Abstract
Metabolic dysfunction-associated steatotic liver disease (MASLD) progression involves the replacement of protective embryo-derived Kupffer cells (KCs) by inflammatory monocyte-derived macrophages (MoMFs), yet the regulatory mechanisms remain unclear. Here, we identify chitinase 3-like 1 (Chi3l1/YKL-40) as a critical metabolic regulator of hepatic macrophage fate. We observed high expression of Chi3l1 in both KCs and MoMFs during MASLD development. Genetic deletion of Chi3l1 specifically in KCs significantly exacerbated MASLD severity and metabolic dysfunction, whereas MoMF-specific Chi3l1 deletion showed minimal metabolic effects. Mechanistic studies revealed that this cell type-specific regulation arises from differential metabolic requirements: KCs display elevated glucose metabolism compared to MoMFs. Chi3l1 directly interacts with glucose to inhibit its cellular uptake, thereby selectively protecting glucose-dependent KCs from metabolic stress-induced cell death while having negligible effects on less glucose-dependent MoMFs. These findings uncover a novel Chi3l1-mediated metabolic checkpoint that preferentially maintains KCs populations through glucose metabolism modulation, providing important new insights into the pathogenesis of MASLD and potential therapeutic strategies targeting macrophage-specific metabolic pathways.
Introduction
Metabolic dysfunction-associated steatotic liver disease (MASLD) has become the most prevalent chronic liver disorder in western populations, affecting approximately 30% of adults and driven by its strong association with obesity and metabolic syndrome1. The disease spectrum ranges from matabolic dysfunction-associated fatty liver (MAFL) to metabolic dysfunction-associated steatohepatitis (MASH), with the latter characterized by steatosis, inflammation, hepatocyte ballooning, and progressive fibrosis2. Central to MASLD pathogenesis are hepatic macrophages, particularly the embryo-derived Kupffer cells (KCs) that reside in liver sinusoids3,4. These self-renewing resident macrophages5, play crucial roles in lipid homeostasis, as evidenced by studies showing that depletion of CD207+ KCs leads to impaired triglyceride storage6. As MASH progresses, dying KCs are progressively replaced by monocyte-derived macrophages (MoMFs) that exhibit heightened inflammatory properties and contribute to liver damage6,7. For example, one study demonstrated that in diet-induced MASH, KCs enhancer landscapes and gene expression profiles are profoundly reprogrammed (including up-regulation of Trem2 and Cd9) and KCs identity is lost, while MoMFs adopt convergent epigenomes, transcriptomes and functions during macrophage recruitment and adaptation in MASH8. Another work showed that in MASLD the number of resident KCs declines and MoMFs accumulate; these recruited macrophages include subsets that either mirror homeostatic KCs or resemble lipid-associated macrophages (LAMs) from obese adipose tissue, with the LAM-type expressing osteopontin and localizing to fibrotic zones9. Together, these findings highlight that this transition from protective embryo-derived KCs (EmKCs) to inflammatory monocyte-derived KCs (MoKCs) represents a critical juncture in disease progression, yet the mechanisms regulating this shift remain poorly understood.
A key determinant of macrophage function is cellular metabolism. Macrophages dynamically switch between glycolytic and oxidative phosphorylation pathways to adapt to environmental changes10. During MASLD, hepatic macrophages increase their glycolytic activity, which may exacerbate inflammation and tissue damage11-13. While glucose metabolism is known to influence macrophage polarization, its specific role in determining hepatic macrophage fate - particularly the balance between KCs and MoMFs - remains unknown. Chitinase 3-like 1 (Chi3l1/YKL-40) has emerged as an important regulator of macrophage biology, promoting cell survival through ERK1/2 and PI3K/Akt pathways while modulating anti-inflammatory cytokines like IL-1014-18. However, its potential role in macrophage metabolic reprogramming, particularly in the context of hepatic glucose metabolism, has not been explored.
In this study, we identify a novel mechanism by which Chi3l1 governs hepatic macrophage fate through metabolic regulation. We demonstrate that Chi3l1 directly interacts with glucose to suppress its uptake in macrophages. Strikingly, this interaction selectively protects glucose-high KCs from cell death in MASLD conditions, while having minimal effect on glucose-low MoMFs. These findings reveal a previously unrecognized Chi3l1-mediated metabolic checkpoint that maintains KC populations, providing new insights into the pathogenesis of MASLD and potential therapeutic strategies.
