%0 Journal Article %T SAK-HV Triggered a Short-period Lipid-lowering Biotherapy Based on the Energy Model of Liver Proliferation via a Novel Pathway %A Chao Zhang %A Donggang Xu %A Haoran Jing %A Jiaxi Wang %A Ling Cai %A Min Wang %A Min Yuan %A Minhui Long %A Minji Zou %A Wenliang Fu %A Wenrong Xia %A Xiangdong Gan %A Yao Chen %A Zhiguang Huang %J Theranostics %D 2017 %I Ivyspring International Publisher %R 10.7150/thno.18415 %X The accumulations of excess lipids within liver and serum are defined as non-alcoholic fatty liver disease (NAFLD) and hyperlipemia respectively. Both of them are components of metabolic syndrome that greatly threaten human health. Here, a recombinant fusion protein (SAK-HV) effectively treated NAFLD and hyperlipemia in high-fat-fed ApoE-/- mice, quails and rats within just 14 days. Its triglyceride and cholesterol-lowering effects were significantly better than that of atorvastatin during the observation period. We explored the lipid-lowering mechanism of SAK-HV by the hepatic transcriptome analysis and serials of experiments both in vivo and in vitro. Unexpectedly, SAK-HV triggered a moderate energy and material-consuming liver proliferation to dramatically decrease the lipids from both serum and liver. We provided the first evidence that PGC-1¦Á mediated the hepatic synthesis of female hormones during liver proliferation, and proposed the complement system-induced PGC-1¦Á-estrogen axis via the novel STAT3-C/EBP¦Â-PGC-1¦Á pathway in liver as a new energy model for liver proliferation. In this model, PGC-1¦Á ignited and fueled hepatocyte activation as an ¡°igniter¡±; PGC-1¦Á-induced estrogen augmented the energy supply of PGC-1¦Á as an ¡°ignition amplifier¡±, then triggered the hepatocyte state transition from activation to proliferation as a ¡°starter¡±, causing triglyceride and cholesterol-lowering effects via PPAR¦Á-mediated fatty acid oxidation and LDLr-mediated cholesterol uptake, respectively. Collectively, the SAK-HV-triggered distinctive lipid-lowering strategy based on the new energy model of liver proliferation has potential as a novel short-period biotherapy against NAFLD and hyperlipemia. %K non-alcoholic fatty liver disease (NAFLD) %K hyperlipemia %K liver proliferation %K PGC-1¦Á %K estrogen %K biotherapy. %U http://www.thno.org/v07p1749.htm