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Mitochondrial pyruvate carrier 1 regulates fatty acid synthase lactylation and mediates treatment of nonalcoholic fatty liver disease.

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BACKGROUND AND AIMS NAFLD has become a major metabolic disease worldwide. A few studies have reported the potential relationship between mitochondrial pyruvate carrier (MPC1) and inflammation, fibrosis, and insulin sensitivity… Click to show full abstract

BACKGROUND AND AIMS NAFLD has become a major metabolic disease worldwide. A few studies have reported the potential relationship between mitochondrial pyruvate carrier (MPC1) and inflammation, fibrosis, and insulin sensitivity in obese or NASH mouse models. However, the impact of MPC1 on NAFLD-related liver lipid metabolism and its role in the NAFLD progression require further investigation. APPROACH AND RESULTS MPC1 expression was measured in liver tissues from normal controls and patients with NAFLD. We characterized the metabolic phenotypes and expression of genes involved in hepatic lipid accumulation in MPC1 systemic heterozygous knockout (MPC1+/-) mice. Hepatic protein lactylation was detected using Tandem Mass Tags proteomics and verified by overexpression of lactylation mutants in cells. Finally, the effect of MPC1 inhibition on liver inflammation was examined in mice and AML-12 cells. Here, we found that MPC1 expression was positively correlated to liver lipid deposition in patients with NAFLD. MPC1+/- mice fed with high-fat diet had reduced hepatic lipid accumulation but no change in expression of lipid synthesis-related genes. MPC1 knockout affected the lactylation of several proteins, especially fatty acid synthase (FASN), through the regulation of lactate levels in hepatocytes. Lactylation at the K673 site of FASN inhibited FASN activity, which mediated the down-regulation of liver lipid accumulation by MPC1. Moreover, although MPC1 knockout caused lactate accumulation, inflammation level was controlled due to mitochondrial protection and macrophage polarization. CONCLUSIONS In NAFLD, MPC1 levels are positively correlated with hepatic lipid deposition, the enhanced lactylation at FASN K673 site may be a downstream mechanism.

Keywords: acid synthase; pyruvate carrier; lactylation; mitochondrial pyruvate; mpc1; fatty acid

Journal Title: Hepatology
Year Published: 2023

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