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Ablation of CD11c-Positive Cells Normalizes Insulin Sensitivity in Obese Insulin Resistant Animals
Open accessAbstract
Obese adipose tissue is characterized by infiltration of macrophages. We and others recently showed that a specific subset of macrophages is recruited to obese adipose and muscle tissue. This subset expresses CD11c and produces high levels of proinflammatory cytokines that are linked to the development of obesity-associated insulin resistance. Here, we used a conditional cell ablation system, based on transgenic expression of the diphtheria toxin receptor under the control of the CD11c promoter, to study the effects of depletion of CD11c+ cells in obese mouse models. Our results show that CD11c+ cell depletion results in rapid normalization of insulin sensitivity. Furthermore, CD11c+ cell ablation leads to a marked decrease in inflammatory markers, both locally and systemically, as reflected by gene expression and protein levels. Together, these results indicate that these CD11c+ cells are a potential therapeutic target for treatment of obesity-related insulin resistance and type II diabetes.
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“Such conditional ablation resulted in a profound reduction of proinflammatory ATM accumulation, accompanied by rapid whole-body normalization of insulin sensitivity (43).”
From Adipose tissue remodeling and obesity (2011) · cites this paper as [43]
In the citing paper
“M1-like macrophages secrete inflammatory cytokines such as TNF-α and IL-6, and studies in M1-like macrophage knockout mice suggest they also promote insulin resistance.”
From The Vasculature in Prediabetes (2018) · cites this paper as [84]
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BackgroundANT2 drives proinflammatory macrophage activation in obesity
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BackgroundA mouse model for a partially inactive obesity-associated human MC3R variant
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“. Depletion of CD11c-positve cells has been shown to normalize the insulin sensitivity in obese mice”
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“Of importance, we and others have shown that obesitymediated inflammation and locally secreted cytokines in skeletal muscle may be directly and causally associated with insulin resistance (5, 6).”
BackgroundResultTargeting gp130 to prevent inflammation and promote insulin action
Kraakman, M. J., Allen, T. L., Whitham, M., Iliades, P., Kammoun, H. L., Estévez, E., Lancaster, G. I., & Febbraio, M. A. (2013) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12170 · Cited by 35
“[38] used a conditional cell deletion system, based on transgenic expression of the diphtheria toxin receptor under the control of the CD11c promoter, to study the effects of depletion of CD11c+ cells in obese mouse models.”
MethodGut microbiota, immunity, and bile acid metabolism: decoding metabolic disease interactions
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Adipose cDC1s contribute to obesity-associated inflammation through STING-dependent IL-12 production
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“This immune cell infiltration occurs not only in AT but also in other metabolic tissues, including liver and muscle (17, 28, 30, 32), resulting in increased systemic IR and glucose intolerance.”
BackgroundRegulation of systemic metabolism by tissue-resident immune cell circuits
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“Adipose tissue inflammation and insulin resistance are ameliorated by inhibiting the accumulation of ATMs through genetic ablation of CD11c(1) cells (4) or knockdown of C-C motif chemokine receptor 2 (CCR2) in macrophages (5).”
BackgroundExploiting the obesity-associated immune microenvironment for cancer therapeutics
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BNIP3-mediated mitophagy in macrophages regulates obesity-induced adipose tissue metaflammation
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Muniz, M. G. R., Palfreeman, M., Setzu, N. R., Guillen, M. A. S., Portillo, P. S., Garza, K. M., Gosselink, K. L., & Spencer, C. T. (2018) · BioMed Research International · doi:10.1155/2018/3412732 · Cited by 30
“This activation results in increased production of proinflammatory cytokines and adipokines by macrophages and T cells in an attempt to control and remove excess fat and fat-swollen cells [10, 11].”
BackgroundBader, J. E., Enos, R. T., Velázquez, K. T., Carson, M. S., Sougiannis, A. T., McGuinness, O. P., Robinson, C. M., & Murphy, E. A. (2018) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00438.2018 · Cited by 31
“Therapies specifically targeting individual macrophage phenotypes or a specific tissue macrophage may be more effective than general systemic macrophage depletion (36).”
