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Updated: Nov 10, 2025

Author Spotlight: Exploring the Relationship Between Lipotoxicity and HFpEF
Published on: March 29, 2024
JAK/STAT inhibitor therapy partially rescues the lipodystrophic autoimmune phenotype in Clec16a KO mice
Rahul Pandey1, Marina Bakay1, Bryan P Strenkowski1
1The Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Abstract:
CLEC16A is implicated in multiple autoimmune diseases. We generated an inducible whole-body knockout (KO), Clec16aΔUBC mice to address the role of CLEC16A loss of function. KO mice exhibited loss of adipose tissue and severe weight loss in response to defective autophagic flux and exaggerated endoplasmic reticulum (ER) stress and robust cytokine storm. KO mice were glucose tolerant and displayed a state of systemic inflammation with elevated antibody levels, including IgM, IgA, Ig2b and IgG3, significantly reduced circulating insulin levels in the presence of normal food consumption. Metabolic analysis revealed disturbances in the lipid profile, white adipose decreasing concomitantly with enhanced inflammatory response, and energy wasting. Mechanistically, endoplasmic reticulum (ER) stress triggers excessive hormone sensitive lipases (HSL) mediated lipolysis which contributes to adipose inflammation via activation of JAK-STAT, stress kinases (ERK1/2, P38, JNK), and release of multiple proinflammatory mediators. Treatment with a JAK-STAT inhibitor (tofacitinib) partially rescued the inflammatory lipodystrophic phenotype and improved survival of Clec16aΔUBC mice by silencing cytokine release and modulating ER stress, lipolysis, mitophagy and autophagy. These results establish a mechanistic link between CLEC16A, lipid metabolism and the immune system perturbations. In summary, our Clec16aΔUBC mouse model highlights multifaceted roles of Clec16a in normal physiology, including a novel target for weight regulation and mutation-induced pathophysiology.
Insights
Loss of CLEC16A causes severe weight loss and systemic inflammation due to defective autophagy and endoplasmic reticulum stress. Inhibiting JAK-STAT signaling partially rescues this phenotype, revealing CLEC16A
Area of Science:
- Immunology
- Metabolic disease
- Molecular biology
Background:
- CLEC16A is associated with autoimmune diseases.
- The precise physiological roles of CLEC16A remain unclear.
Purpose of the Study:
- To investigate the function of CLEC16A using an inducible whole-body knockout mouse model (Clec16aΔUBC).
- To elucidate the mechanistic link between CLEC16A, lipid metabolism, and immune system perturbations.
Main Methods:
- Generation of inducible whole-body knockout (KO) mice (Clec16aΔUBC).
- Analysis of metabolic parameters, including adipose tissue, weight, glucose tolerance, insulin levels, and lipid profiles.
- Investigation of autophagic flux, endoplasmic reticulum (ER) stress, and cytokine storm.
- Assessment of signaling pathways including JAK-STAT, stress kinases, and hormone-sensitive lipase (HSL).
- Pharmacological intervention using a JAK-STAT inhibitor (tofacitinib).
Main Results:
- Clec16aΔUBC mice exhibited significant weight loss, adipose tissue depletion, defective autophagic flux, and exaggerated ER stress.
- KO mice displayed systemic inflammation, elevated antibody levels, reduced insulin, and altered lipid profiles.
- ER stress-induced lipolysis via HSL activation contributed to adipose inflammation through JAK-STAT and stress kinase pathways.
- Tofacitinib treatment partially ameliorated the inflammatory lipodystrophic phenotype and improved survival by modulating ER stress, lipolysis, and autophagy.
Conclusions:
- CLEC16A plays a critical role in maintaining normal physiology, particularly in regulating lipid metabolism and immune responses.
- Defective CLEC16A function leads to a complex phenotype involving metabolic dysfunction and systemic inflammation.
- Targeting JAK-STAT signaling offers a potential therapeutic strategy for conditions associated with CLEC16A deficiency.
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