Key result
Palmitic acid induces macrophage insulin resistance by inhibiting KLF4 and upregulating Gal-3 via TLR4/NF-κB.
Why the study?
Insulin resistance is often accompanied by inflammatory factors mainly secreted by macrophages, prompting this study to explore the relationship between macrophages and insulin resistance and determine its underlying mechanism.
p-value: p=<0.01
Palmitic acid induces insulin resistance in macrophages via the KLF4/TLR4/NF-κB/Gal-3 pathway, highlighting potential therapeutic targets for type 2 diabetes mellitus.
May identify Gal-3 targets in insulin resistance; hypothesis-generating and should not yet change practice.
Insulin resistance is the main sign of type 2 diabetes mellitus and is often accompanied by the infiltration of inflammatory factors. These inflammatory factors are mainly produced and secreted by macrophages. The purpose of the current study was to explore the relationship between macrophages and insulin resistance, and to determine its underlying mechanism. The insulin resistance of macrophages was induced by palmitic acid (PA) in vitro. The glucose uptake rate of macrophages, the expression levels of inflammatory cytokines and the expression levels of insulin resistance‑related proteins were detected. The protein expression levels of Krüppel‑like factor 4 (KLF4), toll‑like receptor 4 (TLR4), NF‑κB and Galectin‑3 (Gal‑3) were detected via western blotting and recovery experiments were performed by combining the Gal‑3 and TLR4 inhibitors GB1107 and TAK242. The results revealed that PA‑induced macrophages demonstrated insulin resistance. Additionally, KLF4 protein was inhibited and the sugar uptake rate was significantly lower than that of the control group. Western blotting and immunofluorescence assays revealed that the expression of Gal‑3 in PA‑induced macrophages was significantly upregulated. The addition of the Gal‑3 inhibitor GB1107 significantly increased glucose utilization and reduced insulin resistance in PA‑treated cells. Inhibitor of TLR4 inhibited the protein expression level of the TLR4/NF‑κB pathway. In conclusion, PA promoted the TLR4/phosphorylated‑NF‑κB signaling pathway by inhibiting KLF4, promoted the upregulation of Gal‑3 expression and improved the insulin resistance of macrophages.
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Li et al. (2021) studied Type 2 diabetes mellitus (n=20). Palmitic acid vs. Control was evaluated on Insulin resistance and Gal-3 expression in macrophages (p=<0.01). Palmitic acid promoted the TLR4/phosphorylated-NF-κB signaling pathway by inhibiting KLF4, which upregulated Gal-3 expression and induced insulin resistance in macrophages.
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