Journal of Southern Medical University ›› 2026, Vol. 46 ›› Issue (10): 2415-2423.doi: 10.12122/j.issn.1673-4254.2026.10.11

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CEBPA promotes hepatic steatosis in metabolic dysfunction-associated fatty liver disease in mice via the SREBP-1c/FASN/ACC axis

Leiying ZHANG1(), Liyang ZOU1(), Lingling ZHOU2(), Xin MA3, Xiaomin LIU1, Huan YAO1, Yuan ZHUANG1(), Yang YU1()   

  1. 1.Department of Blood Transfusion, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
    2.Department of Medical Engineering, Medical Supplies Center of PLA General Hospital, Beijing 100853, China
    3.Department of General Practice, Baoding Fourth Central Hospital, Baoding 072350, China
  • Received:2026-01-04 Online:2026-10-20 Published:2026-10-26
  • Contact: Yuan ZHUANG, Yang YU E-mail:zhangleiying0312@163.com;zouliyang823@163.com;lingling19870702@163.com;zhuangyuan0215@126.com;yuyangpla301@163.com

Abstract:

Methods To investigate the role of CCAAT/enhancer-binding protein alpha (CEBPA) in metabolic dysfunction-associated fatty liver disease (MAFLD) and whether CEBPA promotes hepatocellular lipogenesis by regulating sterol regulatory element-binding protein-1c (SREBP-1c). Methods Eight-week-old male C57BL/6J mice were assigned to a control group fed a standard diet or a MAFLD model with high-fat diet (HFD) feeding. Hepatic lipid accumulation and the expression of key molecules in the CEBPA/SREBP-1c pathway were assessed using serum biochemical analysis, Western blotting, and Oil Red O staining. In HepG2 cells, CEBPA and SREBP-1c expression was manipulated by plasmid-mediated overexpression or RNA interference. A sodium palmitate/sodium oleate-induced lipid-overload model was used to mimic lipid overload in vitro. Quantitative PCR, Western blotting, Oil Red O staining, and reciprocal rescue experiments were performed to explore the regulatory relationship between CEBPA and SREBP-1c and their effects on lipogenic markers. Results HFD-fed mice developed marked hepatic steatosis with increased serum TC, TG, LDL-C, and FFA levels, significantly upregulated hepatic protein expression of CEBPA, SREBP-1c, fatty acid synthase (FASN), and acetyl-CoA carboxylase (ACC), and enhanced lipid deposition. In HepG2 cells, SREBP-1c knockdown reduced FASN and ACC expression, whereas SREBP-1c overexpression increased their expression in both basal and lipid-overload conditions. Similarly, CEBPA knockdown suppressed SREBP-1c, FASN, and ACC expression and reduced intracellular lipid accumulation, while CEBPA overexpression produced the opposite effects. Rescue experiments showed that SREBP-1c overexpression partially reversed the inhibitory effects of CEBPA knockdown on FASN and ACC, whereas SREBP-1c silencing attenuated CEBPA-induced upregulation of these lipogenic molecules. Conclusion CEBPA promotes hepatic lipogenesis possibly by regulating the SREBP-1c/FASN/ACC axis in both basal and lipid-overload conditions, suggesting that the CEBPA-SREBP-1c pathway contributes to hepatic steatosis in MAFLD and represents a potential therapeutic target.

Key words: metabolic dysfunction-associated fatty liver disease, CCAAT/enhancer-binding protein alpha, sterol regulatory element-binding protein 1c, fatty acid synthesis, lipid metabolism