Materials and methods
Animal experiments and procedures
Animals Chil1-/- (strain no. T014402), Chil1flox//flox (strain no. T013652), Lyz2-cre (strain no. T003822), Clec4f-cre (strain no. T036801) with a C57BL/6J background were purchased from GemPharmatech. Rosa tdtomato mice (strain no. C001181) were purchased from Cyagen. Accordingly, C57BL/6J mice (strain no. N000013) were used as wild-type (WT) mice. To generate Clec4f△Chil1 mice, Chil1flox//flox mice were crossed with Clec4f-cre mice and knock out efficiency was examined in KCs or BMDM by qRT-PCR and western (Figure S4B, C). To generate Clec4fRosa tdtomato mice, Rosa tdtomato mice were crossed with Clec4f-cre mice to examine the expression specificity of Clec4f-cre (Figure S4D). To generate Lyz2△Chil1 mice, Chil1flox//flox mice were crossed with Lyz2-cre mice and knock out efficiency was examined in BMDM by western blot and qRT-PCR (Figure S7B, C). All mouse colonies were maintained at the Animal Core Facility of Yunnan University. The animal studies were approved by the Yunnan University Institutional Animal Care and Use Committee (IACUC, Approval No. YNU20220314). Male mice aged 6-8 weeks were used in this study.
Construction of MASLD/MASH mouse model Mice were provided a high-fat and high-cholesterol diet (Research Diet, d12108c, 40 kcal% fat and 1.25% cholesterol) or a methionine and choline deficient diet (Research Diet, A02082002BR) for 6 weeks. Throughout the feeding period, the body weight and food consumption of the mice were observed and recorded weekly. Once the dietary intervention was completed, the mice were euthanized. Liver and murine serum samples were collected for further analysis. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels in the serum, as well as cholesterol (TC) and triglyceride (TG) levels in both serum and liver tissues, were quantified using commercially available kits (Nanjing Jiancheng Bioengineering Institute).
Statistical analysis
Data are presented as mean ± standard error of the mean (SEM) in all graph figures. Statistical analyses were conducted using the SPSS statistics software (Version 22). To compare the two groups, an unpaired two-tailed Student’s t-test was used. One-way analysis of variance (ANOVA) was performed for comparisons involving three or more groups. For patients with MASLD liver, the samples were tested using the Mann-Whitney test. Statistical significance was set at p < 0.05 and p value is indicated. All cell culture results represent at least three independent experiments.
Additional Methods
Additional detailed methods can be found in the Supporting Information.
Results
Hepatic macrophages express Chi3l1
To investigate the dynamic changes in hepatic macrophages, we performed BD Rhapsody scRNA-seq on non-parenchymal cells (NPCs) isolated from healthy livers of mice fed a normal chow diet (NCD) and from livers of mice with MASLD induced by a high-fat, high-cholesterol (HFHC) diet. Prior to NPC isolation for scRNA-seq, liver sections were subjected to H&E and Sirius Red staining, which revealed marked lipid accumulation without apparent fibrosis (Figure S1A). Consistently, western blot analysis of α-SMA showed no upregulation (Figure S1B), confirming that our HFHC model represents an early stage of MASLD. After quality control and filtration, we retained 23,312 cells from NCD livers and 6,567 cells from HFHC livers for downstream analysis. Using a graph-based clustering approach, we identified 32 distinct cell populations, visualized via uniform manifold approximation and projection (UMAP) (Figure 1A). Monocyte/macrophage subsets were further defined based on lineage-specific markers: Monocytes expressed Ly6c2, Chil3, S100a6, Ccr2, Itgam, and Cx3cr1 but lacked macrophage markers. KCs were marked by Cd68, Vsig4, Clec4f, TIM4, Adgre1, and Clec1b. MoMFs were negative for KCs markers but positive for macrophage markers such as Ccr2, Cx3cr1, Cd9, Itgax, Gpnmb, Cd68, and Adgre1 (Figure 1B, C; UMAP in Fig S2A)8,19. ScRNA-seq analysis revealed high expression of Chil1 (Chil1 being the gene name for Chi3l1) in hepatic macrophages (Figure 1D). To validate this, we performed immunofluorescence staining for Chi3l1 in hepatic macrophages using antibodies against TIM4, F4/80, and Chi3l1. Our results confirmed Chi3l1 expression in hepatic macrophages under both NCD and HFHC conditions (Figure 1E). To determine whether Chi3l1 expression is upregulated following HFHC diet feeding, we analyzed Chi3l1 protein levels in isolated KCs and whole liver tissue by western blotting. The results revealed a marked increase in Chi3l1 expression in both KCs and liver after HFHC diet (Figure 1F, G). To strengthen our findings, we further examined four additional publicly available scRNA-seq datasets—two from mouse models and two from human MASLD patients (Figure S3). Across these datasets, the specific cell type showing the highest Chil1 expression varied somewhat between studies, likely reflecting model differences and disease stages. Nevertheless, Chil1 expression was consistently enriched in hepatic macrophage populations, including both Kupffer cells and infiltrating macrophages, in mouse and human livers. Notably, Chil1 expression was higher in MoMFs compared to resident KCs, supporting its upregulation during MASLD progression. Consistently, patients with MAFL or MASH exhibited elevated hepatic Chil1 mRNA levels, which correlated with MASLD severity and fibrosis stage (Figure 1H, I). These findings suggest that Chi3l1 is expressed in hepatic macrophages and may play a role in MASLD progression.

