Zhongshan Institute for Drug Discovery (ZIDD), Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Zhongshan, Guangdong 528400, China; School of Life Sciences, Tsinghua University, Beijing 100084, China; Center for Neurometabolism and Regenerative Medicine, Bioland Laboratories, Guangzhou, Guangdong 510530, China; Duke-NUS Medical School, National University of Singapore, Singapore 169857, Singapore.
Guangzhou National Laboratory, Guangzhou, Guangdong 510005, China.
Cell Metab. 2024 Nov 5;36(11):2437-2448.e8. doi: 10.1016/j.cmet.2024.10.001. Epub 2024 Oct 25.
Increased de novo lipogenesis is a hallmark of metabolic dysfunction-associated steatotic liver disease (MASLD) in obesity, but the macronutrient carbon source for over half of hepatic fatty acid synthesis remains undetermined. Here, we discover that dietary protein, rather than carbohydrates or fat, is the primary nutritional risk factor for MASLD in humans. Consistently, ex vivo tracing studies identify amino acids as a major carbon supplier for the tricarboxylic acid (TCA) cycle and lipogenesis in isolated mouse hepatocytes. In vivo, dietary amino acids are twice as efficient as glucose in fueling hepatic fatty acid synthesis. The onset of obesity further drives amino acids into fatty acid synthesis through reductive carboxylation, while genetic and chemical interventions that divert amino acid carbon away from lipogenesis alleviate hepatic steatosis. Finally, low-protein diets (LPDs) not only prevent body weight gain in obese mice but also reduce hepatic lipid accumulation and liver damage. Together, this study uncovers the significant role of amino acids in hepatic lipogenesis and suggests a previously unappreciated nutritional intervention target for MASLD.
从头合成脂肪酸增加是肥胖相关代谢功能障碍性脂肪性肝病(MASLD)的标志,但超过一半的肝内脂肪酸合成的大量营养素碳源仍未确定。在这里,我们发现蛋白质而不是碳水化合物或脂肪是人类 MASLD 的主要营养风险因素。一致地,体外示踪研究表明氨基酸是三羧酸(TCA)循环和分离的小鼠肝细胞中脂肪生成的主要碳源。在体内,氨基酸作为燃料的效率是葡萄糖的两倍,可促进肝内脂肪酸合成。肥胖的发生进一步通过还原羧化作用将氨基酸驱动到脂肪酸合成中,而将氨基酸碳从脂肪生成中转移的遗传和化学干预可减轻肝脂肪变性。最后,低蛋白饮食(LPD)不仅可以防止肥胖小鼠体重增加,还可以减少肝内脂质积聚和肝损伤。总之,这项研究揭示了氨基酸在肝脂肪生成中的重要作用,并为 MASLD 提出了一个以前未被重视的营养干预靶点。