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Updated: Jan 6, 2026

Mechanism of Regulation of Adipocyte Numbers in Adult Organisms Through Differentiation and Apoptosis Homeostasis
Published on: June 3, 2016
Fas apoptotic inhibitor molecule 2 mitigates metabolic dysfunction-associated fatty liver disease through autophagic
Yongjie Yu1,2, Sha Hu1,3, Tuo Zhang1,2
1Taikang Medical School (School of Basic Medical Sciences), Wuhan University, Wuhan, China.
Abstract:
Lysosomal membrane proteins play fundamental roles in the lysosomal degradation of proteins and are attractive drug targets for metabolic dysfunction-associated fatty liver disease (MAFLD). Fas apoptotic inhibitory molecule 2 (FAIM2), a lysosomal membrane protein, has been recognized as an inhibitor of apoptosis in a variety of diseases. Here we reveal that FAIM2 is an inhibitor of fatty acid synthesis and suppresses MAFLD. FAIM2 protein expression is decreased in MAFLD. Moreover, FAIM2 is degraded by the E3 ubiquitin ligase NEDD4L through the catalysis of K48-linked ubiquitination. High-fat and high-cholesterol diet-induced hepatic steatosis, inflammation and fibrosis are aggravated in Faim2-knockout mice and alleviated in mice with AAV8-mediated FAIM2 overexpression. Furthermore, in hepatocytes, FAIM2 knockout increases the expression of genes related to fatty acid synthesis, while overexpressing FAIM2 exhibits the opposite effect. Mechanistically, FAIM2 directly interacts with CREB-regulated transcription coactivator 2 (CRTC2), a prominent regulator of lipid metabolism, and mediates its degradation through autophagy. Specifically, we find that the N terminus of FAIM2, which interacts with CRTC2 and LC3, is required for autophagic degradation of CRTC2. Collectively, our findings reveal that FAIM2 acts as a fatty acid synthesis inhibitor in MAFLD by promoting the autophagic degradation of CRTC2 and that FAIM2-CRTC2 may be a promising therapeutic target.
Insights
Fas apoptotic inhibitory molecule 2 (FAIM2) suppresses fatty liver disease by inhibiting fatty acid synthesis. FAIM2 promotes the degradation of CRTC2, a key regulator of lipid metabolism, offering a potential therapeutic target for MAFLD.
Area of Science:
- Cell Biology
- Molecular Biology
- Hepatology
Background:
- Lysosomal membrane proteins are crucial for cellular degradation and are potential therapeutic targets for metabolic dysfunction-associated fatty liver disease (MAFLD).
- Fas apoptotic inhibitory molecule 2 (FAIM2) is a lysosomal protein known to inhibit apoptosis.
- Reduced FAIM2 expression is observed in MAFLD patients.
Purpose of the Study:
- To investigate the role of FAIM2 in fatty acid synthesis and its potential as a therapeutic target for MAFLD.
- To elucidate the mechanism by which FAIM2 regulates lipid metabolism.
Main Methods:
- Utilized Faim2-knockout and FAIM2-overexpressing mouse models fed high-fat/high-cholesterol diets.
- Analyzed gene expression related to fatty acid synthesis in hepatocytes.
- Investigated the interaction between FAIM2, CRTC2, and autophagy-related proteins (LC3) using biochemical assays.
Main Results:
- FAIM2 deficiency aggravated diet-induced hepatic steatosis, inflammation, and fibrosis in mice.
- FAIM2 overexpression alleviated these conditions.
- FAIM2 knockout increased, while overexpression decreased, the expression of genes involved in fatty acid synthesis.
- FAIM2 directly interacts with CRTC2 and mediates its autophagic degradation via its N-terminus.
Conclusions:
- FAIM2 functions as an inhibitor of fatty acid synthesis, suppressing MAFLD progression.
- FAIM2 exerts its function by promoting the autophagic degradation of CRTC2.
- The FAIM2-CRTC2 pathway represents a promising therapeutic target for MAFLD.
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