Dendritic cell–intrinsic LKB1-AMPK/SIK signaling controls metabolic homeostasis by limiting the hepatic Th17 response during obesity

Obesity-associated metabolic inflammation drives the development of insulin resistance and type 2 diabetes, notably through modulating innate and adaptive immune cells in metabolic organs. The nutrient sensor liver kinase B1 (LKB1) has recently been shown to control cellular metabolism and T cell priming functions of DCs. Here, we report that hepatic DCs from high-fat diet–fed (HFD-fed) obese mice display increased LKB1 phosphorylation and that LKB1 deficiency in DCs (CD11cΔLKB1) worsened HFD-driven hepatic steatosis and impaired glucose homeostasis. Loss of LKB1 in DCs was associated with increased expression of Th17-polarizing cytokines and accumulation of hepatic IL-17A+ Th cells in HFD-fed mice. Importantly, IL-17A neutralization rescued metabolic perturbations in HFD-fed CD11cΔLKB1 mice. Mechanistically, deficiency of the canonical LKB1 target AMPK in HFD-fed CD11cΔAMPKα1 mice recapitulated neither the hepatic Th17 phenotype nor the disrupted metabolic homeostasis, suggesting the involvement of other and/or additional LKB1 downstream effectors. We indeed provide evidence that the control of Th17 responses by DCs via LKB1 is actually dependent on both AMPKα1 and salt-inducible kinase signaling. Altogether, our data reveal a key role for LKB1 signaling in DCs in protection against obesity-induced metabolic dysfunctions by limiting hepatic Th17 responses.

[1]  X. Ruan,et al.  CD36 promotes de novo lipogenesis in hepatocytes through INSIG2-dependent SREBP1 processing , 2021, Molecular metabolism.

[2]  J Zhang,et al.  OTUB1 alleviates NASH through inhibition of the TRAF6‐ASK1 signaling pathways , 2021, Hepatology.

[3]  M. Giera,et al.  Effects of a novel polyphenol-rich plant extract on body composition, inflammation, insulin sensitivity, and glucose homeostasis in obese mice , 2021, International Journal of Obesity.

[4]  I. Amit,et al.  XCR1+ type 1 conventional dendritic cells drive liver pathology in non-alcoholic steatohepatitis , 2021, Nature Medicine.

[5]  Amy S. Shah,et al.  PKM2-dependent metabolic skewing of hepatic Th17 cells regulates pathogenesis of non-alcoholic fatty liver disease. , 2021, Cell metabolism.

[6]  Xiaozhen Dai,et al.  Sodium Butyrate Supplementation Inhibits Hepatic Steatosis by Stimulating Liver Kinase B1 and Insulin-Induced Gene , 2021, Cellular and molecular gastroenterology and hepatology.

[7]  A. Albillos,et al.  The Role of the Gut-Liver Axis in Metabolic Dysfunction-Associated Fatty Liver Disease , 2021, Frontiers in Immunology.

[8]  N. Djouder,et al.  Inhibition of the IL-17A axis in adipocytes suppresses diet-induced obesity and metabolic disorders in mice , 2021, Nature Metabolism.

[9]  Jun Weng,et al.  HFD-induced TRAF6 upregulation promotes liver cholesterol accumulation and fatty liver development via EZH2-mediated miR-429/PPARα axis , 2021, Molecular therapy. Nucleic acids.

[10]  Alexander S. Banks,et al.  KLF10 Deficiency in CD4+ T Cells Triggers Obesity, Insulin Resistance, and Fatty Liver , 2020, Cell reports.

[11]  S. Ramakrishnan,et al.  Tregs facilitate obesity and insulin resistance via a Blimp-1/IL-10 axis , 2020, JCI insight.

[12]  B. Everts,et al.  Shaping of Dendritic Cell Function by the Metabolic Micro-Environment , 2020, Frontiers in Endocrinology.

[13]  Y. Saeys,et al.  Osteopontin Expression Identifies a Subset of Recruited Macrophages Distinct from Kupffer Cells in the Fatty Liver , 2020, Immunity.

[14]  Jian-ping Guo,et al.  The potent roles of salt-inducible kinases (SIKs) in metabolic homeostasis and tumorigenesis , 2020, Signal Transduction and Targeted Therapy.

[15]  Maxim N. Artyomov,et al.  Open Source ImmGen: network perspective on metabolic diversity among mononuclear phagocytes , 2020, bioRxiv.

