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Increased De Novo Lipogenesis Is a Distinct Characteristic of Individuals With Nonalcoholic Fatty Liver Disease
Open accessAbstract
Background & aims There have been few studies of the role of de novo lipogenesis in the development of nonalcoholic fatty liver disease (NAFLD). We used isotope analyses to compare de novo lipogenesis and fatty acid flux between subjects with NAFLD and those without, matched for metabolic factors (controls).Methods We studied subjects with metabolic syndrome and/or levels of alanine aminotransferase and aspartate aminotransferase >30 mU/L, using magnetic resonance spectroscopy to identify those with high levels (HighLF, n = 13) or low levels (LowLF, n = 11) of liver fat. Clinical and demographic information was collected from all participants, and insulin sensitivity was measured using the insulin-modified intravenous glucose tolerance test. Stable isotopes were administered and gas chromatography with mass spectrometry was used to analyze free (nonesterified) fatty acid (FFA) and triacylglycerol flux and lipogenesis.Results Subjects with HighLF (18.4% ± 3.6%) had higher plasma levels of FFAs during the nighttime and higher concentrations of insulin than subjects with LowLF (3.1% ± 2.7%; P = .04 and P < .001, respectively). No differences were observed between groups in adipose flux of FFAs (414 ± 195 μmol/min for HighLF vs 358 ± 105 μmol/min for LowLF; P = .41) or production of very-low-density lipoprotein triacylglycerol from FFAs (4.06 ± 2.57 μmol/min vs 4.34 ± 1.82 μmol/min; P = .77). In contrast, subjects with HighLF had more than 3-fold higher rates of de novo fatty acid synthesis than subjects with LowLF (2.57 ± 1.53 μmol/min vs 0.78 ± 0.42 μmol/min; P = .001). As a percentage of triacylglycerol palmitate, de novo lipogenesis was 2-fold higher in subjects with HighLF (23.2% ± 7.9% vs 10.1% ± 6.7%; P < .001); this level was independently associated with the level of intrahepatic triacylglycerol (r = 0.53; P = .007).Conclusions By administering isotopes to subjects with NAFLD and control subjects, we confirmed that those with NAFLD have increased synthesis of fatty acids. Subjects with NAFLD also had higher nocturnal plasma levels of FFAs and did not suppress the contribution from de novo lipogenesis on fasting. These findings indicate that lipogenesis might be a therapeutic target for NAFLD.
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“Fasting DNL correlated with plasma TAG concentrations48 and was higher in individuals with MASLD.49”
From Lipid metabolism in MASLD and MASH: From mechanism to the clinic (2024) · cites this paper as [49]
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“Postprandial DNL contributes to 15-26% of liver TAGs in individuals with MASLD49,56 vs. 1-6% in the fasting state in healthy individuals.48”
From Lipid metabolism in MASLD and MASH: From mechanism to the clinic (2024) · cites this paper as [49]
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Afshari, H., Noori, S., & Zarghi, A. (2023) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-023-02520-7 · Cited by 20
“NAFLD is the most common liver disease in the world, which is associated with increased de novo lipogenesis, but there is still no approved drug treatment or prevention (Ferguson and Finck 2021; Lambert et al. 2014).”
BackgroundYan, B., Pan, L.-F., Quan, Y.-F., Sha, Q., Zhang, J.-Z., Zhang, Y., Zhou, L., Qian, X.-L., Gu, X., Li, F., et al. (2023) · World Journal of Gastroenterology · doi:10.3748/wjg.v29.i31.4744 · Cited by 18
Molangiri, A., Varma, S., Hridayanka, K. S. N., Srinivas, M., Kona, S. R., Ibrahim, A., Duttaroy, A. K., & Basak, S. (2023) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2023.166775 · Cited by 17
Liu, M., & Park, S. (2024) · Nutrients · doi:10.3390/nu16081239 · Cited by 18
“Future research should focus on further elucidating the causative relationships between smoking, PBDs, WSDs, and NAFLD, as well as exploring the potential of the identified bioactive compounds as therapeutic agents for individuals with the PNPLA3 _rs738409G risk allele.”
