PROJECT SUMMARY/ABSTRACT The overall objective of this research is to target hepatocyte lipid droplets (LDs) for the development of therapeutic interventions for fatty liver disease. Hepatic steatosis, fat accumulation within hepatocyte LDs, is a key precursor for steatohepatitis which can lead to cirrhosis and hepatocellular cancer, necessitating liver transplantation. Unfortunately, hepatic steatosis also limits the number of donor livers acceptable for transplant as donor livers with severe steatosis have a high risk of primary nonfunction. As such, therapeutic strategies to reverse fatty liver are important for patients at risk for steatohepatitis and cirrhosis as well as to increase the donor pool of viable livers for transplantation. Our work focused on hepatocyte LDs herein shows three key observations: a) perilipin-2 (PLIN2), a LD-associated protein which regulates fat storage and utilization, co- localizes with and co-immunoprecipitates microtubules; b) microtubule disruption with nocodazole, a blunt microtubule targeting agent (MTA), uncouples PLIN2 from the LD, promotes LD fusion and yields delipidation (i.e. exocytotic secretion of LD contents) of steatotic hepatocytes with minimal cytotoxicity; and c) nocodazole promotes fat loss from ex vivo liver tissue with no effect on tissue viability. Based on these preliminary data, we propose the CENTRAL HYPOTHESIS that hepatocyte LDs are regulated by an interaction between PLIN2 and the microtubule cytoskeleton, and that this interaction is a potential therapeutic target to decrease the lipid burden of hepatocytes in fatty liver disease. Our SPECIFIC AIMS will test three hypotheses. FIRST, we will test the hypothesis that microtubules directly interact with LD-associated PLIN2. SECOND, we will test the hypothesis that microtubule perturbation increases lipolysis and leads to delipidation of steatotic hepatocytes. FINALLY, we will test the hypothesis that treatment of ex vivo steatotic liver tissue and ex vivo perfusion of steatotic livers with MTAs will lead to delipidation of hepatocytes and improved liver function in a pre-clinical model of organ salvage and rehabilitation. This work will provide foundational information to the emerging field of LD biology and is projected to demonstrate a novel cellular mechanism controlling hepatocyte LD dynamics and to identify therapeutic strategies to defat steatotic livers. The candidate is a basic scientist and transplant hepatologist, dedicated to improving the lives of patients with liver disease using a basic science approach. She is an Assistant Professor of Medicine at Mayo Clinic with a mentorship team consisting of Drs. Vijay Shah and Greg Gores. She has protected time for research and training activities, dedicated institutional funding for equipment and supplies, and a robust career development plan with specific activities and benchmarks that will position her for an independent research career. The comprehensive training plan will allow f...