1. Adipocyte-derived lactate is a signalling metabolite that potentiates adipose macrophage inflammation via targeting PHD2.
- Author
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Feng T, Zhao X, Gu P, Yang W, Wang C, Guo Q, Long Q, Liu Q, Cheng Y, Li J, Cheung CKY, Wu D, Kong X, Xu Y, Ye D, Hua S, Loomes K, Xu A, and Hui X
- Subjects
- Adipose Tissue immunology, Animals, Humans, Insulin Resistance genetics, Insulin Resistance immunology, Insulin Resistance physiology, L-Lactate Dehydrogenase genetics, L-Lactate Dehydrogenase immunology, Mice, Obesity genetics, Obesity immunology, Obesity pathology, Procollagen-Proline Dioxygenase genetics, Procollagen-Proline Dioxygenase immunology, Prolyl Hydroxylases, Adipocytes immunology, Hypoxia-Inducible Factor-Proline Dioxygenases genetics, Hypoxia-Inducible Factor-Proline Dioxygenases immunology, Inflammation genetics, Inflammation immunology, Inflammation pathology, Lactate Dehydrogenase 5 genetics, Lactate Dehydrogenase 5 immunology, Lactic Acid immunology, Macrophages immunology
- Abstract
Adipose tissue macrophage (ATM) inflammation is involved with meta-inflammation and pathology of metabolic complications. Here we report that in adipocytes, elevated lactate production, previously regarded as the waste product of glycolysis, serves as a danger signal to promote ATM polarization to an inflammatory state in the context of obesity. Adipocyte-selective deletion of lactate dehydrogenase A (Ldha), the enzyme converting pyruvate to lactate, protects mice from obesity-associated glucose intolerance and insulin resistance, accompanied by a lower percentage of inflammatory ATM and reduced production of pro-inflammatory cytokines such as interleukin 1β (IL-1β). Mechanistically, lactate, at its physiological concentration, fosters the activation of inflammatory macrophages by directly binding to the catalytic domain of prolyl hydroxylase domain-containing 2 (PHD2) in a competitive manner with α-ketoglutarate and stabilizes hypoxia inducible factor (HIF-1α). Lactate-induced IL-1β was abolished in PHD2-deficient macrophages. Human adipose lactate level is positively linked with local inflammatory features and insulin resistance index independent of the body mass index (BMI). Our study shows a critical function of adipocyte-derived lactate in promoting the pro-inflammatory microenvironment in adipose and identifies PHD2 as a direct sensor of lactate, which functions to connect chronic inflammation and energy metabolism., (© 2022. The Author(s).)
- Published
- 2022
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