Related Experiment Video
Updated: Jun 21, 2026

Mouse Model of Metabolic Dysfunction-Associated Steatotic Liver Disease with Fibrosis
Published on: July 18, 2025
Hepatic expression of cell death-inducing DFFA-like effector C in obese subjects is reduced by marked weight loss
Angela M Hall1, Elizabeth M Brunt, Samuel Klein
1Center for Human Nutrition, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Abstract:
The hepatic expression of the cell death-inducing DNA fragmentation factor A-like effector family (CIDEA, CIDEB, and CIDEC) genes is markedly upregulated in mouse models of obesity. We evaluated the expression of CIDE genes in liver of obese human subjects undergoing gastric bypass surgery (GBS), at the time of surgery and again 1 year later when subjects had lost 37.6 +/- 1.4% of their initial body weight. At the time of GBS, the expression of CIDEA (r(2) = 0.20, P = 0.04) and CIDEC (r(2) = 0.32, P = 0.01) was strongly correlated with BMI, whereas CIDEB was not (r(2) = 0.01, P = 0.81). One year after surgery, CIDEC expression had declined over 60% (P = 0.02), whereas CIDEA expression did not change (P = 0.20). These data demonstrate that, consistent with previous studies conducted in rodents, hepatic expression of CIDEA and CIDEC, but not CIDEB, is increased in obese humans. Moreover, the hepatic expression of CIDEC is downregulated by marked weight loss.
Insights
Obesity increases hepatic expression of CIDEA and CIDEC genes in humans. Weight loss significantly reduces CIDEC gene expression, suggesting its role in obesity-related liver changes.
Area of Science:
- Hepatology
- Molecular Biology
- Obesity Research
Background:
- The cell death-inducing DNA fragmentation factor A-like effector (CIDE) family genes (CIDEA, CIDEB, CIDEC) are upregulated in mouse models of obesity.
- Understanding CIDE gene expression in human obesity is crucial for metabolic disease research.
Purpose of the Study:
- To investigate the expression of CIDEA, CIDEB, and CIDEC genes in the liver of obese humans.
- To determine the correlation between CIDE gene expression and BMI.
- To assess the impact of significant weight loss on CIDE gene expression.
Main Methods:
- Liver biopsies were obtained from obese subjects undergoing gastric bypass surgery.
- Gene expression levels of CIDEA, CIDEB, and CIDEC were measured at baseline and 1 year post-surgery.
- Statistical analysis was performed to correlate gene expression with BMI and weight loss.
Main Results:
- CIDEA and CIDEC expression correlated significantly with BMI in obese subjects at the time of surgery.
- CIDEB expression did not show a significant correlation with BMI.
- One year after gastric bypass surgery and significant weight loss, CIDEC expression decreased by over 60%, while CIDEA expression remained unchanged.
Conclusions:
- Hepatic expression of CIDEA and CIDEC is elevated in obese humans, mirroring findings in rodent models.
- CIDEC expression is significantly downregulated following substantial weight loss.
- These findings highlight the potential role of CIDEC in human obesity and its modulation by weight reduction.
Related Concept Videos
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
Drug Dosing: Obese Patients
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Obesity
Cell Specific Gene Expression