Hepatic macrophages express Chi3l1.
(A-D) Wildtype C57BL/6J mice were fed either a normal chow diet (NCD) or HFHC for 16 weeks. NPCs were isolated and subjected to BD Rhapsody scRNA sequencing. (A) Uniform manifold approximation and projection (UMAP) plots illustrate the clustering of NPCs in the livers of mice fed NCD and HFHC. Cell clusters are color-coded, with monocytes/macrophages clusters outlined. (B) UMAP plots depict the clustering of Monocytes/Macrophages in the livers of mice fed NCD and HFHC. Cell clusters are color-coded. (C) Dot plot displays the scaled gene expression levels of lineage-specific marker genes in different cell clusters. (D) Dot plot shows the scaled gene expression levels of Chil1 in the indicated cell clusters. (E) Immunofluorescent staining of TIM4 (white), F4/80 (red), Chi3l1 (green), and nuclear DAPI (blue) in liver sections of mice fed with either NCD or HFHC for 16 weeks, illustrating Chi3l1 expression in hepatic macrophages. Scale bar=20μm and 5μm (zoom). (F, G) Western blot analysis of Chi3l1 in either isolated Kupffer cells (KCs, F) or whole liver tissue (Liver, G) from mice fed either NCD or HFHC diet. n=2-3 mice/group. (H) mRNA expression levels of Chil1 in liver tissues of patients with metabolic dysfunction-associated fatty liver (MAFL) or with metabolic dysfunction-associated steatohepatitis (MASH) (GEO Datasets: GSE167523, GSE207310, GSE130970). No-MAFLD or Healthy individuals serve as controls. (I) The correlation between mRNA expression levels of Chil1 and MASLD activity score or fibrosis stage was analyzed (GEO Datasets: GSE130970). Representative images were shown in E. Mann-Whitney test was performed in F. Pearson’s correlation was performed in G. P value and r value are as indicated.
Deficiency of Chi3l1 in Kupffer cells promotes insulin resistance and hepatic lipid accumulation
Given that Chi3l1 is highly expressed in hepatic macrophages, we investigated its functional role by generating mice with conditional knockout (cKO) of Chil1 in either KCs or MoMFs. First, we generated Clec4f △Chil1 mice by crossing Chil1fl/fl mice with Clec4f-cre mice20, achieving KC-specific deletion of Chil1 (Figure S4A-C). These mice, along with Chil1fl/fl controls, were fed either a NCD or a HFHC diet. Under NCD feeding, Clec4fΔChil1 and Chil1fl/fl mice displayed comparable phenotypes in terms of body weight gain, hepatic lipid deposition, metabolic parameters, glucose tolerance and insulin resistance (Figure 2A–F). In contrast, when fed an HFHC diet, Clec4fΔChil1 mice exhibited markedly accelerated weight gain compared to controls (Figure 2A,B). These mice also showed increased hepatic lipid accumulation, as evidenced by H&E and Oil Red O staining at 16 weeks (Figure 2C), along with greater metabolic disturbances, including a higher liver index (liver-to-body weight ratio), elevated serum ALT levels, and increased cholesterol and triglyceride levels in both liver and serum (Figure 2D). Furthermore, Clec4fΔChil1 mice exhibited impaired glucose metabolism, as indicated by worsened glucose tolerance and insulin resistance in IGTT and ITT assays (Figure 2E,F).To exclude potential off-target effects caused by Clec4f-Cre insertion, we compared Clec4f-Cre and Clec4fΔChil1 mice. The phenotypic differences between Clec4f-Cre and Clec4fΔChil1 mice mirrored those observed between Chil1fl/fl and Clec4fΔChil1 mice, with the latter showing faster weight gain, more severe hepatic steatosis, greater metabolic dysregulation, and worsened glucose intolerance and insulin resistance (Figure S5A–G).

Deficiency of Chi3l1 in Kupffer cells promotes insulin resistance and hepatic lipid accumulation.
Chil1fl/fl and Clec4f△Chil1 mice were fed either a normal chow diet (NCD) or a high-fat, high-cholesterol (HFHC) diet for 16 weeks. (A, B) Body weight was recorded during HFHC diet feeding (A) and expressed as a percentage of initial body mass (B). (C) H&E (Upper panel) and oil red o staining (Lower panel) was performed to examine liver histology and hepatic lipid accumulation in in both genotypes after 16 weeks of NCD or HFHC diet. Scale bar = 20 µm. (D) Liver index (liver weight/body weight), ALT levels, and serum and liver Cholesterol or Triglyceride levels were measured in both genotypes after 16 weeks on NCD or HFHC diets. n=4-12 mice/group. (E, F) Intraperitoneal glucose tolerance test (IGTT) and insulin tolerance test (ITT) were performed after 16 weeks of NCD or HFHC feeding in both genotypes (n = 4–12 mice per group). Representative images were shown in (A, E). One-way ANOVA was performed in (A, B, D-F). P-value is as indicated.
