Yu, L., Wan, Q., & Liu, Q. (2024). IgG is an aging factor that drives adipose tissue fibrosis and metabolic decline. Cell Metabolism, 36(4), 793–507. Added by: Dr. Enrique Feoli (04/08/2025, 00:07) Last edited by: Dr. Enrique Feoli (04/08/2025, 00:10)
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Abstract
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Highlights
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IgG accumulates in adipose tissue during aging and is reduced by caloric restriction
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IgG activates macrophages to induce adipose tissue fibrosis
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Preventing IgG accumulation in aging prolongs healthspan and lifespan
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Targeting IgG recycling receptor FcRn rejuvenates metabolic health in aged mice
Summary
Aging is underpinned by pronounced metabolic decline; however, the drivers remain obscure. Here, we report that IgG accumulates during aging, particularly in white adipose tissue (WAT), to impair adipose tissue function and metabolic health. Caloric restriction (CR) decreases IgG accumulation in WAT, whereas replenishing IgG counteracts CR’s metabolic benefits. IgG activates macrophages via Ras signaling and consequently induces fibrosis in WAT through the TGF-β/SMAD pathway. Consistently, B cell null mice are protected from aging-associated WAT fibrosis, inflammation, and insulin resistance, unless exposed to IgG. Conditional ablation of the IgG recycling receptor, neonatal Fc receptor (FcRn), in macrophages prevents IgG accumulation in aging, resulting in prolonged healthspan and lifespan. Further, targeting FcRn by antisense oligonucleotide restores WAT integrity and metabolic health in aged mice. These findings pinpoint IgG as a hidden culprit in aging and enlighten a novel strategy to rejuvenate metabolic health.

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