Abstract
GDNF-family receptor a-like (GFRAL) has been identified as the cognate receptor of growth/differentiation factor 15 (GDF15/MIC-1), considered a key signaling axis in energy homeostasis and body weight regulation. Currently, little is known about the physiological regulation of the GDF15–GFRAL signaling pathway. Here we show that membrane-bound matrix metalloproteinase 14 (MT1-MMP/MMP14) is an endogenous negative regulator of GFRAL in the context of obesity. Overnutrition-induced obesity increased MT1-MMP activation, which proteolytically inactivated GFRAL to suppress GDF15–GFRAL signaling, thus modulating the anorectic effects of the GDF15–GFRAL axis in vivo. Genetic ablation of MT1-MMP specifically in GFRAL+ neurons restored GFRAL expression, resulting in reduced weight gain, along with decreased food intake in obese mice. Conversely, depletion of GFRAL abolished the anti-obesity effects of MT1-MMP inhibition. MT1-MMP inhibition also potentiated GDF15 activity specifically in obese phenotypes. Our findings identify a negative regulator of GFRAL for the control of non-homeostatic body weight regulation, provide mechanistic insights into the regulation of GDF15 sensitivity, highlight negative regulators of the GDF15–GFRAL pathway as a therapeutic avenue against obesity and identify MT1-MMP as a promising target.
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Acknowledgements
The presented work was supported by General Research Fund (12101019 and 12102020 to H.L.X.W.), Health and Medical Research Fund (06170056 and 08793626 to H.L.X.W.), National Natural Science Fund (81802838 to H.L.X.W.) and Guangdong Natural Science Foundation (2021A1515011128 and 2019A1515011851 to H.L.X.W.).
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C.F.W.C., X. Guo, P.A. and H.L.X.W. performed most of the experiments. S.Z., J.W., Y.Z. and Z.J. helped to collect samples. S.F., S.C., S.K.K.W., S.G., S.Y., H.X. and J.P.K.I. performed some of the experiments and data analyses. Z.W., K.B.L. and X. Ge provided experimental materials for experiments. C.Y.L., H.Y.K., T.H., A.L. and Z-.X.B. contributed to the discussion. Z.Z. provided animal models and helped in the initiation of the project. C.F.W.C. and H.L.X.W. designed the experiments and prepared the manuscript. H.L.X.W. and Z-.X.B. supervised the project.
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Nature Metabolism thanks Sebastian Beck Jørgensen, Stephen O’Rahilly and Yoshifumi Itoh for their contribution to the peer review of this work. Primary handling editors: Isabella Samuelson and Ashley Castellanos-Jankiewicz.
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Extended data
Extended Data Fig. 1 Inhibition of MT1-MMP improves metabolic parameters in mice with high fat diet-induced obesity.
Body weight (a), average daily food intake (b), blood glucose concentration (c), triglyceride, cholesterol concentrations (d) and fat mass (e) of male mice with high fat diet-induced obesity after receiving (twice a week) treatment with either 3A2 antibody or control IgG for 4 weeks (n=8). Data are reported as average ± s.e.m. *P < 0.05; **P < 0.01; ***P < 0.001. two-way ANOVA for (a), two-sided unpaired t-test for (b-e).
Extended Data Fig. 2 Inhibition of MT1-MMP improves metabolic parameters in ob/ob mice.
Body weight (a), average daily food intake (b), blood glucose concentration (c) and insulin level (d) of male ob/ob mice after receiving (twice a week) treatment with either 3A2 antibody or control IgG for 4 weeks (n=8). Data are reported as average ± s.e.m. two-sided unpaired t-test for (a-d).
Extended Data Fig. 3 Increased Mmp activity in the brain of obese mice.
(a) Representative gelatin zymography showing the activity of gelatinases including Mmp2 and Mmp9 that are primarily activated by MT1-MMP in the brain of mice fed a high fat diet (HFD) and a standard diet (CD). (b) Quantification of the band intensity in (a). Data are reported as average ± s.e.m. (n=5) two-sided unpaired t-test.
