Innate PD-L1 limits T cell-mediated adipose tissue inflammation and ameliorates diet-induced obesity

Sci Transl Med. 2022 Mar 9;14(635):eabj6879. doi: 10.1126/scitranslmed.abj6879. Epub 2022 Mar 9.

Abstract

Obesity has become a major health problem in the industrialized world. Immune regulation plays an important role in adipose tissue homeostasis; however, the initial events that shift the balance from a noninflammatory homeostatic environment toward inflammation leading to obesity are poorly understood. Here, we report a role for the costimulatory molecule programmed death-ligand 1 (PD-L1) in the limitation of diet-induced obesity. Functional ablation of PD-L1 on dendritic cells (DCs) using conditional knockout mice increased weight gain and metabolic syndrome during diet-induced obesity, whereas PD-L1 expression on type 2 innate lymphoid cells (ILC2s), T cells, and macrophages was dispensable for obesity control. Using in vitro cocultures, DCs interacted with T cells and ILC2s via the PD-L1:PD-1 axis to inhibit T helper type 1 proliferation and promote type 2 polarization, respectively. A role for PD-L1 in adipose tissue regulation was also shown in humans, with a positive correlation between PD-L1 expression in visceral fat of people with obesity and elevated body weight. Thus, we define a mechanism of adipose tissue homeostasis controlled by the expression of PD-L1 by DCs, which may be a clinically relevant finding with regard to immune-related adverse events during immune checkpoint inhibitor therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue / metabolism
  • Animals
  • B7-H1 Antigen* / metabolism
  • Diet*
  • Immunity, Innate
  • Inflammation
  • Lymphocytes / metabolism
  • Mice
  • Obesity* / metabolism
  • T-Lymphocytes*

Substances

  • B7-H1 Antigen
  • Cd274 protein, mouse