BackgroundTargeting acetyl-CoA carboxylases for the treatment of MASLD
Mateo-Marín, M. A., & Alves‐Bezerra, M. (2024) · Journal of Lipid Research · doi:10.1016/j.jlr.2024.100676 · Cited by 24
How does insulin resistance arise, and how does it cause disease? Human genetic lessons
Semple, R. K., & Wellcome Trust-MRC (2016) · Cited by 19
Dobbie, L. J., Kassab, M., Davison, A., Grace, P., Cuthbertson, D. J., & Hydes, T. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10245755 · Cited by 18
“Clinical studies support this mechanism: stable isotope analyses show patients with increased hepatic adiposity have higher plasma FFA levels and ~3x greater de novo FFA synthesis [40].”
BackgroundWhen Sugar Reaches the Liver: Phenotypes of Patients with Diabetes and NAFLD
Rojano‐Toimil, A., Rivera‐Esteban, J., Manzano-Núñez, R., Bañares, J., Selva, D. M., Gabriel-Medina, P., Ferrer, R., Pericàs, J. M., & Ciudin, A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11123286 · Cited by 20
“In fact, de novo lipogenesis is threefold higher in patients with NAFLD [41].”
BackgroundStable isotope-based flux studies in nonalcoholic fatty liver disease
McCullough, A. J., Previs, S. F., & Kasumov, T. (2017) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2017.07.008 · Cited by 18
Alkhouri, N. (2019) · Expert Opinion on Investigational Drugs · doi:10.1080/13543784.2020.1708899 · Cited by 18
“These effects suggest potential therapeutic benefits in patients with dyslipidemia and increased DNL [10] such as those with NASH.”
BackgroundWang, S., Jia, Q., Liu, X., Ma, Y., Yang, Y., Rong, X., Wang, Y., Wang, H., Liu, F., Yang, S., et al. (2025) · Journal of Advanced Research · doi:10.1016/j.jare.2025.05.014 · Cited by 17
Xu, W., Zhou, F., Zhu, Q., Bai, M., Luo, T., Zhou, L., & Deng, R. (2022) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2022.174988 · Cited by 17
Galatou, E., Mourelatou, E. A., Hatziantoniou, S., & Vizirianakis, I. S. (2022) · Antioxidants · doi:10.3390/antiox11061060 · Cited by 18
“Moreover, hepatic insulin resistance contributes to hyperglycemia, hyperinsulinemia, and increased lipid accumulation through DNL stimulation and mitochondrial fatty acid β-oxidation (FAO) inhibition, thus aggravating hepatic steatosis [55,56].”
BackgroundLiu, X., Jiang, Y., Ye, J., & Wang, X. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.999412 · Cited by 18
“These FFAs can be converted to TG for storage along with glycerol (39, 40).”
BackgroundSurugihalli, C., Muralidaran, V., Ryan, C. E., Patel, K., Zhao, D. X.-M., & Sunny, N. E. (2023) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00307.2022 · Cited by 17
Prenatal Choline Supplement in a Maternal Obesity Model Modulates Offspring Hepatic Lipidomes
Korsmo, H. W., Kadam, I., Reaz, A., Bretter, R., Saxena, A. D., Johnson, C. H., Caviglia, J. M., & Jiang, X. (2023) · Nutrients · doi:10.3390/nu15040965 · Cited by 17
“, a disease related to chronic insulin dysregulation) associated with obesogenic diets [6,7].”