Additionally, we constructed another MASH model induced by a methionine and choline deficient diet (MCD), in which extensive inflammatory cell infiltration and fibrosis were induced(Figure S6A, B). Moreover, mRNA and protein levels of Chi3l1 were also upregulated in this model(Figure S6C,D). Although in this model body weight decrease instead of increase, Clec4f △Chil1 mice still showed severe hepatic steatosis and greater metabolic dysregulation (Figure S6E-G). These results further supported that Chi3l1 deficiency in KCs drives MASLD progression.
To assess the role of Chi3l1 in MoMFs, we generated Lyz2△Chil1 mice (Chil1fl/fl × Lyz2-Cre20) and validated Chil1 deletion efficiency in BMDM (Figure S7A–C). Chil1 expression was completely abolished in BMDM from Lyz2ΔChil1 mice. Considering the partial activity of Lyz2-Cre in KCs, we further assessed Chi3l1 expression in KCs isolated from Lyz2Chil1 mice. Only a modest (∼40%) reduction in Chi3l1 mRNA and protein levels was observed in KCs, indicating that Lyz2-Cre–mediated deletion minimally affects Chi3l1 expression in KCs. Lyz2ΔChil1 and Chil1fl/fl control mice were then fed either a NCD or a HFHC diet. Under both dietary conditions, the two genotypes exhibited comparable phenotypes with respect to body weight gain, hepatic lipid accumulation, metabolic parameters, glucose tolerance, and insulin sensitivity (Figure S8A–F). These results indicate that Chi3l1 loss in MoMFs does not substantially impact metabolic regulation.
ScRNA-seq reveals upregulated glucose metabolism-related transcripts in KCs, correlating with cell death signatures
To dissect the distinct metabolic and functional profiles between KCs and MoMFs during MASLD progression, we analyzed our scRNA-seq data. Consistent with prior studies6,7, we observed decreased KCs numbers but increased MoMFs and monocytes in HFHC-fed mice compared to NCD controls (Figure 3A). Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis showed that while both cell types exhibited activation of phagocytosis-related pathways (lysosome, phagosome, endocytosis, and efferocytosis), they displayed divergent cell fate patterns (Figure 3B). KCs showed strong cell death signatures, whereas MoMFs maintained proliferative activity without evidence of cell death (Figure 3B). Monocytes showed strong cell death and proliferative activity (Figure 3B). Given the significant role of metabolic regulation in cell fate,21 we compared pathways involved in glucose metabolism, cell death, and cell proliferation (Figure 3C). Notably, glucose metabolism pathways were significantly more active in KCs and monocytes compared to MoMFs (Figure 3C). Moreover, the cell proliferation pathway was highly activated in monocytes and consistently activated in MoMFs but not in KCs (Figure 3C). Gene Set Variation Analysis (GSVA)-based correlation analysis revealed a striking association between glucose metabolism and cell death pathways (Figure 3D). These findings demonstrate distinct glucose metabolic activation patterns between KCs and MoMFs, which may underlie their divergent cell fates in MASLD progression.

ScRNA-seq reveals upregulated glucose metabolism-related transcripts in KCs, correlating with cell death signatures.
(A-D) Wildtype C57BL/6J mice were fed either a normal chow diet (NCD) or HFHC for 16 weeks. NPCs were isolated and subjected to BD Rhapsody scRNA sequencing. (A) Quantification of each cell cluster is presented. (B) KEGG analysis reveals the top 12 enriched pathways for up-regulated genes when comparing HFHC versus NCD in KCs, monocytes, and MoMFs, respectively. (C) Gene set variation analysis (GSVA) shows pathway activity for cell death, glucose metabolism, and cell proliferation in KCs, monocytes, and MoMFs of WT mice fed NCD or HFHC for 16 weeks, respectively. (D) The correlation between cell death and glucose metabolism pathways, based on GSVA score, is depicted.
Chi3l1 deficiency promote KCs death during MASLD
To investigate the role of Chi3l1 in KCs survival during MASLD, we generated Chil1-/- mice, as Chi3l1 is a secreted protein22,23. The successful knockout was confirmed by qRT-PCR analysis of liver tissue (Figure S9A, B). We then performed scRNA-seq on NPCs isolated from Chil1-/- mice fed an HFHC diet for 16 weeks. After quality control, 6,813 high-quality cells were retained for analysis. Using established KC markers (Figure 1C), we conducted GSVA to examine metabolic pathways. This revealed enhanced cell death pathways in KCs from HFHC-fed mice, with significantly greater apoptosis signatures in Chil1-/- KCs compared to wild-type (WT) controls (Figure 4A). The increased apoptosis was further supported by upregulation of pro-apoptotic genes in Chil1-/- KCs (Figure 4B).

