The hepatic lipidome and HNF4α and SHBG expression in human liver
Open accessAbstract
Low plasma levels of sex hormone-binding globulin (SHBG) are a marker for obesity, insulin resistance, non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes. The transcription factor HNF4α is a major determinant of hepatic SHBG expression and thereby serum SHBG levels, and mediates in part the association of low SHBG with hyperinsulinemia and hepatic steatosis. We analyzed the lipidome in human liver specimens from a cohort of patients who underwent hepatic resection as a treatment for cancer, providing insight into hepatic lipids in those without extreme obesity or the clinical diagnosis of NAFLD or non-alcoholic steatohepatitis. Both steatosis and high HOMA-IR were associated with higher levels of saturated and unsaturated FA, other than arachidonic, with the most dramatic rise in 18:1 oleate, consistent with increased stearoyl-CoA desaturase activity. Individuals with low HOMA-IR had low levels of total hepatic fatty acids, while both low and high fatty acid levels characterized the high HOMA-IR group. Both insulin resistance and high levels of hepatic fat were associated with low expression levels of HNF4α and thereby SHBG, but the expression of these genes was also low in the absence of these determinants, implying additional regulatory mechanisms that remain to be determined. The relationship of all FA studied to HNFα and SHBG mRNAs was inverse, and similar to that for total triglyceride concentrations, irrespective of chain length and saturation vs unsaturation.
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Most cross-sectional study results seem to support the hypothesis that IR initiates a reduction in HNF-4α that eventually leads to lower SHBG expression.
“However, most cross-sectional study results seem to support the hypothesis that IR initiates a reduction in HNF-4α that eventually leads to lower SHBG expression [132–134].”
From Role of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiology (2022) · cites this paper as [134]
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Cites
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“In other experiments using HepG2 cells, however, palmitoyl-CoA was reported to suppress HNF4 transcription (25).”
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Narinx, N., David, K., Walravens, J., Vermeersch, P., Claessens, F., Fiers, T., Lapauw, B., Antonio, L., & Vanderschueren, D. (2022) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-022-04562-1 · Cited by 96 · see citing works
- Authors
- Winters, S. J., Scoggins, C. R., Appiah, D., & Ghooray, D. T.
- Affiliations
- University of Louisville (US)
- Texas Tech University (US)
- Corresponding author
- Winters, Stephen J
- Venue
- Endocrine Connections
- Publisher
- Bioscientifica
- Published
- 2020-10
- Volume
- 9
- Issue
- 10
- Pages
- 1009-1018
- ISSN
- 2049-3614 (ISSN-L)
- PMC
- PMC7576643
- OpenAlex
- W3087841994
- Cited by
- 28
- References
- 7
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 3
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Endocrine Connections (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Jacobs Foundation
- Topics
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- hepatic lipidome, HNF4α, sex hormone-binding globulin, insulin resistance, hepatic steatosis, fatty acids, stearoyl-CoA desaturase, oleate, HOMA-IR, non-alcoholic fatty liver disease, triglycerides, gene expression, human liver
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