[16]  P. Loke,et al.  The helminth glycoprotein omega‐1 improves metabolic homeostasis in obese mice through type 2 immunity‐independent inhibition of food intake , 2020, bioRxiv.

[17]  M. Levings,et al.  T reg–specific insulin receptor deletion prevents diet-induced and age-associated metabolic syndrome , 2020, The Journal of experimental medicine.

[18]  T. Matozaki,et al.  SIRPα on CD11c+ cells induces Th17 cell differentiation and subsequent inflammation in the CNS in experimental autoimmune encephalomyelitis , 2020, European journal of immunology.

[19]  A. Zawistowska-Deniziak,et al.  Immune Regulation of Metabolic Homeostasis by Helminths and Their Molecules. , 2019, Trends in parasitology.

[20]  B. Everts,et al.  Dendritic cells are what they eat: how their metabolism shapes T helper cell polarization. , 2019, Current opinion in immunology.

[21]  B. Everts,et al.  LKB1 expressed in dendritic cells governs the development and expansion of thymus-derived regulatory T cells , 2019, Cell Research.

[22]  H. Chi,et al.  LKB1 orchestrates dendritic cell metabolic quiescence and anti-tumor immunity , 2019, Cell Research.

[23]  D. Brenner,et al.  The TNF Family of Ligands and Receptors: Communication Modules in the Immune System and Beyond. , 2019, Physiological reviews.

[24]  W. Guo,et al.  Control of Treg cell homeostasis and immune equilibrium by Lkb1 in dendritic cells , 2018, Nature Communications.

[25]  R. Xavier,et al.  Salt-Inducible Kinases: Physiology, Regulation by cAMP, and Therapeutic Potential , 2018, Trends in Endocrinology & Metabolism.

[26]  J. Lovato,et al.  Obesity-Linked Gut Microbiome Dysbiosis Associated with Derangements in Gut Permeability and Intestinal Cellular Homeostasis Independent of Diet , 2018, Journal of diabetes research.

[27]  R. Evans,et al.  Metabolic control of regulatory T cell (Treg) survival and function by Lkb1 , 2017, Proceedings of the National Academy of Sciences.

[28]  B. Viollet,et al.  Chronic Intermittent Hypoxia Impairs Insulin Sensitivity but Improves Whole-Body Glucose Tolerance by Activating Skeletal Muscle AMPK , 2017, Diabetes.

[29]  Huijue Jia,et al.  Gut microbiome and serum metabolome alterations in obesity and after weight-loss intervention , 2017, Nature Medicine.

[30]  Liguo Zhang,et al.  Cilostazol Suppresses IL-23 Production in Human Dendritic Cells via an AMPK-Dependent Pathway , 2016, Cellular Physiology and Biochemistry.

[31]  Eran Segal,et al.  Persistent microbiome alterations modulate the rate of post-dieting weight regain , 2016, Nature.

[32]  K. Murphy,et al.  Functions of Murine Dendritic Cells. , 2016, Immunity.

[33]  Lindsey A. Muir,et al.  Adipose Tissue Dendritic Cells Are Independent Contributors to Obesity-Induced Inflammation and Insulin Resistance , 2016, The Journal of Immunology.

[34]  A. Waisman,et al.  Metabolic Inflammation-Associated IL-17A Causes Non-alcoholic Steatohepatitis and Hepatocellular Carcinoma. , 2016, Cancer cell.

[35]  B. Viollet,et al.  Myeloid-Restricted AMPKα1 Promotes Host Immunity and Protects against IL-12/23p40–Dependent Lung Injury during Hookworm Infection , 2016, The Journal of Immunology.

[36]  C. Gilliéron,et al.  SIK inhibition in human myeloid cells modulates TLR and IL‐1R signaling and induces an anti‐inflammatory phenotype , 2016, Journal of leukocyte biology.

[37]  F. Novelli,et al.  The balance between IL-17 and IL-22 produced by liver-infiltrating T-helper cells critically controls NASH development in mice. , 2016, Clinical science.

[38]  D. Erion,et al.  Hepatocyte-Specific Disruption of CD36 Attenuates Fatty Liver and Improves Insulin Sensitivity in HFD-Fed Mice. , 2016, Endocrinology.

[39]  H. Hermanns,et al.  Progression from Nonalcoholic Fatty Liver to Nonalcoholic Steatohepatitis Is Marked by a Higher Frequency of Th17 Cells in the Liver and an Increased Th17/Resting Regulatory T Cell Ratio in Peripheral Blood and in the Liver , 2016, The Journal of Immunology.

