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Peer-reviewedCC BY 4.0Cell Death & Disease

TMEM189/PEDS1 deficiency aggravates MASH progression by promoting FASN-mediated macrophage activation

4 affiliations
  1. 1Department of Immunology, School of Basic Medical Sciences Peking University; NHC Key Laboratory of Medical Immunology, Peking University, Beijing, China
  2. 2Department of General Surgery, Beijing Electric Power Hospital, State Grid Corporation of China; Clinical Medical Research Center for Hepatobiliary Diseases in General Surgery, China General Technology Group, Beijing, China
  3. 3Medical and Healthy Analytical Center, Peking University, Beijing, China
  4. 4Center for Human Disease Genomics, Peking University, Beijing, China

Abstract

Transmembrane protein 189 (TMEM189), also known as plasmanylethanolamine desaturase 1 (PEDS1), is involved in plasmalogen biosynthesis, phospholipid metabolism, ferroptosis, and autophagy. However, whether TMEM189/PEDS1 regulates macrophages and disease-related inflammatory responses remains unclear. Here, we for the first time investigated the contribution of TMEM189/PEDS1 to macrophage activation and progression of metabolic dysfunction-associated steatohepatitis (MASH). Experimental data demonstrated that TMEM189 is highly expressed in macrophages, and its inactivation promotes M1 macrophage polarization and increases lipid loading in co-cultured hepatocytes. Loss of Tmem189 in myeloid cells results in a selective increase in the population and activation of monocyte-derived macrophages (MDMs) in the liver, which exacerbates hepatic steatosis, inflammatory damage, and fibrosis in diet-induced MASH mice. The restoration of Tmem189 expression in hepatic macrophages significantly attenuates MASH-related phenotypes. Mechanistically, TMEM189 interacts with fatty acid synthase (FASN), negatively regulates its expression and pro-inflammatory response in macrophages. Further studies revealed that TMEM189 deletion enhances FASN-promoted NLRP3 palmitoylation and its activation, leading to increased IL-1β production, which in turn further accelerates MASH progression. Our findings provide important evidence supporting the critical regulatory role of TMEM189-FASN signaling in liver macrophage activation and MASH progression, which may represent a potential therapeutic target for MASH treatment.

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BibTeX
@article{guo2026tmem189peds1,
  title = {{TMEM189/PEDS1 deficiency aggravates MASH progression by promoting FASN-mediated macrophage activation}},
  author = {Pengli Guo and Jinqiu Feng and Yaxin Lou and Tao Li and Shufang Ye and Yongjun Zhang and Chunlei Wang and Ping Lv and Zongming Zhang and Yingyu Chen},
  journal = {Cell Death \& Disease},
  year = {2026},
  month = aug,
  doi = {10.1038/s41419-026-09145-7},
  url = {https://doi.org/10.1038/s41419-026-09145-7},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - TMEM189/PEDS1 deficiency aggravates MASH progression by promoting FASN-mediated macrophage activation
AU  - Pengli Guo
AU  - Jinqiu Feng
AU  - Yaxin Lou
AU  - Tao Li
AU  - Shufang Ye
AU  - Yongjun Zhang
AU  - Chunlei Wang
AU  - Ping Lv
AU  - Zongming Zhang
AU  - Yingyu Chen
PY  - 2026
DA  - 2026/08/13
JO  - Cell Death & Disease
DO  - 10.1038/s41419-026-09145-7
UR  - https://doi.org/10.1038/s41419-026-09145-7
AB  - Transmembrane protein 189 (TMEM189), also known as plasmanylethanolamine desaturase 1 (PEDS1), is involved in plasmalogen biosynthesis, phospholipid metabolism, ferroptosis, and autophagy. However, whether TMEM189/PEDS1 regulates macrophages and disease-related inflammatory responses remains unclear. Here, we for the first time investigated the contribution of TMEM189/PEDS1 to macrophage activation and progression of metabolic dysfunction-associated steatohepatitis (MASH). Experimental data demonstrated that TMEM189 is highly expressed in macrophages, and its inactivation promotes M1 macrophage polarization and increases lipid loading in co-cultured hepatocytes. Loss of Tmem189 in myeloid cells results in a selective increase in the population and activation of monocyte-derived macrophages (MDMs) in the liver, which exacerbates hepatic steatosis, inflammatory damage, and fibrosis in diet-induced MASH mice. The restoration of Tmem189 expression in hepatic macrophages significantly attenuates MASH-related phenotypes. Mechanistically, TMEM189 interacts with fatty acid synthase (FASN), negatively regulates its expression and pro-inflammatory response in macrophages. Further studies revealed that TMEM189 deletion enhances FASN-promoted NLRP3 palmitoylation and its activation, leading to increased IL-1β production, which in turn further accelerates MASH progression. Our findings provide important evidence supporting the critical regulatory role of TMEM189-FASN signaling in liver macrophage activation and MASH progression, which may represent a potential therapeutic target for MASH treatment.
SN  - 2041-4889
ER  -