Myeloid KIF13B suppresses the STT3A/CTSD/THBS1 axis to prevent MASH

Kaikai Lu1, Xianqin Shen1, Ziyang Guo2

  • 1Institute of Cardiovascular Sciences, State Key Laboratory of Vascular Homeostasis and Remodeling, School of Basic Medical Sciences, Peking University, Beijing, China.

Hepatology (Baltimore, Md.)
|February 26, 2026
PubMed
Abstract

Insights

This study reveals a new pathway involving ZNF384, KIF13B, STT3A, CTSD, and THBS1 that drives metabolic dysfunction-associated steatotic liver disease (MASLD) progression. Targeting this axis offers potential therapeutic strategies for MASLD.

Area of Science:

  • Hepatology
  • Immunology
  • Molecular Biology

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) can advance to severe liver conditions like fibrosis and cancer.
  • Macrophage dysregulation in the liver's immune microenvironment is implicated in MASLD pathogenesis.
  • The specific roles of macrophages in MASLD development require further elucidation.

Purpose of the Study:

  • To investigate the role of KIF13B in macrophage function during MASLD.
  • To identify molecular mechanisms linking macrophages to MASLD progression.
  • To uncover novel regulatory pathways and potential therapeutic targets for MASLD.

Main Methods:

  • Analyzing KIF13B expression in macrophages from MASLD patients and mice.
  • Investigating the impact of myeloid Kif13b deletion on diet-induced MASLD in mice.
  • Elucidating the molecular interactions involving KIF13B, STT3A, CTSD, and THBS1 using proteasome degradation assays and protein interaction studies.
  • Identifying upstream regulators of KIF13B through promoter binding analysis.

Main Results:

  • KIF13B expression is downregulated in macrophages during MASLD.
  • Loss of myeloid Kif13b exacerbates diet-induced MASLD in mice.
  • Kif13b deficiency impairs STT3A degradation, increasing CTSD secretion and promoting liver lipid accumulation and inflammation.
  • CTSD interacts with THBS1 on hepatocytes, contributing to MASLD.
  • ZNF384 acts as a transcriptional activator for KIF13B, with its expression also reduced in MASLD.

Conclusions:

  • A novel regulatory axis (ZNF384/KIF13B/STT3A/CTSD/THBS1) is identified, crucial for macrophage-hepatocyte communication in MASLD.
  • This axis plays a significant role in MASLD progression.
  • The identified pathway presents potential therapeutic targets for MASLD treatment.

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