Key result
ApoA-I overexpression improves glucose tolerance and insulin resistance in MASLD mice via the PPARα pathway.
Why the study?
Insulin resistance is an important cause of MASLD, but clear evidence explaining the relationship between apoA-I and insulin resistance was lacking.
Does overexpression of Apolipoprotein A-I alleviate insulin resistance in MASLD models?
Does overexpression of Apolipoprotein A-I alleviate insulin resistance in MASLD models?
Apolipoprotein A-I overexpression alleviates insulin resistance in MASLD models, suggesting a potential therapeutic mechanism via the PPARα pathway.
Apolipoprotein A-I merits exploration as a MASLD target; leaves open translation of PPARα effects to human insulin resistance.
Insulin resistance (IR) is one of the important causes of metabolic dysfunction-associated steatotic liver disease (MASLD). Apolipoprotein A-I (apoA-I) is secreted primarily by hepatocytes and plays an essential role in reverse cholesterol transport. Our previous studies revealed that apoA-I can mitigate the progression of metabolic dysfunction-associated steatohepatitis (MASH). However, there is no clear evidence to explain the relationship between apoA-I and IR. Here, we investigated the effects of apoA-I overexpression on IR in both HepG2 cells and mice. In vitro experiment results revealed that apoA-I overexpression can promote cellular glucose uptake in oleic acid-induced IR in HepG2 cells. High-fat, high-cholesterol, and high-fructose diets were used to induce IR in mice. The results showed that apoA-I overexpression improved glucose tolerance, reduced serum insulin levels, and ameliorated IR in diet-induced MASLD mice. Moreover, apoA-I promoted the expression of peroxisome proliferator-activated receptor α (PPARα) in the nucleus both in vitro and in vivo. In conclusion, apoA-I could alleviate MASLD by reducing IR in mice and might exert this effect through the PPARα pathway.
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Wang et al. (2025) studied Metabolic dysfunction-associated steatotic liver disease (MASLD) and Insulin Resistance. Apolipoprotein A-I (apoA-I) overexpression was evaluated on Insulin resistance and glucose tolerance. Apolipoprotein A-I overexpression improved glucose tolerance, reduced serum insulin levels, and ameliorated insulin resistance in diet-induced MASLD mice, likely through the PPARα pathway.
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