Key result
Exogenous administration of PRXL2A suppressed hepatic de novo lipogenesis and ameliorated obesity-induced hepatic lipid accumulation in male mice.
Why the study?
Hepatic de novo lipogenesis is crucial for lipid homeostasis, but further investigations are required to identify more hormones affecting it during the feeding-fasting transition.
PRXL2A is identified as a fasting-induced adipokine that suppresses hepatic lipogenesis, suggesting a potential therapeutic target for diseases associated with hepatic lipid accumulation.
PRXL2A modulation of hepatic lipogenesis remains preclinical; leaves open therapeutic targeting in human steatotic liver disease.
Hepatic de novo lipogenesis (DNL) is crucial for maintaining lipid homeostasis, and its dysregulation is implicated in various metabolic diseases. While it is well established that hepatic DNL is tightly regulated by hormones such as insulin and glucagon secreted from the pancreatic islets during feeding and fasting, further investigations are required to identify more hormones affecting hepatic DNL during the feeding-fasting transition. Here, we identify PRXL2A (peroxiredoxin like 2 A), an adipokine secreted during fasting, as an inhibitor of hepatic DNL. Mechanistically, PRXL2A binds to its receptor PTAFR (platelet activating factor receptor), promoting calcium mobilization and activating AMPK (AMP-activated protein kinase), thereby suppressing SREBP1 (sterol regulatory element-binding protein 1)-controlled hepatic DNL. Disruption of this axis by knockout of either Prxl2a or Ptafr increases hepatic DNL and lipid accumulation. Exogenous PRXL2A reduces hepatic DNL, suggesting a potential therapeutic strategy for diseases associated with hepatic lipid accumulation. Therefore, the PRXL2A-PTAFR signaling axis links adipose tissues and the liver to regulate hepatic lipid metabolism. Here the authors report that PRXL2A is a fasting-induced adipokine, which regulates hepatic lipogenesis via targeting platelet activating factor receptor (PTAFR) in the liver and subsequent AMPK activation. Disrupting this pathway promotes lipid accumulation, suggesting a potential therapeutic strategy for diseases associated with hepatic lipid accumulation.
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Li et al. (2025) studied Hepatic lipid accumulation and obesity (n=210). PRXL2A vs. Control was evaluated on Hepatic de novo lipogenesis and lipid accumulation. Exogenous administration of PRXL2A suppressed hepatic de novo lipogenesis and ameliorated obesity-induced hepatic lipid accumulation in male mice.
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