A host enzyme reduces metabolic dysfunction-associated steatotic liver disease (MASLD) by inactivating intestinal

Zhiyan Wang1, Nore Ojogun2, Yiling Liu1

  • 1Department of Immunology, School of Basic Medical Sciences, Department of Trauma-Emergency & Critical Care Medicine, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.

Elife
|April 24, 2025
PubMed

Insights

Mice lacking acyloxyacyl hydrolase (AOAH) accumulated more liver fat, indicating AOAH deficiency worsens metabolic dysfunction-associated steatotic liver disease (MASLD). Increasing AOAH may prevent or treat this condition.

Area of Science:

  • Hepatology
  • Metabolic Diseases
  • Lipid Metabolism

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) incidence is rising globally.
  • Gut-derived lipopolysaccharides (LPS) contribute to liver pathology.
  • Acyloxyacyl hydrolase (AOAH) inactivates LPS and oxidized phospholipids.

Purpose of the Study:

  • To investigate the role of AOAH in hepatic lipid accumulation.
  • To determine if AOAH deficiency exacerbates MASLD.
  • To explore AOAH as a potential therapeutic target for MASLD.

Main Methods:

  • Mice were fed normal chow or a high-fat diet for 28 weeks.
  • Hepatic lipid content was measured.
  • Gene expression related to lipid metabolism was analyzed in wild-type and Aoah-deficient mice.

Main Results:

  • Aoah-deficient mice accumulated significantly more hepatic lipid compared to controls.
  • In young Aoah-deficient mice, increased sterol regulatory element-binding protein 1 and its target genes promoted fatty acid synthesis.
  • Hepatic fatty acid uptake genes (Cd36, Fabp3) were upregulated, while fatty acid oxidation genes (Acot2, Ppara) were downregulated in Aoah-deficient mice.

Conclusions:

  • AOAH deficiency promotes hepatic lipid accumulation and exacerbates MASLD.
  • Modulating AOAH levels could be a novel strategy for preventing or treating MASLD.
  • Targeting AOAH in the gut, bloodstream, or liver may offer therapeutic benefits for MASLD.