Insulin Regulates Lipolysis and Fat Mass by Upregulating Growth/Differentiation Factor 3 in Adipose Tissue Macrophages

Diabetes. 2018 Sep;67(9):1761-1772. doi: 10.2337/db17-1201. Epub 2018 Jun 26.

Abstract

Previous genetic studies in mice have shown that functional loss of activin receptor-like kinase 7 (ALK7), a type I transforming growth factor-β receptor, increases lipolysis to resist fat accumulation in adipocytes. Although growth/differentiation factor 3 (GDF3) has been suggested to function as a ligand of ALK7 under nutrient-excess conditions, it is unknown how GDF3 production is regulated. Here, we show that a physiologically low level of insulin converts CD11c- adipose tissue macrophages (ATMs) into GDF3-producing CD11c+ macrophages ex vivo and directs ALK7-dependent accumulation of fat in vivo. Depletion of ATMs by clodronate upregulates adipose lipases and reduces fat mass in ALK7-intact obese mice, but not in their ALK7-deficient counterparts. Furthermore, depletion of ATMs or transplantation of GDF3-deficient bone marrow negates the in vivo effects of insulin on both lipolysis and fat accumulation in ALK7-intact mice. The GDF3-ALK7 axis between ATMs and adipocytes represents a previously unrecognized mechanism by which insulin regulates both fat metabolism and mass.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activin Receptors, Type I / genetics
  • Activin Receptors, Type I / metabolism*
  • Adipose Tissue, White / drug effects*
  • Adipose Tissue, White / immunology
  • Adipose Tissue, White / metabolism
  • Adipose Tissue, White / pathology
  • Adiposity / drug effects
  • Animals
  • Bone Marrow Transplantation
  • CD11c Antigen / metabolism
  • Diet, High-Fat / adverse effects
  • Gene Expression Regulation / drug effects
  • Genes, Reporter / drug effects
  • Growth Differentiation Factor 3 / agonists*
  • Growth Differentiation Factor 3 / genetics
  • Growth Differentiation Factor 3 / metabolism
  • HEK293 Cells
  • Humans
  • Hypoglycemic Agents / pharmacology*
  • Hypoglycemic Agents / therapeutic use
  • Immunosuppressive Agents / pharmacology
  • Immunosuppressive Agents / therapeutic use
  • Insulin / pharmacology*
  • Insulin / therapeutic use
  • Lipolysis / drug effects*
  • Macrophages / drug effects*
  • Macrophages / immunology
  • Macrophages / metabolism
  • Macrophages / pathology
  • Male
  • Mice, Congenic
  • Mice, Inbred Strains
  • Mice, Knockout
  • Obesity / immunology
  • Obesity / metabolism
  • Obesity / pathology
  • Obesity / therapy
  • Weight Gain / drug effects

Substances

  • CD11c Antigen
  • Gdf3 protein, mouse
  • Growth Differentiation Factor 3
  • Hypoglycemic Agents
  • Immunosuppressive Agents
  • Insulin
  • Activin Receptors, Type I
  • Acvr1c protein, mouse