RT Journal Article SR Electronic T1 Hepatic DKK1-driven steatosis is CD36 dependent JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201665 DO 10.26508/lsa.202201665 VO 6 IS 1 A1 Yang, Zhen A1 Huang, Xinping A1 Zhang, Jiaye A1 You, Kai A1 Xiong, Yue A1 Fang, Ji A1 Getachew, Anteneh A1 Cheng, Ziqi A1 Yu, Xiaorui A1 Wang, Yan A1 Wu, Feima A1 Wang, Ning A1 Feng, Shufen A1 Lin, Xianhua A1 Yang, Fan A1 Chen, Yan A1 Wei, Hongcheng A1 Li, Yin-xiong YR 2023 UL http://www.life-science-alliance.org/content/6/1/e202201665.abstract AB Nonalcoholic fatty liver disease (NAFLD) is prevalent worldwide; about 25% of NAFLD silently progress into steatohepatitis, in which some of them may develop into fibrosis, cirrhosis and liver failure. However, few drugs are available for NAFLD, partly because of an incomplete understanding of its pathogenic mechanisms. Here, using in vivo and in vitro gain- and loss-of-function approaches, we identified up-regulated DKK1 plays a pivotal role in high-fat diet–induced NAFLD and its progression. Mechanistic analysis reveals that DKK1 enhances the capacity of hepatocytes to uptake fatty acids through the ERK-PPARγ-CD36 axis. Moreover, DKK1 increased insulin resistance by activating the JNK signaling, which in turn exacerbates disorders of hepatic lipid metabolism. Our finding suggests that DKK1 may be a potential therapeutic and diagnosis candidate for NAFLD and metabolic disorder progression.