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Mouse model of chronic and binge ethanol feeding (the NIAAA model)

Abstract

Chronic alcohol consumption is a leading cause of chronic liver disease worldwide, leading to cirrhosis and hepatocellular carcinoma. Currently, the most widely used model for alcoholic liver injury is ad libitum feeding with the Lieber-DeCarli liquid diet containing ethanol for 4–6 weeks; however, this model, without the addition of a secondary insult, only induces mild steatosis, slight elevation of serum alanine transaminase (ALT) and little or no inflammation. Here we describe a simple mouse model of alcoholic liver injury by chronic ethanol feeding (10-d ad libitum oral feeding with the Lieber-DeCarli ethanol liquid diet) plus a single binge ethanol feeding. This protocol for chronic-plus-single-binge ethanol feeding synergistically induces liver injury, inflammation and fatty liver, which mimics acute-on-chronic alcoholic liver injury in patients. This feeding protocol can also be extended to chronic feeding for longer periods of time up to 8 weeks plus single or multiple binges. Chronic-binge ethanol feeding leads to high blood alcohol levels; thus, this simple model will be very useful for the study of alcoholic liver disease (ALD) and of other organs damaged by alcohol consumption.

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Figure 1: Overview of the NIAAA model procedure.
Figure 2: Cage and feeding-tube setup.
Figure 3: Oral gavage.
Figure 4: Body weight changes during the chronic-plus-binge ethanol feeding model.
Figure 5: Hepatic expression of CYP2E1 and plasma ethanol levels post ethanol feeding.
Figure 6: Comparison of liver injury induced by the chronic-plus-single-binge ethanol feeding model and other feeding models.

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References

  1. Gao, B. & Bataller, R. Alcoholic liver disease: pathogenesis and new therapeutic targets. Gastroenterology 141, 1572–1585 (2011).

    Article  CAS  Google Scholar 

  2. Tsukamoto, H. & Lu, S.C. Current concepts in the pathogenesis of alcoholic liver injury. FASEB J. 15, 1335–1349 (2001).

    Article  CAS  Google Scholar 

  3. O'Shea, R.S., Dasarathy, S. & McCullough, A.J. Practice Guideline Committee of the American Association for the Study of Liver, D. & Practice Parameters Committee of the American College of, G. Alcoholic liver disease. Hepatology 51, 307–328 (2010).

    Article  Google Scholar 

  4. Stickel, F. & Seitz, H.K. Alcoholic steatohepatitis. Best Pract. Res. Clin. Gastroenterol. 24, 683–693 (2010).

    Article  CAS  Google Scholar 

  5. Beier, J.I., Arteel, G.E. & McClain, C.J. Advances in alcoholic liver disease. Curr. Gastroenterol. Rep. 13, 56–64 (2011).

    Article  Google Scholar 

  6. Bellentani, S . et al. Drinking habits as cofactors of risk for alcohol induced liver damage. The Dionysos Study Group. Gut 41, 845–850 (1997).

    Article  CAS  Google Scholar 

  7. Stranges, S. et al. Differential effects of alcohol drinking pattern on liver enzymes in men and women. Alcohol. Clin. Exp. Res. 28, 949–956 (2004).

    Article  CAS  Google Scholar 

  8. Li, T.K. Quantifying the risk for alcohol-use and alcohol-attributable health disorders: present findings and future research needs. J. Gastroenterol. Hepatol. 23 (suppl. 1), S2–S8 (2008).

    Article  CAS  Google Scholar 

  9. Ki, S.H. et al. Interleukin-22 treatment ameliorates alcoholic liver injury in a murine model of chronic-binge ethanol feeding: role of signal transducer and activator of transcription 3. Hepatology 52, 1291–1300 (2010).

    Article  CAS  Google Scholar 

  10. Mathurin, P. & Lucey, M.R. Management of alcoholic hepatitis. J. Hepatol. 56 (suppl. 1), S39–S45 (2012).

    Article  CAS  Google Scholar 

  11. Choi, G. & Runyon, B.A. Alcoholic hepatitis: a clinician's guide. Clin. Liver Dis. 16, 371–385 (2012).

    Article  Google Scholar 

  12. Altamirano, J. & Bataller, R. Alcoholic liver disease: pathogenesis and new targets for therapy. Nat. Rev. Gastroenterol. and Hepatol. 8, 491–501 (2011).

    Article  CAS  Google Scholar 

  13. Aroor, A.R., Jackson, D.E. & Shukla, S.D. Elevated activation of ERK1 and ERK2 accompany enhanced liver injury following alcohol binge in chronically ethanol-fed rats. Alcohol. Clin. Exp. Res. 35, 2128–2138 (2011).

