PAQR4 regulates adipocyte function and systemic metabolic health by mediating ceramide levels

Qingzhang Zhu, Shiuhwei Chen, Jan-Bernd Funcke, Leon G Straub, Qian Lin, Shangang Zhao, Chanmin Joung, Zhuzhen Zhang, Dae-Seok Kim, Na Li, Christy M Gliniak, Charlotte Lee, Alberto Cebrian-Serrano, Line Pedersen, Nils Halberg, Ruth Gordillo, Christine M Kusminski, Philipp E Scherer

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

PAQR4 is an orphan receptor in the PAQR family with an unknown function in metabolism. Here, we identify a critical role of PAQR4 in maintaining adipose tissue function and whole-body metabolic health. We demonstrate that expression of Paqr4 specifically in adipocytes, in an inducible and reversible fashion, leads to partial lipodystrophy, hyperglycaemia and hyperinsulinaemia, which is ameliorated by wild-type adipose tissue transplants or leptin treatment. By contrast, deletion of Paqr4 in adipocytes improves healthy adipose remodelling and glucose homoeostasis in diet-induced obesity. Mechanistically, PAQR4 regulates ceramide levels by mediating the stability of ceramide synthases (CERS2 and CERS5) and, thus, their activities. Overactivation of the PQAR4-CERS axis causes ceramide accumulation and impairs adipose tissue function through suppressing adipogenesis and triggering adipocyte de-differentiation. Blocking de novo ceramide biosynthesis rescues PAQR4-induced metabolic defects. Collectively, our findings suggest a critical function of PAQR4 in regulating cellular ceramide homoeostasis and targeting PAQR4 offers an approach for the treatment of metabolic disorders.

Original languageEnglish
Pages (from-to)1347-1366
Number of pages20
JournalNature Metabolism
Volume6
Issue number7
DOIs
StatePublished - Jul 2024

Bibliographical note

© 2024. The Author(s), under exclusive licence to Springer Nature Limited.

Keywords

  • Ceramides/metabolism
  • Adipocytes/metabolism
  • Animals
  • Mice
  • Adipogenesis
  • Membrane Proteins/metabolism
  • Adipose Tissue/metabolism
  • Obesity/metabolism
  • Humans

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