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Publication : Obesity-induced dysregulation of skin-resident PPARγ(+) Treg cells promotes IL-17A-mediated psoriatic inflammation.

First Author  Sivasami P Year  2023
Journal  Immunity Volume  56
Issue  8 Pages  1844-1861.e6
PubMed ID  37478855 Mgi Jnum  J:341067
Mgi Id  MGI:7519972 Doi  10.1016/j.immuni.2023.06.021
Citation  Sivasami P, et al. (2023) Obesity-induced dysregulation of skin-resident PPARgamma(+) Treg cells promotes IL-17A-mediated psoriatic inflammation. Immunity 56(8):1844-1861.e6
abstractText  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 CD4(+)Foxp3(+) regulatory T (Treg) cells expressing the nuclear receptor peroxisome proliferation-activated receptor gamma (PPARgamma). PPARgamma drove a distinctive transcriptional program and functional suppression of IL-17A(+) gammadelta T cell-mediated psoriatic inflammation. Diet-induced obesity, however, resulted in a reduction of PPARgamma(+) skin Treg cells and a corresponding loss of control over IL-17A(+) gammadelta T cell-mediated inflammation. Mechanistically, PPARgamma(+) 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 PPARgamma(+) skin Treg cells could have therapeutic potential for obesity-associated inflammatory skin diseases.
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