Hepatic steatosis is often associated with insulin resistance and obesity and can lead to steatohepatitis and cirrhosis. In this study, we have demonstrated that hormone-sensitive lipase (HSL) and adipose triglyceride lipase (ATGL), two enzymes critical for lipolysis in adipose tissues, also contribute to lipolysis in the liver and can mobilize hepatic triglycerides in vivo and in vitro. Adenoviral overexpression of HSL and/or ATGL reduced liver triglycerides by 40 -60% in both ob/ob mice and mice with high fat diet-induced obesity. However, these enzymes did not affect fasting plasma triglyceride and free fatty acid levels or triglyceride and apolipoprotein B secretion rates. Plasma 3--hydroxybutyrate levels were increased 3-5 days after infection in both HSL-and ATGL-overexpressing male mice, suggesting an increase in -oxidation. Expression of genes involved in fatty acid transport and synthesis, lipid storage, and mitochondrial bioenergetics was unchanged. Mechanistic studies in oleate-supplemented McA-RH7777 cells with adenoviral overexpression of HSL or ATGL showed that reduced cellular triglycerides could be attributed to increases in -oxidation as well as direct release of free fatty acids into the medium. In summary, hepatic overexpression of HSL or ATGL can promote fatty acid oxidation, stimulate direct release of free fatty acid, and ameliorate hepatic steatosis. This study suggests a direct functional role for both HSL and ATGL in hepatic lipid homeostasis and identifies these enzymes as potential therapeutic targets for ameliorating hepatic steatosis associated with insulin resistance and obesity.
Nonalcoholic fatty liver disease (NAFLD)4 is often associated with obesity, insulin resistance, and metabolic syndrome (1, 2). Nonalcoholic steatohepatitis (NASH), the more virulent form of NAFLD, can lead to cirrhosis. Current treatments for subjects with NAFLD are usually directed at alleviating the associated metabolic symptoms of the patients (3). Insulin sensitizers such as thiazolidinediones or metformin improve insulin sensitivity with concomitant reduction of liver fat contents in human and mouse models (3-5). The amelioration of hepatic steatosis by these agents is likely secondary to improved insulin sensitivity. Imbalances between the input, oxidation, synthesis, and output of fatty acids (FA) all could contribute to hepatic steatosis, and dysregulation of each pathway has been documented in animal models (6). For example, leptin-deficient ob/ob mice are insulin-resistant, dyslipidemic, and have fatty livers despite the up-regulation of FA oxidation genes (7, 8) and increases in mitochondrial and peroxisomal -oxidation (9). Hepatic steatosis in these animals is attributed to the up-regulation of sterol-responsive element-binding protein (SREBP) 1c, a master regulator of lipogenesis (10), and the consequent increase in de novo lipogenesis (11,12). FA uptake in the liver is also likely increased as genes involved in FA uptake and transport (e.g. CD36) are up-regulated in these animals (13). NAF...