Wu Dan, Eeda Venkateswararao, Maria Zahra, Rawal Komal, Wang Audrey, Herlea-Pana Oana, Babu Undi Ram, Lim Hui-Ying, Wang Weidong
Department of Genetics, Heersink School of Medicine, UAB Comprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, United States.
Department of Medicine, Division of Endocrinology, The University of Oklahoma Health Sciences Center, Oklahoma City, United States.
Elife. 2025 Apr 17;13:RP100581. doi: 10.7554/eLife.100581.
Overnutrition engenders the expansion of adipose tissue and the accumulation of immune cells, in particular, macrophages, in the adipose tissue, leading to chronic low-grade inflammation and insulin resistance. In obesity, several proinflammatory subpopulations of adipose tissue macrophages (ATMs) identified hitherto include the conventional 'M1-like' CD11C-expressing ATM and the newly discovered metabolically activated CD9-expressing ATM; however, the relationship among ATM subpopulations is unclear. The ER stress sensor inositol-requiring enzyme 1α (IRE1α) is activated in the adipocytes and immune cells under obesity. It is unknown whether targeting IRE1α is capable of reversing insulin resistance and obesity and modulating the metabolically activated ATMs. We report that pharmacological inhibition of IRE1α RNase significantly ameliorates insulin resistance and glucose intolerance in male mice with diet-induced obesity. IRE1α inhibition also increases thermogenesis and energy expenditure, and hence protects against high fat diet-induced obesity. Our study shows that the 'M1-like' CD11c ATMs are largely overlapping with but yet non-identical to CD9 ATMs in obese white adipose tissue. Notably, IRE1α inhibition diminishes the accumulation of obesity-induced metabolically activated ATMs and 'M1-like' ATMs, resulting in the curtailment of adipose inflammation and ensuing reactivation of thermogenesis, without augmentation of the alternatively activated M2 macrophage population. Our findings suggest the potential of targeting IRE1α for the therapeutic treatment of insulin resistance and obesity.
营养过剩会导致脂肪组织扩张以及免疫细胞(尤其是巨噬细胞)在脂肪组织中积累,进而引发慢性低度炎症和胰岛素抵抗。在肥胖症中,迄今为止已鉴定出的脂肪组织巨噬细胞(ATM)的几种促炎亚群包括传统的表达CD11C的“M1样”ATM和新发现的表达CD9的代谢激活型ATM;然而,ATM亚群之间的关系尚不清楚。内质网应激传感器肌醇需求酶1α(IRE1α)在肥胖状态下的脂肪细胞和免疫细胞中被激活。目前尚不清楚靶向IRE1α是否能够逆转胰岛素抵抗和肥胖症,并调节代谢激活的ATM。我们报告称,对IRE1α核糖核酸酶的药理抑制可显著改善饮食诱导肥胖雄性小鼠的胰岛素抵抗和葡萄糖不耐受。抑制IRE1α还可增加产热和能量消耗,从而预防高脂肪饮食诱导的肥胖症。我们的研究表明,在肥胖的白色脂肪组织中,“M1样”CD11c ATM与CD9 ATM在很大程度上重叠但并不完全相同。值得注意的是,抑制IRE1α可减少肥胖诱导的代谢激活型ATM和“M1样”ATM的积累,从而减少脂肪炎症并随后重新激活产热,而不会增加交替激活的M2巨噬细胞群体。我们的研究结果表明,靶向IRE1α在治疗胰岛素抵抗和肥胖症方面具有潜力。