Nonalcoholic fatty liver disease (NAFLD) is considered to be the most common hepatic manifestation of metabolic syndromes such as diabetes and obesity ( 1 ). The dysregulation of triacylglycerol (TAG) metabolism may contribute to the derangement of hepatic lipid homeostasis and chronic liver damage ( 2 ). Thus, understanding the steps involved in the regulation of hepatic TAG synthesis would likely provide potential new targets for the treatment and prevention of this condition.Glycerol-sn-3-phosphate acyltransferase (GPAT) controls the rate-limiting step in the glycerol 3-phosphate pathway, converting glycerol-3-phosphate and acyl-CoA into phosphatidic acid, which is the precursor of TAG and glycerophospholipids ( 3 ). Currently, two GPAT activities exist in most mammalian cells and tissues, the fi rst of which (msGPAT) is located in the endoplasmic reticulum (ER) and the second of which is located in the mitochondria, which is associated with the outer mitochondrial membrane (OMM) ( 4, 5 ). The activities of mtGPAT and microsomal GPAT can be differentiated by their selective sensitivity to sulfhydryl group reactive reagents such as N-ethylmaleimide (NEM) ( 6 ). Previous in vitro studies have Abstract Mitochondrial acyl-CoA:glycerol-sn-3-phosphate acyltransferase 1 (mtGPAT1) controls the fi rst step of triacylglycerol (TAG) synthesis and is critical to the understanding of chronic metabolic disorders such as primary nonalcoholic fatty liver disease (NAFLD). Anthocyanin, a large group of polyphenols, was negatively correlated with hepatic lipid accumulation, but its impact on mtGPAT1 activity and NAFLD has yet to be determined. Hepatoma cell lines and KKAy mice were used to investigate the impact of anthocyanin on high glucose-induced mtGPAT1 activation and hepatic steatosis. Treatment with anthocyanin cyanidin-3-O- -glucoside (Cy-3-g) reduced high glucose-induced GPAT1 activity through the prevention of mtGPAT1 translocation from the endoplasmic reticulum to the outer mitochondrial membrane (OMM), thereby suppressing intracellular de novo lipid synthesis. Cy-3-g treatment also increased protein kinase C phosphorylation and membrane translocation in order to phosphorylate the mtF0F1-ATPase  -subunit, reducing its enzymatic activity and thus inhibiting mtGPAT1 activation. In vivo studies further showed that Cy-3-g treatment signifi cantly decreases hepatic mtGPAT1 activity and its presence in OMM isolated from livers, thus ameliorating hepatic steatosis in diabetic KKAy mice. Our fi ndings reveal a novel mechanism by which anthocyanin regulates lipogenesis and thereby inhibits hepatic steatosis, suggesting its potential therapeutic application in diabetes and related steatotic liver diseases. -Guo, H., D. Li, W. Ling, X. Feng, and M. Xia. Anthocyanin inhibits high glucose-induced hepatic mtGPAT1 activation and prevents fatty acid synthesis through PKC . J. Lipid Res . 2011. 52: 908-922.