. Hydrogen sulfide reduces serum triglyceride by activating liver autophagy via the AMPK-mTOR pathway. Am J Physiol Endocrinol Metab 309: E925-E935, 2015. First published October 6, 2015; doi:10.1152/ajpendo.00294.2015.-Autophagy plays an important role in liver triglyceride (TG) metabolism. Inhibition of autophagy could reduce the clearance of TG in the liver. Hydrogen sulfide (H2S) is a potent stimulator of autophagic flux. Recent studies showed H2S is protective against hypertriglyceridemia (HTG) and noalcoholic fatty liver disease (NAFLD), while the mechanism remains to be explored. Here, we tested the hypothesis that H2S reduces serum TG level and ameliorates NAFLD by stimulating liver autophagic flux by the AMPK-mTOR pathway. The level of serum H2S in patients with HTG was lower than that of control subjects. Sodium hydrosulfide (NaHS, H2S donor) markedly reduced serum TG levels of male C57BL/6 mice fed a high-fat diet (HFD), which was abolished by coadministration of chloroquine (CQ), an inhibitor of autophagic flux. In HFD mice, administration of NaSH increased the LC3BII-to-LC3BI ratio and decreased the p62 protein level. Meanwhile, NaSH increased the phosphorylation of AMPK and thus reduced the phosphorylation of mTOR in a Western blot study. In cultured LO2 cells, high-fat treatment reduced the ratio of LC3BII to LC3BI and the phosphorylation of AMPK, which were reversed by the coadministration of NaSH. Knockdown of AMPK by siRNA in LO2 cells blocked the autophagic enhancing effects of NaSH. The same qualitative effect was observed in AMPK␣2 Ϫ/Ϫ mice. These results for the first time demonstrated that H2S could reduce serum TG level and ameliorate NAFLD by activating liver autophagy via the AMPKmTOR pathway. hydrogen sulfide; triglyceride; NAFLD; autophagy; AMPK HYPERTRIGLYCERIDEMIA (HTG) is the most common lipid metabolism disorder and is an important independent risk factor for cardiovascular and cerebrovascular diseases (2, 10, 29). The liver plays a cardinal role in lipid metabolism. Increased production and/or decreased clearance of triglyceride (TG) in the liver inevitably results in HTG (13, 30), while TG accumulation in the liver can lead to nonalcoholic fatty liver disease (NAFLD) (40). NAFLD is the most prevalent chronic liver disease in the developed world and is an important risk factor for the development of liver fibrosis and cirrhosis and predisposes to the development of hepatocellular carcinoma (1, 26).Recent research suggests that autophagy participates in the regulation of liver lipid metabolism (5, 33, 34). Autophagy modulates hepatocyte lipid metabolism through lipophagy, which involves sequestration of lipid drops in double-membrane autophagosomes, followed by fusion with lysosomes to form autolysosomes, and subsequent degradation of TG by lipases within the autolysosomes. Reduction of liver cell autophagic activity causes decreased lipolysis and provokes free fatty acid (FFA) -oxidation, resulting in hepatic steatosis and often progresses to NAFLD and HTG (34).AMP-activated pro...