[40]  M. Levings,et al.  IL-33 Reverses an Obesity-Induced Deficit in Visceral Adipose Tissue ST2+ T Regulatory Cells and Ameliorates Adipose Tissue Inflammation and Insulin Resistance , 2015, The Journal of Immunology.

[41]  M. Yazdanbakhsh,et al.  Chronic helminth infection and helminth‐derived egg antigens promote adipose tissue M2 macrophages and improve insulin sensitivity in obese mice , 2015, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[42]  Xuetao Cao,et al.  Histone Lysine Methyltransferase Ezh1 Promotes TLR-Triggered Inflammatory Cytokine Production by Suppressing Tollip , 2015, The Journal of Immunology.

[43]  B. Everts,et al.  Dendritic cell metabolism , 2014, Nature Reviews Immunology.

[44]  Miao Zhang,et al.  Liver Kinase B1 Suppresses Lipopolysaccharide-induced Nuclear Factor κB (NF-κB) Activation in Macrophages* , 2014, The Journal of Biological Chemistry.

[45]  Charlotte L. Scott,et al.  Signal regulatory protein alpha (SIRPα) regulates the homeostasis of CD103+CD11b+ DCs in the intestinal lamina propria , 2014, European journal of immunology.

[46]  Daniel J. O'Connell,et al.  Small-molecule screening identifies inhibition of salt-inducible kinases as a therapeutic strategy to enhance immunoregulatory functions of dendritic cells , 2014, Proceedings of the National Academy of Sciences.

[47]  A. Gormand,et al.  LKB1 signalling attenuates early events of adipogenesis and responds to adipogenic cues. , 2014, Journal of molecular endocrinology.

[48]  Rohit Kohli,et al.  IL-17 Signaling Accelerates the Progression of Nonalcoholic Fatty Liver Disease in Mice , 2014, Hepatology.

[49]  D. Alessi,et al.  Investigation of LKB1 Ser431 phosphorylation and Cys433 farnesylation using mouse knockin analysis reveals an unexpected role of prenylation in regulating AMPK activity , 2013, The Biochemical journal.

[50]  E. Jung,et al.  Salt-inducible kinases 1 and 3 negatively regulate Toll-like receptor 4-mediated signal. , 2013, Molecular endocrinology.

[51]  B. Ryffel,et al.  IL-17A Plays a Critical Role in the Pathogenesis of Liver Fibrosis through Hepatic Stellate Cell Activation , 2013, The Journal of Immunology.

[52]  M. Colonna,et al.  Accepted Manuscript Association Between Specific Adipose Tissue CD 4 + T-Cell Populations and Insulin Resistance in Obese People , 2013 .

[53]  R. Locksley,et al.  Innate lymphoid type 2 cells sustain visceral adipose tissue eosinophils and alternatively activated macrophages , 2013, The Journal of experimental medicine.

[54]  D. Ganea,et al.  Prostaglandin E2-induced IL-23p19 Subunit Is Regulated by cAMP-responsive Element-binding Protein and C/AATT Enhancer-binding Protein β in Bone Marrow-derived Dendritic Cells* , 2012, The Journal of Biological Chemistry.

[55]  D. Stolz,et al.  Dendritic Cells Promote Macrophage Infiltration and Comprise a Substantial Proportion of Obesity-Associated Increases in CD11c+ Cells in Adipose Tissue and Liver , 2012, Diabetes.

[56]  J. Gugenheim,et al.  Identification of Adipose Tissue Dendritic Cells Correlated With Obesity-Associated Insulin-Resistance and Inducing Th17 Responses in Mice and Patients , 2012, Diabetes.

[57]  A. Regev,et al.  Induction and molecular signature of pathogenic TH17 cells , 2012, Nature Immunology.

[58]  D. Hommes,et al.  Autophagy attenuates the adaptive immune response by destabilizing the immunologic synapse. , 2012, Gastroenterology.

[59]  Q. Wang,et al.  Interleukin‐17 exacerbates hepatic steatosis and inflammation in non‐alcoholic fatty liver disease , 2011, Clinical and experimental immunology.

[60]  R. Locksley,et al.  Eosinophils Sustain Adipose Alternatively Activated Macrophages Associated with Glucose Homeostasis , 2011, Science.

[61]  S. Tangye,et al.  Inflammatory Mechanisms in Obesity , 2013 .

