CD24-Siglec axis is an innate immune checkpoint against metaflammation and metabolic disorder

Cell Metab. 2022 Aug 2;34(8):1088-1103.e6. doi: 10.1016/j.cmet.2022.07.005.

Abstract

The molecular interactions that regulate chronic inflammation underlying metabolic disease remain largely unknown. Since the CD24-Siglec interaction regulates inflammatory response to danger-associated molecular patterns (DAMPs), we have generated multiple mouse strains with single or combined mutations of Cd24 or Siglec genes to explore the role of the CD24-Siglec interaction in metaflammation and metabolic disorder. Here, we report that the CD24-Siglec-E axis, but not other Siglecs, is a key suppressor of obesity-related metabolic dysfunction. Inactivation of the CD24-Siglec-E pathway exacerbates, while CD24Fc treatment alleviates, diet-induced metabolic disorders, including obesity, dyslipidemia, insulin resistance, and nonalcoholic steatohepatitis (NASH). Mechanistically, sialylation-dependent recognition of CD24 by Siglec-E induces SHP-1 recruitment and represses metaflammation to protect against metabolic syndrome. A first-in-human study of CD24Fc (NCT02650895) supports the significance of this pathway in human lipid metabolism and inflammation. These findings identify the CD24-Siglec-E axis as an innate immune checkpoint against metaflammation and metabolic disorder and suggest a promising therapeutic target for metabolic disease.

Keywords: CD24; NASH; Siglec-E; Siglecs; insulin resistance; metabolic syndrome; metaflammation; obesity; sialic acid-binding immunoglobulin-like lectins; sialylation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD24 Antigen / genetics
  • CD24 Antigen / metabolism
  • Clinical Studies as Topic
  • Humans
  • Inflammation
  • Metabolic Diseases*
  • Mice
  • Obesity
  • Phagocytosis
  • Sialic Acid Binding Immunoglobulin-like Lectins* / metabolism

Substances

  • CD24 Antigen
  • CD24 protein, human
  • Sialic Acid Binding Immunoglobulin-like Lectins

Associated data

  • ClinicalTrials.gov/NCT02650895