BackgroundA Role for Oncostatin M in the Impairment of Glucose Homeostasis in Obesity
Piquer‐Garcia, I., Campderrós, L., Taxerås, S. D., Gavaldà‐Navarro, A., Pardo, R., Vila, M., Pellitero, S., Martínez, E., Tarascó, J., Moreno, P., et al. (2019) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgz090 · Cited by 33
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“Since diabetes and insulin resistance were frequently associated with adipose tissue inflammation (7, 40, 57), we measured various macrophage infiltration markers in the subcutaneous (SAT) and visceral adipose tissue (VAT) using quantitative PCR analysis (Fig.”
MethodObesity, Inflammation, and Insulin Resistance
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“Recent data showed that a specific subset of CD11cþ cells are targets for free fatty acid–mediated increases in expression of proinflammatory cytokine.(19) We revealed that mice consuming high-fat diet showed significantly increased CD11cþ cells number in glomeruli and tubulointerstitium, which was substantially reduc…”
BackgroundTissue factor pathways linking obesity and inflammation
Samad, F., & Ruf, W. (2015) · Hämostaseologie · doi:10.5482/hamo-14-11-0068 · Cited by 30
“Weight loss or protection from diet-induced obesity, as seen in mice with abolished TF-PAR2 signaling (3), typically reduce the inflammatory macrophage population in the visceral adipose tissue and, importantly, genetic ablation of adipose tissue macrophages rapidly improves insulin sensitivity and ameliorates glucose…”
Krishna, K. B., Stefanović-Račić, M., Dedousis, N. L., SIPULA, I. J., & O'Doherty, R. M. (2016) · Physiological Reports · doi:10.14814/phy2.12708 · Cited by 33
“2011) and to some genetically obese mouse models that maintain metabolic health despite their obesity (Patsouris et al. 2008; de Roos et al. 2009; Spite et al. 2011; Wang et al. 2013).”
BackgroundDo flavanols-rich natural products relieve obesity-related insulin resistance?
Engin, A. B., Tsatsakis, A. M., Tsoukalas, D., & Engin, A. (2017) · Food and Chemical Toxicology · doi:10.1016/j.fct.2017.12.055 · Cited by 30
“Proinflammatory CD11c+ macrophages are responsible for the macrophage-linked fragment of inflammation and insulin resistance (Patsouris et al., 2008).”
BackgroundMacrophages as Key Players during Adipose Tissue–Liver Crosstalk in Nonalcoholic Fatty Liver Disease
Korf, H., Boesch, M., Meelberghs, L., & der Merwe, V. (2019) · Seminars in Liver Disease · doi:10.1055/s-0039-1687851 · Cited by 29
The Sick Adipose Tissue: New Insights Into Defective Signaling and Crosstalk With the Myocardium
Bermúdez, V., Durán, P., Rojas, E., Diaz, M. P., Rivas, J., Nava, M., Chacín, M., de Bravo, M. C., Carrasquero, R., Ponce, C. C., et al. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.735070 · Cited by 31
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Association between systemic immune-inflammation index and insulin resistance and mortality
Deng, X., Liu, D., Li, M., He, J., & Fu, Y. (2024) · Scientific Reports · doi:10.1038/s41598-024-51878-y · Cited by 28
“…in the expression of pro-inflammatory genes (such as macrophage and pro-inflammatory cytokine IL-6) and an increase in the expression of anti-inflammatory genes (such as anti-inflammatory cytokine IL-10) in ATMs, leading to the restoration of insulin sensitivity in obese insulin resistant mice 39 .”
BackgroundUnravelling monocyte functions: from the guardians of health to the regulators of disease
Mildner, A., Kim, K.-W., & Yona, S. (2024) · Discovery Immunology · doi:10.1093/discim/kyae014 · Cited by 35
“Similar results were observed upon macrophage depletion by clodronate liposomes or in chimeric CD11c DTR mice, which results in decreased accumulation of monocyte-derived cells in adipose tissue [125–127].”
