1. B cells promote insulin resistance through modulation of T cells and production of pathogenic IgG antibodies.
- Author
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Winer DA, Winer S, Shen L, Wadia PP, Yantha J, Paltser G, Tsui H, Wu P, Davidson MG, Alonso MN, Leong HX, Glassford A, Caimol M, Kenkel JA, Tedder TF, McLaughlin T, Miklos DB, Dosch HM, and Engleman EG
- Subjects
- Animals, Autoantibodies biosynthesis, Autoantigens immunology, Autoimmunity, Dietary Fats adverse effects, Glucose metabolism, Humans, Immunoglobulin mu-Chains genetics, Inflammation immunology, Intra-Abdominal Fat immunology, Lymphocyte Activation, Lymphocyte Depletion, Male, Mice, Mice, Inbred C57BL, Mice, Knockout, Obesity etiology, Obesity immunology, Obesity metabolism, B-Lymphocytes immunology, Immunoglobulin G biosynthesis, Insulin Resistance immunology, T-Lymphocytes immunology
- Abstract
Chronic inflammation characterized by T cell and macrophage infiltration of visceral adipose tissue (VAT) is a hallmark of obesity-associated insulin resistance and glucose intolerance. Here we show a fundamental pathogenic role for B cells in the development of these metabolic abnormalities. B cells accumulate in VAT in diet-induced obese (DIO) mice, and DIO mice lacking B cells are protected from disease despite weight gain. B cell effects on glucose metabolism are mechanistically linked to the activation of proinflammatory macrophages and T cells and to the production of pathogenic IgG antibodies. Treatment with a B cell-depleting CD20 antibody attenuates disease, whereas transfer of IgG from DIO mice rapidly induces insulin resistance and glucose intolerance. Moreover, insulin resistance in obese humans is associated with a unique profile of IgG autoantibodies. These results establish the importance of B cells and adaptive immunity in insulin resistance and suggest new diagnostic and therapeutic modalities for managing the disease.
- Published
- 2011
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