Spatial lipidomics reveals sphingolipid metabolism as anti-fibrotic target in the liver

Aleksandra Gruevska1, Jack Leslie2, Elena Perpiñán3

  • 1Department of Metabolism, Digestion and Reproduction, Imperial College London, London, United Kingdom.

Abstract

Insights

Dysregulated sphingolipid metabolism in the liver promotes fibrosis. Targeting these pathways, particularly sphingomyelin, shows promise for developing new anti-fibrotic therapies for steatotic liver disease.

Area of Science:

  • Hepatology
  • Lipid Metabolism
  • Fibrosis Research

Background:

  • Steatotic liver disease (SLD) is a significant driver of liver fibrosis.
  • Understanding lipotoxicity and lipid metabolism is key for developing SLD therapies.

Purpose of the Study:

  • To investigate the role of lipid metabolism in liver fibrosis.
  • To identify specific lipid species and cellular mechanisms involved in fibrogenesis.
  • To explore therapeutic strategies targeting lipid metabolism.

Main Methods:

  • Analysis of liver tissue from SLD patients and mouse models.
  • Integration of bulk/spatial lipidomics, transcriptomics, and imaging mass cytometry (IMC).
  • Pharmacological inhibition of sphingolipid metabolism in hepatic stellate cells (HSCs) and human precision cut liver slices (hPCLSs).

Main Results:

  • Increased glycosphingolipids, ether lipids, and saturated phosphatidylcholines in fibrotic liver tissue.
  • Enrichment of sphingomyelin (SM) 34:1 and dysregulated sphingolipid synthesis gene expression in fibrotic regions.
  • Spatial correlation between sphingolipids and myofibroblasts; inhibition of sphingolipid metabolism demonstrated anti-fibrotic effects.

Conclusions:

  • Spatial multi-omics reveals cell type-specific fibrogenesis mechanisms involving sphingolipid metabolism.
  • Sphingolipid metabolic pathways are modifiable targets for anti-fibrotic therapy in SLD.