[62]  M. Montminy,et al.  CREB and the CRTC co-activators: sensors for hormonal and metabolic signals , 2011, Nature Reviews Molecular Cell Biology.

[63]  J. González‐Gallego,et al.  Hepatic fatty acid translocase CD36 upregulation is associated with insulin resistance, hyperinsulinaemia and increased steatosis in non-alcoholic steatohepatitis and chronic hepatitis C , 2011, Gut.

[64]  L. Joosten,et al.  The inflammasome-mediated caspase-1 activation controls adipocyte differentiation and insulin sensitivity. , 2010, Cell metabolism.

[65]  Robert Booth,et al.  Faculty Opinions recommendation of Generation of pathogenic T(H)17 cells in the absence of TGF-β signalling. , 2010 .

[66]  T. Holowka,et al.  Toll-like receptor-induced changes in glycolytic metabolism regulate dendritic cell activation. , 2010, Blood.

[67]  Christophe Benoist,et al.  Lean, but not obese, fat is enriched for a unique population of regulatory T cells that affect metabolic parameters , 2009, Nature Medicine.

[68]  R. Shaw,et al.  The LKB1–AMPK pathway: metabolism and growth control in tumour suppression , 2009, Nature Reviews Cancer.

[69]  R. Silverstein,et al.  CD36, a Scavenger Receptor Involved in Immunity, Metabolism, Angiogenesis, and Behavior , 2009, Science Signaling.

[70]  E. Barillot,et al.  A critical function for transforming growth factor-β, interleukin 23 and proinflammatory cytokines in driving and modulating human TH-17 responses , 2008, Nature Immunology.

[71]  D. Greco,et al.  Gene expression in human NAFLD. , 2008, American journal of physiology. Gastrointestinal and liver physiology.

[72]  Peter F. Johnson,et al.  Transcriptional Regulation of Fatty Acid Translocase/CD36 Expression by CCAAT/Enhancer-binding Protein α* , 2008, Journal of Biological Chemistry.

[73]  M. Zou,et al.  Phosphorylation of LKB1 at Serine 428 by Protein Kinase C-&zgr; Is Required for Metformin-Enhanced Activation of the AMP-Activated Protein Kinase in Endothelial Cells , 2008, Circulation.

[74]  J. Dyck,et al.  Increased Hepatic CD36 Expression Contributes to Dyslipidemia Associated With Diet-Induced Obesity , 2007, Diabetes.

[75]  R. Ravi,et al.  A high‐fat diet and regulatory T cells influence susceptibility to endotoxin‐induced liver injury , 2007, Hepatology.

[76]  B. Reizis,et al.  Notch–RBP-J signaling controls the homeostasis of CD8− dendritic cells in the spleen , 2007, The Journal of experimental medicine.

[77]  D. Alessi,et al.  Identification of the sucrose non‐fermenting related kinase SNRK, as a novel LKB1 substrate , 2005, FEBS letters.

[78]  Jérôme Boudeau,et al.  LKB1 is a master kinase that activates 13 kinases of the AMPK subfamily, including MARK/PAR‐1 , 2004, The EMBO journal.

[79]  G. Sapkota,et al.  Phosphorylation of the Protein Kinase Mutated in Peutz-Jeghers Cancer Syndrome, LKB1/STK11, at Ser431 by p90RSK and cAMP-dependent Protein Kinase, but Not Its Farnesylation at Cys433, Is Essential for LKB1 to Suppress Cell Growth* , 2001, The Journal of Biological Chemistry.

[80]  S. Stinnett,et al.  Cyclic AMP signaling pathways are important in IL-1 beta transcriptional regulation. , 1995, Journal of immunology.

[81]  T. Libermann,et al.  Multiple regulatory elements in the interleukin-6 gene mediate induction by prostaglandins, cyclic AMP, and lipopolysaccharide , 1994, Molecular and cellular biology.

[82]  R. Shaw,et al.  The AMPK-related kinases SIK1 and SIK3 mediate key tumor suppressive effects of LKB1 in NSCLC. , 2019, Cancer discovery.

[83]  J. Dyck,et al.  Increased Hepatic CD 36 Expression Contributes to Dyslipidemia Associated with Diet-Induced Obesity , 2007 .

[84]  B. Spiegelman,et al.  Adipose expression of tumor necrosis factor-alpha: direct role in obesity-linked insulin resistance. , 1993, Science.