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Imaging · study · 2026

Zonated Cholesterol Sensing by SIRT2 Drives MASLD-HCC [Spatial transcriptomics]

Listed in NCBI GEO

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a leading cause of hepatocellular carcinoma (HCC).

Description

How liver metabolic zonation dictates regional malignant transformation remains unclear. We identify SIRT2 as a zonated cholesterol sensor that initiates periportal metabolic reprogramming to drive MASLD-HCC.

Lineage tracing establishes zone 1 hepatocytes as the exclusive tumor origin. Spatially targeted manipulation demonstrates that SIRT2 overexpression in zone 1 is sufficient to trigger HCC, while its deletion restores cholesterol homeostasis, reactivates bile acid metabolism, recruits tumoricidal CD8+ T cells, and completely prevents carcinogenesis. Mechanistically, cholesterol binding directly activates SIRT2, which deacetylates SCP2 at K546, impairs its nuclear translocation and coactivation of PPARα at the Cyp7b1 promoter, thereby suppressing alternative bile acid synthesis and permitting oncogenic 27-OHC accumulation.

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Pharmacological SIRT2 inhibition reverses this pathogenic cascade in mice and human hepatic organoids. The progressive zonal dysregulation of SIRT2 and CYP7B1 during MASLD-HCC progression is confirmed in patient specimens. Our findings establish spatially compartmentalized cholesterol sensing as a new layer of metabolic regulation and identify SIRT2 as a druggable metabolic target for metabolic liver cancer.

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Stated by source
Mus musculus · Other
From keywords
Life Sciences
Inferred from text
Cancer 75% · Disease 75%
Provenance · 1 source records, 9 field assertions
SourceKeyLast seenRaw
NCBI GEOGSE3438627 d agoJSON v1
FieldAssertionExtractorEvidence
access_levelsource · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[disease].local:disease:cancerenrichment · NCBI GEOkeyword-concept-rules@1.0.0title+description (75%)
concepts[disease].local:disease:diseaseenrichment · NCBI GEOkeyword-concept-rules@1.0.0title+description (75%)
concepts[field].local:field:life-sciencesmapping · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[method].geo_series_type:othersource · NCBI GEOconnector:ncbi_geo@1.0.0/gdstype
concepts[organism].NCBITaxon:10090source · NCBI GEOconnector:ncbi_geo@1.0.0/taxon
descriptionsource · NCBI GEOconnector:ncbi_geo@1.0.0/summary
publication_datesource · NCBI GEOconnector:ncbi_geo@1.0.0
titlesource · NCBI GEOconnector:ncbi_geo@1.0.0/title