Adipocyte-derived Th2 cytokines and myeloid PPARdelta regulate macrophage polarization and insulin sensitivity.
The polarization of adipose tissue-resident macrophages toward the alternatively activated, anti-inflammatory M2 phenotype is believed to improve insulin sensitivity. However, the mechanisms controlling tissue macrophage activation remain unclear. Here we show that adipocytes are a source of Th2 cytokines, including IL-13 and to a lesser extent IL-4, which induce macrophage PPARdelta/beta (Ppard/b) expression through a STAT6 binding site on its promoter to activate alternative activation. Coculture studies indicate that Ppard ablation renders macrophages incapable of transition to the M2 phenotype, which in turns causes inflammation and metabolic derangement in adipocytes. Remarkably, a similar regulatory mechanism by hepatocyte-derived Th2 cytokines and macrophage PPARdelta is found to control hepatic lipid metabolism. The physiological relevance of this paracrine pathway is demonstrated in myeloid-specific PPARdelta(-/-) mice, which develop insulin resistance and show increased adipocyte lipolysis and severe hepatosteatosis. These findings provide a molecular basis to modulate tissue-resident macrophage activation and insulin sensitivity.
Kang
Kihwa
K
Department of Genetics and Complex Diseases, Division of Biological Sciences, Harvard School of Public Health, Boston, MA 02115, USA.
Reilly
Shannon M
SM
Karabacak
Volkan
V
Gangl
Matthew R
MR
Fitzgerald
Kelly
K
Hatano
Ben
B
Lee
Chih-Hao
CH
D017667:Adipocytes / Q000502:physiology*; D000818:Animals; D018920:Coculture Techniques; D016207:Cytokines / Q000502:physiology*; D005786:Gene Expression Regulation / Q000502:physiology; D022781:Hepatocytes / Q000378:metabolism; D007249:Inflammation / Q000209:etiology; D007333:Insulin Resistance / Q000235:genetics*; D050356:Lipid Metabolism / Q000235:genetics; D008262:Macrophage Activation / Q000502:physiology*; D008264:Macrophages / Q000737:chemistry / Q000378:metabolism / Q000502:physiology; D051379:Mice; D018345:Mice, Knockout; D047494:PPAR delta / Q000235:genetics*; D048068:PPAR-beta / Q000235:genetics; D019899:Paracrine Communication; D011401:Promoter Regions, Genetic; D018418:Th2 Cells
D016207:Cytokines; D047494:PPAR delta; D048068:PPAR-beta