The plasminogen receptor Plg‐RKT regulates adipose function and metabolic homeostasis

Background Plg-R-KT, a unique transmembrane plasminogen receptor, enhances the activation of plasminogen to plasmin, and localizes the proteolytic activity of plasmin on the cell surface. Objectives We investigated the role of Plg-R-KT in adipose function, metabolic homeostasis, and obesity. Methods We used adipose tissue (AT) sections from bariatric surgery patients and from high fat diet (HFD)-induced obese mice together with immunofluorescence and real-time polymerase chain reaction to study adipose expression of Plg-R-KT. Mice genetically deficient in Plg-R-KT and littermate controls fed a HFD or control low fat diet (LFD) were used to determine the role of Plg-R-KT in insulin resistance, glucose tolerance, type 2 diabetes, and associated mechanisms including adipose inflammation, fibrosis, and ectopic lipid storage. The role of Plg-R-KT in adipogenesis was determined using 3T3-L1 preadipocytes and primary cultures established from Plg-R-KT-deficient and littermate control mice. Results Plg-R-KT was highly expressed in both human and mouse AT, and its levels dramatically increased during adipogenesis. Plg-R-KT-deficient mice, when fed a HFD, gained more weight, developed more hepatic steatosis, and were more insulin resistant/glucose intolerant than HFD-fed wild-type littermates. Mechanistically, these metabolic defects were linked with increased AT inflammation, AT macrophage and T-cell accumulation, adipose and hepatic fibrosis, and decreased insulin signaling in the AT and liver. Moreover, Plg-R-KT regulated the expression of PPAR gamma and other adipogenic molecules, suggesting a novel role for Plg-R-KT in the adipogenic program. Conclusions Plg-R-KT coordinately regulates multiple aspects of adipose function that are important to maintain efficient metabolic homeostasis.