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Mup3 ameliorates the dysregulation of glucose and lipid metabolism in MAFLD

Xiao-min Zhang1, Jing-ya Gao1, Dong Wang2, Xiang Wei3, Li Lin1, Xin-rui Xie1, Han Gao1, Xiu-yun Wang1, Hong-ting Hua2, Yong-xia Xu4, Lei Zhang5, Chao-bing Gao2, Hua-bing Zhang1,2
1 Department of Biochemistry and Molecular Biology, Metabolic Disease Research Center, School of Basic Medicine, Anhui Medical University, Hefei 230032, China
2 Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
3 Department of Hyperbaric Oxygen, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230011, China
4 Department of Endocrinology, Anhui Geriatric Institute, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
5 Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou 510000, China
Correspondence to: Lei Zhang: stefanie0304@sina.cn, Chao-bing Gao: gaochaobing@ahmu.edu.cn, Hua-bing Zhang: huabingzhang@ahmu.edu.cn,
DOI: 10.1038/s41401-025-01668-7
Received: 12 May 2025
Accepted: 2 September 2025
Advance online: 6 November 2025

Abstract

Major urinary protein 3 (Mup3), belonging to the Mup family, is involved in metabolic regulation, but the exact regulatory pathways remain to be elucidated. In this study we investigated the function of Mup3 in regulating hepatic glucose and lipid metabolism. We established four mouse models of metabolic disorders, i.e. db/db and ob/ob obese mice, high-fat diet (HFD)-induced obese (DIO) mice and mice with methionine-choline-deficient (MCD) diet-induced metabolic-associated steatohepatitis (MASH). We found that the expression levels of Mup3 were significantly reduced in the livers of all the four model mice. Moreover, upregulation of Mup3 levels in the liver of HFD-induced obese mice and db/db mice via adeno-associated virus notably decreased blood glucose levels and hepatic triglyceride (TG) content, and improved glucose tolerance and insulin sensitivity. Conversely, Mup3 gene knockout exacerbated HFD-induced hyperglycemia and hepatic lipid accumulation and worsened glucose intolerance and insulin resistance (IR). Restoring the expression of Mup3 reversed these effects in the livers of Mup3-/-. By conducting RNA sequencing (RNA-seq) analysis we revealed that Mup3 primarily modulated gluconeogenesis and the PI3K/AKT signaling cascades. We demonstrated that Mup3 downregulated the genes associated with hepatic gluconeogenesis and lipid synthesis while attenuating hepatic inflammation. These results suggest that Mup3 plays a central role in regulating glucose and lipid balance, highlighting its significance as a prospective treatment target for metabolic disorders, including diabetes and metabolic dysfunction-associated fatty liver disease (MAFLD).
Keywords: MAFLD; Mup3; gluconeogenesis; lipid metabolism; insulin resistance

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