Adipocyte-Derived Exosomes Carrying Sonic Hedgehog Mediate M1 Macrophage Polarization-Induced Insulin Resistance via

Ming Song1, Lu Han1,2, Fang-Fang Chen1

  • 1The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.

Abstract

Insights

Adipocyte-derived exosomes (ADEs) carrying Sonic Hedgehog (Shh) promote M1 macrophage polarization, contributing to insulin resistance in adipocytes via the Ptch/PI3K pathway. This highlights a novel mechanism in type 2 diabetes pathogenesis.

Area of Science:

  • Metabolic disease research
  • Cell signaling pathways
  • Exosome biology

Background:

  • Adipocyte-derived exosomes (ADEs) are implicated in macrophage activation and insulin resistance.
  • Sonic Hedgehog (Shh), a protein found in exosomes, stimulates inflammatory cytokine secretion from macrophages.
  • The specific role of Shh-carrying ADEs in macrophage activation and subsequent insulin resistance remains unclear.

Purpose of the Study:

  • To investigate the impact of ADEs carrying Shh on macrophage polarization.
  • To elucidate the signaling pathways involved in Shh-mediated macrophage activation.
  • To determine how ADE-activated macrophages influence insulin signaling in adipocytes.

Main Methods:

  • 3T3-L1 adipocytes were cultured under conditions mimicking insulin resistance.
  • ADEs were isolated using differential ultracentrifugation.
  • Macrophage polarization was assessed by flow cytometry; signaling pathways were analyzed via Western blot and EMSA.

Main Results:

  • Shh-positive exosomes were elevated in type 2 diabetes patients and increased with high glucose/insulin treatment.
  • ADEs carrying Shh induced M1 polarization in macrophages through the Ptch/PI3K pathway.
  • ADEs and ADE-treated macrophages reduced insulin signaling (IRS-1, HSL) in adipocytes, a process blocked by Ptch/PI3K inhibitors.

Conclusions:

  • ADEs carrying Shh drive M1 macrophage polarization.
  • This M1 polarization contributes to adipocyte insulin resistance via the Ptch/PI3K pathway.
  • These findings reveal a novel mechanism linking ADEs, Shh, and insulin resistance.

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