BackgroundNonalcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases globally. Hepatic stellate cells (HSCs) are the major effector cells of liver fibrosis. HSCs contain abundant lipid droplets (LDs) in their cytoplasm during quiescence. Perilipin 5 (PLIN 5) is a LD surfaceâassociated protein that plays a crucial role in lipid homeostasis. However, little is known about the role of PLIN 5 in HSC activation.MethodsPLIN 5 was overexpressed in HSCs of SpragueâDawley rats by lentivirus transfection. At the same time, PLIN 5 gene knockout mice were constructed and fed with a highâfat diet (HFD) for 20âweeks to study the role of PLIN 5 in NAFLD. The corresponding reagent kits were used to measure TG, GSH, Caspase 3 activity, ATP level, and mitochondrial DNA copy number. Metabolomic analysis of mice liver tissue metabolism was performed based on UPLCâMS/MS. AMPK, mitochondrial function, cell proliferation, and apoptosisârelated genes and proteins were detected by western blotting and qPCR.ResultsOverexpression of PLIN 5 in activated HSCs led to a decrease in ATP levels in mitochondria, inhibition of cell proliferation, and a significant increase in cell apoptosis through AMPK activation. In addition, compared with the HFDâfed C57BL/6J mice, PLIN 5 knockout mice fed with HFD showed reduced liver fat deposition, decreased LD abundance and size, and reduced liver fibrosis.ConclusionThese findings highlight the unique regulatory role of PLIN 5 in HSCs and the role of PLIN 5 in the fibrosis process of NAFLD.