Adipose tissue macrophages as potential targets for obesity and metabolic diseases

Macrophage infiltration into adipose tissue is a key pathological factor inducing adipose tissue dysfunction and contributing to obesity-induced inflammation and metabolic disorders. In this review, we aim to present the most recent research on macrophage heterogeneity in adipose tissue, with a focu...

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Main Authors: Xirong Li, Yakun Ren, Kewei Chang, Wenlong Wu, Helen R. Griffiths, Shemin Lu, Dan Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1153915/full
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author Xirong Li
Yakun Ren
Kewei Chang
Kewei Chang
Kewei Chang
Wenlong Wu
Helen R. Griffiths
Shemin Lu
Shemin Lu
Shemin Lu
Dan Gao
Dan Gao
Dan Gao
author_facet Xirong Li
Yakun Ren
Kewei Chang
Kewei Chang
Kewei Chang
Wenlong Wu
Helen R. Griffiths
Shemin Lu
Shemin Lu
Shemin Lu
Dan Gao
Dan Gao
Dan Gao
author_sort Xirong Li
collection DOAJ
description Macrophage infiltration into adipose tissue is a key pathological factor inducing adipose tissue dysfunction and contributing to obesity-induced inflammation and metabolic disorders. In this review, we aim to present the most recent research on macrophage heterogeneity in adipose tissue, with a focus on the molecular targets applied to macrophages as potential therapeutics for metabolic diseases. We begin by discussing the recruitment of macrophages and their roles in adipose tissue. While resident adipose tissue macrophages display an anti-inflammatory phenotype and promote the development of metabolically favorable beige adipose tissue, an increase in pro-inflammatory macrophages in adipose tissue has negative effects on adipose tissue function, including inhibition of adipogenesis, promotion of inflammation, insulin resistance, and fibrosis. Then, we presented the identities of the newly discovered adipose tissue macrophage subtypes (e.g. metabolically activated macrophages, CD9+ macrophages, lipid-associated macrophages, DARC+ macrophages, and MFehi macrophages), the majority of which are located in crown-like structures within adipose tissue during obesity. Finally, we discussed macrophage-targeting strategies to ameliorate obesity-related inflammation and metabolic abnormalities, with a focus on transcriptional factors such as PPARγ, KLF4, NFATc3, and HoxA5, which promote macrophage anti-inflammatory M2 polarization, as well as TLR4/NF-κB-mediated inflammatory pathways that activate pro-inflammatory M1 macrophages. In addition, a number of intracellular metabolic pathways closely associated with glucose metabolism, oxidative stress, nutrient sensing, and circadian clock regulation were examined. Understanding the complexities of macrophage plasticity and functionality may open up new avenues for the development of macrophage-based treatments for obesity and other metabolic diseases.
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spelling doaj.art-280f324119224b47b347699e74da9a812023-04-19T05:00:43ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-04-011410.3389/fimmu.2023.11539151153915Adipose tissue macrophages as potential targets for obesity and metabolic diseasesXirong Li0Yakun Ren1Kewei Chang2Kewei Chang3Kewei Chang4Wenlong Wu5Helen R. Griffiths6Shemin Lu7Shemin Lu8Shemin Lu9Dan Gao10Dan Gao11Dan Gao12Institute of Molecular and Translational Medicine, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaInstitute of Molecular and Translational Medicine, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaInstitute of Molecular and Translational Medicine, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaKey Laboratory of Environment and Genes Related to Diseases (Xi’an Jiaotong University), Ministry of Education, Xi’an, ChinaDepartment of Human Anatomy, Histology and Embryology, School of Basic Medical Sciences, Xi’an Jiaotong University Health Center, Xi’an, ChinaInstitute of Molecular and Translational Medicine, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaSwansea University Medical School, Swansea University, Swansea, United KingdomInstitute of Molecular and Translational Medicine, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaKey Laboratory of Environment and Genes Related to Diseases (Xi’an Jiaotong University), Ministry of Education, Xi’an, ChinaDepartment of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaInstitute of Molecular and Translational Medicine, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaKey Laboratory of Environment and Genes Related to Diseases (Xi’an Jiaotong University), Ministry of Education, Xi’an, ChinaDepartment of Human Anatomy, Histology and Embryology, School of Basic Medical Sciences, Xi’an Jiaotong University Health Center, Xi’an, ChinaMacrophage infiltration into adipose tissue is a key pathological factor inducing adipose tissue dysfunction and contributing to obesity-induced inflammation and metabolic disorders. In this review, we aim to present the most recent research on macrophage heterogeneity in adipose tissue, with a focus on the molecular targets applied to macrophages as potential therapeutics for metabolic diseases. We begin by discussing the recruitment of macrophages and their roles in adipose tissue. While resident adipose tissue macrophages display an anti-inflammatory phenotype and promote the development of metabolically favorable beige adipose tissue, an increase in pro-inflammatory macrophages in adipose tissue has negative effects on adipose tissue function, including inhibition of adipogenesis, promotion of inflammation, insulin resistance, and fibrosis. Then, we presented the identities of the newly discovered adipose tissue macrophage subtypes (e.g. metabolically activated macrophages, CD9+ macrophages, lipid-associated macrophages, DARC+ macrophages, and MFehi macrophages), the majority of which are located in crown-like structures within adipose tissue during obesity. Finally, we discussed macrophage-targeting strategies to ameliorate obesity-related inflammation and metabolic abnormalities, with a focus on transcriptional factors such as PPARγ, KLF4, NFATc3, and HoxA5, which promote macrophage anti-inflammatory M2 polarization, as well as TLR4/NF-κB-mediated inflammatory pathways that activate pro-inflammatory M1 macrophages. In addition, a number of intracellular metabolic pathways closely associated with glucose metabolism, oxidative stress, nutrient sensing, and circadian clock regulation were examined. Understanding the complexities of macrophage plasticity and functionality may open up new avenues for the development of macrophage-based treatments for obesity and other metabolic diseases.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1153915/fullmacrophagesadipose tissueplasticityobesitymetabolic diseases
spellingShingle Xirong Li
Yakun Ren
Kewei Chang
Kewei Chang
Kewei Chang
Wenlong Wu
Helen R. Griffiths
Shemin Lu
Shemin Lu
Shemin Lu
Dan Gao
Dan Gao
Dan Gao
Adipose tissue macrophages as potential targets for obesity and metabolic diseases
Frontiers in Immunology
macrophages
adipose tissue
plasticity
obesity
metabolic diseases
title Adipose tissue macrophages as potential targets for obesity and metabolic diseases
title_full Adipose tissue macrophages as potential targets for obesity and metabolic diseases
title_fullStr Adipose tissue macrophages as potential targets for obesity and metabolic diseases
title_full_unstemmed Adipose tissue macrophages as potential targets for obesity and metabolic diseases
title_short Adipose tissue macrophages as potential targets for obesity and metabolic diseases
title_sort adipose tissue macrophages as potential targets for obesity and metabolic diseases
topic macrophages
adipose tissue
plasticity
obesity
metabolic diseases
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1153915/full
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