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Targeting activin receptor–like kinase 7 ameliorates adiposity and associated metabolic disorders
Min Zhao, … , Tadahiro Kitamura, Tetsuro Izumi
Min Zhao, … , Tadahiro Kitamura, Tetsuro Izumi
Published January 10, 2023
Citation Information: JCI Insight. 2023;8(4):e161229. https://doi.org/10.1172/jci.insight.161229.
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Research Article Metabolism

Targeting activin receptor–like kinase 7 ameliorates adiposity and associated metabolic disorders

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Abstract

Activin receptor-like kinase 7 (ALK7) is a type I receptor in the TGF-β superfamily preferentially expressed in adipose tissue and associated with lipid metabolism. Inactivation of ALK7 signaling in mice results in increased lipolysis and resistance to both genetic and diet-induced obesity. Human genetic studies have recently revealed an association between ALK7 variants and both reduced waist to hip ratios and resistance to development of diabetes. In the present study, treatment with a neutralizing mAb against ALK7 caused a substantial loss of adipose mass and improved glucose intolerance and insulin resistance in both genetic and diet-induced mouse obesity models. The enhanced lipolysis increased fatty acid supply from adipocytes to promote fatty acid oxidation in muscle and oxygen consumption at the whole-body level. The treatment temporarily increased hepatic triglyceride levels, which resolved with long-term Ab treatment. Blocking of ALK7 signals also decreased production of its ligand, growth differentiation factor 3, by downregulating S100A8/A9 release from adipocytes and, subsequently, IL-1β release from adipose tissue macrophages. These findings support the feasibility of potential therapeutics targeting ALK7 as a treatment for obesity and diabetes.

Authors

Min Zhao, Katsuhide Okunishi, Yun Bu, Osamu Kikuchi, Hao Wang, Tadahiro Kitamura, Tetsuro Izumi

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Figure 6

ALK7 mAb treatment reduces GDF3 expression in ATMs.

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ALK7 mAb treatment reduces GDF3 expression in ATMs.
(A and B) TSOD or T....
(A and B) TSOD or T.B-Nidd5/3 mice (A) and ddY mice fed either an HFD or regular chow (RC) (B) were treated with ALK7 mAb or PBS for 6 weeks, as described in Figures 1 and 2. Then, the SVF was isolated from epiWAT, and the cell differentials were determined by FACS (see first 4 charts). Shown are percentages of ATMs (CD11b+F4/80+) in SVF cells, CD11c+ cells in ATMs, and CD11c+ ATMs in SVF cells, and numbers of CD11c+ ATMs normalized by fat weight from TSOD or T.B-Nidd5/3 mice (A, n = 5 or 6) and from HFD- or RC-fed ddY mice (B, n = 7 or 8). mRNA levels of NLRP3 (Nlrp3), IL-1β (Il1b), and GDF3 (Gdf3) were determined by real-time reverse transcription PCR (RT-PCR) in epiWAT and its SVF (see the last 3 charts in A and B; n = 5or 6 per group). #P < 0.05, ##P < 0.01, ###P < 0.001 by 1-way ANOVA.

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