Macrophage Plg-RKT expression promotes diet-induced obesity and metabolic dysfunction-associated steatotic liver

Lindsey A Miles1, Hongdong Bai2, Sagarika Chakrabarty3

  • 1Department of Cell and Molecular Biology, Scripps Research, La Jolla, California, USA.

Abstract

Insights

Macrophage plasminogen receptor KT (Plg-RKT) is critical for high-fat diet-induced obesity and metabolic dysfunction-associated steatotic liver disease (MASLD). Blocking Plg-RKT in macrophages protects against obesity and MASLD, highlighting its therapeutic potential.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Metabolic Diseases

Background:

  • Plasminogen receptor KT (Plg-RKT) is a transmembrane receptor that enhances plasminogen activation.
  • Plg-RKT localizes plasmin activity to the cell surface.

Purpose of the Study:

  • To investigate the role of Plg-RKT in high-fat diet (HFD)-induced obesity.
  • To determine the cell-specific function of Plg-RKT in metabolic dysfunction-associated steatotic liver disease (MASLD).

Main Methods:

  • Mice with macrophage-specific (mPlg-RKT-/-) or hepatocyte-specific (hPlg-RKT-/-) Plg-RKT deficiency were fed an HFD.
  • Evaluated glucose homeostasis, hepatic lipogenesis, fatty acid oxidation, adipose macrophage phenotypes, and inflammation.
  • Performed RNA sequencing on liver tissue to identify gene expression changes.

Main Results:

  • Macrophage Plg-RKT deficiency protected mice from HFD-induced obesity, MASLD, and liver dysfunction.
  • mPlg-RKT-/- mice showed reduced liver fat, improved glucose homeostasis, and altered macrophage polarization towards an anti-inflammatory M2 phenotype.
  • Hepatocyte-specific deficiency (hPlg-RKT-/-) did not confer protection, indicating a macrophage-specific role.
  • Mechanistic studies revealed reduced Akt activation, decreased fatty acid synthase, and activated PPARα pathway in mPlg-RKT-/- mice.

Conclusions:

  • Macrophage Plg-RKT signaling is a critical driver in the pathogenesis of obesity and MASLD.
  • Targeting macrophage Plg-RKT may represent a therapeutic strategy for metabolic disorders.