Hepatic ceramide synthesis links systemic inflammation to organelle dysfunction in cancer

Liu, Ying, Miao, Ting, Wang, Alice, Dantas, Ezequiel, Kim, Ah-Ram, Zhang, Zhongjie, Sun, Xiaomei, Binari, Richard, Asara, John M, Hu, Yanhui, Goncalves, Marcus D, Janowitz, Tobias, Perrimon, Norbert (October 2025) Hepatic ceramide synthesis links systemic inflammation to organelle dysfunction in cancer. bioRxiv. ISSN 2692-8205 (Submitted)

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Abstract

Paraneoplastic syndromes arise when tumor-derived cytokines reprogram distant organs. Although mediators such as Interleukin-6 have been implicated, how these signals impair host organ function remains incompletely defined. Here, we identify a cytokine-lipid axis that drives hepatic autophagy dysfunction. Specifically, in Drosophila , the gut tumor-derived interleukin-like cytokine Upd3 induces the expression of the triglyceride lipase CG5SCC , which we named " cancer-associated lipid mobilizer ( calm )", and the ceramide synthase schlank in the fat body. This upregulation rewires fat body lipid metabolism, resulting in an autophagic-flux blockade. Genetic reduction of either CG5SCC or schlank restores organelle homeostasis and mitigates paraneoplastic phenotypes. This mechanism is conserved in mammals: in mice, IL-6 upregulates the lipoprotein lipase Lpl and ceramide synthases which in turn trigger a hepatic autophagy-flux blockade; in humans, hepatic LPL and ceramide synthases expression correlates with poorer survival in hepatocellular carcinoma. Our findings position hepatic lipid metabolism rewiring, especially ceramide synthesis as a critical, conserved node coupling systemic inflammation to organelle dysfunction, and suggest this pathway as a possible therapeutic entry point for cancer-associated liver disorders.

Item Type: Paper
Subjects: diseases & disorders > cancer
diseases & disorders
CSHL Authors:
Communities: CSHL labs > Janowitz lab
SWORD Depositor: CSHL Elements
Depositing User: CSHL Elements
Date: 16 October 2025
Date Deposited: 01 Dec 2025 14:27
Last Modified: 01 Dec 2025 14:27
PMCID: PMC12621733
Related URLs:
URI: https://repository.cshl.edu/id/eprint/42017

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