BackgroundChhimwal, J., Dhritlahre, R. K., Anand, P., Ruchika, Patial, V., Saneja, A., & Padwad, Y. S. (2023) · Biomaterials Advances · doi:10.1016/j.bioadv.2023.213627 · Cited by 17
Barbhuiya, P. A., Ahmed, A., Dutta, P. P., Sen, S., & Pathak, M. P. (2025) · Current Nutrition Reports · doi:10.1007/s13668-024-00598-w · Cited by 18
“This increased fat production is not inhibited during periods of fasting or when there are greater amounts of free fatty acids in the blood plasma [50].”
Hijmans, B. S., Tiemann, C. A., Grefhorst, A., Boesjes, M., van Dijk, T. H., Tietge, U. J. F., Kuipers, F., van Riel, N. A. W., Groen, A. K., & Oosterveer, M. H. (2014) · The FASEB Journal · doi:10.1096/fj.14-254656 · Cited by 17
“It has been shown that hepatic DNL is increased in patients with nonalcoholic fatty liver disease (43, 44) and that this process contributes for up to 30% to VLDL-TG.”
BackgroundPierce, A. A., Duwaerts, C. C., Soon, R. K., Siao, K., Grenert, J. P., Fitch, M. D., Hellerstein, M. K., Beysen, C., Turner, S., & Maher, J. J. (2015) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2015.10.020 · Cited by 17
“Recent studies have documented a positive correlation between DNL and hepatic steatosis in human subjects with fatty livers [43, 44].”
BackgroundCarbohydrates and diet patterns in nonalcoholic fatty liver disease in children and adolescents
Sekkarie, A., Welsh, J. A., & Vos, M. B. (2018) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000476 · Cited by 17
Bhagat, H. A., Compton, S. A., Musso, D. L., Laudeman, C. P., Jackson, K. M. P., Yi, N. Y., Nierobisz, L. S., Forsberg, L. J., Brenman, J. E., & Sexton, J. Z. (2018) · PLoS ONE · doi:10.1371/journal.pone.0204605 · Cited by 17
“De novo lipogenesis (DNL) is an important contributor to the pathogenesis of NAFLD and is abnormally elevated at a rate 3-fold higher in patients with this condition compared to body mass index matched controls [33] [34] [35] .”
BackgroundHuang, Z., Lu, X., Huang, L., Zhang, C., Veldhuis, J. D., Cowley, M. A., & Chen, C. (2020) · The FASEB Journal · doi:10.1096/fj.202001924rr · Cited by 16
Intact Fasting Insulin Identifies Nonalcoholic Fatty Liver Disease in Patients Without Diabetes
Bril, F., McPhaul, M. J., Kalavalapalli, S., Lomonaco, R., Barb, D., Gray, M. E., Shiffman, D., Rowland, C. M., & Cusi, K. J. (2021) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgab417 · Cited by 17
Xu, J., He, X., Huang, X., Zhang, F., Ren, X., Asakiya, C., Li, Y., & Huang, K. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.851342 · Cited by 17
“It has been shown that the main causes of hepatic fatty acid oversupply include insulin resistance (IR) (Chen et al., 2019), increased hepatic de novo lipogenesis (DNL) (Lambert et al., 2014), and intrahepatic lipolysis defects (e.g., decreased ATGL/CGI-58 activity and decreased hepatic mitochondrial/peroxisome beta-o…”
BackgroundInfluentialChildhood Fructoholism and Fructoholic Liver Disease
Ribeiro, A., Igual‐Perez, M., Silva, E. S., & Sokal, E. M. (2018) · Hepatology Communications · doi:10.1002/hep4.1291 · Cited by 17
“(43) In patients with NAFLD, DNL was shown to be 3-fold greater than in healthy individuals.(44) Furthermore, high fructose intake with consequent adenosine triphosphate depletion and uric acid formation inhibits”
BackgroundSakamoto, Y., Oniki, K., Kumagae, N., Morita, K., Otake, K., Ogata, Y., & Saruwatari, J. (2019) · Disease Markers · doi:10.1155/2019/4065327 · Cited by 17
“Indeed, insulin resistance in adipose tissue can dysregulate adipose tissue lipolysis and consequently increase the flux of fatty acids from adipocytes to the liver [26] and insulin resistance-induced hyperglycemia/ hyperinsulinemia promotes hepatic de novo lipogenesis [27], both of which lead to the development of NA…”
BackgroundMisiakiewicz-Has, K., Maciejewska, D., Rzeszotek, S., Pilutin, A., Kolasa, A., Szumilas, P., Stachowska, E., & Wiszniewska, B. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22168680 · Cited by 16
“There is evidence supporting the thesis that hepatic DNL is increased in humans with insulin resistance and in humans with NAFLD [57,58].”
