Carr RM, Patel RT, Rao V, Dhir R, Graham MJ, Crooke RM, Ahima RS. Reduction of TIP47 improves hepatic steatosis and glucose homeostasis in mice. Am J Physiol Regul Integr Comp Physiol 302: R996 -R1003, 2012. First published February 29, 2012 doi:10.1152/ajpregu.00177.2011.-Lipid droplets in the liver are coated with the perilipin family of proteins, notably adipocyte differentiation-related protein (ADRP) and tail-interacting protein of 47 kDa (TIP47). ADRP is increased in hepatic steatosis and is associated with hyperlipidemia, insulin resistance, and glucose intolerance. We have shown that reducing ADRP in the liver via antisense oligonucleotide (ASO) treatment attenuates steatosis and improves insulin sensitivity and glucose tolerance. We hypothesized that TIP47 has similar effects on hepatic lipid and glucose metabolism. We found that TIP47 mRNA and protein levels were increased in response to a high-fat diet (HFD) in C57BL/6J mice. TIP47 ASO treatment decreased liver TIP47 mRNA and protein levels without altering ADRP levels. Low-dose TIP47 ASO (15 mg/kg) and high-dose TIP47 ASO (50 mg/kg) decreased triglyceride content in the liver by 35% and 52%, respectively. Liver histology showed a drastic reduction in hepatic steatosis following TIP47 ASO treatment. The high dose of TIP47 ASO significantly blunted hepatic triglyceride secretion, improved glucose tolerance, and increased insulin sensitivity in liver, adipose tissue, and muscle. These findings show that TIP47 affects hepatic lipid and glucose metabolism and may be a target for the treatment of nonalcoholic fatty liver and related metabolic disorders. lipid droplet; liver; steatosis; glucose; perilipin NONALCOHOLIC FATTY LIVER DISEASE (NAFLD) has reached epidemic proportions in the United States and worldwide and is closely associated with obesity and type 2 diabetes (1,4,20,31). As in humans, mice fed a high-fat diet develop fatty liver characterized by excessive accumulation of lipid droplets, consisting of a neutral lipid core, mainly triglycerides, surrounded by a phospholipid monolayer (2,20,30). The surface of lipid droplets is coated by a perilipin family of proteins, metabolic enzymes, and vesicle trafficking proteins (2-5). Adipose differentiation-related protein (ADRP) (also named perilipin 2) and tail-interacting protein (TIP) 47 (also named perilipin 3) are the major lipid droplet proteins in hepatocytes (2-5, 17). Ablation of Adfp gene decreased hepatic steatosis, increased very low density lipoprotein (VLDL) secretion, and improved insulin sensitivity in ob/ob mice (7, 8). We have shown that an antisense oligonucleotide (ASO) against ADRP reduced steatosis and VLDL secretion, and enhanced hepatic insulin sensitivity in ob/ob and diet-induced obese (DIO) mice (16,30).As with ADRP, TIP47 is widely expressed in hepatocytes, enterocytes, macrophages, and other tissues and is increased in response to lipid loading (2,6,12,13,18,26). In Adfp-null adipocytes, TIP47 compensates for the loss of ADRP and maintains triglyceride accumulation in lipid...