KLF10 Deficiency in CD4⁺ T Cells Triggers Obesity, Insulin Resistance, and Fatty Liver.

CD4⁺ T cells regulate inflammation and metabolism in obesity. An imbalance of CD4⁺ T regulatory cells (Tregs) is critical in the development of insulin resistance and diabetes. Although cytokine control of this process is well understood, transcriptional regulation is not. KLF10, a member of the Kruppel-like transcription factor family, is an emerging regulator of immune cell function. We generated CD4⁺-T-cell-specific KLF10 knockout (TKO) mice and identified a predisposition to obesity, insulin resistance, and fatty liver due to defects of CD4⁺ Treg mobilization to liver and adipose tissue depots and decreased transforming growth factor β3 (TGF-β3) release in vitro and in vivo. Adoptive transfer of wild-type CD4⁺ Tregs fully rescued obesity, insulin resistance, and fatty liver. Mechanistically, TKO Tregs exhibit reduced mitochondrial respiration and glycolysis, phosphatidylinositol 3-kinase (PI3K)-Akt-mTOR signaling, and consequently impaired chemotactic properties. Collectively, our study identifies CD4⁺ T cell KLF10 as an essential regulator of obesity and insulin resistance by altering Treg metabolism and mobilization. Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.

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