Chi3l1 deficiency promote KCs death during MASLD.
(A) GSVA analysis showed the enrichment of cell death-related pathways in KCs from WT mice fed with either NCD or HFHC or Chil1-/- mice fed with HFHC. (B) Dot plot showing the scaled gene expression levels of Apoptosis-related genes and repressor genes in KCs from either WT or Chil1-/- fed with HFHC. (C) Strategy used to gate KCs (CD45+ F4/80hi CD11blow TIM4hi) and MoMFs (CD45+ F4/80low CD11bhi Ly6G− TIM4−) in the liver by flow cytometry. (D) Number of KCs and MoMFs /liver or gram(g) liver were statistically analyzed. n= 3-4 mice per group. (E) Immunofluorescent staining to detect TIM4(green), TUNEL (red), and nuclear DAPI (blue) in liver sections. Scale bar=20μm and 5μm(zoom). TUNEL+ TIM4+ cells/TIM4+ cells were statistically analyzed. n=4-6 mice/group. Representative images are shown in C, E. One-way ANOVA was performed in D. Two-tailed, unpaired student t-test was performed in E. P value is as indicated.
We next validated these findings by flow cytometry using the gating strategy shown in Figure 4C. While WT and Chil1-/- mice showed similar KC numbers at baseline, dramatic differences emerged during HFHC feeding. WT KC numbers remained stable at 8 weeks but decreased by 50% at 16 weeks. In contrast, Chil1-/- mice exhibited accelerated KCs loss, with a 30% reduction by 8 weeks progressing to 60% by 16 weeks (Figure 4D, S10A). Notably, MoMFs populations remained comparable between groups at early timepoints but showed greater reduction in Chil1-/- mice at 16 weeks ((Figure 4D, S10A).
Histological analysis further supported these findings. TIM4/TUNEL co-staining revealed no TUNEL+ KCs in WT livers at baseline, whereas 40% and 50% of KCs were TUNEL+ at 8 and 16 weeks, respectively. In Chil1-/- mice, KC apoptosis was significantly increased at both time points (Figure 4E). Consistent results were obtained with TIM4/cleaved caspase-3 co-staining (Figure S10B). We further confirmed these observations in Clec4fΔChil1 mice in both HFHC24 and MCD diet models. In the MCD model, Clec4fΔChil1 mice exhibited enhanced KCs death compared with Chil1fl/fl controls (Figure S11A). To exclude potential effects of myeloid cell–derived Chi3l1 on KCs survival, we compared KCs death and abundance between Chil1fl/fl and Lyz2ΔChil1 mice using histological and flow cytometric analyses. Loss of Chi3l1 in MoMFs did not lead to significant KC apoptosis or depletion (Figure S11B–D).Together, these results demonstrate that Chi3l1 deficiency promotes KC apoptosis, resulting in premature KC depletion during MASLD progression.
Molecular interaction between Chi3l1 and glucose
Our investigation into Chi3l1-mediated KCs survival revealed an unexpected structural relationship: Chi3l1 binds to glucose, which is structurally analogous to chitin, a polysaccharide well known to bind Chi3l1(Figure 5A). Bioinformatics analysis using the STITCH database further supported this observation, predicting a high probability of direct Chi3l1-glucose interaction (Figure 5B). To experimentally validate this interaction, we performed pull-down assays using biotin-labeled glucose incubated with plasma from HFHC-fed mice. Streptavidin bead isolation followed by anti-Chi3l1 Western blotting demonstrated specific binding between Chi3l1 and biotin-glucose, but not biotin alone (Figure 5C, D). This interaction was competitively inhibited by unlabeled glucose, confirming specificity (Figure 5D). Quantitative analysis using microscale thermophoresis with recombinant mouse Chi3l1 (rChi3l1) yielded a dissociation constant (Kd) of 4.95 mM for the Chi3l1-glucose interaction (Figure 5E). Notably, circulating Chi3l1 levels were significantly elevated in serum from HFHC-fed mice compared to baseline (Figure 5F), suggesting a potential physiological role for this interaction in metabolic regulation. These findings establish Chi3l1 as a novel glucose-binding protein that may participate in glucose homeostasis during MASLD progression.

Molecular interaction between Chi3l1 and glucose.
(A) A comparison of chemical structures between glucose and chitin. (B) Prediction of Chi3l1-glucose interaction using STITCH database (http://stitch.embl.de). (C) Strategy for pulling down glucose-binding proteins in murine serum. (D) Biotin-conjugated glucose was incubated with murine serum from mice fed with HFHC for 16 weeks. Proteins bound to glucose were precipitated by streptavidin beads. Biotin or biotin-conjugated glucose plus glucose were used as negative controls. Western blot was performed to examine Chi3l1 in the precipitate. (E) Microscale thermophoresis assay to detect the interaction between recombinant mouse Chi3l1 (rChi3l1) and glucose. Kd=4.95±0.66mM. (F) Western blot to detect Chi3l1 expression in murine serum before and after HFHC feeding. n=3 mice/group.
