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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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“Accordingly, this treatment fulfills the following criteria: (1) it simulates fasting levels of free FAs in patients with NASH, (2) it is not toxic to the cells and (3) it induces LD formation.”
BackgroundHígado graso (parte 1): aspectos generales, epidemiología, fisiopatología e historia natural
Ortíz, J. E. P., Luque, C. B. S., & Quiróz, R. J. O. (2022) · Revista Colombiana de Gastroenterología · doi:10.22516/25007440.952 · Cited by 9
Pathogenesis of nonalcoholic fatty liver disease (NAFLD)
Yki‐Järvinen, H. (2015) · doi:10.1002/9781118387658.ch19 · Cited by 6
Green, C., Pramfalk, C., Charlton, C. A., Gunn, P. J., Cornfield, T., Pavalides, M., Karpe, F., & Hodson, L. (2019) · Endocrine Abstracts · doi:10.1530/endoabs.65.oc1.2 · Cited by 6
Rap1 Activation Protects Against Fatty Liver and Non-Alcoholic Steatohepatitis DevelopmentPreprint
Agarwal, H., Wang, Y., & Özcan, L. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.10.24.563728 · Cited by 10
Abdalgwad, R., Rafey, M. F., Murphy, C., Ioana, I., O’Shea, P. M., Slattery, E., Davenport, C., O’Keeffe, D. T., & Finucane, F. M. (2020) · Nutrition & Metabolism · doi:10.1186/s12986-020-00512-5 · Cited by 6
Antony, F., Brough, Z., Orangi, M., Al‐Seragi, M., Aoki, H., Babu, M., & Duong, F. (2024) · PROTEOMICS · doi:10.1002/pmic.202300599 · Cited by 8
Sakaguchi, T., Nagahama, Y., Hamada, N., Singh, S. K., Mikami, H., Maeda, K., & Akira, S. (2024) · Nutrients · doi:10.3390/nu16234151 · Cited by 5
Growth Hormone Promotes Hepatic Triglyceride Export in Humans
Baumgartner, C., Metz, M., Beghini, M., Pfleger, L., Tosin, A., Koldyka, O., Beiglböck, H., Fellinger, P., Vila, G., Luger, A., et al. (2025) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaf155 · Cited by 6
Bhattacharjee, P., Fadlaoui, A., Ryan, C. E., Carlson, C. B., Zhang, D., & Sunny, N. E. (2025) · Journal of Nutrition · doi:10.1016/j.tjnut.2025.04.030 · Cited by 5
“Metabolic dysfunction-associated steatotic liver disease (MASLD) [1] is characterized by high rates of lipid accumulation and dysfunctional mitochondrial oxidative function [2 – 7] and is a highly prevalent comorbidity of obesity [8,9] and type-2 diabetes mellitus [10 – 12].”
InfluentialZhuru extracts ameliorate lipid accumulation of MASLD via suppressing the mTORC1/SREBPs pathway
Sun, Z., Wei, Y., Ma, S., Xu, Y., Zhang, Y., Li, C., Zhang, J., Duan, F., Jiao, J., & Duan, X. (2025) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2025.120246 · Cited by 5
Adipose tissue-derived PRXL2A suppresses hepatic lipogenesis in a study with male mice
Li, Z., Tian, Z., Shi, X., Long, A., Wang, Y., Yang, Y., Wang, Y., Zhang, J., & Wang, Y. (2025) · Nature Communications · doi:10.1038/s41467-025-61963-z · Cited by 6
Hu, S., Kang, H., Bae, M., Kim, M., Jang, H., Corvino, O., Pham, T. X., Lee, Y., Smyth, J. A., Park, Y., et al. (2024) · Journal of Gastroenterology and Hepatology · doi:10.1111/jgh.16856 · Cited by 6
“Among patients with metabolic syndrome, patients with high hepatic TG levels have higher DNL rates than those with low he-patic TG levels [25].”
Nonalcoholic Fatty Liver Disease and the Gut Microbiota: Exploring the Connection
Oldfield, E. C., & Dong, R. (2014) · Journal of Gastrointestinal & Digestive System · doi:10.4172/2161-069x.1000245 · Cited by 5
Zhou, Y., Chai, X., Guo, T., Pu, Y., Zeng, M., Zhong, A., Yang, G., & Cai, J. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.895045 · Cited by 5
“Recent accumulating evidence has indicated that body weight gain in overweight individuals increased the hyperlipidemia that induces NAFLD (33, 34).”
Backgroundgp130 Activates Mitochondrial Dynamics for Hepatocyte Survival in a Model of Steatohepatitis
Shunkina, D., Dakhnevich, A. Y., Shunkin, E. O., Хазиахматова, О. Г., Shupletsova, V. V., Vulf, M. A., Komar, A., Кириенкова, Е. В., & Litvinova, L. S. (2023) · Biomedicines · doi:10.3390/biomedicines11020396 · Cited by 5
“It is known that NAFLD is a multicomponent disease, including disorders of lipid, carbohydrate, and energy metabolism.”
BackgroundInfluentialYu, W., Gao, Y., Zhao, Z., Long, X., Yi, Y., & Ai, S. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04110-9 · Cited by 5
“Substantial evidences have revealed that the level of hepatic TG depended on de novo lipogenesis , β-oxidation, FFA uptake, and very low density lipoprotein (VLDL) export [36, 37].”
BackgroundResultArnold, J., Idalsoaga, F. J., Díaz, L. A., Cabrera, D., Francisco Barrera, M., Arab, J. P., & Arrese, M. A. (2024) · Current Hepatology Reports · doi:10.1007/s11901-023-00629-0 · Cited by 5
“As mentioned above, de novo lipogenesis is upregulated by 30% in patients with MILD compared to healthy controls [106].”
