Regulation of Monocyte Activation by PPARα Through Interaction With the cGAS-STING Pathway

Monocyte activation plays an important role in diabetic complications such as diabetic retinopathy (DR). However, the regulation of monocyte activation in diabetes remains elusive. Fenofibrate, an agonist of peroxisome proliferator-activated receptor-α (PPARα), has shown robust therapeutic effects o...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2023-07, Vol.72 (7), p.958-972
Hauptverfasser: Dong, Lijie, Cheng, Rui, Ma, Xiang, Liang, Wentao, Hong, Yaru, Li, Hui, Zhou, Kelu, Du, Yanhong, Takahashi, Yusuke, Zhang, Xiaomin, Li, Xiao-Rong, Ma, Jian-Xing
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container_end_page 972
container_issue 7
container_start_page 958
container_title Diabetes (New York, N.Y.)
container_volume 72
creator Dong, Lijie
Cheng, Rui
Ma, Xiang
Liang, Wentao
Hong, Yaru
Li, Hui
Zhou, Kelu
Du, Yanhong
Takahashi, Yusuke
Zhang, Xiaomin
Li, Xiao-Rong
Ma, Jian-Xing
description Monocyte activation plays an important role in diabetic complications such as diabetic retinopathy (DR). However, the regulation of monocyte activation in diabetes remains elusive. Fenofibrate, an agonist of peroxisome proliferator-activated receptor-α (PPARα), has shown robust therapeutic effects on DR in patients with type 2 diabetes. Here we found that PPARα levels were significantly downregulated in monocytes from patients with diabetes and animal models, correlating with monocyte activation. Fenofibrate attenuated monocyte activation in diabetes, while PPARα knockout alone induced monocyte activation. Furthermore, monocyte-specific PPARα overexpression ameliorated, while monocyte-specific PPARα knockout aggravated monocyte activation in diabetes. PPARα knockout impaired mitochondrial function while also increasing glycolysis in monocytes. PPARα knockout increased cytosolic mitochondrial DNA release and activation of the cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway in monocytes under diabetic conditions. STING knockout or STING inhibitor attenuated monocyte activation induced by diabetes or by PPARα knockout. These observations suggest that PPARα negatively regulates monocyte activation through metabolic reprogramming and interaction with the cGAS-STING pathway.
doi_str_mv 10.2337/db22-0654
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However, the regulation of monocyte activation in diabetes remains elusive. Fenofibrate, an agonist of peroxisome proliferator-activated receptor-α (PPARα), has shown robust therapeutic effects on DR in patients with type 2 diabetes. Here we found that PPARα levels were significantly downregulated in monocytes from patients with diabetes and animal models, correlating with monocyte activation. Fenofibrate attenuated monocyte activation in diabetes, while PPARα knockout alone induced monocyte activation. Furthermore, monocyte-specific PPARα overexpression ameliorated, while monocyte-specific PPARα knockout aggravated monocyte activation in diabetes. PPARα knockout impaired mitochondrial function while also increasing glycolysis in monocytes. PPARα knockout increased cytosolic mitochondrial DNA release and activation of the cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway in monocytes under diabetic conditions. STING knockout or STING inhibitor attenuated monocyte activation induced by diabetes or by PPARα knockout. 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Cheng, Rui ; Ma, Xiang ; Liang, Wentao ; Hong, Yaru ; Li, Hui ; Zhou, Kelu ; Du, Yanhong ; Takahashi, Yusuke ; Zhang, Xiaomin ; Li, Xiao-Rong ; Ma, Jian-Xing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-28635e976c71ec3d0b45066172268ac038a7710b458344801652d6bffbd7d94e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Animal models</topic><topic>Animals</topic><topic>Cell activation</topic><topic>Complications</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - genetics</topic><topic>Diabetes Mellitus, Type 2 - metabolism</topic><topic>Diabetic Retinopathy - metabolism</topic><topic>Down-regulation</topic><topic>Fenofibrate</topic><topic>Fenofibrate - pharmacology</topic><topic>Fenofibrate - therapeutic use</topic><topic>Glycolysis</topic><topic>Metabolic rate</topic><topic>Mitochondrial DNA</topic><topic>Monocytes</topic><topic>Monocytes - metabolism</topic><topic>Nucleotidyltransferases - genetics</topic><topic>Nucleotidyltransferases - metabolism</topic><topic>Peroxisome proliferator-activated receptors</topic><topic>PPAR alpha - genetics</topic><topic>PPAR alpha - metabolism</topic><topic>Retinopathy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dong, Lijie</creatorcontrib><creatorcontrib>Cheng, Rui</creatorcontrib><creatorcontrib>Ma, Xiang</creatorcontrib><creatorcontrib>Liang, Wentao</creatorcontrib><creatorcontrib>Hong, Yaru</creatorcontrib><creatorcontrib>Li, Hui</creatorcontrib><creatorcontrib>Zhou, Kelu</creatorcontrib><creatorcontrib>Du, Yanhong</creatorcontrib><creatorcontrib>Takahashi, Yusuke</creatorcontrib><creatorcontrib>Zhang, Xiaomin</creatorcontrib><creatorcontrib>Li, Xiao-Rong</creatorcontrib><creatorcontrib>Ma, Jian-Xing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; 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subjects Animal models
Animals
Cell activation
Complications
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - genetics
Diabetes Mellitus, Type 2 - metabolism
Diabetic Retinopathy - metabolism
Down-regulation
Fenofibrate
Fenofibrate - pharmacology
Fenofibrate - therapeutic use
Glycolysis
Metabolic rate
Mitochondrial DNA
Monocytes
Monocytes - metabolism
Nucleotidyltransferases - genetics
Nucleotidyltransferases - metabolism
Peroxisome proliferator-activated receptors
PPAR alpha - genetics
PPAR alpha - metabolism
Retinopathy
title Regulation of Monocyte Activation by PPARα Through Interaction With the cGAS-STING Pathway
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