“…In addition, TCA induced a rapid downregulation of the gluconeogenesis genes, PEPCK and G6Pase, and a marked upregulation of SHP mRNA in the livers (42). This illustrates that bile acid activation of S1PR2 has insulin-like activity in hepatic glucose regulation (9). Further, it has been reported that hepatic overexpression of SphK2 in mice led to elevated S1P and reduced ceramide, sphingomyelin, and glucosylceramide in plasma and liver, and ameliorated glucose intolerance and insulin resistance by improving hepatic insulin signaling (44).…”