Netrin-1 promotes adipose tissue macrophage accumulation and insulin resistance in obesity

Bhama Ramkhelawon,E. J. Hennessy,M. Ménager,T. D. Ray,Frederick J. Sheedy,Susan B. Hutchison,A. Wanschel,Scott R. Oldebeken,M. Geoffrion,Westley Spiro,G. Miller,R. McPherson,K. Rayner,K. Moore

Published 2014 in Nature Medicine

ABSTRACT

During obesity, macrophage accumulation in adipose tissue propagates the chronic inflammation and insulin resistance associated with type 2 diabetes. The factors, however, that regulate the accrual of macrophages in adipose tissue are not well understood. Here we show that the neuroimmune guidance cue netrin-1 is highly expressed in obese but not lean adipose tissue of humans and mice, where it directs the retention of macrophages. Netrin-1, whose expression is induced in macrophages by the saturated fatty acid palmitate, acts via its receptor Unc5b to block their migration. In a mouse model of diet-induced obesity, we show that adipose tissue macrophages exhibit reduced migratory capacity, which can be restored by blocking netrin-1. Furthermore, hematopoietic deletion of Ntn1 facilitates adipose tissue macrophage emigration, reduces inflammation and improves insulin sensitivity. Collectively, these findings identify netrin-1 as a macrophage retention signal in adipose tissue during obesity that promotes chronic inflammation and insulin resistance.

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