Obesity, a metabolic disorder characterized by excess accumulation of adipose tissue, is associated with the development of numerous diseases such as Type 2 diabetes, cardiovascular disease, and colon cancer. Consequently, understanding the pathways involved in the development of obesity is critical to develop strategies for the prevention and treatment of this disease and co-morbidities. White adipose tissue (WAT) in humans and mice is populated by numerous immune cell types, including a recently identified population of group 2 innate lymphoid cells (ILC2s), which critically regulate WAT homeostasis by producing cytokines that modulate systemic metabolic homeostasis and energy expenditure. These findings suggest that immune cells can contribute to the development of obesity, though how the immune system regulates metabolic homeostasis remains poorly defined. Our preliminary studies show that ILC2 depletion is associated with increased weight gain and insulin resistance in mice fed a high-fat diet (HFD), suggesting that ILC2s may negatively regulate the development of obesity. However, pathways controlling ILC2 regulation and function in the context of pathogenic obesity remain unclear. Type 2 inflammation, mediated by ILC2s, is associated with suppression of the ?2AR-dependent sympathetic nervous system, and this pathway has been targeted therapeutically to treat chronic diseases associated with ILC2 responses. Importantly, our preliminary data reveal that human and murine ILC2s express ?2AR and that ?2AR is a direct negative inhibitor of ILC2 responses in the intestine. We therefore hypothesize that the ?2AR pathway negatively regulates WAT ILC2- mediated metabolic homeostasis, which induces weight gain in response to stress, thereby promoting the development of obesity. In the proposed research, we will investigate the role of the ?2AR pathway in human and murine WAT ILC2 development, function, and regulation of metabolic homeostasis. In addition to providing new insights into the pathways controlling WAT ILC2 regulation and function, results from these studies will assess the potential of modulating the ?2AR pathway using existing therapies to promote WAT ILC2-mediated metabolic homeostasis, and may enhance the development of more effective strategies to treat pathogenic obesity.

Public Health Relevance

Obesity is a metabolic disorder associated with the development of numerous inflammatory diseases, such as Type 2 diabetes. Though obesity has previously been linked to immune dysregulation, how the immune system contributes to the development of this disease remains unclear. The proposed research will dissect the interactions between the immune and metabolic systems to define the pathways underlying metabolic dysregulation, and results from these studies will provide new insights into obesity and may enhance the development of more effective strategies to treat this disease.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32DK109630-03
Application #
9456737
Study Section
Special Emphasis Panel (ZDK1)
Program Officer
Castle, Arthur
Project Start
2016-04-01
Project End
2019-03-31
Budget Start
2018-04-01
Budget End
2019-03-31
Support Year
3
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Weill Medical College of Cornell University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
060217502
City
New York
State
NY
Country
United States
Zip Code
10065
Moriyama, Saya; Brestoff, Jonathan R; Flamar, Anne-Laure et al. (2018) ?2-adrenergic receptor-mediated negative regulation of group 2 innate lymphoid cell responses. Science 359:1056-1061