Supplementary key words lipogenesis • sphingolipids • sphingosine-1phosphateNonalcoholic fatty liver disease (NAFLD) encompasses a spectrum of disease states defined by hepatic steatosis occurring in the absence of alcohol abuse (1). Steatosis is the initial stage of NAFLD, in which lipid droplets form and accumulate in the liver (2). This stage can be self-limiting; however, steatosis can progress to more aggressive liver injury, inflammation, and fibrosis in the form of nonalcoholic steatohepatitis (NASH) (3). NASH can progress to cirrhosis, end-stage liver disease, or hepatocellular carcinoma (4). Caloric excess, associated with obesity, insulin resistance, and dyslipidemia, has been implicated in the development of NAFLD (5), and it is estimated that about a third of the US population has NAFLD (6). Approximately 30% to 50% of NAFLD patients have NASH at the time of diagnosis (7) and, unfortunately, however, there are currently no approved therapies (8).The oversupply of nutrients due to obesogenic diet consumption alters many aspects of cellular metabolism, including the biosynthesis of lipids (9). Several lipid mediators typically associated with lipotoxicity, such as diacylglycerols, free fatty acids, oxysterols, and more recently, sphingolipids, have been linked to the progression of steatosis to NASH (9-11). It has been suggested that the bioactive sphingolipid ceramide contributes to insulin Abstract Nonalcoholic fatty liver disease (NAFLD), a leading cause of liver dysfunction, is a metabolic disease that begins with steatosis. Sphingolipid metabolites, particularly ceramide and sphingosine-1-phosphate (S1P), have recently received attention for their potential roles in insulin resistance and hepatic steatosis. FTY720/fingolimod, a prodrug for the treatment of multiple sclerosis, is phosphorylated in vivo to its active phosphorylated form by sphingosine kinase 2 and has been shown to interfere with the actions of S1P and to inhibit ceramide biosynthesis. Therefore, in this study we investigated the effects of FTY720 in a diet-induced animal model of NAFLD (DIAMOND) that recapitulates the hallmarks of the human disease. The oral administration of FTY720 to these mice fed a high-fat diet and sugar water improved glucose tolerance and reduced steatosis. In addition to decreasing liver triglycerides, FTY720 also reduced hepatic sphingolipid levels, including ceramides, monohexosylceramides, and sphingomyelins, particularly the C16:0 and C24:1 species, as well as S1P and dihydro-S1P. FTY720 administration decreased diet-induced fatty acid synthase (FASN) expression in DIAMOND mice without affecting other key enzymes in lipogenesis. FTY720 had no effect on the expression of SREBP-1c, which transcriptionally activates FASN. However, in agreement with the notion that the active phosphorylated form of FTY720 is an inhibitor of histone deacetylases, FTY720-P accumulated in the liver, and histone H3K9 acetylation was markedly increased in these mice. Hence, FTY720 might be useful for attenuating FASN expression a...