RT Journal Article SR Electronic T1 Adipocyte JAK2 mediates aging-associated metabolic liver disease and progression to hepatocellular carcinoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 681809 DO 10.1101/681809 A1 Kevin C. Corbit A1 Camella G. Wilson A1 Dylan Lowe A1 Jennifer L. Tran A1 Nicholas B. Vera A1 Michelle Clasquin A1 Aras N. Mattis A1 Ethan J. Weiss YR 2019 UL http://biorxiv.org/content/early/2019/06/24/681809.abstract AB Non-alcoholic fatty liver disease (NAFLD) and steatohepatitis (NASH) are liver manifestations of the metabolic syndrome and can progress to hepatocellular carcinoma (HCC). Loss of Growth Hormone (GH) signaling is reported to predispose to NAFLD and NASH through direct actions on the liver. Here, we report that aged mice lacking hepatocyte Jak2 (JAK2L), an obligate transducer of Growth Hormone (GH) signaling, spontaneously develop the full spectrum of phenotypes found in patients with metabolic liver disease, beginning with insulin resistance and lipodystrophy and manifesting as NAFLD, NASH and even HCC, independent of dietary intervention. Remarkably, insulin resistance, metabolic liver disease, and carcinogenesis are prevented in JAK2L mice via concomitant deletion of adipocyte Jak2 (JAK2LA). Further, we demonstrate that GH increases hepatic lipid burden but does so indirectly via signaling through adipocyte JAK2. Collectively, these data establish adipocytes as the mediator of GH-induced metabolic liver disease and carcinogenesis. In addition, we report a new spontaneous model of NAFLD, NASH, and HCC that recapitulates the natural sequelae of human insulin resistance-associated disease progression. The work presented here suggests a attention be paid towards inhibition of adipocyte GH signaling as a therapeutic target of metabolic liver disease.