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Lean, but not obese, fat is enriched for a unique population of regulatory T cells that affect metabolic parameters
Ist Teil von
Nature medicine, 2009-08, Vol.15 (8), p.930-939
Ort / Verlag
New York: Nature Publishing Group US
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
In these new reports, three different research groups independently find that various T cell populations are crucial mediators of obesity-induced metabolic dysfunction. They also show that pharmacological approaches that target these T cells are beneficial, thus opening the door to possible new therapeutic approaches to treating obesity-related diseases such as diabetes (
pages 846–847
,
914–920
and
921–929
).
Obesity is accompanied by chronic, low-grade inflammation of adipose tissue, which promotes insulin resistance and type-2 diabetes. These findings raise the question of how fat inflammation can escape the powerful armamentarium of cells and molecules normally responsible for guarding against a runaway immune response. CD4
+
Foxp3
+
T regulatory (T
reg
) cells with a unique phenotype were highly enriched in the abdominal fat of normal mice, but their numbers were strikingly and specifically reduced at this site in insulin-resistant models of obesity. Loss-of-function and gain-of-function experiments revealed that these T
reg
cells influenced the inflammatory state of adipose tissue and, thus, insulin resistance. Cytokines differentially synthesized by fat-resident regulatory and conventional T cells directly affected the synthesis of inflammatory mediators and glucose uptake by cultured adipocytes. These observations suggest that harnessing the anti-inflammatory properties of T
reg
cells to inhibit elements of the metabolic syndrome may have therapeutic potential.