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Publication : T reg-specific insulin receptor deletion prevents diet-induced and age-associated metabolic syndrome.

First Author  Wu D Year  2020
Journal  J Exp Med Volume  217
Issue  8 PubMed ID  32478834
Mgi Jnum  J:294936 Mgi Id  MGI:6457895
Doi  10.1084/jem.20191542 Citation  Wu D, et al. (2020) T reg-specific insulin receptor deletion prevents diet-induced and age-associated metabolic syndrome. J Exp Med 217(8)
abstractText  Adipose tissue (AT) regulatory T cells (T regs) control inflammation and metabolism. Diet-induced obesity causes hyperinsulinemia and diminishes visceral AT (VAT) T reg number and function, but whether these two phenomena were mechanistically linked was unknown. Using a T reg-specific insulin receptor (Insr) deletion model, we found that diet-induced T reg dysfunction is driven by T reg-intrinsic insulin signaling. Compared with Foxp3cre mice, after 13 wk of high-fat diet, Foxp3creInsrfl/fl mice exhibited improved glucose tolerance and insulin sensitivity, effects associated with lower AT inflammation and increased numbers of ST2+ T regs in brown AT, but not VAT. Similarly, Foxp3creInsrfl/fl mice were protected from the metabolic effects of aging, but surprisingly had reduced VAT T regs and increased VAT inflammation compared with Foxp3cre mice. Thus, in both diet- and aging-associated hyperinsulinemia, excessive Insr signaling in T regs leads to undesirable metabolic outcomes. Ablation of Insr signaling in T regs represents a novel approach to mitigate the detrimental effects of hyperinsulinemia on immunoregulation of metabolic syndrome.
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