A subset of Kupffer cells regulates metabolism through the expression of CD36
Open accessAbstract
Tissue macrophages are immune cells whose phenotypes and functions are dictated by origin and niches. However, tissues are complex environments, and macrophage heterogeneity within the same organ has been overlooked so far. Here, we used high-dimensional approaches to characterize macrophage populations in the murine liver. We identified two distinct populations among embryonically derived Kupffer cells (KCs) sharing a core signature while differentially expressing numerous genes and proteins: a major CD206 lo ESAM- population (KC1) and a minor CD206 hi ESAM+ population (KC2). KC2 expressed genes involved in metabolic processes, including fatty acid metabolism both in steady-state and in diet-induced obesity and hepatic steatosis. Functional characterization by depletion of KC2 or targeted silencing of the fatty acid transporter Cd36 highlighted a crucial contribution of KC2 in the liver oxidative stress associated with obesity. In summary, our study reveals that KCs are more heterogeneous than anticipated, notably describing a subpopulation wired with metabolic functions.
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KCs, or at least their CD206+ESAM+ subset, actively participate in lipid metabolism.
“This may also have more direct consequences for metabolic injury in hepatocytes, since KCs, or at least their CD206+ESAM+ subset, actively participate in lipid metabolism.77”
From Understanding the cellular interactome of non-alcoholic fatty liver disease (2022) · cites this paper as [77]
Single-cell RNA sequencing has provided insights into hepatic immune cell heterogeneity, revealing striking alterations particularly in myeloid cells and macrophages in NAFLD.
“A series of elegant studies using single-cell RNA sequencing (scRNA-seq) has provided insights into hepatic immune cell heterogeneity that are unprecedented in their detail, revealing striking alterations, particularly in myeloid cells and macrophages in NAFLD,55–60”
From An integrated view of anti-inflammatory and antifibrotic targets for the treatment of NASH (2023) · cites this paper as [56]
Kupffer cells comprise subsets/differentiation states, of which the CD206hi ESAM+ subtype in mice participates in fatty acid metabolism and may thereby directly drive NASH.
“Kupffer cells comprise subsets/differentiation states, of which the CD206hi ESAM+ subtype (in mice) participates in fatty acid metabolism and may thereby directly drive NASH.56”
From An integrated view of anti-inflammatory and antifibrotic targets for the treatment of NASH (2023) · cites this paper as [56]
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Self-citationPeriportal macrophages protect against commensal-driven liver inflammation
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The Multifaceted Roles of Macrophages in NAFLD Pathogenesis
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Spatially restricted and ontogenically distinct hepatic macrophages are required for tissue repair
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Self-citationRole of adipose tissue macrophages in obesity-related disorders
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Self-citationImmunopathogenic mechanisms and immunoregulatory therapies in MASLD
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“…population (KC1) and a minor CD206 high ESAM + population (KC2), only KC2-expressing genes are involved in liver metabolism regulation, including fatty acid metabolism both in steady-state and in diet-induced obesity in mice, as well as steatosis induction via the fatty acid transporter CD36 [52].”
Origin and Heterogeneity of Tissue Myeloid Cells: A Focus on GMP-Derived Monocytes and Neutrophils
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The nuclear factor ID3 endows macrophages with a potent anti-tumour activity
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Monocyte-derived Kupffer cells dominate in the Kupffer cell pool during liver injury
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Self-citationReprogramming of Hepatic Metabolism and Microenvironment in Nonalcoholic Steatohepatitis
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Self-citationAn Eye on Kupffer Cells: Development, Phenotype and the Macrophage Niche
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Antifibrotic therapies for metabolic dysfunction-associated steatotic liver disease
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The Dual Role of Innate Immune Response in Acetaminophen-Induced Liver Injury
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Programmed cell death and lipid metabolism of macrophages in NAFLD
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Desialylated Platelet Clearance in the Liver is a Novel Mechanism of Systemic Immunosuppression
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TREM2 macrophages mediate the beneficial effects of bariatric surgery against MASH
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The versatility of macrophage heterogeneity in liver fibrosis
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Septal LYVE1 + macrophages control adipocyte stem cell adipogenic potential
