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CCR2 antagonism improves insulin resistance, lipid metabolism, and diabetic nephropathy in type 2 diabetic mice
Young Sun Kang1, Mi Hwa Lee, Hye Kyoung Song
1Division of Nephrology, Department of Internal Medicine, Korea University, Ansan City, Korea.
Abstract:
Chemokine ligand 2 (CCL2) binds to its receptor C-C chemokine receptor 2 (CCR2), initiating tissue inflammation, and recent studies have suggested a beneficial effect of a blockade of this pathway in diabetic nephropathy. To investigate the mechanism of protection, we studied the effect of RS504393, a CCR2 antagonist, on insulin resistance and diabetic nephropathy in db/db mice. Administering this antagonist improved insulin resistance as confirmed by various biomarkers, including homeostasis model assessment index levels, plasma insulin levels, and lipid abnormalities. Mice treated with the antagonist had a significant decrease in epididymal fat mass as well as phenotypic changes of adipocytes into small differentiated forms with decreased CCL2 expression and lipid hydroperoxide levels. In addition, treatment with the CCR2 antagonist markedly decreased urinary albumin excretion, mesangial expansion, and suppressed profibrotic and proinflammatory cytokine synthesis. Furthermore, the CCR2 antagonist improved lipid metabolism, lipid hydroperoxide, cholesterol, and triglyceride contents of the kidney, and decreased urinary 8-isoprostane levels. Hence, our findings suggest that CCR2 antagonists can improve insulin resistance by modulation of the adipose tissue and restore renal function through both metabolic and anti-fibrotic effects in type 2 diabetic mice.
Insights
Blocking C-C chemokine receptor 2 (CCR2) with RS504393 improved insulin resistance and diabetic nephropathy in mice. This pathway modulation restored kidney function and improved metabolic health in type 2 diabetes.
Area of Science:
- Nephrology
- Endocrinology
- Immunology
Background:
- Diabetic nephropathy is a complication of diabetes characterized by inflammation.
- Chemokine ligand 2 (CCL2) and its receptor C-C chemokine receptor 2 (CCR2) pathway contribute to tissue inflammation.
- Blocking the CCL2/CCR2 pathway may offer therapeutic benefits in diabetic nephropathy.
Purpose of the Study:
- To investigate the protective mechanisms of a CCR2 antagonist (RS504393) against insulin resistance and diabetic nephropathy.
- To elucidate the effects of CCR2 antagonism on adipose tissue and renal function in a mouse model of type 2 diabetes.
Main Methods:
- Utilized db/db mice, a model for type 2 diabetes and obesity.
- Administered RS504393, a specific CCR2 antagonist.
- Assessed insulin resistance using biomarkers like HOMA-IR and plasma insulin.
- Evaluated renal function through urinary albumin excretion and kidney histology.
- Analyzed adipose tissue morphology and inflammatory markers.
Main Results:
- RS504393 treatment significantly improved insulin resistance and lipid abnormalities.
- Antagonist administration reduced epididymal fat mass and altered adipocyte phenotype.
- Decreased CCL2 expression and lipid hydroperoxide levels were observed in adipose tissue.
- RS504393 markedly reduced urinary albumin excretion, mesangial expansion, and pro-inflammatory/pro-fibrotic cytokine synthesis.
- Improved renal lipid metabolism and reduced oxidative stress markers (8-isoprostane) in the kidneys.
Conclusions:
- CCR2 antagonists can ameliorate insulin resistance through adipose tissue modulation.
- Blocking the CCR2 pathway restores renal function in type 2 diabetic mice.
- Therapeutic strategies targeting CCR2 may offer benefits for diabetic nephropathy by addressing both metabolic and fibrotic aspects.
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