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. 2025 Apr 22;44(4):115496.
doi: 10.1016/j.celrep.2025.115496. Epub 2025 Apr 1.

SOSTDC1 downregulation in CD4+ T cells confers protection against obesity-induced insulin resistance

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Free article

SOSTDC1 downregulation in CD4+ T cells confers protection against obesity-induced insulin resistance

Dehai Li et al. Cell Rep. .
Free article

Abstract

Adipose-resident T cells play a crucial role in the development of obesity-induced insulin resistance. However, the specific mechanisms, particularly those involving non-immune cytokines, remain unclear. Here, we report significantly elevated levels of sclerostin domain-containing protein 1 (SOSTDC1) in individuals with type 2 diabetes (T2D), showing positive correlations with fasting glucose and HbA1c. T cell-specific Sostdc1-deficient mice exhibit resistance to age-induced adipose lipid accumulation and glucose dysregulation at 12 months and protect against obesity-induced insulin resistance without affecting proinflammatory macrophage infiltration or adipose inflammation. Mechanistically, SOSTDC1 disrupts the lipid balance in adipocytes by promoting lipogenesis and inhibiting lipolysis through the LRP5/6-β-catenin pathway. Furthermore, T cell receptor (TCR) signaling significantly amplifies SOSTDC1 secretion in CD4+ T cells. In summary, our study uncovers an additional mechanism by which T cells contribute to obesity and insulin resistance, suggesting that inhibiting SOSTDC1 could be a promising immunotherapeutic strategy for metabolic disorders.

Keywords: CD4+ T cells; CP: Immunology; CP: Metabolism; SOSTDC1; adipocyte; adipose tissue; immune cells; immunometabolism; insulin resistance; obesity.

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Conflict of interest statement

Declaration of interests H.Y., D.L., Q. Wang, and Z.Y. have submitted a patent application to the China National Intellectual Property Administration, with Jinan University as the applicant, and H.Y., D.L., Q. Wang, and Z.Y. as the inventors. The application number is ZL 2022 1 0585715.2, covering compositions, methods, and uses for diagnosing, treating, or evaluating obesity-related disorders. The composition comprises an anti-SOSTDC1 antibody or antagonist or an inhibitor of Sostdc1 gene expression.

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