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Obesity intensifies sex-specific interferon signaling to selectively worsen central nervous system autoimmunity in females

Cordeiro, B;Ahn, JJ;Gawde, S;Ucciferri, C;Alvarez-Sanchez, N;Revelo, XS;Stickle, N;Massey, K;Brooks, DG;Guthridge, JM;Pardo, G;Winer, DA;Axtell, RC;Dunn, SE;

Obesity has been implicated in the rise of autoimmunity in women. We report that obesity induces a serum protein signature that is associated with T helper 1 (Th1), interleukin (IL)-17, and multiple sclerosis (MS) signaling pathways selectively in human females. Females, but not male mice, subjected to diet-induced overweightness/obesity (DIO) exhibited upregulated Th1/IL-17 inflammation in the central nervous system during experimental autoimmune encephalomyelitis, a model of MS. This was associated with worsened disability and a heightened expansion of myelin-specific Th1 cells in the peripheral lymphoid organs. Moreover, at steady state, DIO increased serum levels of interferon (IFN)-? and potentiated STAT1 expression and IFN-? production by naive CD4+ T cells uniquely in female mice. This T cell phenotype was driven by increased adiposity and was prevented by the removal of ovaries or knockdown of the type I IFN receptor in T cells. Our findings offer a mechanistic explanation of how obesity enhances autoimmunity.Crown