Related Experiment Video
Updated: Nov 7, 2025

Isolation, Characterization, and Purification of Macrophages from Tissues Affected by Obesity-related Inflammation
Published on: April 3, 2017
SHP2 drives inflammation-triggered insulin resistance by reshaping tissue macrophage populations
Romain Paccoud1, Céline Saint-Laurent1,2, Enzo Piccolo1,2
1Institut des Maladies Métaboliques et Cardiovasculaires, INSERM UMR 1048, Université Paul Sabatier, Université de Toulouse, Toulouse F-31432, France.
Abstract:
Insulin resistance is a key event in type 2 diabetes onset and a major comorbidity of obesity. It results from a combination of fat excess-triggered defects, including lipotoxicity and metaflammation, but the causal mechanisms remain difficult to identify. Here, we report that hyperactivation of the tyrosine phosphatase SHP2 found in Noonan syndrome (NS) led to an unsuspected insulin resistance profile uncoupled from altered lipid management (for example, obesity or ectopic lipid deposits) in both patients and mice. Functional exploration of an NS mouse model revealed this insulin resistance phenotype correlated with constitutive inflammation of tissues involved in the regulation of glucose metabolism. Bone marrow transplantation and macrophage depletion improved glucose homeostasis and decreased metaflammation in the mice, highlighting a key role of macrophages. In-depth analysis of bone marrow-derived macrophages in vitro and liver macrophages showed that hyperactive SHP2 promoted a proinflammatory phenotype, modified resident macrophage homeostasis, and triggered monocyte infiltration. Consistent with a role of SHP2 in promoting inflammation-driven insulin resistance, pharmaceutical SHP2 inhibition in obese diabetic mice improved insulin sensitivity even better than conventional antidiabetic molecules by specifically reducing metaflammation and alleviating macrophage activation. Together, these results reveal that SHP2 hyperactivation leads to inflammation-triggered metabolic impairments and highlight the therapeutical potential of SHP2 inhibition to ameliorate insulin resistance.
Insights
Hyperactive SHP2 causes insulin resistance through inflammation, not fat issues. Inhibiting SHP2 improves insulin sensitivity by reducing inflammation and macrophage activation, offering a new therapeutic target.
Area of Science:
- Endocrinology
- Immunology
- Metabolic Diseases
Background:
- Insulin resistance is central to type 2 diabetes and obesity.
- Mechanisms linking fat excess to insulin resistance, like lipotoxicity and metaflammation, are complex.
- Noonan syndrome (NS) involves SHP2 hyperactivation, but its metabolic impact is unclear.
Purpose of the Study:
- To investigate the role of SHP2 hyperactivation in insulin resistance.
- To explore the mechanisms underlying SHP2-associated metabolic dysfunction.
- To evaluate SHP2 inhibition as a therapeutic strategy for insulin resistance.
Main Methods:
- Studied insulin resistance in Noonan syndrome patients and a mouse model with hyperactive SHP2.
- Utilized bone marrow transplantation and macrophage depletion in mice.
- Performed in vitro and in vivo analyses of macrophages (bone marrow-derived and liver).
- Administered pharmaceutical SHP2 inhibitors to obese diabetic mice.
Main Results:
- SHP2 hyperactivation caused insulin resistance independent of lipid abnormalities.
- Insulin resistance in the NS mouse model correlated with tissue metaflammation.
- Macrophage manipulation (transplantation, depletion) improved glucose homeostasis and reduced metaflammation.
- Hyperactive SHP2 in macrophages promoted inflammation, altered macrophage homeostasis, and increased monocyte infiltration.
- SHP2 inhibition in obese diabetic mice improved insulin sensitivity, reduced metaflammation, and decreased macrophage activation.
Conclusions:
- SHP2 hyperactivation drives insulin resistance via inflammation, particularly involving macrophages.
- SHP2 plays a critical role in metaflammation and metabolic impairment.
- Targeting SHP2 with inhibitors presents a promising therapeutic approach for insulin resistance and related metabolic disorders.
Related Concept Videos
Insulin: The Receptor and Signaling Pathways
Inflammation
The JAK-STAT Signaling Pathway
Cell Specific Gene Expression

