Lingonberry (Vaccinium vitis-idaea L.) supplementation protects against chronic kidney disease and improves fatty liver

dc.contributor.authorMadduma Hewage, Susara Ruwan Kumara
dc.contributor.examiningcommitteePierce, Grant (Physiology and Pathophysiology)en_US
dc.contributor.examiningcommitteeCzubryt, Michael (Physiology and Pathophysiology)en_US
dc.contributor.examiningcommitteeAukema, Harold (Human Nutritional Sciences)en_US
dc.contributor.examiningcommitteeZhang, Shetuan (Biomedical and Molecular Sciences, Queen’s University)
dc.contributor.supervisorSiow, Chris
dc.contributor.supervisorO, Karmin
dc.date.accessioned2022-06-23T12:25:48Z
dc.date.available2022-06-23T12:25:48Z
dc.date.copyright2022-06-16
dc.date.issued2022-06-16
dc.date.submitted2022-06-17T02:57:33Zen_US
dc.degree.disciplinePhysiology and Pathophysiologyen_US
dc.degree.levelDoctor of Philosophy (Ph.D.)en_US
dc.description.abstractChronic kidney disease (CKD) is the structural or functional loss of the kidney over time. Unless properly managed, it would progress to its final stage, end-stage renal disease (ESRD). Chronic low-grade inflammation caused by lipotoxicity is a central pathological mediator of nephron damage in obesity-related CKD. Non-alcoholic fatty liver disease (NAFLD) is an independent risk factor of CKD and a commonly observed complication in obese CKD patients. Impaired hepatic lipid metabolism is a hallmark of NAFLD. NAFLD triggers lipotoxicity and systemic inflammation, further aggravating the progression of CKD. Therefore, attenuation of nephron injury caused by lipotoxicity-triggered inflammation and reduction of dyslipidemia by improving fatty liver and hepatic lipid metabolism might be pertinent strategies in managing obesity-related CKD. Lingonberry (Vaccinium vitis-idaea L.) is an anthocyanin-rich berry with promising antioxidant, anti-inflammatory, and lipid-lowering properties. The general objective of this project was to investigate the effect of Manitoba wild lingonberry supplementation on high-fat diet (HFD) induced CKD and impaired hepatic lipid metabolism in C57BL/6J male mice. Supplementation of Manitoba wild lingonberry powder (5% w/w) significantly reduced HFD-induced kidney damage and renal inflammation. Further, pretreatment of renal proximal tubular cells (HK-2) with lingonberry extract significantly diminished palmitic acid-induced expression of inflammatory cytokines inhibiting nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kB) signaling. Lingonberry supplementation improved fatty liver by reducing plasma and liver lipid levels, hepatic injury and inflammation, and strengthening hepatic antioxidant defense by restoring nuclear factor-erythroid factor 2-related factor 2 (Nrf2)/glutathione (GSH) signaling. Notch signaling has been identified as an important mediator of hepatic lipid metabolism and its activation is associated with NAFLD. Lingonberry attenuated HFD-induced expression of Notch1 and elevated genes related to fatty acid b-oxidation in the liver and hepatocytes (HepG2). Further, cyanidin-3-glucoside, an anthocyanin found in lingonberry, could be one of the potential bioactive compounds responsible for the observed reno- and hepatoprotective effects. Taken together, the results of this thesis suggest that regular consumption of lingonberry might be an effective alternative treatment option to prevent CKD and improve NAFLD in obese individuals.en_US
dc.description.noteOctober 2022en_US
dc.identifier.urihttp://hdl.handle.net/1993/36557
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectHigh-Fat Diet (HFD)en_US
dc.subjectChronic Kidney Disease (CKD)en_US
dc.subjectFatty Liveren_US
dc.subjectInflammationen_US
dc.subjectOxidative Stressen_US
dc.subjectLipid Metabolismen_US
dc.titleLingonberry (Vaccinium vitis-idaea L.) supplementation protects against chronic kidney disease and improves fatty liveren_US
dc.typedoctoral thesisen_US
local.subject.manitobayesen_US
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