Chi3l1 limits glucose uptake and protects hepatic macrophages from cell death
To elucidate the functional consequences of Chi3l1-glucose binding, we examined glucose metabolism in hepatic macrophages. Using the fluorescent glucose analog 2-NBDG25, we performed uptake assays in KCs following 12-hour glucose starvation. While glycogen droplet size remained unchanged in untreated KCs regardless of rChi3l1 supplementation (Figure 6A), 2-NBDG exposure significantly increased glycogen accumulation. This effect was markedly suppressed by rChi3l1 co-treatment (Figure 6A), a phenotype replicated in BMDM (Figure 6A). These results demonstrate that Chi3l1 restricts glucose uptake and subsequent glycogen storage.

Chi3l1 limits glucose uptake and protects hepatic macrophages from cell death.
(A) Following 12 h of glucose starvation, isolated KCs or BMDM were divided into two groups: one treated with no 2-NBDG and the other with 2-NBDG. Within each group, KCs or BMDM were further treated without or with recombinant murine Chi3l1 (rChi3l1) for 6 h. Glycogen aggregate formation labeled by 2-NBDG (Green) in KCs or BMDM was examined after counterstaining with nuclear DAPI (Blue). Scale bar=2μm. Area of 2-NBDG in KCs were quantified. (B) Following 12 h of glucose starvation, BMDM were treated with either no glucose or high glucose (25mM). Concurrently, BMDM were treated without or with rChi3l1 for 24 h under each condition. glycogen aggregate formation in BMDM was detected using immunofluorescence staining for Stbd1 (red) and nuclear DAPI (blue). Scale bar = 10 μm. (C and D) BMDM cells were treated without or with rChi3l1 for 24 h and subjected to Seahorse metabolic analysis to measure the extracellular acidification rate (ECAR). (E and F) KCs were treated without (blank) or with either Isopropyl alcohol(Iso) or 800uM palmitic acid (PA) or 100ng rChi3l1 with 800 uM PA for 24 h. Western blot was performed to detect cleaved caspase 3 (Cl-Casp3) in E. Calcein/PI staining was quantified to detect cell viability in F. Scale bar=50μm. (G) Measurement of 2-NBDG (a fluorescent glucose analog) uptake by KCs in vivo. WT and Chil1-/- mice, either untreated or supplemented with rChi3l1, were injected intraperitoneally with 12 mg/kg 2-NBDG. After 45mins, KCs were isolated and glucose uptake assessed by spectrophotometry. (H) Representative immunofluorescence images of liver sections stained for TIM4 (red) and 2-NBDG uptake (green) to visualize glucose uptake by KCs in situ. Scale bar = 10 µm (zoom). Quantification is shown as the percentage of TIM4+ cells that are also 2-NBDG+. Representative images were shown in A, B, H. One-way ANOVA was performed in A, F, G, H. Two-tailed, unpaired student t-test was performed in D. P value is as indicated.
Further validation using Stbd1 (a glycogen-binding protein25) immunofluorescence revealed minimal glycogen foci in glucose-deprived BMDM, with no rChi3l1-dependent differences. High-glucose conditions, however, triggered robust glycogen aggregation, which was significantly attenuated by rChi3l1 (Figure 6B). Concordantly, extracellular acidification rate (ECAR) measurements showed reduced basal and total glycolytic capacity in rChi3l1-treated BMDMs (Figure 6C, D), confirming Chi3l1’s role in limiting glucose metabolism.
To test whether Chi3l1-glucose binding influence cell survival, we employed a palmitic acid (PA)-induced lipotoxicity cell-based model to better mimic the in vivo environment. rChi3l1 supplementation reduced PA-induced cleavage of caspase-3 (Figure 6E) and decreased KCs death (calcein/PI staining, Figure 6F). To validate this mechanism in vivo, we intraperitoneally injected 2-NBDG into WT and Chil1-/- mice, with or without supplementation of rChi3l1, to assess glucose uptake by KCs. Chil1-/- KCs displayed markedly increased 2-NBDG uptake compared with WT controls, whereas rChi3l1 supplementation significantly reduced glucose uptake. These results demonstrate that serum Chi3l1 limits glucose uptake by KCs in vivo (Figure 6G, H).Collectively, these findings demonstrate that Chi3l1 protects KCs from metabolic stress–induced death by regulating glucose uptake.
