MRP4 deficiency drives lipid metabolism dysregulation and adipose tissue inflammation through cAMP-CREB-CRTC2

Ankit P Laddha1, Hangyu Wu1, Jaeeun Lee2

  • 1Department of Pharmaceutical Sciences, University of Connecticut, Storrs, CT, USA.

Life Sciences
|August 15, 2025
PubMed

Insights

Multidrug resistance-associated protein 4 (MRP4) deficiency exacerbates obesity and metabolic dysfunction by promoting adipose tissue inflammation and fibrosis. This occurs through the activation of the cAMP-CREB-CRTC2 signaling pathway, highlighting MRP4's role in metabolic health.

Area of Science:

  • Biochemistry and Molecular Biology
  • Metabolic Research
  • Physiology

Background:

  • Multidrug resistance-associated protein 4 (MRP4/ABCC4) is a plasma membrane transporter crucial for metabolite and xenobiotic efflux.
  • Previous studies suggest MRP4 involvement in adipogenesis and fatty acid metabolism.
  • MRP4 deficiency in mice is linked to obesity and diabetes, but mechanisms remain unclear.

Purpose of the Study:

  • To investigate the role of MRP4 in adipose tissue dysfunction.
  • To understand MRP4's impact on metabolic regulation under high-fat, high-sucrose (HFHS) diet conditions.

Main Methods:

  • MRP4 knockout (MRP4-/-) and wild-type (WT) mice were fed chow or HFHS diets for 24 weeks.
  • Assessed body weight, plasma glucose, cholesterol, insulin, glucose tolerance, and insulin sensitivity.
  • Analyzed epididymal adipose tissue for gene/protein expression, histology, and cAMP levels.

Main Results:

  • MRP4-/- mice exhibited increased body weight gain, adiposity, and adipocyte hypertrophy, with exacerbated metabolic dysfunction on HFHS diet.
  • These mice showed impaired glucose/insulin metabolism, reduced physical activity, and altered energy expenditure.
  • Upregulation of adipogenic, fibrotic, and inflammatory genes, alongside elevated cAMP, P-CREB, and CRTC2, indicated activated signaling pathways.

Conclusions:

  • MRP4 deficiency promotes adipose tissue inflammation, fibrosis, and metabolic dysfunction.
  • Activation of the cAMP-CREB-CRTC2 signaling axis is a key mechanism.
  • MRP4 plays a novel role in maintaining adipose tissue homeostasis and preventing diet-induced metabolic disease.

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