AICAR, an AMPK activator, has protective effects on alcohol-induced fatty liver in rats

Kengo Tomita, Gen Tamiya, Satoshi Ando, Naoto Kitamura, Haruna Koizumi, Shinzo Kato, Yoshinori Horie, Takehiko Kaneko, Toshifumi Azuma, Hiroshi Nagata, Hiromasa Ishii, Toshifumi Hibi

Research output: Contribution to journalArticlepeer-review

90 Citations (Scopus)


Background: Previous work with metformin has shown that this antidiabetic agent improves nonalcoholic fatty liver in ob/ob mice. AMP-activated protein kinase (AMPK) is one of the major cellular regulators of lipid and glucose metabolism, and reportedly mediates the beneficial metabolic effects of metformin. In this study, we examined the effects of 5-aminoimidazole-4- carboxamide-1-β-D-ribofuranoside (AICAR), an AMPK activator, on an experimental model of ethanol-induced hepatic steatosis. Methods: Rats were randomly divided into three groups: (A) rats fed ethanol-containing liquid diet for six weeks; (B) rats pair-fed ethanol-containing liquid diet for six weeks, during the last three weeks of which they were subcutaneously injected with 0.5 mg AICAR/g body weight per day; (C) rats pair-fed isocaloric liquid diet without ethanol for six weeks. At the end of the six-week period, the animals were sacrificed. Serum and liver specimens were analyzed using biochemical and histologic methods, as well as real-time PCR. Results: Chronic ethanol feeding resulted in fatty liver both histologically and biochemically, whereas AICAR administration attenuated the degree of change in the liver. AICAR also decreased the hepatic sterol regulatory factor binding protein-1c (SREBP-1c) and reduced fatty acid synthase (FAS) expression; these changes led to reduced triglyceride synthesis in rat livers. Furthermore, detection of 4-hydroxy-2-nonenal (4-HNE)-protein adducts showed that the AICAR treatment also decreased the products of lipid peroxidation. Conclusion: In this preclinical rat model, AICAR, an AMPK activator, appears to protect the liver from fatty changes associated with chronic alcohol use. As such, AICAR may have a role in the treatment and prevention of alcohol-induced fatty liver.

Original languageEnglish
Pages (from-to)240S-245S
JournalAlcoholism: Clinical and Experimental Research
Issue number12 SUPPL.
Publication statusPublished - 2005 Dec
Externally publishedYes


  • AMPK
  • Alcohol
  • Fatty Liver

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health


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