1α,25(OH)2D3 ameliorates insulin resistance by alleviating γδ T cell inflammation via enhancing fructose-1,6-bisphosphatase 1 expression

  • Theranostics. 2023 Sep 25;13(15):5290-5304. doi: 10.7150/thno.84645.
Peng Li  1  2 Ke Li  3 Wenhui Yuan  1  2 Yuqi Xu  1  2 Ping Li  4 Ruan Wu  5 Jingru Han  6 Zhinan Yin  1  2 Ligong Lu  1 Yunfei Gao  1  2
Affiliations
  • 1. Guangdong Provincial Key Laboratory of Tumor Interventional Diagnosis and Treatment, Zhuhai Institute of Translational Medicine, Zhuhai People's Hospital Affiliated with Jinan University, Jinan University, Zhuhai, 519000, Guangdong, China.
  • 2. The Biomedical Translational Research Institute, Faculty of Medical Science, Jinan University, Guangzhou, 510632, Guangdong, China.
  • 3. Department of Geriatrics, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, 518107, Guangdong, China.
  • 4. Department of Endocrinology, Guangdong Second Provincial General Hospital, Guangzhou, 510310, Guangdong, China.
  • 5. Anhui Provincial Center for Disease Control and Prevention, Hefei, 230601, Anhui, China.
  • 6. Department of Oncology, First Affiliated Hospital, Jinan University, Guangzhou, 510632, Guangdong, China.
Abstract

Background: Chronic inflammation caused by immune cells is the central link between obesity and Insulin resistance. Targeting the inflammatory process is a highly promising method for reversing systemic Insulin resistance. Methods: Blood samples were prospectively collected from 68 patients with type 2 diabetes. C57BL/6J mice were fed either a high-fat diet (HFD) or normal chow (NC). We performed phenotypical and functional analyses of immune cells using flow cytometry. Vitamin D receptor (VDR) knockout γδ T cells were constructed using Cas9-gRNA targeted approaches to identify 1α,25(OH)2D3/VDR signaling pathway-mediated transcriptional regulation of fructose-1,6-bisphosphatase (FBP1) in γδ T cells. Results: Serum vitamin D deficiency aggravates inflammation in circulating γδ T cells in type 2 diabetes patients. We defined a critical role for 1α,25(OH)2D3 in regulating glycolysis metabolism, protecting against inflammation, and alleviating Insulin resistance. Mechanistically, 1α,25(OH)2D3-VDR promoted FBP1 expression to suppress glycolysis in γδ T cells, thereby inhibiting Akt/p38 MAPK phosphorylation and reducing inflammatory cytokine production. Notably, therapeutic administration of 1α,25(OH)2D3 restrained inflammation in γδ T cells and ameliorated systemic Insulin resistance in obese mice. Conclusions: Collectively, these findings show that 1α,25(OH)2D3 plays an important role in maintaining γδ T cell homeostasis by orchestrating metabolic programs, and is a highly promising target for preventing obesity, inflammation, and Insulin resistance.

Keywords
25(OH)2D3; 6-bisphosphatase 1; fructose-1; glycolysis; inflammation; insulin resistance; vitamin 1α; γδ T cell.
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