Center for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung City 407, Taiwan.
Institute of Clinical Medicine, National Yang-Ming University, Taipei City 112, Taiwan.
Int J Mol Sci. 2020 Jun 23;21(12):4451. doi: 10.3390/ijms21124451.
Obesity is a metabolic disorder that results from complex interactions between genetic predisposition and dietary factors. Interleukin-4 (IL-4), besides its role in immunity, has metabolic effects on insulin efficacy. We studied the effects of IL-4 on metabolic abnormalities in a mice model of obesity involving leptin deficiency and leptin resistance. Leptin-deficient 145E and leptin-resistant high-fat diet (HFD) mice showed lower levels of circulating IL-4. 145E and HFD mice showed a number of abnormalities: Obesity, hyperglycemia, hyperinsulinemia, insulin resistance, dyslipidemia, liver injury, and adiposity with concurrent inflammation, decreases in Akt, signal transducer and activator of transcription 3 (STAT3), and STAT6 phosphorylation in the hypothalamus, liver, and epididymal fat. Independent of leptin-deficient obesity and dietary obesity, a course of 8-week IL-4 supplementation improved obesity and impairment in Akt, STAT3, and STAT6 signaling. Amelioration of cytokine expression, despite variable extents, was closely linked with the actions of IL-4. Additionally, the browning of white adipocytes by IL-4 was found in epididymal white adipose tissues and 3T3-L1 preadipocytes. Chronic exercise, weight management, and probiotics are recommended to overweight patients and IL-4 signaling is associated with clinical improvement. Thus, IL-4 could be a metabolic regulator and antiobesity candidate for the treatment of obesity and its complications.
肥胖是一种代谢紊乱,是由遗传易感性和饮食因素之间的复杂相互作用引起的。白细胞介素-4(IL-4)除了在免疫中发挥作用外,还对胰岛素的功效具有代谢作用。我们研究了 IL-4 对涉及瘦素缺乏和瘦素抵抗的肥胖小鼠模型中代谢异常的影响。瘦素缺乏的 145E 和高脂肪饮食(HFD)小鼠的循环 IL-4 水平较低。145E 和 HFD 小鼠表现出多种异常:肥胖、高血糖、高胰岛素血症、胰岛素抵抗、血脂异常、肝损伤以及脂肪组织炎症、Akt、信号转导和转录激活因子 3(STAT3)和 STAT6 磷酸化在下丘脑、肝脏和附睾脂肪组织中的减少。与瘦素缺乏性肥胖和饮食性肥胖无关,8 周的 IL-4 补充改善了 Akt、STAT3 和 STAT6 信号转导的肥胖和损伤。尽管程度不同,但细胞因子表达的改善与 IL-4 的作用密切相关。此外,IL-4 还发现了附睾白色脂肪组织和 3T3-L1 前体脂肪细胞中白色脂肪细胞的棕色化。建议超重患者进行慢性运动、体重管理和益生菌治疗,IL-4 信号与临床改善相关。因此,IL-4 可能是治疗肥胖及其并发症的代谢调节剂和抗肥胖候选药物。