Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA 30322, USA; Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USA.
Immunity. 2023 Aug 8;56(8):1844-1861.e6. doi: 10.1016/j.immuni.2023.06.021. Epub 2023 Jul 20.
Obesity is a major risk factor for psoriasis, but how obesity disrupts the regulatory mechanisms that keep skin inflammation in check is unclear. Here, we found that skin was enriched with a unique population of CD4Foxp3 regulatory T (Treg) cells expressing the nuclear receptor peroxisome proliferation-activated receptor gamma (PPARγ). PPARγ drove a distinctive transcriptional program and functional suppression of IL-17A γδ T cell-mediated psoriatic inflammation. Diet-induced obesity, however, resulted in a reduction of PPARγ skin Treg cells and a corresponding loss of control over IL-17A γδ T cell-mediated inflammation. Mechanistically, PPARγ skin Treg cells preferentially took up elevated levels of long-chain free fatty acids in obese mice, which led to cellular lipotoxicity, oxidative stress, and mitochondrial dysfunction. Harnessing the anti-inflammatory properties of these PPARγ skin Treg cells could have therapeutic potential for obesity-associated inflammatory skin diseases.
肥胖是银屑病的一个主要危险因素,但肥胖如何破坏控制皮肤炎症的调节机制尚不清楚。在这里,我们发现皮肤富含一种独特的表达核受体过氧化物酶体增殖物激活受体γ(PPARγ)的 CD4Foxp3 调节性 T(Treg)细胞群体。PPARγ 驱动独特的转录程序和功能性抑制白细胞介素-17A γδ T 细胞介导的银屑病炎症。然而,饮食诱导的肥胖导致 PPARγ 皮肤 Treg 细胞减少,对白细胞介素-17A γδ T 细胞介导的炎症的控制相应丧失。从机制上讲,PPARγ 皮肤 Treg 细胞优先摄取肥胖小鼠中升高的长链游离脂肪酸,导致细胞脂肪毒性、氧化应激和线粒体功能障碍。利用这些 PPARγ 皮肤 Treg 细胞的抗炎特性可能具有治疗肥胖相关炎症性皮肤病的潜力。
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