Obesity affects more than 20% of the world population and is a major risk factor for several skin disorders such as infection, delayed wound healing and psoriasis. Dermal white adipose tissue (DWAT) has been recognized as an important antimicrobial defense layer of the skin, but how obesity impacts this important element of skin innate immunity is unclear. Here, we used a diet-induced obesity (DIO) mouse model, single-cell RNA-seq analyses and adipocyte lineage-tracing to better understand how obesity impacts the innate immune functions of DWAT and dermal adipocyte precursors. Mice fed a 60% high-fat diet for 6-months had marked adipocyte hypertrophy compared to standard diet and lineage-tracing showed that >95% of adipocytes at 6 m of DIO were new adipocytes formed 1 week after start of HFD feeding. DIO mice also showed a drastic change in dermal fibroblasts (dFB) subclusters including depletion of 3 adipogenic progenitor populations. Loss of these populations was associated with a lack of pathogen-triggered reactive adipogenesis, impaired cathelicidin antimicrobial peptide production and increased susceptibility to S. aureus infection. Culture of primary dermal adipocyte progenitors with mature adipocytes promoted a loss of antimicrobial function in the precursor population. This negative feedback from mature adipocytes was due to secretion of TGFβ, and administration of a TGFBR inhibitor or a PPARγ agonist reversed this inhibition in cultured adipocyte progenitors and restored the capacity in vitro and in vivo to initiate reactive adipogenesis and to kill S. aureus. Together, these results suggest that dysfunction of dermal innate immune defense function may explain several disorders associated with obesity and highlights TGFβ and PPARγ as targets for intervention.
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