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. 2021 Aug 30;40(19):e108863. doi: 10.15252/embj.2021108863

Table 6.

Metabolic syndromes associated with genetic intervention of autophagy in mice.

Setting Genetic intervention Effects on disease phenotype Ref.
Diabetes Whole‐body allelic loss of Atg7 Development of obesity‐induced diabetes linked to augmented inflammation and lipid accumulation Lim et al (2014)
Diabetes Whole‐body deletion of Atg4b Development of experimentally induced type I diabetes, linked to increased body weight gain upon HFD Fernandez et al (2017)
Diabetes Whole‐body knock‐in of mutant Becn1F121A Improved insulin sensitivity, but impaired glucose tolerance upon HFD, after autophagy hyperactivation Yamamoto et al (2018)
Diabetes β cell‐specific deletion of Atg7 Reduced glucose tolerance due to reduced β‐cell mass, and development of obesity‐induced diabetes Ebato et al (2008), Jung et al (2008), Quan et al (2012)
Diabetes shRNA‐mediated liver‐specific deletion of Atg7 Reduced systemic glucose tolerance in obese mice linked to aberrant ER stress Yang et al (2010)
NAFLD shRNA‐mediated liver‐specific deletion of Tfeb Increased development of severe ethanol‐induced liver injury, steatosis, and impaired lysosomal biogenesis Chao et al (2018)
NAFLD siRNA‐mediated liver‐specific deletion of Atg7 Increased ethanol‐induced hepatocyte apoptosis and liver injury Ding et al (2010)
NAFLD Hepatocyte‐specific deletion of Rubcn Ameliorated liver steatosis and injury upon HFD, linked to activation of lipophagy Tanaka et al (2016)
NAFLD Myeloid cell‐specific deletion of Atg5 Enhanced toxin‐induced liver injury linked to production of pro‐inflammatory cytokines Ilyas et al (2016)
NAFLD Hepatocyte‐specific deletion of Rb1cc1 Increased endotoxin‐induced liver injury, inflammation, and hepatic fibrosis in FILKO mice Ma et al (2013a)
NAFLD / Obesity Hepatocyte‐specific deletion of Tfeb Increased body weight gain upon HFD due to defects in lipid degradation Settembre et al (2013)
NASH Endothelial cell‐specific deletion of Atg5 Development of NASH and liver fibrosis, linked to enhanced inflammation Hammoutene et al (2020)
Hepatic fibrosis Hepatic stellate cell‐specific deletion of Atg7 Reduced experimentally induced fibrogenesis and matrix accumulation in the liver Hernandez‐Gea et al (2012)
Hepatic steatosis Hepatocyte‐specific deletion of Atg7 Marked increase in liver size, linked to increased lipid accumulation and impaired FA oxidation Singh et al (2009a), Saito et al (2019)
Hepatic steatosis Conditional hepatocyte‐specific deletion of Lamp2 Exacerbation of liver steatosis due to impaired lipophagy and FA oxidation, after CMA inhibition Schneider et al (2014), Kaushik and Cuervo (2015a)
Hepatic steatosis Whole‐body deletion of BNip3 Reduced β‐oxidation of fatty acids and impaired response to fasting. Elevated, inflammation, and steatohepatitis. Glick et al (2012)
Hepatic steatosis Hepatocyte‐specific deletion of Vsp15 Exacerbation of liver steatosis due to mitochondrial depletion and impaired FA oxidation Iershov et al (2019)
Hepatic steatosis Hepatocyte‐specific deletion of Acox1 Reduced hepatic steatosis caused by starvation or HFD after induction of autophagy He et al (2020)
Metabolic syndrome Whole‐body allelic loss of Becn2 Increased body weight gain upon HFD, impaired glucose tolerance, and decreased insulin sensitivity He et al (2013)
Metabolic syndrome Whole‐body overexpression of Atg5 Anti‐aging phenotypes, including leanness and increased insulin sensitivity Pyo et al (2013)
Metabolic syndrome Conditional whole‐body deletion of Acbp Increase ability to maintain glucose levels in the normoglycemic range, by inducing lipid catabolism Bravo‐San Pedro et al (2019)
Obesity AgRP neurons‐specific deletion of Atg7 Reduced food intake, body weight, total fat, and WAT mass Kaushik et al (2011)
Obesity Adipocyte‐specific deletion of Atg7 Reduced body weight and WAT mass linked to enhanced insulin sensitivity and features of brown adipocytes Singh et al (2009b), Zhang et al (2009)
Obesity Adipocyte‐specific deletion of Atg5 or Atg12 Reduced adipogenesis and body weight gain upon HFD, linked to enhanced insulin sensitivity and maintenance of beige adipocyte Baerga et al (2009), Altshuler‐Keylin et al (2016)
Obesity Whole‐body deletion of Prkn Reduced maintenance of beige adipocyte due to mitophagy inhibition Lu et al (2018)
Obesity Conditional adipocyte‐specific deletion of Atg3 or Atg16L1 Reduced adipose and systemic insulin resistance, linked to dysfunctional mitochondria and increased adipose tissue inflammation Cai et al (2018)
Obesity Adipocyte‐specific deletion of Rubcn Increased systemic fat atrophy and hepatic lipid accumulation, after induction of excessive autophagy Yamamuro et al (2020)

AgRP, agouti‐related peptide; CMA, chaperone‐mediated autophagy; FA, fatty acid; HFD, high‐fat diet; NAFLD, non‐alcoholic fatty liver disease; NASH, non‐alcoholic steatohepatitis; WAT, white adipose tissue.