Regulators of thymic stromal lymphopoietin production by human adipocytes
Introduction
Thymic stromal lymphopoietin (TSLP) is a member of the interleukin (IL)-7 cytokine family involved in type 2 immune responses. It has been implicated in allergic and inflammatory conditions such as atopic dermatitis, asthma, and inflammatory bowel disease, as well as having a role in cancer growth and metastasis [1], [2]. Other investigations have pointed to a role for TSLP in platelet activation and cardiovascular disease [3], [4], [5], [6], [7], [8]. TSLP is expressed by a variety of cells, including epithelial cells, keratinocytes, and immune cells [9].
In 2012, expression of TSLP was first reported in visceral (intra-abdominal) human adipose tissue [10]. Its level of mRNA expression was lower in severely obese men and women with the metabolic syndrome (state of insulin resistance associated with central obesity, hypertension and low-grade inflammation) compared to those without the metabolic syndrome. The authors of that study did not examine the precise cellular source of TSLP within the adipose tissue (e.g, adipocytes, immune cells, etc), and their analysis of TSLP expression was restricted to the mRNA level.
More recently, we reported that TSLP protein is expressed and released by human subcutaneous abdominal differentiated adipocytes in culture in response to TSH [11]. Adipocytes are an established extra-thyroidal target of TSH. This may account, in part, for the pro-inflammatory and pro-atherogenic state observed in patients with elevated circulating levels of TSH, a condition termed subclinical hypothyroidism [12], [13].
TSH is known to activate cAMP-dependent protein kinase (PKA) in differentiated human adipocytes, measured by an increase in cAMP-responsive binding protein (CREB) phosphorylation [14], [15]. PKA inhibitor H89 blocks the TSH-stimulated increase in TSLP mRNA expression in differentiated adipocytes [11]. TSH activates the inhibitor of κB kinase (IKK)β/nuclear factor (NF)-κB pathway in human adipocytes [14], but inhibitors of this pathway had no effect on the release of TSLP protein from human adipocytes in response to TSH [11]. Dexamethasone, an established transcriptional repressor of TSLP in many cell types, [16], blocked the TSH-stimulated TSLP response in the adipocytes [11].
Adipocytes are known to produce a variety of cytokines, and recent literature reviews highlight the importance of IL-1β and TNF-α in adipose inflammation [17], [18]. Furthermore, these same cytokines have been studied as regulators of TSLP in cell models of asthma, atopic dermatitis, and other epithelial inflammatory conditions [19]. Studying the effect of the immune modulators such as IFN-γ, IL-4, and dexamethasone on TSLP production in this context is an established framework of evaluation [20]. It is not yet known if IL-1β and TNF-α influence TSLP levels in adipocytes, and whether this might be susceptible to these immune modulators.
Adipocyte behaviour can be a function of anatomic site of origin [21]. Given the association of abdominal central obesity with insulin resistance and type 2 diabetes, comparison between adipocytes from subcutaneous versus omental depots are often studied [22]. The expression of some adipocyte cytokines differs according to anatomic adipose site e.g. abdominal subcutaneous versus intra-abdominal (visceral or omental) adipose depot. For example, omental adipocytes produce more IL-6 than do their subcutaneous counterparts [23]. There is no information on whether TSLP production by human adipocytes varies according to anatomic-depot.
We now provide new data on the regulation of TSLP by TSH in human abdominal subcutaneous adipocytes. We also identify IL-1β and TNF-α as inducers of TSLP production in these cells and delineate the signal pathways that are involved. Finally, we show that subcutaneous and intra-abdominal omental adipocytes both express TSLP in response to these agonists.
Section snippets
Isolation of stromal preadipocytes
Abdominal subcutaneous adipose tissue was obtained from 9 female patients undergoing elective surgery (approved by the Ottawa Health Science Network Research Ethics Board, #1995023-01H). Mean age (±SD) was 54.2 ± 8.8 years old, and mean BMI was 30.5 ± 7.7. For depot-related studies, paired samples of abdominal subcutaneous and omental adipose tissue were obtained from 3 additional female patients; mean age (±SD) was 54 ± 9.6 years old, and mean BMI was 46.1 ± 4.7. All patients were
TSH- induced TSLP production from human adipocytes is mediated by PKA and ERK1/2
In previous work, we showed TSH upregulated TSLP mRNA within 2 hrs, and TSH protein and release by 24 hrs. The responses were inhibited by PKA, but not by NF-κB inhibitors [11]. We now have delineated the TSH signaling pathway further.
IBMX (0.5 mM) enhanced TSLP release by human adipocytes in response to TSH (5 mU/ml) (Fig. 1A). The fold-response increased from 5.3 to 10.4 in the presence of IBMX. IBMX had no effect when added on its own. TSH (50 mU/ml) showed stimulation of TSLP release by
Discussion
Our data show that TSLP release from human abdominal adipocytes can be stimulated not only by TSH, but also by IL-1β and TNF-α, two cytokines implicated in adipose inflammation. We provide new information on signal transduction routes used by these factors to stimulate TSLP release from adipocytes.
TSLP has been studied in immune and inflammatory disorders, as well as in cancer [2], but evidence of TSLP expression in human adipose tissue is relatively recent. Investigations based on gene
Author contributions
LM and JZ performed the experiments and analysed the data. AS conceived, designed, and supervised the studies and wrote the initial draft of the manuscript. All authors were involved in finalizing the submission.
CRediT authorship contribution statement
Loretta Ma: Methodology, Formal analysis. Jamie Zhen: Methodology, Formal analysis. Alexander Sorisky: Funding acquisition, Conceptualization, Supervision, Writing - original draft, Writing - review & editing.
Declaration of Competing Interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Acknowledgements
This work was supported by the Heart and Stroke Foundation of Canada grant-in-aid G-18-0022128 to AS. We thank the patients and surgeons of The Ottawa Hospital for access to human adipose tissue samples for our studies.
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