Alcoholism can result in fatty liver that can progress to steatohepatitis, cirrhosis, and liver cancer. Mice fed alcohol develop fatty liver through endocannabinoid activation of hepatic CB 1 cannabinoid receptors (CB 1 R), which increases lipogenesis and decreases fatty acid oxidation. Chronic alcohol feeding also up-regulates CB 1 R in hepatocytes in vivo, which could be replicated in vitro by co-culturing control hepatocytes with hepatic stellate cells (HSC) isolated from ethanol-fed mice, implicating HSC-derived mediator(s) in the regulation of hepatic CB 1 R (Jeong, W. I., Osei-Hyiaman, D., Park, O., Liu, J., Bátkai, S., Mukhopadhyay, P., Horiguchi, N., Harvey-White, J., Marsicano, G., Lutz, B., Gao, B., and Kunos, G. (2008) Cell Metab. 7, 227-235). HSC being a rich source of retinoic acid (RA), we tested whether RA and its receptors may regulate CB 1 R expression in cultured mouse hepatocytes. Incubation of hepatocytes with RA or RA receptor (RAR) agonists increased CB 1 R mRNA and protein, the most efficacious being the RAR␥ agonist CD437 and the pan-RAR agonist TTNPB. The endocannabinoid 2-arachidonoylglycerol (2-AG) also increased hepatic CB 1 R expression, which was mediated indirectly via RA, because it was absent in hepatocytes from mice lacking retinaldehyde dehydrogenase 1, the enzyme catalyzing the generation of RA from retinaldehyde. The binding of RAR␥ to the CB 1 R gene 5 upstream domain in hepatocytes treated with RAR agonists or 2-AG was confirmed by chromatin immunoprecipitation and electrophoretic mobility shift and antibody supershift assays. Finally, TTNPB-induced CB 1 R expression was attenuated by small interfering RNA knockdown of RAR␥ in hepatocytes. We conclude that RAR␥ regulates CB 1 R expression and is thus involved in the control of hepatic fat metabolism by endocannabinoids.The biological actions of endocannabinoids and their plantderived and synthetic analogs are mediated by G protein-coupled cannabinoid receptors. Two cannabinoid receptors have been identified to date; CB 1 R 3 are expressed at very high levels in the brain and at much lower concentrations in many peripheral tissues, whereas CB 2 R are expressed primarily, although not exclusively, in cells of the immune and hematopoietic systems (2). Recent findings indicate that CB 1 R are expressed at low yet functionally relevant levels in the liver, and their activation promotes de novo lipogenesis and inhibits fatty acid oxidation (3). Through these effects, endocannabinoids play a key role in the development of fatty liver in response to high fat diets (4) or chronic alcohol intake (1). In mice fed a liquid alcohol diet, the development of fatty liver was found to involve paracrine activation of hepatic CB 1 R by hepatic stellate cell (HSC)-derived endocannabinoids. Chronic alcohol feeding also resulted in up-regulation of CB 1 R in hepatocytes in vivo, which could be replicated in vitro by co-culturing control mouse hepatocytes with HSC isolated from ethanol-fed mice (1). This suggests that HSC-derived mediator(s) can ...