CREBH-FGF21 axis improves hepatic steatosis by suppressing adipose tissue lipolysis

Sci Rep. 2016 Jun 15:6:27938. doi: 10.1038/srep27938.

Abstract

Adipose tissue lipolysis produces glycerol and nonesterified fatty acids (NEFA) that serve as energy sources during nutrient scarcity. Adipose tissue lipolysis is tightly regulated and excessive lipolysis causes hepatic steatosis, as NEFA released from adipose tissue constitutes a major source of TG in the liver of patients with nonalcoholic fatty liver diseases. Here we show that the liver-enriched transcription factor CREBH is activated by TG accumulation and induces FGF21, which suppresses adipose tissue lipolysis, ameliorating hepatic steatosis. CREBH-deficient mice developed severe hepatic steatosis due to increased adipose tissue lipolysis, when fasted or fed a high-fat low-carbohydrate ketogenic diet. FGF21 production was impaired in CREBH-deficient mice, and adenoviral overexpression of FGF21 suppressed adipose tissue lipolysis and improved hepatic steatosis in these mice. Thus, our results uncover a negative feedback loop in which CREBH regulates NEFA flux from adipose tissue to the liver via FGF21.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adipose Tissue / pathology*
  • Animals
  • Cyclic AMP Response Element-Binding Protein / metabolism*
  • Fatty Liver / pathology*
  • Feedback, Physiological
  • Fibroblast Growth Factors / metabolism*
  • Lipolysis*
  • Mice, Inbred C57BL
  • Mice, Knockout

Substances

  • Creb3l3 protein, mouse
  • Cyclic AMP Response Element-Binding Protein
  • fibroblast growth factor 21
  • Fibroblast Growth Factors