BackgroundPartap, M., Chhimwal, J., Kumar, P., Kumar, D., Padwad, Y. S., & Warghat, A. R. (2022) · Process Biochemistry · doi:10.1016/j.procbio.2022.06.002 · Cited by 16
Yu, L., Li, Y., Li, Y., Zi, L., Tao, Y.-X., Hao, J.-J., Zhang, M., Gu, W., Zhang, F., Yu, J., et al. (2022) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2022.113849 · Cited by 17
Shao, C., Xu, L., Lei, P., Wang, W., Feng, S., Ye, J., & Zhong, B. (2023) · Journal of Translational Medicine · doi:10.1186/s12967-022-03760-6 · Cited by 16
“Increased de novo lipogenesis is a distinct characteristic of individuals with MAFLD [33].”
BackgroundXia, H., Dufour, C. R., Medkour, Y., Scholtes, C., Chen, Y., Guluzian, C., B'Chir, W., & Giguère, V. (2023) · Nature Communications · doi:10.1038/s41467-023-42785-3 · Cited by 17
“In this manuscript authors, attempt to dive deeper into the phenotype, integrating various -omics analysis, analysis of multiple organs and indicate a potential function of nutrient sensing nuclear receptors ERRa and PPARa during the progression to NASH.”
Kim, H. J., Dinh, D. T. T., Yang, J., Herath, K. H. I. N. M., Seo, S. H., Son, Y., Kang, I., & Jee, Y. (2023) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2023.109504 · Cited by 16
Qiu, J., Huang, X., Kuang, M., Yang, R., Li, J., Sheng, G., & Zou, Y. (2024) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s462181 · Cited by 18
Liver metabolism in human MASLD: A review of recent advancements using human tissue metabolomics
Flam, E. L., Haas, J. T., & Staels, B. (2024) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2024.119054 · Cited by 17
Metadata
- Authors
- Lambert, J. E., Ramos–Roman, M. A., Browning, J. D., & Parks, E. J.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Parks, Elizabeth J.
- ORCID
- Parks, Elizabeth J.
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 146
- Issue
- 3
- Pages
- 726-735
- ISSN
- 0016-5085 (ISSN-L)
- PMC
- PMC6276362
- OpenAlex
- W2139351004
- Cited by
- 1,069
- References
- 58
- Citations by year
- 2026: 67 · 2025: 111 · 2024: 110 · 2023: 108 · 2022: 124 · 2021: 111 · 2020: 106 · 2019: 92 · 2018: 75 · 2017: 47 · 2016: 49 · 2015: 45 · 2014: 23
- FWCI
- 28.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (RL1DK081187, UL1DE019584, UL1-RR024982)
- National Center for Advancing Translational Sciences (RL1DK081187, UL1DE019584, UL1-RR024982)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Keywords
- de novo lipogenesis, non-alcoholic fatty liver disease, fatty acid synthesis, triglyceride synthesis, liver fat, metabolic syndrome, insulin sensitivity, stable isotope tracer studies, hepatic lipid metabolism, insulin
- MeSH terms
- Fatty Acids, Nonesterified, Fatty Liver, Female, Humans, Hyperlipidemias, Liver, Magnetic Resonance Imaging, Male, Comorbidity, Case-Control Studies, Metabolic Syndrome, Lipogenesis, Non-alcoholic Fatty Liver Disease
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