A liver phosphatase reprograms gut stem cells to drive hyperglycemia.

Takahashi, Shogo; Gonzalez, Frank J · Cell Metab · 2026

basic_science · Level V

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Abstract

Why is fatty liver disease associated with hyperglycemia? In this issue, Ye, Wan, Liu, Deng, Zhang et al.<sup>1</sup> propose an unexpected mechanism: hepatic alkaline phosphatase released from diseased liver suppresses intestinal stem cell differentiation into GLP-1-secreting L-cells. This study reveals a new pathogenic route of liver-intestine communication.