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Carbohydrate response element-binding protein (ChREBP) plays an important role in the development of type 2 diabetes, dyslipidemia, and non-alcoholic fatty liver disease, as well as tumorigenesis. ChREBP is highly expressed in lipogenic organs, such as liver, intestine, and adipose tissue, in which it regulates the production of acetyl CoA from glucose by inducing  Pklr  and  Acyl  expression. It has recently been demonstrated that ChREBP plays a role in the conversion of gut microbiota-derived acetate to acetyl CoA by activating its target gene,  Acss2 , in the liver. ChREBP regulates fatty acid synthesis, elongation, and desaturation by inducing  Acc1  and  Fasn , elongation of long-chain fatty acids family member 6 (encoded by  Elovl6 ), and  Scd1  expression, respectively. ChREBP also regulates the formation of very low-density lipoprotein by inducing the expression of  Mtp . Furthermore, it plays a crucial role in peripheral lipid metabolism by inducin g Fgf21  expression, as well as that of  Angptl3  and  Angptl8 , which are known to reduce peripheral lipoprotein lipase activity. In addition, ChREBP is involved in the production of palmitic-acid-5-hydroxystearic-acid, which increases insulin sensitivity in adipose tissue. Curiously, ChREBP is indirectly involved in fatty acid β-oxidation and subsequent ketogenesis. Thus, ChREBP regulates whole-body lipid metabolism by controlling the transcription of lipogenic enzymes and liver-derived cytokines.

ChREBP-Mediated Regulation of Lipid Metabolism: Involvement of the Gut Microbiota, Liver, and Adipose Tissue