Discussion
Our findings establish Chi3l1 as a critical metabolic regulator that controls hepatic macrophage fate through a novel glucose-dependent mechanism in MASLD. Using cell-specific knockout models, we uncovered a fundamental dichotomy in Chi3l1 function: selective ablation in KCs dramatically accelerated MASLD progression and metabolic dysfunction, whereas deletion in MoMFs produced minimal metabolic effects. Single-cell transcriptomics revealed the molecular basis for this cell-type specificity - KCs exhibit a glucose-hungry metabolic phenotype that renders them uniquely dependent on Chi3l1-mediated regulation, while MoMFs maintain a relatively glucose-independent metabolic program. At the mechanistic level, we demonstrate that Chi3l1 functions as a physiological glucose sensor, directly binding extracellular glucose to limit its cellular uptake. This interaction establishes a crucial metabolic safeguard that specifically protects glucose-dependent KCs from lethal metabolic stress while sparing glucose-independent MoMFs. Through this precise modulation of glucose availability, Chi3l1 maintains metabolic homeostasis and preserves KCs populations during chronic dietary challenge (Figure 7).

Differential regulation of KCs and MoMFs fate by Chi3l1-glucose interaction.
KCs maintain a high-glucose activation state, while MoMFs exhibit a relatively low-glucose metabolic program. Chi3l1-glucose binding inhibits glucose uptake in KCs, thereby delaying KCs death and alleviating MASLD progression and metabolic dysfunction. In contrast, although Chi3l1-glucose binding similarly inhibits glucose uptake in MoMFs, their low basal glucose metabolism renders them resistant to this metabolic perturbation, resulting in minimal impact on MASLD pathogenesis.
Analysis of publicly available scRNA-seq datasets, including those from the Liver Atlas and prior studies7-9, indicates that Chil1 transcripts are mainly detected in neutrophils. In contrast, our immunofluorescence data show that Chi3l1 protein is predominantly localized in Kupffer cells under normal conditions and in both KCs and MoMFs during MASLD progression. This discrepancy likely reflects differences in transcript versus protein abundance and detection sensitivity. While scRNA-seq captures relative mRNA levels per cell, tissue-based staining reflects both expression and cell prevalence, highlighting macrophages as a major contributor to total hepatic Chi3l1 protein. Moreover, environmental factors such as diet, microbiota, or disease stage may influence Chil1 expression patterns across immune cell types.
Our study reveals fundamental differences in metabolic requirements between hepatic macrophage subsets that provide new insights into MASLD pathogenesis. We demonstrate that KCs and MoMFs play stage-specific roles in disease progression, with KCs serving as critical regulators of early metabolic homeostasis while MoMFs appear more involved in later inflammatory phases. This temporal specialization explains the striking dichotomy observed in our genetic models - KCs-specific Chi3l1 deletion dramatically exacerbated metabolic dysfunction, whereas MoMFs deletion showed minimal effects. The heightened glucose metabolism of KCs during MASLD renders them uniquely vulnerable to dietary stress. Chi3l1 serves as a crucial metabolic buffer in this context, directly protecting KCs through glucose modulation as evidenced by reduced glycogen accumulation and attenuated glycolytic flux. Our findings using the HFHC model complement previous findings in fibrogenic CDAA-HFAT models26 or MCD/CCL4 models27 or human livers28, collectively suggesting Chi3l1 may have dual roles in MASLD - maintaining metabolic balance through KCs in early disease while potentially influencing fibrogenesis via MoMFs in advanced stages. The accelerated KCs death in knockout models provides direct experimental evidence linking macrophage survival to metabolic outcomes, resolving key questions about MASLD progression mechanisms.
The structural characteristics of Chi3l1 have been extensively studied. Chi3l1 forms a homodimer, with each subunit containing a catalytic domain and a carbohydrate-binding domain. While the catalytic domain retains structural similarity to chitinases, it lacks enzymatic activity,29,30 and the carbohydrate-binding domain mediates interactions with carbohydrate ligands.29 While chitin-binding domains are traditionally known to interact with complex polysaccharides, our findings reveal that Chi3l1 (YKL-40), a mammalian chitinase-like protein, specifically binds to glucose—a simple monosaccharide. This represents a fundamental departure from canonical binding to insoluble polymers such as chitin and suggests a previously unrecognized role for Chi3l1 in monosaccharide recognition, potentially linking it to glucose metabolism and energy sensing. Furthermore, we observed that Chi3l1 protein levels increased in the serum of mice fed a high-fat, high-cholesterol (HFHC) diet for 16 weeks (Figure 5F) but plateaued with prolonged feeding (24 weeks; data not shown), suggesting an adaptive regulatory limit. Together, these findings indicate that Chi3l1 possesses glucose-binding capacity that may be functionally relevant but limited in vivo.
