FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: metabolic dysfunction-associated steatotic liver disease
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General Information
Name
metabolic dysfunction-associated steatotic liver disease
FlyBase ID
FBhh0001457
Disease Ontology Term
Parent Disease
OMIM
Overview

In response to starvation, cells in the human liver (hepatocytes) accumulate numerous lipid droplets, resulting in hepatic steatosis. This condition is described as metabolic dysfunction-associated steatotic liver disease (MASLD) or non-alcoholic fatty liver disease (NAFLD). Low-protein diets can also result in MASLD. Drosophila larval oenocytes, functionally analogous to hepatocytes, accumulate numerous lipid droplets during starvation in a process resembling starvation-induced hepatic steatosis; the observed phenotypes of hepatic steatosis are reversible upon resumption of feeding.

This Drosophila system has been used to characterize genes and molecular mechanisms involved in hepatic steatosis. The levels of Dmel\Lsd-2 (ortholgous to human PLIN2) in oenocytes increases significantly under starvation conditions. In all feeding conditions, the protein level of Lsd-2 in oenocytes is found to correlate with lipid content. Oenocyte-specific knockdown of Lsd-2, mediated by RNAi, prevents starvation-induced steatosis.

Oenocyte-specific knockdown of Dmel\Fatp2, mediated by RNAi, also prevents starvation-induced steatosis. Fatp2 is orthologous to several human genes encoding fatty acid transporters, including SLC27A2, SLC27A4, SLC27A1, and SLC27A3. Work in vertebrates implicates SLC27A2 in the initiation of starvation-induced hepatic steatosis.

The E3 ubiquitin ligase Dmel\Ubr1 (orthologous to human UBR1 and UBR2) was identified as regulating Lsd-2 ubiquitination and subsequent degradation. Reduced levels of Ubr1 in oenocytes results in phenotypes characteristic of hepatic steatosis; these phenotypes are reversed upon oenocyte-specific knockdown of Lsd-2. Using S2 cells, it was determined that the Lsd-2-Ubr1 protein interaction is stimulated by essential amino acids, especially leucine and isoleucine.

[updated Jul. 2024 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: metabolic dysfunction-associated steatotic liver disease
OMIM report
Human gene(s) implicated
Symptoms and phenotype

The accumulation of excess triglyceride in the liver, a condition known as hepatic steatosis (or fatty liver), is associated with adverse metabolic consequences including insulin resistance and dyslipidemia. Factors promoting deposition of fat in the liver include obesity, diabetes, insulin resistance, and alcohol ingestion. Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in Western countries. In a subset of individuals hepatic steatosis promotes an inflammatory response in the liver, referred to as steatohepatitis, which can progress to cirrhosis and liver cancer (summary by Romeo et al., 2008, pubmed:18820647). [from MIM:613282; 2022.05.08]

Genetics

Several genes with variants conferring susceptibility to NAFLD have been tentatively identified: PNPLA3 (MIM:613282) and APOC3 (MIM:613387).

Cellular phenotype and pathology

Nonalcoholic fatty liver disease (NAFLD), also known as nonalcoholic hepatic steatosis, is characterized by hepatic lipid droplet (LD) accumulation. Malnutrition, specifically a low-protein diet, can promote the pathogenesis of NAFLD (FBrf0253285 and references cited therein).

Molecular information

UBR1 and UBR2 encode E3 ubiquitin ligases of the N-end rule proteolytic pathway that targets proteins for polyubiquitylation and proteasome-mediated degradation. [Gene Cards, UBR2, UBR1; 2022.05.08]

PLIN2 encodes a member of the perilipin family, members of which coat intracellular lipid storage droplets; it is involved in development and maintenance of adipose tissue, but is also found in other tissue and cell types, including hepatocytes. [Gene Cards, PLIN2; 2022.05.08]

External links
Disease synonyms
hepatic steatosis
MASLD
NAFLD
non-alcoholic fatty liver disease
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: 2 human genes to 1 Drosophila gene.

    Human gene (HGNC)
    Symbol / Name
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: multiple human genes to 1 Drosophila gene.

    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: 2 human genes to 1 Drosophila gene.

    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to many: 4 human genes to 3 Drosophila genes.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (3)
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-scoring ortholog of human UBR1 and UBR2 (1 Drosophila to 2 human).

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Gene Snapshot
      Lipid storage droplet-2 (Lsd-2) encodes a protein associated with lipid droplets. It acts as a barrier for lipases (such as the product of bmm) and thus prevents the mobilization of lipid stores. It is involved in regulation of lipid storage amount and energy homeostasis and acts in concert with the product of Lsd-1. [Date last reviewed: 2019-03-14]
      Molecular function (GO)
      Cellular component (GO)
      Gene Groups / Pathways
        Comments on ortholog(s)

        Moderate-scoring ortholog of human PLIN2; lower-scoring ortholog of human PLIN1, PLIN3, PLIN4, PLIN5 (1 Drosophila to multiple human).

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Gene Groups / Pathways
        Comments on ortholog(s)

        High-scoring ortholog of human SLC27A4 and SLC27A1; moderate-scoring ortholog of human SLC27A2 and SLC27A3 (3 Drosophila genes to 4 human). Paralogs include Fatp1 and Fatp3.

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Other Genes Used: Viral, Bacterial, Synthetic (0)
          Summary of Physical Interactions (16 groups)
          protein-protein
          Interacting group
          Assay
          References
          anti tag coimmunoprecipitation, anti tag western blot
          anti tag coimmunoprecipitation, anti tag western blot
          pull down, western blot, anti tag western blot, anti tag coimmunoprecipitation, enzymatic study
          pull down, peptide massfingerprinting
          protein-protein
          Interacting group
          Assay
          References
          split luciferase complementation, luminiscence technology
          split luciferase complementation, luminiscence technology
          colocalization, fluorescence microscopy, inferred by author
          anti tag coimmunoprecipitation, western blot
          anti tag coimmunoprecipitation, anti tag western blot
          split luciferase complementation, luminiscence technology
          split luciferase complementation, luminiscence technology
          split luciferase complementation, luminiscence technology
          pull down, western blot, anti tag western blot, anti tag coimmunoprecipitation, enzymatic study
          anti tag coimmunoprecipitation, Identification by mass spectrometry, anti tag western blot
          RNA-protein
          Interacting group
          Assay
          References
          iclip, partial RNA sequence identification
          protein-protein
          Interacting group
          Assay
          References
          experimental knowledge based
          Alleles Reported to Model Human Disease (Disease Ontology) (11 alleles)
          Models Based on Experimental Evidence ( 4 )
          Modifiers Based on Experimental Evidence ( 0 )
          Allele
          Disease
          Interaction
          References
          Models Based on Experimental Evidence ( 3 )
          Modifiers Based on Experimental Evidence ( 5 )
          Models Based on Experimental Evidence ( 2 )
          Modifiers Based on Experimental Evidence ( 0 )
          Allele
          Disease
          Interaction
          References
          Alleles Representing Disease-Implicated Variants
          Genetic Tools, Stocks and Reagents
          References (9)