Abstract

Metabolic stress-induced low-grade chronic inflammation plays an important role in the development of insulin-resistance and type 2 diabetes (T2D). Emerging evidence highlights the importance of directly elucidating T-cell activation under the obesity-induced metabolic stress condition, as T cells primed under such conditions were found to acquire a unique phenotype and function. Herein, we found a significant upregulation of signaling lymphocytic activation molecule family member 3 (SLAMF3) expression on T cells from T2D patients compared to those of healthy controls. Importantly, SLAMF3 upregulation was associated with an increased ability to produce proinflammatory cytokines. Significantly increased SLAMF3 expression was seen in T2D patient T cells that produce IFN-γ or IL-17 upon short (4-h) stimulation, compared to non-cytokine-producing T cells. In line with this finding, SLAMF3high T cells were significantly more sensitive than SLAMF3low T cells to TCR stimulation with anti-CD3/CD28 antibodies. Furthermore, treatment with palmitic acid (PA) led to significant upregulation of SLAMF3 on human T cells primed by anti-CD3/CD28 antibodies and on Jurkat cells, a human T-cell line. RNA sequencing revealed strong activation of the PI3K/Akt signaling pathway in T cells that were primed with PA. Further mechanistic studies showed that inhibition of PI3K/Akt signaling, or its upstream mediator STAT5 can prevent PA-induced SLAMF3 upregulation on T cells. These results indicate that SLAMF3 upregulation is associated with T-cell activation and cytokine production in T2D patients, and suggest that elevated saturated fatty acids in T2D patients may induce SLAMF3 upregulation on T cells via activation of the STAT5-PI3K/Akt signaling pathway.

Highlights

  • As a metabolic disorder characterized by insulin resistance and hyperglycemia, type 2 diabetes (T2D) is associated with low-grade chronic inflammation that may result in a series of diabetes-related complications, including cardiovascular diseases, nephropathy, retinopathy, and increased risk for bacterial infection[1]

  • PI3K/Akt signaling, or its upstream mediator STAT5 can prevent palmitic acid (PA)-induced signaling lymphocytic activation molecule family member 3 (SLAMF3) upregulation on T cells. These results indicate that SLAMF3 upregulation is associated with T-cell activation and cytokine production in T2D patients, and suggest that elevated saturated fatty acids in T2D patients may induce SLAMF3 upregulation on T cells via activation of the STAT5-PI3K/Akt signaling pathway

  • Peripheral blood mononuclear cells (PBMCs) samples collected from T2D patients and healthy control subjects (HC) were analyzed for T-cell subsets and phenotypes by flow cytometry

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Summary

Introduction

As a metabolic disorder characterized by insulin resistance and hyperglycemia, type 2 diabetes (T2D) is associated with low-grade chronic inflammation that may result in a series of diabetes-related complications, including cardiovascular diseases, nephropathy, retinopathy, and increased risk for bacterial infection[1]. Previous studies revealed that T-cell activation and infiltration into obese adipose tissues play an important role in the initiation and progression of adipose tissue inflammation, by recruiting macrophages and inducing obesity-associated insulin resistance[5,6]. In line with these findings, immunotherapy using T-cell-targeted antibody was effective in reversing high-fat diet (HFD)-induced insulin resistance[7]. It has been reported that palmitic acid (PA), a major component of the saturated NEFAs in HFD, as well as in the plasma of individuals with obesity and T2DM, is a detrimental factor that promotes inflammation and insulin resistance[8].

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