<div><h3>Background</h3><p>Adipose tissue inflammation fuels the metabolic syndrome. We recently reported that CD40L – an established marker and mediator of cardiovascular disease – induces inflammatory cytokine production in adipose cells <em>in vitro</em>. Here, we tested the hypothesis that CD40L deficiency modulates adipose tissue inflammation <em>in vivo</em>.</p> <h3>Methodology/Principal Findings</h3><p>WT or CD40L<sup>−/−</sup> mice consumed a high fat diet (HFD) for 20 weeks. Inflammatory cell recruitment was impaired in mice lacking CD40L as shown by a decrease of adipose tissue macrophages, B-cells, and an increase in protective T-regulatory cells. Mechanistically, CD40L-deficient mice expressed significantly lower levels of the pro-inflammatory chemokine MCP-1 both, locally in adipose tissue and systemically in plasma. Moreover, levels of pro-inflammatory IgG-antibodies against oxidized lipids were reduced in CD40L<sup>−/−</sup> mice. Also, circulating low-density lipoproteins and insulin levels were lower in CD40L<sup>−/−</sup> mice. However, CD40L<sup>−/−</sup> mice consuming HFD were not protected from the onset of diet-induced obesity (DIO), insulin resistance, and hepatic steatosis, suggesting that CD40L selectively limits the inflammatory features of diet-induced obesity rather than its metabolic phenotype. Interestingly, CD40L<sup>−/−</sup> mice consuming a low fat diet (LFD) showed both, a favorable inflammatory and metabolic phenotype characterized by diminished weight gain, improved insulin tolerance, and attenuated plasma adipokine levels.</p> <h3>Conclusion</h3><p>We present the novel finding that CD40L deficiency limits adipose tissue inflammation <em>in vivo</em>. These findings identify CD40L as a potential mediator at the interface of cardiovascular and metabolic disease.</p> </div
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