | increase | hepatic cholesterol accumulation | Male C57BL/6J mice | - | exhibited | #4 |
high-fat diet | decrease | hepatic AMPK phosphorylation | Male C57BL/6J mice | - | reduced | #5 |
folic acid supplementation | increase | AMPK phosphorylation (activation) | Male C57BL/6J mice fed a high-fat diet | - | restored | #6 |
folic acid supplementation | decrease | blood glucose | Male C57BL/6J mice fed a high-fat diet | - | reduced | #7 |
folic acid supplementation | decrease | hepatic cholesterol levels | Male C57BL/6J mice fed a high-fat diet | - | reduced | #8 |
folic acid | increase | its allosteric activator AMP | - | - | mediated through an elevation of | #9 |
folic acid | increase | its upstream kinase, namely, liver kinase B1 (LKB1) | liver | - | mediated through activation of | #10 |
5-methyltetrahydrofolate (bioactive form of folate) | increase | phosphorylation (activation) of both AMPK and LKB1 | palmitic acid-treated HepG2 cells | - | restored | #11 |
folic acid | decrease | hepatic cholesterol synthesis | during high-fat diet feeding | - | leading to reduced | #12 |
folic acid supplementation | increase | cholesterol and glucose metabolism | - | - | may improve | #13 |
folic acid supplementation | increase | AMPK activation | in the liver | - | by restoration of | #14 |
AMPK is an endogenous energy sensor that regulates lipid and carbohydrate metabolism. Nonalcoholic fatty liver disease (NAFLD) is regarded as a hepatic manifestation of metabolic syndrome with impaired lipid and glucose metabolism and increased oxidative stress. Our recent study showed that folic acid supplementation attenuated hepatic oxidative stress and lipid accumulation in high-fat diet-fed mice. The aim of the present study was to investigate the effect of folic acid on hepatic AMPK during high-fat diet feeding and the mechanisms involved. Male C57BL/6J mice were fed a control diet (10% kcal fat), a high-fat diet (60% kcal fat), or a high-fat diet supplemented with folic acid (26 mg/kg diet) for 5 wk. Mice fed a high-fat diet exhibited hyperglycemia, hepatic cholesterol accumulation, and reduced hepatic AMPK phosphorylation. Folic acid supplementation restored AMPK phosphorylation (activation) and reduced blood glucose and hepatic cholesterol levels. Activation of AMPK by folic acid was mediated through an elevation of its allosteric activator AMP and activation of its upstream kinase, namely, liver kinase B1 (LKB1) in the liver. Consistent with in vivo findings, 5-methyltetrahydrofolate (bioactive form of folate) restored phosphorylation (activation) of both AMPK and LKB1 in palmitic acid-treated HepG2 cells. Activation of AMPK by folic acid might be responsible for AMPK-dependent phosphorylation of HMG-CoA reductase, leading to reduced hepatic cholesterol synthesis during high-fat diet feeding. These results suggest that folic acid supplementation may improve cholesterol and glucose metabolism by restoration of AMPK activation in the liver.