The increase in hepatic triglyceride accumulation after EtOH feeding was significantly inhibited by RGE treatment (Fig. 2A). Lipid accumulation was also assessed by Oil Red O staining. Control mice did not show steatosis, whereas EtOH-fed mice exhibited a substantial increase in lipid droplets, which was in line with the results of H&E microscopy (Fig. 2B). RGE completely inhibited lipid infiltration in the liver, confirming TSA HDAC chemical structure the ability of RGE to prevent hepatic fat accumulation. The expression of hepatic fat metabolism-related genes was also assessed by quantitative real-time PCR. As shown in Fig. 3A, hepatic expression of

several lipogenic gene, including SREBP-1, FAS, and ACC was PD-1/PD-L1 inhibition upregulated by EtOH feeding. This enhancement was completely reversed by RGE treatment. As previously reported, chronic alcohol consumption decreased fat oxidation-related genes, such as

Sirt1 and PPARα. However, RGE prevented EtOH-mediated decreases in lipogenic gene expression (Fig. 3A). Furthermore, RGE abolished the EtOH-induced enhancement SREBP-1 and depletion of PPARα protein in the liver (Fig. 3B). These results demonstrate that RGE inhibits EtOH-induced lipogenesis and restores alcohol-mediated decreases in fatty acid oxidation. Sustained exposure to EtOH leads to prolonged oxidative stress, which promotes lipid peroxidation and generation of reactive aldehydes, such as 4-HNE [27]. Previously, 4-HNE-positive cells were markedly increased in mice fed alcohol. However, RGE treatment led to a significant, dose-dependent reduction in 4-HNE positive cells (Fig. 4A). These data provide direct evidence that RGE

effectively inhibits lipid peroxidation and the formation of 4-HNE to protect hepatocytes from necrotic changes caused by EtOH. It is well known that prolonged reactive oxygen species (ROS) exposure leads to increased nitrotyrosine levels [28]. Nitrotyrosine immunoreactive cells were increased in the chronic EtOH-administration group as compared with the Tyrosine-protein kinase BLK control. However, RGE treatment dramatically reduced the number of nitrotyrosine positive cells (Fig. 4B). We next assessed whether RGE treatment inhibited the induction of CYP2E1 caused by chronic alcohol intake. As anticipated, RGE significantly repressed the induction of CYP2E1 by EtOH (Fig. 4C). Our present data suggest that RGE protects against chronic alcohol-induced oxidative stress and hepatic injury. Next, we examined whether the effect of RGE on hepatic steatosis is associated with AMPK activation. Immunoblot analysis showed that the level of phosphorylated AMPKα in liver homogenates notably decreased after 4 weeks of alcohol administration as previously reported (Fig. 5) [24]. Treatment of alcohol-fed mice with RGE resulted in a complete recovery of AMPKα phosphorylation levels. We further measured the levels of phosphorylated ACC, a direct downstream substrate of AMPK.