Wang Carolyn J, Smith Jeremy T, Lu David, Noble Peter B, Wang Kimberley C W
School of Human Sciences, The University of Western Australia, Crawley, Western Australia, Australia.
Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia.
Clin Sci (Lond). 2023 Oct 11;137(19):1547-1562. doi: 10.1042/CS20230792.
Airway-associated adipose tissue increases with body mass index and is a local source of pro-inflammatory adipokines that may contribute to airway pathology in asthma co-existing with obesity. Genetic susceptibility to airway adiposity was considered in the present study through kisspeptin/kisspeptin receptor signalling, known to modulate systemic adiposity and potentially drive airway remodelling. Therefore, the aim of the study was to determine the effects of kisspeptin/kisspeptin receptor signalling in the lung, focusing on airway-associated adipose tissue deposition and impact on airway structure-function. Wild-type, heterozygous and kisspeptin receptor knockout mice were studied at 6 or 8 weeks of age. Lung mechanics were assessed before and after methacholine challenge and were subsequently fixed for airway morphometry. A separate group of mice underwent glucose tolerance testing and bronchoalveolar lavage. At 6 weeks of age, kisspeptin/kisspeptin receptor signalling did not affect body adiposity, airway inflammation, wall structure or function. Despite no differences in body adiposity, there was a greater accumulation of airway-associated adipose tissue in knockout mice. By 8 weeks of age, female knockout mice displayed a non-diabetic phenotype with increased body adiposity but not males. Airway-associated adipose tissue area was also increased in both knockout females and males at 8 weeks of age, but again no other respiratory abnormality was apparent. In summary, airway-associated adipose tissue is decoupled from body adiposity in prepubescent mice which supports a genetic susceptibility to fatty deposits localised to the airway wall. There was no evidence that airway-associated adipose tissue drives pathology or respiratory impairment in the absence of other environmental exposures.
气道相关脂肪组织随体重指数增加,是促炎脂肪因子的局部来源,可能导致与肥胖并存的哮喘患者气道病变。本研究通过已知可调节全身肥胖并可能驱动气道重塑的 kisspeptin/kisspeptin 受体信号通路,探讨了气道肥胖的遗传易感性。因此,本研究的目的是确定 kisspeptin/kisspeptin 受体信号通路在肺部的作用,重点关注气道相关脂肪组织沉积及其对气道结构功能的影响。对 6 周龄或 8 周龄的野生型、杂合子和 kisspeptin 受体基因敲除小鼠进行了研究。在乙酰甲胆碱激发前后评估肺力学,随后固定用于气道形态测量。另一组小鼠进行葡萄糖耐量测试和支气管肺泡灌洗。6 周龄时,kisspeptin/kisspeptin 受体信号通路不影响身体肥胖、气道炎症、壁结构或功能。尽管身体肥胖无差异,但基因敲除小鼠气道相关脂肪组织的积累更多。到 8 周龄时,雌性基因敲除小鼠表现出非糖尿病表型,身体肥胖增加,而雄性小鼠则没有。8 周龄时,基因敲除的雌性和雄性小鼠气道相关脂肪组织面积也增加,但同样没有其他明显的呼吸异常。总之,青春期前小鼠气道相关脂肪组织与身体肥胖脱钩,这支持了气道壁脂肪沉积的遗传易感性。没有证据表明在没有其他环境暴露的情况下,气道相关脂肪组织会导致病变或呼吸功能受损。