Oltipraz inhibits fatty acid synthesis through AMPK-S6K1 pathway and LXRg-SREBP-1c pathway in liver.
Dithiolethiones, a novel class of adenosine monophosphate-activated protein kinase (AMPK) activators, prevent insulin resistance through AMPK-dependent p70 ribosomal S6 kinase-1 (S6K1) inhibition. And it is well known that the modulation of S6K1 by oltipraz inhibited the development of insulin resistance and hyperglycemia through the AMPK-S6K1 pathway.Also some research reported that LXRg (a member of the nuclear hormone receptor)-mediated increases in SREBP-1c (the sterol regulatory element-binding protein-1c gene) promote the expression of lipogenic genes and enhance fatty acid synthesis and oltipraz inhibits LXRg and SREBP-c. Therefore, Oltipraz inhibits fatty acid synthesis through AMPK-S6K1 pathway and LXRg-SREBP-1c pathway in liver.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
146
Inje University Ilsan Paik Hospital
Goyang-si, Gyeonggi-do, South Korea
The Catholic University of Korea, Uijeongbu ST. Mary's Hospital
Variation of liver fat assessed
Variation of liver fat assessed by MRS at 24 weeks compared to the baseline (%)
Time frame: 24 weeks compared to the baseline
The variation in the amount of liver fat
The variation in the amount of liver fat assessed by the MRS at the time of 24 weeks compared to the baseline
Time frame: 24 weeks compared to the baseline
Variation of liver fat certificate grade
Variation of liver fat certificate grade assessed by ultrasonic waves
Time frame: 24 weeks compared to the baseline
Variation of NFS variation
Variation of NFS at 24 weeks compared to the baseline
Time frame: 24 weeks compared to the baseline
Variation of liver elasticities and fatty acids
Variation of liver elasticities and fatty acids assessed by fibroscan at 24 weeks time compared to baseline
Time frame: 24 weeks compared to the baseline
FIB-4
Variation of FIB-4 from 8 weeks, 16 weeks and 24 weeks to baseline
Time frame: 8 weeks, 16 weeks and 24 weeks
BMI
BMI variation at 8 weeks, 16 weeks and 24 weeks relative to the baseline
Time frame: 8 weeks, 16 weeks and 24 weeks
Variation of ALT, AST, γ-glutamyl transferase (GGT)
Variation of ALT, AST, γ-glutamyl transferase (GGT) in time of 8 weeks, 16 weeks and 24 weeks relative to the baseline
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Uijeongbu-si, Gyeonggi-do, South Korea
Inha University Hospital
Incheon, Junggu, South Korea
Catholic University Bucheon ST. Mary's Hospital
Bucheon-si, South Korea
Soonchunhyang University Bucheon Hospital
Bucheon-si, South Korea
Dong-A University Hospital
Busan, South Korea
Keimyung University Dongsan Medical Center
Daegu, South Korea
Gangneung Asan Medical Center
Gangneung-si, South Korea
NHUS Ilsan Hospital
Goyang-si, South Korea
Seoul National University Hospital
Seoul, South Korea
...and 11 more locations
Time frame: 8 weeks, 16 weeks and 24 weeks
Cholesterol (total, low-density lipoprotein (LDL), high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), triglyceride (TG)
Variation of Cholesterol (total, low-density lipoprotein (LDL), high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), triglyceride (TG)
Time frame: 8 weeks, 16 weeks and 24 weeks
Variation of Homeostatic model adjustment-insulin resistance (HOMA-IR) index
Variation of Homeostatic model adjustment-insulin resistance (HOMA-IR = fasting insulin (μU/mL) × fasting glucose (mmol/L) / 22.5)
Time frame: 24 weeks compared to the baseline
Waist circumference
The variation of waist circumference compared to the baseline at 24 weeks
Time frame: 24 weeks compared to the baseline