Choudhary, D., Andreani, G. A., Mahmood, S., Wen, X., Patel, M. S., & Rideout, T. C. (2024) · Nutrients · doi:10.3390/nu16071029 · Cited by 5
“Although these results suggest a potential role of BBP in improving the long-term metabolic health of offspring from obese mothers, our study findings are limited in that we did not examine potential long-term impacts on female offspring or maternal postpartum health.”
BackgroundTuo, L., Yan, L., Liu, Y., & Yang, X. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1315046 · Cited by 5
“First, the random-effects inverse variance weighted method was used to relax the exclusion restriction assumption by allowing all SNPs to exhibit random pleiotropic effect while maintaining asymptotic unbiasedness even if all SNPs show horizontal pleiotropy (16).”
Knockdown of RASD1 improves MASLD progression by inhibiting the PI3K/AKT/mTOR pathway
Zeng, G., Liu, X., Zheng, Z., Zhao, J., Zhuo, W., Bai, Z., Lin, E., Cai, S., Cai, C., Li, P., et al. (2024) · Lipids in Health and Disease · doi:10.1186/s12944-024-02419-z · Cited by 5
Bhardwaj, M., & Mazumder, P. M. (2025) · Molecular Biology Reports · doi:10.1007/s11033-025-10249-0 · Cited by 5
“Glucose also triggered the de novo lipogenesis through the carbohydrate response element-binding protein and insulin determined the sterol regulatory element binding protein 1c (SREBP 1c) (ChREBP) [56–58].”
Orekhova, N. A. (2020) · International Journal of Radiation Biology · doi:10.1080/09553002.2020.1770362 · Cited by 6
“In addition to the dietary, genetic, and endocrine factors, long-term stress including chronic radiation exposure can lead to the fatty dystrophy of hepatocytes (Shishkina et al. 1992; Donnelly et al. 2005; Lambert et al. 2014; Bhagavan and Chung-Eun 2015; BragaTanaka et al. 2018).”
BackgroundNagarajan, S. R., Cross, E., Johnson, E. M., Sanna, F., Daniels, L. J., Ray, D. W., & Hodson, L. (2022) · Physiological Reports · doi:10.14814/phy2.15463 · Cited by 4
Molecular Basis for Pathogenesis of Steatohepatitis: Contemporary Understanding and New Insights
Parkash, O., & Saeed, S. (2018) · InTech eBooks · doi:10.5772/intechopen.71405 · Cited by 5
Monirujjaman, M., Pant, A., Nelson, R. C., Bathe, O. F., Jacobs, R. L., & Mazurak, V. C. (2021) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2021.102359 · Cited by 5
Sugar, Sugar . . . Not So Sweet for the Liver
Vos, M. B., & Goran, M. I. (2017) · Gastroenterology · doi:10.1053/j.gastro.2017.07.029 · Cited by 5
Chen, H., Ye, Y., He, T., Li, B., & Wang, Q. (2026) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-026-02105-3 · Cited by 5
“Consequently, molecular targets associated with DNL regulation hold potential as therapeutic strategies for MASLD [48–50].”
MASLD and the cardiovascular-kidney-liver-metabolic syndrome
Angelidi, A. M., Boutari, C., Kokkorakis, M., Stefanakis, K., Mikhailidis, D. P., Jacob, G., & Mantzoros, C. S. (2026) · Endocrine Reviews · doi:10.1210/endrev/bnag023 · Cited by 6
Molecular Insights of Nonalcoholic Fatty Liver Disease Pathogenesis
Dawood, R. M., Salum, G. M., El-Meguid, M. A., & Fotouh, B. E.-S. (2024) · Journal of Interferon & Cytokine Research · doi:10.1089/jir.2023.0162 · Cited by 4
“Also, NEAT1 and miR-140 were considerably overexpressed in liver tissues from NAFLD mice and in HepG2 cells treated with FFAs.”
InfluentialStrober, J. W., Siebel, S., Murray, S. F., Rodríguez, M. G., Gonzalez, C. R.-N., & Vatner, D. F. (2025) · Journal of Lipid Research · doi:10.1016/j.jlr.2025.100838 · Cited by 4
“This is consistent with data previously described in both mouse models and in humans, where insulin-resistant subjects have increased levels of DNL when compared to insulin-sensitive subjects (4, 6, 11, 29).”
InfluentialDiet-induced obesity disrupts sexually dimorphic gene expression in mice
Ribas, V., Morón‐Ros, S., Marí, H., Gracia-Batllori, A., Brugnara, L., Herrero-Gómez, A., Eyre, E., Claret, M., Marco‐Rius, I., Novials, A., et al. (2025) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.00098.2025 · Cited by 4
Chan, K. K., Au, K. K., Suen, L.-H., Leung, B., Wong, C., Leow, W. Q., Lim, T. K. H., Ng, I. O., Chung, C. Y., & Lo, R. C. (2023) · American Journal Of Pathology · doi:10.1016/j.ajpath.2023.08.005 · Cited by 4
Tillander, V., Holmer, M., Hagström, H., Petersson, S., Brismar, T. B., Stal, P. I., & Lindqvist, C. (2024) · British Journal Of Nutrition · doi:10.1017/s0007114524001673 · Cited by 5
“However, one-third of the accumulating lipids during steatosis originate directly from the diet or hepatic DNL, where the latter is known to increase in patients with obesity and NAFLD (8) .”
BackgroundResult
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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