2011 February ; 17(2): 179–188. doi:10.1038/nm.2279. | Bolormaa Vandamnagsar, Yun-Hee Youm, Anthony Ravussin, Jose E. Galgani, Krisztian Stadler, Randall L. Mynatt, Eric Ravussin, Jacqueline M. Stephens, Vishwa Deep Dixit
The study investigates the role of the NALP3/NLRP3 inflammasome in obesity-induced inflammation and insulin resistance. Key findings include:
1. **Reduction in Adipose Tissue NLRP3 Correlates with Improved Insulin Sensitivity**: In obese type-2 diabetic patients, reduction in adipose tissue expression of NLRP3 is associated with improved insulin sensitivity and reduced inflammation.
2. **NLRP3 Inflammasome Activation in Obesity**: The NLRP3 inflammasome is activated in obesity, leading to caspase-1 activation and subsequent secretion of IL-1β and IL-18. This activation is tissue-specific, with no effect on kidney but significant activation in adipose tissue and liver.
3. **Ceramides Activate NLRP3 Inflammasome**: Ceramides, a product of lipotoxicity, induce caspase-1 activation through the NLRP3 inflammasome, which is blocked by NLRP3 deficiency.
4. **NLRP3 Inflammasome Impairs Insulin Sensitivity**: Elimination of the NLRP3 inflammasome in obese mice improves insulin sensitivity, reduces hepatic steatosis, and regulates metabolic pathways.
5. **NLRP3 Inflammasome Regulates Adipose Tissue T Cell subsets**: NLRP3 deficiency in obese mice reduces the number of effector memory T cells and increases the number of naïve T cells, suggesting a role in dampening pro-inflammatory responses.
6. **Discussion**: The study highlights the importance of the NLRP3 inflammasome in sensing and responding to obesity-related 'danger signals,' which contribute to chronic inflammation and insulin resistance. Targeting this pathway may offer a potential therapeutic approach for managing insulin resistance and associated co-morbidities.The study investigates the role of the NALP3/NLRP3 inflammasome in obesity-induced inflammation and insulin resistance. Key findings include:
1. **Reduction in Adipose Tissue NLRP3 Correlates with Improved Insulin Sensitivity**: In obese type-2 diabetic patients, reduction in adipose tissue expression of NLRP3 is associated with improved insulin sensitivity and reduced inflammation.
2. **NLRP3 Inflammasome Activation in Obesity**: The NLRP3 inflammasome is activated in obesity, leading to caspase-1 activation and subsequent secretion of IL-1β and IL-18. This activation is tissue-specific, with no effect on kidney but significant activation in adipose tissue and liver.
3. **Ceramides Activate NLRP3 Inflammasome**: Ceramides, a product of lipotoxicity, induce caspase-1 activation through the NLRP3 inflammasome, which is blocked by NLRP3 deficiency.
4. **NLRP3 Inflammasome Impairs Insulin Sensitivity**: Elimination of the NLRP3 inflammasome in obese mice improves insulin sensitivity, reduces hepatic steatosis, and regulates metabolic pathways.
5. **NLRP3 Inflammasome Regulates Adipose Tissue T Cell subsets**: NLRP3 deficiency in obese mice reduces the number of effector memory T cells and increases the number of naïve T cells, suggesting a role in dampening pro-inflammatory responses.
6. **Discussion**: The study highlights the importance of the NLRP3 inflammasome in sensing and responding to obesity-related 'danger signals,' which contribute to chronic inflammation and insulin resistance. Targeting this pathway may offer a potential therapeutic approach for managing insulin resistance and associated co-morbidities.