Ciliary neurotrophic factor (CNTF) plays important roles in a variety of tissues including neural and non-neural systems, but the function of CNTF and its receptor (CNTFR) in liver remains unclear. In this study, we demonstrate that CNTFR␣ is expressed heterogeneously in normal human liver and hepatocellular carcinoma (HCC) specimens but not in hepatoblastoma specimens. We choose the CNTFR␣ ؉ /CNTFR␣ ؊ (CNTFR␣ positive/ CNTFR␣ negative) cell models of hepatic origin to study multiple downstream pathways of CNTFR␣. We show that the presence of CNTFR␣ determines the temporal activation patterns of downstream signaling molecules and serves as a key modulator in regulating PI3K and AMP-activated protein kinase ( C iliary neurotrophic factor was first denoted as a neuron-nurturing factor in chick ciliary ganglion neurons more than 2 decades ago and was subsequently defined as a member of the interleukin-6 cytokine family. 1 In past decades, ciliary neurotrophic factor (CNTF) has been shown to promote the differentiation of sympathetic neurons and glial progenitor cells into astrocytes, and to promote the survival of a variety of neuronal cells, such as sensory, motor, hippocampal, and cerebral neurons. 2 A recent study revealed that CNTF can suppress food intake and induce weight loss through a leptin-like mechanism in ob/ob mice. 3 Moreover, CNTF increases metabolic rate and energy expenditure of peripheral metabolic organs, independent of signaling in the brain. 4 It was further demonstrated that CNTF enhances fatty acid oxidation in muscle and reduced insulin resistance in obese, diabetic mice. 5 CNTF exerts its biological functions through its receptor CNTFR to activate multiple downstream signaling pathways. CNTFR is a tripartite complex composed of 3 subunits: CNTF receptor ␣ subunit (CNTFR␣), gp130, and leukemia inhibitory factor receptor (LIFR