151. Peripheral Neuropathy and Hindlimb Paralysis in a Mouse Model of Adipocyte-Specific Knockout of Lkb1
- Author
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Wen Jin, Xine Shi, Jessica C. Page, Shihuan Kuang, Naagarajan Narayanan, Yan Xiong, Tizhong Shan, Zhihao Jia, Feng Yue, Riyi Shi, Meng Deng, Gongshe Yang, Chao Wang, and Keping Hu
- Subjects
0301 basic medicine ,lcsh:Medicine ,Adipose tissue ,chemistry.chemical_compound ,Mice ,AMP-Activated Protein Kinase Kinases ,Adipose Tissue, Brown ,Adipocyte ,Paralysis ,Phosphorylation ,skin and connective tissue diseases ,Mice, Knockout ,lcsh:R5-920 ,Peripheral Nervous System Diseases ,General Medicine ,3. Good health ,Up-Regulation ,mTOR ,Cytokines ,Sciatic nerve ,medicine.symptom ,lcsh:Medicine (General) ,Research Paper ,medicine.medical_specialty ,congenital, hereditary, and neonatal diseases and abnormalities ,Inflammation ,Biology ,Protein Serine-Threonine Kinases ,General Biochemistry, Genetics and Molecular Biology ,Brown adipocyte ,Proinflammatory cytokine ,03 medical and health sciences ,Internal medicine ,medicine ,Animals ,Humans ,PI3K/AKT/mTOR pathway ,Paraplegia ,Liver kinase b1 (serine/threonine kinase 11) ,Macrophages ,lcsh:R ,Adenylate Kinase ,medicine.disease ,Disease Models, Animal ,030104 developmental biology ,Peripheral neuropathy ,Endocrinology ,chemistry - Abstract
Brown adipose tissues (BAT) burn lipids to generate heat through uncoupled respiration, thus representing a powerful target to counteract lipid accumulation and obesity. The tumor suppressor liver kinase b1 (Lkb1) is a key regulator of cellular energy metabolism; and adipocyte-specific knockout of Lkb1 (Ad-Lkb1 KO) leads to the expansion of BAT, improvements in systemic metabolism and resistance to obesity in young mice. Here we report the unexpected finding that the Ad-Lkb1 KO mice develop hindlimb paralysis at mid-age. Gene expression analyses indicate that Lkb1 KO upregulates the expression of inflammatory cytokines in interscapular BAT and epineurial brown adipocytes surrounding the sciatic nerve. This is followed by peripheral neuropathy characterized by infiltration of macrophages into the sciatic nerve, axon degeneration, reduced nerve conductance, and hindlimb paralysis. Mechanistically, Lkb1 KO reduces AMPK phosphorylation and amplifies mammalian target-of-rapamycin (mTOR)-dependent inflammatory signaling specifically in BAT but not WAT. Importantly, pharmacological or genetic inhibition of mTOR ameliorates inflammation and prevents paralysis. These results demonstrate that BAT inflammation is linked to peripheral neuropathy., Highlights • Adipocyte specific knockout Lkb1 mice develop late onset hindlimb paralysis despite better metabolism in young animals. • Lkb1 KO in brown adipocytes promotes expression of proinflammatory cytokines that are linked to sciatic nerve neuropathy. • Rapamycin or genetic inhibition of mTOR ameliorates BAT inflammation and prevents paralysis. Brown adipose tissues (BAT) burn lipids to dissipate heat, expansion of BAT is thus considered as an attractive strategy to counteract obesity. Here, we use a mouse model in which the Lkb1 gene is knockout in adipocytes to show that the knockout mice develop enlarged BAT, resulting in better systemic metabolism. However, the knockout mice later develop peripheral neuropathy and hindlimb paralysis due to inflammation of the enlarged BAT. Inhibition of a signaling cascade known as mTOR effectively blunted the inflammation of BAT and prevented hindlimb paralysis. Therefore, even though BAT is known to promote metabolic health in the context of obesity, chronic inflammation of BAT is linked to devastating peripheral neuropathy. This study further suggests that blockage of mTOR is an effective strategy to treat inflammation-induced peripheral neuropathy.
- Published
- 2017