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Publication : Gut-associated IgA<sup>+</sup> immune cells regulate obesity-related insulin resistance.

First Author  Luck H Year  2019
Journal  Nat Commun Volume  10
Issue  1 Pages  3650
PubMed ID  31409776 Mgi Jnum  J:279392
Mgi Id  MGI:6362405 Doi  10.1038/s41467-019-11370-y
Citation  Luck H, et al. (2019) Gut-associated IgA(+) immune cells regulate obesity-related insulin resistance. Nat Commun 10(1):3650
abstractText  The intestinal immune system is emerging as an important contributor to obesity-related insulin resistance, but the role of intestinal B cells in this context is unclear. Here, we show that high fat diet (HFD) feeding alters intestinal IgA(+) immune cells and that IgA is a critical immune regulator of glucose homeostasis. Obese mice have fewer IgA(+) immune cells and less secretory IgA and IgA-promoting immune mediators. HFD-fed IgA-deficient mice have dysfunctional glucose metabolism, a phenotype that can be recapitulated by adoptive transfer of intestinal-associated pan-B cells. Mechanistically, IgA is a crucial link that controls intestinal and adipose tissue inflammation, intestinal permeability, microbial encroachment and the composition of the intestinal microbiome during HFD. Current glucose-lowering therapies, including metformin, affect intestinal-related IgA(+) B cell populations in mice, while bariatric surgery regimen alters the level of fecal secretory IgA in humans. These findings identify intestinal IgA(+) immune cells as mucosal mediators of whole-body glucose regulation in diet-induced metabolic disease.
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