Identifying Dihydropyrimidine Dehydrogenase as a Novel Regulator of Hepatic Steatosis
Pyrimidine catabolism is implicated in hepatic steatosis. Dihydropyrimidine Dehydrogenase (DPYD) is an enzyme responsible for uracil as well as thymine catabolism, and human genetic variability in this enzyme has been described in relation to clinically observed toxicity following 5-Fluorouracil (5-FU) administration. We have demonstrated that pharmacologic inhibition of DPYD is protective in a human in vitro model of diet-induced steatosis. A gain-of-function mutation in DPYD through CRISPR-Cas9 engineering leads to an increased lipid burden associated with altered mitochondrial functionality in a hepatocarcionma cell line. These studies uncovered a novel role DPYD plays in regulating the metabolic phenotype of hepatocytes and therefore identifies DPYD as a key modulator of hepatic steatosis.