    Article  CAS  Google Scholar 

  14. Petrasek, J. et al. IL-1 receptor antagonist ameliorates inflammasome-dependent alcoholic steatohepatitis in mice. J. Clin. Invest. 122, 3476–3489 (2012).

    Article  CAS  Google Scholar 

  15. Cohen, J.I., Roychowdhury, S., McMullen, M.R., Stavitsky, A.B. & Nagy, L.E. Complement and alcoholic liver disease: role of C1q in the pathogenesis of ethanol-induced liver injury in mice. Gastroenterology 139, 664–674 (2010).

    Article  CAS  Google Scholar 

  16. Mandrekar, P., Ambade, A., Lim, A., Szabo, G. & Catalano, D. An essential role for monocyte chemoattractant protein-1 in alcoholic liver injury: regulation of proinflammatory cytokines and hepatic steatosis in mice. Hepatology 54, 2185–2197 (2011).

    Article  CAS  Google Scholar 

  17. Nath, B. et al. Hepatocyte-specific hypoxia-inducible factor-1α is a determinant of lipid accumulation and liver injury in alcohol-induced steatosis in mice. Hepatology 53, 1526–1537 (2011).

    Article  CAS  Google Scholar 

  18. Hu, M. et al. Regulation of hepatic lipin-1 by ethanol: role of AMP-activated protein kinase/sterol regulatory element-binding protein 1 signaling in mice. Hepatology 55, 437–446 (2012).

    Article  CAS  Google Scholar 

  19. Liangpunsakul, S. et al. Imipramine blocks ethanol-induced ASMase activation, ceramide generation, and PP2A activation, and ameliorates hepatic steatosis in ethanol-fed mice. Am. J. Physiol. Gastrointest. Liver Physiol. 302, G515–523 (2012).

    Article  CAS  Google Scholar 

  20. Leung, T.M. et al. Argininosuccinate synthase conditions the response to acute and chronic ethanol-induced liver injury in mice. Hepatology 55, 1596–1609 (2012).

    Article  Google Scholar 

  21. Zhou, Z. et al. Zinc supplementation prevents alcoholic liver injury in mice through attenuation of oxidative stress. Am. J. Pathol. 166, 1681–1690 (2005).

    Article  CAS  Google Scholar 

  22. Ueno, A. et al. Mouse intragastric infusion (iG) model. Nat. Protoc. 7, 771–781 (2012).

    Article  CAS  Google Scholar 

  23. Xu, J. et al. Synergistic steatohepatitis by moderate obesity and alcohol in mice despite increased adiponectin and p-AMPK. J. Hepatol. 55, 673–682 (2011).

    Article  CAS  Google Scholar 

  24. Tsukamoto, H. et al. Severe and progressive steatosis and focal necrosis in rat liver induced by continuous intragastric infusion of ethanol and low fat diet. Hepatology 5, 224–232 (1985).

    Article  CAS  Google Scholar 

  25. Kisseleva, T. et al. Myofibroblasts revert to an inactive phenotype during regression of liver fibrosis. Proc. Natl. Acad. Sci. USA 109, 9448–9453 (2012).

    Article  CAS  Google Scholar 

  26. Zhou, Z. et al. A critical involvement of oxidative stress in acute alcohol-induced hepatic TNF-α production. Am. J. Pathol. 163, 1137–1146 (2003).

    Article  CAS  Google Scholar 

  27. Zhou, Z., Sun, X. & James Kang, Y. Metallothionein protection against alcoholic liver injury through inhibition of oxidative stress. Exp. Biol. Med. 227, 214–222 (2002).

    Article  CAS  Google Scholar 

  28. Beier, J.I., Kaiser, J.P., Guo, L., Martinez-Maldonado, M. & Arteel, G.E. Plasminogen activator inhibitor-1 deficient mice are protected from angiotensin II-induced fibrosis. Arch. Biochem. Biophys. 510, 19–26 (2011).

    Article  CAS  Google Scholar 

  29. Kao, E., Shinohara, M., Feng, M., Lau, M.Y. & Ji, C. Human immunodeficiency virus protease inhibitors modulate Ca2+ homeostasis and potentiate alcoholic stress and injury in mice and primary mouse and human hepatocytes. Hepatology 56, 594–604 (2012).

    Article  CAS  Google Scholar 

  30. Cook, R.T. et al. Thymocytes, pre-B cells, and organ changes in a mouse model of chronic ethanol ingestion–absence of subset-specific glucocorticoid-induced immune cell loss. Alcohol. Clin. Exp. Res. 31, 1746–1758 (2007).