ResultGRP94 regulates M1 macrophage polarization and insulin resistance
Song, L., Kim, D., Gou, W., Wang, J., Wang, P., Wei, Z., Liu, B., Li, Z., Gou, K., & Wang, H. (2020) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00542.2019 · Cited by 27
A three-party alliance in solid tumors
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Immune Cell Modulation of Cardiac Remodeling
Mortensen, R. M. (2012) · Circulation · doi:10.1161/circulationaha.112.097832 · Cited by 28
“5 their elimination led to less inflammation and abrogation of obesity-induced insulin resistance.(13) This may point to markedly different subpopulations of CD11c cells or to differences in function in different tissues.”
BackgroundLee, S. J., Kim, J. Y., Nogueiras, R., Linares, J. F., Pérez–Tilve, D., Jung, D. Y., Ko, H. J., Hofmann, S. M., Drew, A. F., Leitges, M., et al. (2010) · Cell Metabolism · doi:10.1016/j.cmet.2010.05.003 · Cited by 29
“Also, the ablation of macrophages normalizes insulin sensitivity in obesity (Patsouris et al., 2008), whereas genetic inactivation of PPARg or PPARd in macrophages leads to the inhibition of the alternative activation (also known as type 2 inflammation) of resident macrophages in liver and adipose tissue, which result…”
Role of innate immune cells in metabolism: from physiology to type 2 diabetes
Dalmas, É. (2019) · Seminars in Immunopathology · doi:10.1007/s00281-019-00736-5 · Cited by 28
Chattopadhyay, D., Das, S., Guria, S., Basu, S., & Mukherjee, S. (2021) · Biochemical Journal · doi:10.1042/bcj20210442 · Cited by 27
“genetic or chemical ablation of ATM improving insulin sensitivity (5,6).”
BackgroundRegulation of Diet-Induced Adipose Tissue and Systemic Inflammation by Salicylates and Pioglitazone
Kim, M., Yamamoto, Y., Kim, K.-J., Kamei, N., Shimada, T., Liu, L., Moore, K., Woo, J. R., Shoelson, S. E., & Lee, J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0082847 · Cited by 27
“M1 macrophages in AT are often defined as being CD11c, and numerous studies have shown that obesity increases CD11c ATM numbers [7,8].”
BackgroundZhu, Z., Yu, M., Xu, M., Ji, X. Y., Zong, X., Zhang, Z., Shang, W., Zhang, L., & Fang, P. (2024) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2024.118355 · Cited by 26
Macrophage Depletion Disrupts Immune Balance and Energy Homeostasis
Lee, B., Qiao, L., Kinney, B., Feng, G., & Shao, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0099575 · Cited by 27
“However, a study using iDTR mouse model to delete CD-11C positive cells showed no sign of severe inflammation and have no effect on body weight [8].”
BackgroundTNFRSF14 deficiency protects against ovariectomy-induced adipose tissue inflammation
Choi, E., Kim, W.-K., Sul, O., Park, Y.-K., Kim, E., Suh, J., Yu, R., & Choi, H. (2013) · Journal of Endocrinology · doi:10.1530/joe-13-0341 · Cited by 26
“Loss of ovarian function significantly increased serum ROS in mice (Phan et al. 2013), and menopause causes oxidative stress in humans (Sanchez-Rodriguez et al. 2012).”
BackgroundTime-Restricted Feeding Restores Obesity-Induced Alteration in Adipose Tissue Immune Cell Phenotype
Lee, Y., Kim, Y., Lee, M., Wu, D., & Pae, M. (2021) · Nutrients · doi:10.3390/nu13113780 · Cited by 26
“Depletion of CD11c+ cells resulted in rapid normalization of insulin sensitivity [16].”
