Abstract:Objective To study the molecular mechanism of low lead exposure promoting elevation of homocysteine (Hcy) in rats with nonalcoholic fatty liver disease. Methods Forty SD rats were divided into the normal diet group, low lead exposure normal diet group, high fat diet group and low lead exposure high fat diet group. After 8 weeks, all rats were sacrificed. Liver function, liver and blood lead, serum Hcy, inflammatory factors, MTHFR, MTR and CBS protein and mRNA expression of liver were detected. Results The liver sections were normal in normal diet group and low lead exposure normal diet group, and had obvious fat vacuoles in high fat diet group and low lead exposure high fat diet group; the blood lead and liver lead in the low lead exposure normal diet group and low lead exposure high fat feed group were higher than those in the normal diet group, and those in low lead exposure high fat diet group were higher than those in low lead exposure normal diet group and high fat diet group (P < 0 05). The AST, ALT, Hcy, IL-1α, IL-1β, IL-6 and TNF-α in the low lead exposure normal diet group, high fat diet group and low lead exposure high fat diet group were higher than those in the normal diet group (P < 0.05), and folic acid and vitamin B12 were lower than those in the low lead exposure group (P < 0.05); the AST, ALT, Hcy, IL-1α, IL-1β, IL-6 and TNF-α in the low lead exposure high fat diet group was were higher than those in the low lead exposure normal diet group (P < 0.05), and folic acid and vitamin B12 were lower than them in the low lead exposure normal feed group (P < 0.05); the AST and ALT in high fat diet group and low lead exposure high fat diet group were higher than those in the low lead exposure common diet group (P < 0.05); the AST and ALT in low lead exposure high fat diet group were higher than those in the high fat diet group (P < 0.05). The MTHFR proteins and mRNA expression in the high-fat diet group and the low lead high-fat diet group were significantly lower than those in the normal diet group (P < 0.05), and those in the low-lead exposure high-fat diet group were significantly lower than those in the high-fat diet group (P < 0.05). Conclusions Low lead exposure can promote the increase of serum Hcy while high-fat feed, which may be related with it can reduced the expression of MTHFR in liver.