This study aimed to investigate the therapeutic effects of Angelica sinensis polysaccharide (ASP), an active component derived from a water extract of Angelica sinensis, in high-fat diet (HFD)-fed BALB/c mice. The potential mechanisms underlying the activity of this compound were also considered. Specifically, serum and hepatic biochemical parameters were evaluated, and key proteins involved in the lipid/glucose metabolism were analyzed. Long-term feeding with a HFD induced severe fatty liver and hyperglycemia. Histological examination clearly showed that ASP reduced lipid accumulation in the liver and attenuated hepatic steatosis in HFD-fed mice. In addition, ASP markedly alleviated serum and liver lipid disorders and fatty liver via the upregulation of PPARγ expression and the activation of adiponectin-SIRT1-AMPK signaling. Furthermore, ASP also significantly relieved severe oxidative stress, demonstrating that ASP might attenuate nonalcoholic fatty liver disease via a "two-hit" mechanism. In addition, ASP reduced blood glucose levels and ameliorated insulin resistance via the regulation of related metabolic enzymes and by activating the PI3K/Akt pathway in HFD-fed mice. Our findings revealed that ASP might be used as an alternative dietary supplement or health care product to ameliorate metabolic syndrome in populations that consistently consume HFDs.Environmental factors, such as a high-fat diet (HFD) and a sedentary lifestyle, are the causes of the current epidemic of metabolic syndrome, which is characterized by a group of metabolic risks including hyperglycemia, hyperlipidemia, hypertension and insulin resistance 1 . Excessive exposure to a HFD is believed to play a key role in the pathogenesis of metabolic damages and has led to an increased number of individuals with nonalcoholic fatty liver disease (NAFLD) and diabetes 2,3 . NAFLD, which represents a spectrum of liver pathologies that range from simple steatosis to severe hepatitis, fibrosis, cirrhosis, and hepatocellular carcinoma, has become the most common cause of chronic liver diseases 4 . HFD-induced hyperglycemia increases the risk of development of type 2 diabetes, which is also an epidemic disease in modern society. Changes in dietary habits merit particular consideration because a HFD leads to severe hyperglycemia, metabolic damages and fatty liver. However, the modification of dietary habits and lifestyles are not readily accepted in many developed countries. Therefore, dietary supplementation or consumption of health foods could be an alternative means for the prevention of metabolic syndrome.Traditional Chinese medicines are rich sources of bioactive substances that can be used to pretreat or cure various types of human diseases 5 . Polysaccharides are polymeric carbohydrate macromolecules composed of long chains of monosaccharide units that are connected by various glycosidic linkages. Currently, an increasing number of studies have focused on polysaccharides extracted from different Chinese medicines due to their potential 1