Our findings carry important translational potential for MASLD treatment. The discovery of Chi3l1’s glucose-sensing function in KCs suggests two complementary therapeutic strategies: first, developing Chi3l1-based interventions to preserve KC populations during early metabolic dysfunction; second, creating cell-type-specific approaches that selectively modulate glucose metabolism in KCs while sparing MoMFs. Importantly, although access to early-stage human liver tissue is limited due to the asymptomatic nature of the disease, multiple human studies have consistently reported elevated Chi3l1 levels in steatotic and fibrotic liver disease27,31,32, underscoring the clinical relevance of our mechanistic findings. Building on this evidence, the structural mapping of Chi3l1’s glucose-binding domain now enables rational design of small-molecule mimetics or biologics to therapeutically enhance this protective pathway. Besides, several key questions emerge for future research to advance these therapeutic possibilities: (1) How glucose levels are coordinated with other death inducers such as lipid toxicity; (2) Whether competing carbohydrate ligands modulate Chi3l1’s glucose-sensing capacity in different metabolic states; (3) The clinical relevance of human Chi3l1 variants in MASLD susceptibility and progression. Addressing these questions will be crucial for translating our mechanistic insights into targeted therapies that account for the complex metabolic specialization of hepatic macrophage subsets.
Our findings reveal a novel metabolic checkpoint in which Chi3l1 selectively sustains KCs populations by modulating glucose metabolism, offering key insights into MASLD pathogenesis. The study highlights the therapeutic potential of targeting Chi3l1-glucose interactions to preserve protective KCs and curb MASLD progression. Future research should explore whether Chi3l1 supplementation or pharmacological modulation can rescue KCs viability, as well as investigate whether this mechanism extends to other macrophage-driven metabolic disorders, such as MASH or diabetes. By identifying cell type-specific metabolic vulnerabilities, this work paves the way for precision therapies that selectively manipulate macrophage subsets to treat liver disease.
Data availability
Data availability All data generated or analysed during this study are included in the manuscript and supporting files; source data files have been provided. All reagents developed in this study are available upon reasonable request.
Acknowledgements
We thank Dr. Bin Qi (Yunnan University) for suggestions and discussion. We thank Guangxun Meng (The Shanghai Institute of Immunity and Infection of the Chinese Academy of Sciences) for providing us with L929 cells. We thank Cynthia Ju (UTHealth) for advice in manuscript submission.
Additional information
Financial Support
Supported by National Natural Science Foundation of China (82570734, 32071129 to Z.S.), Yunnan Provincial Science and Technology Department (C619300A086 to Z.S.).
Author Contributions
JH conducted the experiments, analyzed the data, and wrote the manuscript. BC performed the scRNA seq analysis and wrote the manuscript. WJL performed scRNA seq analysis during the revision. WX helped mice care and feeding. RXY helped sc-RNA-seq library preparation. CXD conducted the initial analysis of the sc-RNA-seq data under the supervision of CP. XEZ participated in sample collection. KQW and LW purified the recombinant Chi3l1 protein. RZY drew molecular models of glucose and chitin. CX and RL helped with 2-NBDG in vivo imaging. CPL and XKL helped synthesize biotin-labeled glucose. ZS conceived, organized, and designed the study, and wrote the manuscript.
Abbreviations
MASLD: metabolic dysfunction-associated steatotic liver disease
MASH: metabolic dysfunction-associated steatohepatitis
KCs: Kupffer cells
Chi3l1: Chitinase 3 like 1
ERK1/2: extracellular signal-regulated kinase 1/2
PI3K: phosphoinositide-3 kinase
ALT: Alanine aminotransferase
AST: aspartate aminotransferase
TC: cholesterol
TG: triglyceride
NPCs: nonparenchymal cells
HFHC: high fat high cholesterol diet
NCD: normal chow diet
Clec4f: C-type lectin domain family 4
TIM4: T cell immunoglobulin mucin protein 4
MoMFs: monocyte-derived macrophages
HFD: high-fat diet
MCD: methionine/choline deficient diet
WD: western diet
PPP: pentose phosphate pathway
BMDM: bone marrow derived macrophages
DMSO: dimethyl sulfoxide
MAFL: non-alcoholic fatty liver
rChi3l1: recombinant murine Chi3l1
PA: palmic acid
Iso: Isopropyl alcohol
IGTT: intraperitoneal glucose tolerance test
ITT: insulin tolerance test
scRNA-seq: single-cell RNA sequencing
MoKCs: monocytes-derived Kupffer cells
ALD: alcohol-induced liver disease
AILI: acetaminophen-induced liver injury
EmKCs: embryo-derived Kupffer cells
DT: diphtheria toxin
WT: wild-type
TUNEL: TdT-mediated dUTP Nick-End Labeling;
Funding
MOST | National Natural Science Foundation of China (NSFC) (32071129 to Z.S.)
Zhao Shan
Yunnan Provincial Science and Technology Department (C619300A086 to Z.S.)
Zhao Shan
Additional files
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