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Therapeutic modulation of the liver immune microenvironment
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Regulation of systemic metabolism by tissue-resident immune cell circuits
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Contamination of isolated mouse Kupffer cells with liver sinusoidal endothelial cells
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Efferocytosis in liver disease
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The diverse roles of macrophages in metabolic inflammation and its resolution
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Oit3, a promising hallmark gene for targeting liver sinusoidal endothelial cells
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The role of macrophages in liver fibrosis: composition, heterogeneity, and therapeutic strategies
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Kupffer cell reverse migration into the liver sinusoids mitigates neonatal sepsis and meningitis
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Self-citationKupffer cells, the limelight in the liver regeneration
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Key role of macrophages in the progression of hepatic fibrosis
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Metabolic homeostasis of tissue macrophages across the lifespan
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Extracellular CIRP promotes Kupffer cell inflammatory polarization in sepsis
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Jang, J. H., Sung, J. H., & Huh, J. Y. (2025) · Immune Network · doi:10.4110/in.2025.25.e12 · Cited by 23 · see citing works
Dissecting the mechanisms of MASLD fibrosis in the era of single-cell and spatial omics
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Decoding liver fibrogenesis with single-cell technologies
Zhou, T., Musunuru, K., Lui, K. O., & Ding, Q. (2022) · Life Medicine · doi:10.1093/lifemedi/lnac040 · Cited by 21 · see citing works
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Ito, Y., Hosono, K., & Amano, H. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1171317 · Cited by 21 · see citing works
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Self-citationZhou, Z., Pan, X., & Li, L. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.1070208 · Cited by 17 · see citing works
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Self-citation
- Authors
- Blériot, C., Barreby, E., Dunsmore, G., Ballaire, R., Chakarov, S., Ficht, X., De Simone, G., Andreata, F., Fumagalli, V., Guo, W., Wan, G., Gessain, G., Khalilnezhad, A., Zhang, X. M., Ang, N., Chen, P., Morgantini, C., Azzimato, V., Kong, W. T., Liu, Z., Pai, R., Lum, J., Shihui, F., Low, I., Xu, C., Malleret, B., Kairi, M. F. M., Balachander, A., Cexus, O., Larbi, A., Lee, B., Newell, E. W., Ng, L. G., Phoo, W. W., Sobota, R. M., Sharma, A., Howland, S. W., Chen, J., Bajenoff, M., Yvan-Charvet, L., Venteclef, N., Iannacone, M., Aouadi, M., & Ginhoux, F.
- Affiliations
- Agency for Science, Technology and Research (SG)
- Karolinska Institutet (SE)
- Inserm (FR)
- IRCCS Ospedale San Raffaele (IT)
- Vita-Salute San Raffaele University (IT)
- Shanghai Jiao Tong University (CN)
- Genome Institute of Singapore (SG)
- University of Surrey (GB)
- Corresponding author
- Blériot, Camille
- Ginhoux, Florent
- ORCID
- Blériot, Camille
- Barreby, Emelie
- Dunsmore, Garett
- Chakarov, Svetoslav
- Ficht, Xenia
- Andreata, Francesco
- Fumagalli, Valeria
- Guo, Wei
- Khalilnezhad, Ahad
- Zhang, Xiao Meng
- Ang, Nicholas
- Chen, Ping
- Morgantini, Cecilia
- Azzimato, Valerio
- Kong, Wan Ting
- Liu, Zhaoyuan
- Lum, Josephine
- Low, Ivy
- Xu, Connie
- Balachander, Akhila
- Cexus, Olivier
- Larbi, Anis
- Lee, Bernett
- Newell, Evan W.
- Ng, Lai Guan
- Phoo, Wint Wint
- Sobota, Radoslaw M.
- Sharma, Ankur
- Howland, Shanshan W.
- Chen, Jinmiao
- Venteclef, Nicolas
- Iannacone, Matteo
- Aouadi, Myriam
- Ginhoux, Florent
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 54
- Issue
- 9
- Pages
- 2101-2116.e6
- ISSN
- 1074-7613 (ISSN-L)
- OpenAlex
- W3198090726
- Cited by
- 236
- References
- 84
- Citations by year
- 2026: 35 · 2025: 56 · 2024: 51 · 2023: 59 · 2022: 31 · 2021: 4
- FWCI
- 13.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 378 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Immunity (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion, other-oa)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Funders
- Agency for Science, Technology and Research (NUHSRO/ 2018/006/SU/01, NRFI2017-02)
- Biomedical Research Council (IAF311006, H16/99/b0/011, 16/99/b0/011)
- Horizon 2020 Framework Programme (ERC-EpiFAT 725790, 864788)
- European Molecular Biology Organization
- European Research Council
- Horizon 2020
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- Kupffer cells, CD36, fatty acid metabolism, macrophage heterogeneity, hepatic macrophages, CD206, ESAM, diet-induced obesity, hepatic steatosis, oxidative stress
- MeSH terms
- Animals, Kupffer Cells, Liver, Obesity, Oxidative Stress, CD36 Antigens, Mice
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