Extended Data Fig. 4 Inhibition of MT1-MMP activity potentiates GDF15 functions.
(a) Change in body weight (%) in high fat diet-induced obese mice treated with control IgG or 3A2 after daily subcutaneous administration of recombinant GDF15 (10nmol/kg) for 6 days. (b-c) Cumulative food intake (b) and changes in food intake (%) (c) in mice with diet-induced obesity from (a). (d-e) Quantification of the percentage of GFRAL-positive cells that co-expressed cFOS in the area postrema of mice treated with control IgG or 3A2 (d) and the relative changes in cFOS +GFRAL+ cells (e) after receiving a single subcutaneous injection of recombinant GDF15 (10nmol/kg). Data are reported as average ± s.e.m. (n=6) P < 0.05; **P < 0.01; ***P < 0.001. two-sided unpaired t-test (c,e) or one-way ANOVA (a-b, d).
Extended Data Fig. 5 Haplodeficiency of MT1-MMP does not affect GLP-1 induced changes in food intake.
12-h food intake after subcutaneous administration of liraglutide (27nmol/kg) to WT and Mmp14+/− mice. Data are reported as average ± s.e.m. (n=8; one-way ANOVA).
Extended Data Fig. 6 Colocalization of MT1-MMP and GFRAL in the brainstem.
(a) Immunofluorescent staining of MT1-MMP (green) and GFRAL (red) in the Area Postrema from mice. (n=6) (scale: 10μm) (b) Spearmen’s correlation analyses of the colocalization of MT1-MMP and GFRAL (R=0.64, analyses of 10 cells per mice, n=6).
Extended Data Fig. 7 Loss of MT1-MMP does not alter the mRNA expression of Gfral.
qPCR analyses of Gfral expression in the area postrema of brains from WT, Mmp14+/- and Mmp14-/- mice. Data are reported as average ± s.e.m. (n=7 for WT and Mmp14+/- mice; n=5 for Mmp14-/- mice).
Extended Data Fig. 8 GFRAL is essential for GDF15-induced weight loss and reduction in food intake.
(a-b) Change in body weight (%) (a) and food intake (b) after subcutaneous administration of GDF15 to WT, Mmp14+/-, Gfral-/- and Mmp14+/- Gfral-/-mice. Data are reported as average ± s.e.m. *P < 0.05; ***P < 0.001. (n=8) for (a-b); two-sided unpaired t-test for (a-b).
Extended Data Fig. 9 Genetic ablation of GFRAL attenuates 3A2-induced weight loss and reduction in food intake.
(a-c) Absolute body weight (a), changes in body weight (%) (b) and average daily food intake (c) of WT and Gfral-/- mice with high fat diet-induced obesity after receiving (twice a week) treatment with either 3A2 antibody or control IgG for 4 weeks (n=8). Data are reported as average ± s.e.m. two-way ANOVA for (a) (WT+3A2 & Gfral-/-+3A2: p=0.037 for 14 days; p=0.0046 for 21 days; p<0.0001 for 28 days); one-way ANOVA for (b-c).
Extended Data Fig. 10 MT1-MMP deletion in GFRAL neurons abolishes obese-induced downregulation of GFRAL.
(a) Immunostaining of GFRAL in the brainstems from Mmp14f/fGfralcre+ mice on high fat diet and Mmp14f/+Gfralcre- on standard or high fat diet. (scale: 20μm) (b) Quantification of the relative fluorescence intensity of GFRAL staining in (a). (n=6) (c) qPCR analyses of Gfral expression in the AP from Mmp14f/fGfralcre+ mice on high fat diet and Mmp14f/+Gfralcre- on standard or high fat diet. (n=6) Data are reported as average ± s.e.m. one-way ANOVA.
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Chow, C.F.W., Guo, X., Asthana, P. et al. Body weight regulation via MT1-MMP-mediated cleavage of GFRAL. Nat Metab 4, 203–212 (2022). https://doi.org/10.1038/s42255-022-00529-5
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DOI: https://doi.org/10.1038/s42255-022-00529-5
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