[PDF][PDF] TET2-loss-of-function-driven clonal hematopoiesis exacerbates experimental insulin resistance in aging and obesity

JJ Fuster, MA Zuriaga, V Zorita, S MacLauchlan… - Cell reports, 2020 - cell.com
JJ Fuster, MA Zuriaga, V Zorita, S MacLauchlan, MN Polackal, V Viana-Huete
Cell reports, 2020cell.com
Human aging is frequently accompanied by the acquisition of somatic mutations in the
hematopoietic system that induce clonal hematopoiesis, leading to the development of a
mutant clone of hematopoietic progenitors and leukocytes. This somatic-mutation-driven
clonal hematopoiesis has been associated with an increased incidence of cardiovascular
disease and type 2 diabetes, but whether this epidemiological association reflects a direct,
causal contribution of mutant hematopoietic and immune cells to age-related metabolic …
Summary
Human aging is frequently accompanied by the acquisition of somatic mutations in the hematopoietic system that induce clonal hematopoiesis, leading to the development of a mutant clone of hematopoietic progenitors and leukocytes. This somatic-mutation-driven clonal hematopoiesis has been associated with an increased incidence of cardiovascular disease and type 2 diabetes, but whether this epidemiological association reflects a direct, causal contribution of mutant hematopoietic and immune cells to age-related metabolic abnormalities remains unexplored. Here, we show that inactivating mutations in the epigenetic regulator TET2, which lead to clonal hematopoiesis, aggravate age- and obesity-related insulin resistance in mice. This metabolic dysfunction is paralleled by increased expression of the pro-inflammatory cytokine IL-1β in white adipose tissue, and it is suppressed by pharmacological inhibition of NLRP3 inflammasome-mediated IL-1β production. These findings support a causal contribution of somatic TET2 mutations to insulin resistance and type 2 diabetes.
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