BackgroundSui, B., Liu, J., Zheng, C., Dang, L., Ji, C., Cao, Y., Zhang, K., Liu, L., Dang, M., Zhang, L., et al. (2022) · International Journal of Oral Science · doi:10.1038/s41368-022-00193-1 · Cited by 28
“4a, b).(39,40) Intriguingly, clodronate application also suppressed the miR-21 expression in bone under the ISO challenge (Fig.”
BackgroundThe role of adiponectin for immune cell function in metabolic diseases
Gao, M., Cui, D., & Xie, J. (2023) · Diabetes Obesity and Metabolism · doi:10.1111/dom.15151 · Cited by 26
“Natural killer (NK) cells are important for antiviral immunity, and recent studies have shown that they also play a crucial role in main- taining AT homeostasis and IR.”
BackgroundInfluentialAdiposity and metabolic dysfunction in polycystic ovary syndrome
Sam, S. (2015) · Hormone Molecular Biology and Clinical Investigation · doi:10.1515/hmbci-2015-0008 · Cited by 26
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“It is known that M1-like pro-in fl ammatory macrophages is commonly associated with insulin resistance under DIO [93,94].”
BackgroundCcdc3: A New P63 Target Involved in Regulation Of Liver Lipid Metabolism
Liao, W., Liu, H., Zhang, Y.-W., Jung, J. H., Chen, J., Su, X., Kim, Y. C., Flores, E. R., Wang, S. M., Czarny‐Ratajczak, M., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-09228-8 · Cited by 25
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Influence of Polyphenols on Adipose Tissue: Sirtuins as Pivotal Players in the Browning Process
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“…macrophages surround the dead adipocytes forming a “crown-like” structure and causing the release of triglycerides, previously contained in adipocytes, which further activate the M1 macrophages and promote the secretion of TNF-α , contributing to the chronicization of the inflammatory state [20,21].”
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“It has also been proposed that CD11c+ ATMs express high levels of pro-inflammatory mediators and promote IR (7; 8).”
BackgroundObesity-associated miR-148a is regulated by cytokines and adipokines via a transcriptional mechanism
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“Previous studies have demonstrated that insulin resistance and obesity are closely associated with adipose tissue inflammation (3,4), indicating that suppressing adipocyte inflammation may have a beneficial effect on insulin sensitivity in obese individuals (5,6).”
Background
Metadata
- Authors
- Patsouris, D., Li, P.-P., Thapar, D., Chapman, J., Olefsky, J. M., & Neels, J. G.
- Affiliations
- University of California San Diego (US)
- Pfizer (United States) (US)
- Corresponding author
- Neels, Jaap G.
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 8
- Issue
- 4
- Pages
- 301-309
- ISSN
- 1550-4131 (ISSN-L)
- PMC
- PMC2630775
- OpenAlex
- W2011255130
- Cited by
- 804
- References
- 34
- Citations by year
- 2026: 13 · 2025: 24 · 2024: 24 · 2023: 31 · 2022: 29 · 2021: 65 · 2020: 45 · 2019: 47 · 2018: 52 · 2017: 60 · 2016: 62 · 2015: 60 · 2014: 70 · 2013: 70 · 2012: 50
- FWCI
- 25.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Moores Cancer Center, UC San Diego Health
- University of California, San Diego
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 074868, DK 033651, R37DK033651, P01DK074868, R01DK033651)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50HD012303, HD012303, U54HD012303)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- CD11c+ macrophages, obesity, insulin resistance, adipose tissue macrophages, macrophage depletion, diphtheria toxin receptor, inflammation, type 2 diabetes, therapeutic target
- MeSH terms
- Adipose Tissue, Animals, Glucose, Homeostasis, Humans, Insulin, Insulin Resistance, Liver, Macrophages, Male, Mice, Inbred C57BL, Mice, Transgenic, Obesity, Gene Expression, Cytokines, Chemokines, Chemokine CCL2, Intercellular Signaling Peptides and Proteins, CD11c Antigen, Mice, Heparin-binding EGF-like Growth Factor
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