Department of Nutrition and Food Hygiene & Department of Health Education and Health Management, the Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Air Force Medical University, Xi'an, China.
Department of Ophthalmology, Heping Hospital affiliated to Changzhi Medical College, Changzhi, China.
FASEB J. 2021 Jul;35(7):e21730. doi: 10.1096/fj.202100157RR.
Adipose tissue macrophages (ATMs) represent the most abundant leukocytes in adipose tissue (AT). An increase in number and a phenotypical switch of ATMs during the development of obesity contribute to chronic inflammation and metabolic disorders, which have been regarded as potential therapeutic targets to restore AT homeostasis. Emodin has been shown to exert strong anti-inflammatory property via acting on macrophages in a range of disease models. However, whether emodin exerts a beneficial effect on obesity via modulating ATMs has not been reported. In high-fat diet (HFD)-induced obese mice, emodin significantly inhibited the increase of body weight and lipid accumulation in ATs. Emodin apparently reduced glucose and insulin levels and ameliorated serum lipid profiles in HFD-fed mice. Moreover, the local and systemic inflammation was dramatically alleviated by emodin. We next discovered that M2 macrophage percentage was greatly increased by emodin although total ATMs was not altered, which resulted in a net increase of M2 macrophages in AT. In vitro studies confirmed that emodin promoted the polarization of macrophages towards M2. Gene ontology (GO) analysis showed that myeloid leukocyte differentiation and activation were among the most significant biological processes in emodin-treated ATMs. We further identified that TREM2 was the most dramatically upregulated molecule by emodin and emodin-induced M2 macrophage polarization was dependent on TREM2. Furthermore, silencing TREM2 apparently abrogated the effect of emodin on AT inflammation and adipogenesis. We, for the first time, disclosed that emodin inhibited obesity by promoting M2 macrophage polarization via TREM2, suggesting that emodin may be explored as a clinical and translational candidate in preventing obesity and its related metabolic diseases.
脂肪组织巨噬细胞(ATMs)是脂肪组织(AT)中最丰富的白细胞。在肥胖症发展过程中,ATMs 数量的增加和表型转换导致慢性炎症和代谢紊乱,这被认为是恢复 AT 动态平衡的潜在治疗靶点。大黄素在多种疾病模型中通过作用于巨噬细胞发挥强大的抗炎作用。然而,大黄素是否通过调节 ATMs 对肥胖发挥有益作用尚未报道。在高脂肪饮食(HFD)诱导的肥胖小鼠中,大黄素显著抑制了体重和脂肪在 AT 中的积累增加。大黄素明显降低了 HFD 喂养小鼠的血糖和胰岛素水平,并改善了血清脂质谱。此外,大黄素显著缓解了局部和全身炎症。我们接下来发现,大黄素虽然没有改变总 ATMs 的数量,但大大增加了 M2 巨噬细胞的比例,导致 AT 中 M2 巨噬细胞的净增加。体外研究证实,大黄素促进了巨噬细胞向 M2 极化。基因本体(GO)分析表明,髓样白细胞分化和激活是大黄素处理的 ATMs 中最重要的生物学过程之一。我们进一步确定,TREM2 是大黄素上调最显著的分子,大黄素诱导的 M2 巨噬细胞极化依赖于 TREM2。此外,沉默 TREM2 明显阻断了大黄素对 AT 炎症和脂肪生成的作用。我们首次揭示,大黄素通过 TREM2 促进 M2 巨噬细胞极化来抑制肥胖,这表明大黄素可能作为预防肥胖及其相关代谢性疾病的临床和转化候选药物进行探索。
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