    Article  CAS  Google Scholar 

  31. Meadows, G.G., Blank, S.E. & Duncan, D.D. Influence of ethanol consumption on natural killer cell activity in mice. Alcohol. Clin. Exp. Res. 13, 476–479 (1989).

    Article  CAS  Google Scholar 

  32. Coleman, R.A., Young, B.M., Turner, L.E. & Cook, R.T. A practical method of chronic ethanol administration in mice. Methods Mol. Biol. 447, 49–59 (2008).

    Article  CAS  Google Scholar 

  33. Brandon-Warner, E., Schrum, L.W., Schmidt, C.M. & McKillop, I.H. Rodent models of alcoholic liver disease: Of mice and men. Alcohol 46, 715–725 (2012).

    Article  Google Scholar 

  34. Brandon-Warner, E., Walling, T.L., Schrum, L.W. & McKillop, I.H. Chronic ethanol feeding accelerates hepatocellular carcinoma progression in a sex-dependent manner in a mouse model of hepatocarcinogenesis. Alcohol. Clin. Exp. Res. 36, 641–653 (2012).

    Article  CAS  Google Scholar 

  35. Gabele, E. et al. A new model of interactive effects of alcohol and high-fat diet on hepatic fibrosis. Alcohol. Clin. Exp. Res. 35, 1361–1367 (2011).

    Article  Google Scholar 

  36. Wei, V.L. & Singh, S.M. Genetically determined response of hepatic aldehyde dehydrogenase activity to ethanol exposures may be associated with alcohol sensitivity in mouse genotypes. Alcohol. Clin. Exp. Res. 12, 39–45 (1988).

    Article  CAS  Google Scholar 

  37. You, M., Considine, R.V., Leone, T.C., Kelly, D.P. & Crabb, D.W. Role of adiponectin in the protective action of dietary saturated fat against alcoholic fatty liver in mice. Hepatology 42, 568–577 (2005).

    Article  CAS  Google Scholar 

  38. Everitt, H. et al. Ethanol administration exacerbates the abnormalities in hepatic lipid oxidation in genetically obese mice. Am. J. Physiol. Gastrointest. Liver Physiol. 304, G38–G47 (2013).

    Article  CAS  Google Scholar 

  39. Tsuchiya, M. et al. Interstrain differences in liver injury and one-carbon metabolism in alcohol-fed mice. Hepatology 56, 130–139 (2012).

    Article  CAS  Google Scholar 

  40. Butura, A. et al. The impact of CYP2E1 on the development of alcoholic liver disease as studied in a transgenic mouse model. J. Hepatol. 50, 572–583 (2009).

    Article  CAS  Google Scholar 

  41. Lu, Y., Zhuge, J., Wang, X., Bai, J. & Cederbaum, A.I. Cytochrome P450 2E1 contributes to ethanol-induced fatty liver in mice. Hepatology 47, 1483–1494 (2008).

    Article  CAS  Google Scholar 

  42. Kono, H. et al. Gender differences in early alcohol-induced liver injury: role of CD14, NF-κB, and TNF-α. Am. J. Physiol. Gastrointest. Liver Physiol. 278, G652–G661 (2000).

    Article  CAS  Google Scholar 

  43. Nanji, A.A. et al. Increased severity of alcoholic liver injury in female rats: role of oxidative stress, endotoxin, and chemokines. Am. J. Physiol. Gastrointest. Liver Physiol. 281, G1348–G1356 (2001).

    Article  CAS  Google Scholar 

  44. Kirpich, I.A. et al. The type of dietary fat modulates intestinal tight junction integrity, gut permeability, and hepatic toll-like receptor expression in a mouse model of alcoholic liver disease. Alcohol. Clin. Exp. Res. 36, 835–846 (2012).

    Article  CAS  Google Scholar 

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Acknowledgements

We greatly appreciate all current and previous lab members for their technical support and helpful discussions. We also thank L. Chedester, A. Barnes and R. Kechrid from the Office of Laboratory Animal Science for their technical and engineering support, and for their critical reading of the manuscript. This work is supported by the intramural program of NIAAA at the NIH.

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Contributions

A.B. contributed to generating the data presented, making the figures and tables and drafting the procedures; S.M. contributed to drafting the materials and generating data presented in Figure 4; S.H.K. and H.W. contributed to generating the data presented in Figure 4 and B.G. contributed to drafting and the completion of the manuscript through supervision of others.

Corresponding author

Correspondence to Bin Gao.

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The authors declare no competing financial interests.

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Bertola, A., Mathews, S., Ki, S. et al. Mouse model of chronic and binge ethanol feeding (the NIAAA model). Nat Protoc 8, 627–637 (2013). https://doi.org/10.1038/nprot.2013.032

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