[PDF][PDF] Nucleic acid-targeting pathways promote inflammation in obesity-related insulin resistance

XS Revelo, M Ghazarian, MHY Chng, H Luck, JH Kim… - Cell reports, 2016 - cell.com
XS Revelo, M Ghazarian, MHY Chng, H Luck, JH Kim, K Zeng, SY Shi, S Tsai, H Lei…
Cell reports, 2016cell.com
Obesity-related inflammation of metabolic tissues, including visceral adipose tissue (VAT)
and liver, are key factors in the development of insulin resistance (IR), though many of the
contributing mechanisms remain unclear. We show that nucleic-acid-targeting pathways
downstream of extracellular trap (ET) formation, unmethylated CpG DNA, or ribonucleic
acids drive inflammation in IR. High-fat diet (HFD)-fed mice show increased release of ETs
in VAT, decreased systemic clearance of ETs, and increased autoantibodies against …
Summary
Obesity-related inflammation of metabolic tissues, including visceral adipose tissue (VAT) and liver, are key factors in the development of insulin resistance (IR), though many of the contributing mechanisms remain unclear. We show that nucleic-acid-targeting pathways downstream of extracellular trap (ET) formation, unmethylated CpG DNA, or ribonucleic acids drive inflammation in IR. High-fat diet (HFD)-fed mice show increased release of ETs in VAT, decreased systemic clearance of ETs, and increased autoantibodies against conserved nuclear antigens. In HFD-fed mice, this excess of nucleic acids and related protein antigens worsens metabolic parameters through a number of mechanisms, including activation of VAT macrophages and expansion of plasmacytoid dendritic cells (pDCs) in the liver. Consistently, HFD-fed mice lacking critical responders of nucleic acid pathways, Toll-like receptors (TLR)7 and TLR9, show reduced metabolic inflammation and improved glucose homeostasis. Treatment of HFD-fed mice with inhibitors of ET formation or a TLR7/9 antagonist improves metabolic disease. These findings reveal a pathogenic role for nucleic acid targeting as a driver of metabolic inflammation in IR.
cell.com