PMID- 38378001 OWN - NLM STAT- MEDLINE DCOM- 20240405 LR - 20240405 IS - 1932-7420 (Electronic) IS - 1550-4131 (Linking) VI - 36 IP - 4 DP - 2024 Apr 2 TI - IgG is an aging factor that drives adipose tissue fibrosis and metabolic decline. PG - 793-807.e5 LID - S1550-4131(24)00015-9 [pii] LID - 10.1016/j.cmet.2024.01.015 [doi] AB - Aging is underpinned by pronounced metabolic decline; however, the drivers remain obscure. Here, we report that IgG accumulates during aging, particularly in white adipose tissue (WAT), to impair adipose tissue function and metabolic health. Caloric restriction (CR) decreases IgG accumulation in WAT, whereas replenishing IgG counteracts CR's metabolic benefits. IgG activates macrophages via Ras signaling and consequently induces fibrosis in WAT through the TGF-beta/SMAD pathway. Consistently, B cell null mice are protected from aging-associated WAT fibrosis, inflammation, and insulin resistance, unless exposed to IgG. Conditional ablation of the IgG recycling receptor, neonatal Fc receptor (FcRn), in macrophages prevents IgG accumulation in aging, resulting in prolonged healthspan and lifespan. Further, targeting FcRn by antisense oligonucleotide restores WAT integrity and metabolic health in aged mice. These findings pinpoint IgG as a hidden culprit in aging and enlighten a novel strategy to rejuvenate metabolic health. CI - Copyright (c) 2024 Elsevier Inc. All rights reserved. FAU - Yu, Lexiang AU - Yu L AD - Naomi Berrie Diabetes Center, Department of Medicine, Columbia University, New York, NY 10032, USA. FAU - Wan, Qianfen AU - Wan Q AD - Naomi Berrie Diabetes Center, Department of Medicine, Columbia University, New York, NY 10032, USA. FAU - Liu, Qiongming AU - Liu Q AD - Naomi Berrie Diabetes Center, Department of Medicine, Columbia University, New York, NY 10032, USA. FAU - Fan, Yong AU - Fan Y AD - Naomi Berrie Diabetes Center, Department of Medicine, Columbia University, New York, NY 10032, USA. FAU - Zhou, Qiuzhong AU - Zhou Q AD - Cardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, Singapore, Singapore. FAU - Skowronski, Alicja A AU - Skowronski AA AD - Naomi Berrie Diabetes Center, Department of Pediatrics, Columbia University, New York, NY 10032, USA. FAU - Wang, Summer AU - Wang S AD - Institute for Cancer Genetics, Department of Pathology and Cell Biology, Columbia University, New York, NY 10032, USA. FAU - Shao, Zhengping AU - Shao Z AD - Institute for Cancer Genetics, Department of Pathology and Cell Biology, Columbia University, New York, NY 10032, USA. FAU - Liao, Chen-Yu AU - Liao CY AD - Buck Institute for Research on Aging, Novato, CA 94945, USA. FAU - Ding, Lei AU - Ding L AD - Department of Rehabilitation and Regenerative Medicine, Department of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY 10032, USA. FAU - Kennedy, Brian K AU - Kennedy BK AD - Buck Institute for Research on Aging, Novato, CA 94945, USA; Healthy Longevity Translational Research Programme, Departments of Biochemistry and Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Centre for Health Longevity, National University Health System, Singapore, Singapore. FAU - Zha, Shan AU - Zha S AD - Institute for Cancer Genetics, Department of Pathology and Cell Biology, Columbia University, New York, NY 10032, USA. FAU - Que, Jianwen AU - Que J AD - Department of Medicine, Columbia University, New York, NY 10032, USA. FAU - LeDuc, Charles A AU - LeDuc CA AD - Naomi Berrie Diabetes Center, Department of Pediatrics, Columbia University, New York, NY 10032, USA. FAU - Sun, Lei AU - Sun L AD - Cardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, Singapore, Singapore. FAU - Wang, Liheng AU - Wang L AD - Institute of Cardiovascular Sciences, State Key Laboratory of Vascular Homeostasis and Remodeling, Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Peking University, Beijing 100191, China; Department of Medicine, Division of Endocrinology, Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. Electronic address: lihengwang@hsc.pku.edu.cn. FAU - Qiang, Li AU - Qiang L AD - Department of Pharmacology, School of Basic Medical Sciences, State Key Laboratory of Vascular Homeostasis and Remodeling, Peking University, Beijing 100191, China; Naomi Berrie Diabetes Center, Department of Medicine, Department of Pathology and Cell Biology, Columbia University, New York, NY 10032, USA. Electronic address: qiang@hsc.pku.edu.cn. LA - eng PT - Journal Article DEP - 20240219 PL - United States TA - Cell Metab JT - Cell metabolism JID - 101233170 RN - 0 (Immunoglobulin G) SB - IM MH - Mice MH - Animals MH - *Adipose Tissue MH - *Aging/metabolism MH - Adipose Tissue, White/metabolism MH - Mice, Knockout MH - Fibrosis MH - Immunoglobulin G OTO - NOTNLM OT - IgG OT - adipose tissue OT - aging OT - fibrosis OT - metabolic dysfunction COIS- Declaration of interests A patent application is pending by Columbia University. EDAT- 2024/02/21 11:14 MHDA- 2024/04/05 06:43 CRDT- 2024/02/20 18:42 PHST- 2023/05/14 00:00 [received] PHST- 2023/10/31 00:00 [revised] PHST- 2024/01/25 00:00 [accepted] PHST- 2024/04/05 06:43 [medline] PHST- 2024/02/21 11:14 [pubmed] PHST- 2024/02/20 18:42 [entrez] AID - S1550-4131(24)00015-9 [pii] AID - 10.1016/j.cmet.2024.01.015 [doi] PST - ppublish SO - Cell Metab. 2024 Apr 2;36(4):793-807.e5. doi: 10.1016/j.cmet.2024.01.015. Epub 2024 Feb 19.