Myofiber stearoyl-CoA desaturase 1 moderates MAFLD and metabolic syndrome in obese mice.

Introduction: Obesity-induced ectopic lipid accumulation inside skeletal muscle (SKM) (myosteatosis) and the liver (hepatosteatosis) contributes to local metabolic dysfunction and serves as a launchpad for the progression of diabetes. While stearoyl-CoA desaturase 1 (SCD1), an ER-bound enzyme that catalyzes the rate-limiting step in monounsaturated fatty acid (MUFA) synthesis, is widely recognized as a lynchpin facilitator of steatosis, much controversy exists on its efficacy as a therapeutic target. In particular, a total lack of SKM-specific SCD1 KO models has greatly limited our understanding of SCD1-mediated myosteatosis' relative contribution to metabolic syndrome. Methods: Global SCD1 knockout mice bred on the leptin receptor mutant (db/db) background (db/SCD1 mice) and SKM-specific inducible ACTA1-cre mice bred on the SCD1 Results: Global SCD1 deletion in db/db mice reduced weight gain and steatosis, leading to pathological liver remodeling and severe diabetes. Next, we found that SKM-restricted SCD1 deletion in adult mice with established obesity increased AgRP-induced weight gain while preserving whole-body fat composition. SKM SCD1 KO led to reduced myosteatosis while exacerbating hepatosteatosis and indices of insulin insensitivity. Whereas SKM responded to lack of myocellular SCD1 by inhibiting expression of trans-endothelial fatty acid chaperone FABP4, hepatosteatosis coincided with upregulation of SCD1 and downregulation of master regulator of fatty acid oxidation (FAO) PPARα in the liver. Conclusions: Loss of peripheral leptin-mediated FAO and SCD1-regulated lipid storage act synergistically to exacerbate hyperlipidemia, hyperglycemia, and multi-organ quality decline, collectively promoting systemic inflammation and diabetes progression. Interestingly, AgRP mice adapt to selective inhibition of SCD1-mediated myosteatosis by expanding hepatosteatosis and precipitating metabolic syndrome. Gene expression data imply SCD1-KO-mediated impaired SKM lipid flux inhibits liver lipid metabolism in favor of storage. These results indicate a potent link between intramyocellular lipid storage capacity and the progression of metabolic-associated fatty liver disease.