Effects of Fructose on Features of Steatotic Liver Disease in HepG2 Cells

Matthew Thomas Howes1, Jessie King1, Rhonda Joy Rosengren1

  • 1Department of Pharmacology and Toxicology, University of Otago, Dunedin 9016, New Zealand.

Nutrients
|September 13, 2025
PubMed
Abstract

Insights

This study found that fructose did not increase triglyceride accumulation or affect de novo lipogenesis genes in liver cells. Further research with human cells is recommended for MASLD insights.

Area of Science:

  • Hepatology
  • Metabolic Disease Research
  • Cell Biology

Background:

  • Metabolic (dysfunction)-associated steatotic liver disease (MASLD) affects 30% of the global population.
  • Existing research on fructose's impact on MASLD yields conflicting results.
  • In vitro studies often use non-physiological conditions, limiting their relevance.

Purpose of the Study:

  • To investigate the effect of fructose on triglyceride accumulation in HepG2 cells.
  • To assess fructose's impact on de novo lipogenesis (DNL) gene expression.
  • To compare acute and chronic exposure effects of fructose.

Main Methods:

  • HepG2 cells were exposed to fructose or glucose with/without fatty acids for 48 hours and 28 days.
  • Triglyceride levels were measured at various time points.
  • Quantitative PCR (qPCR) was used to analyze DNL gene expression (SREBPF1, NR1H3, FASN, ACACA).

Main Results:

  • Neither acute nor chronic fructose exposure significantly increased triglyceride levels in HepG2 cells.
  • Fructose and glucose did not alter key de novo lipogenesis gene expression at 6 hours.
  • Fatty acid mixtures, however, reduced FASN expression by 41%.

Conclusions:

  • Fructose did not significantly induce triglyceride synthesis or alter DNL gene expression in this HepG2 cell model.
  • The findings suggest fructose may not be a primary driver of steatosis in this specific in vitro setting.
  • Future research should utilize primary human hepatocytes or more complex models for greater physiological relevance.