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Commentary
Open Access | 10.1172/JCI191361
1Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, University of Chicago, Chicago, Illinois, USA.
2Life Sciences Institute and
3Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan, USA.
Address correspondence to: Margo P. Emont, Knapp Center for Biomedical Discovery, 900 E. 57th St., Chicago, Illinois 60637, USA. Phone: 773.834.2823; Email: margo.emont@bsd.uchicago.edu. Or to: Jun Wu, Life Sciences Institute, 210 Washtenaw Avenue, Ann Arbor, Michigan 48109, USA. Phone: 734.763.6790; Email: wujunz@umich.edu.
Find articles by Emont, M. in: PubMed | Google Scholar
1Department of Medicine, Section of Endocrinology, Diabetes and Metabolism, University of Chicago, Chicago, Illinois, USA.
2Life Sciences Institute and
3Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan, USA.
Address correspondence to: Margo P. Emont, Knapp Center for Biomedical Discovery, 900 E. 57th St., Chicago, Illinois 60637, USA. Phone: 773.834.2823; Email: margo.emont@bsd.uchicago.edu. Or to: Jun Wu, Life Sciences Institute, 210 Washtenaw Avenue, Ann Arbor, Michigan 48109, USA. Phone: 734.763.6790; Email: wujunz@umich.edu.
Find articles by Wu, J. in: PubMed | Google Scholar
Published June 2, 2025 - More info
Type 2 innate lymphoid cells (ILC2s) regulate the proliferation of preadipocytes that give rise to beige adipocytes. Whether and how ILC2 downstream Th2 cytokines control beige adipogenesis remain unclear. We used cell systems and genetic models to examine the mechanism through which IL-13, an ILC2-derived Th2 cytokine, controls beige adipocyte differentiation. IL-13 priming in preadipocytes drove beige adipogenesis by upregulating beige-promoting metabolic programs, including mitochondrial oxidative metabolism and PPARγ-related pathways. The latter was mediated by increased expression and activity of PPARγ through the IL-13 receptor 1 (IL-13R1) downstream effectors STAT6 and p38 MAPK, respectively. Il13-KO or preadipocyte Il13ra1-KO mice were refractory to cold- or β3-adrenergic agonist–induced beiging in inguinal white adipose tissue, whereas Il4-KO mice showed no defects in beige adipogenesis. Il13-KO and Il13ra1-KO mouse models exhibited increased body weight and fat mass and dysregulated glucose metabolism but had a mild cold-intolerant phenotype, likely due to their intact brown adipocyte recruitment. We also found that genetic variants of human IL13RA1 were associated with BMI and type 2 diabetes. These results suggest that IL-13 signaling–regulated beige adipocyte function may play a predominant role in modulating metabolic homeostasis rather than in thermoregulation.
Alexandra R. Yesian, Mayer M. Chalom, Nelson H. Knudsen, Alec L. Hyde, Jean Personnaz, Hyunjii Cho, Yae-Huei Liou, Kyle A. Starost, Chia-Wei Lee, Dong-Yan Tsai, Hsing-Wei Ho, Jr-Shiuan Lin, Jun Li, Frank B. Hu, Alexander S. Banks, Chih-Hao Lee
Accumulating evidence from rodent and human studies indicates that the activity of thermogenic adipocytes positively correlates with optimal metabolic function. In this issue of the JCI, Yesian et al. uncover a paracrine signaling pathway from type 2 innate lymphoid cells to preadipocytes via IL-13 that increases beige adipogenesis through a PPARγ-dependent pathway. Mice with deletion of Il13ra1 demonstrated glucose dysregulation, and variants near the human IL13RA1 locus were associated with body weight and diabetic status. It is tempting to speculate that targeting IL-13 holds therapeutic potential for improving metabolic fitness in humans.
Since the discovery of activatable thermogenic fat in adult humans, effort has been made to better understand these unique adipocytes (1). Of particular interest is the question of whether thermogenic fat can be activated to treat metabolic disease (2). Review of patient records has indicated that increased thermogenic fat is associated with metabolic health (3), and studies have shown that β3 adrenergic receptor agonism can activate thermogenic fat, improving glucose tolerance (4, 5). Nonetheless, a better understanding of the factors that contribute to thermogenic adipocyte development and function is needed to fully harness the therapeutic potential of these cells.
Beige adipocytes are thermogenic adipocytes found in classically white fat depots and the developmental origins of these cells are still not fully understood (1). They have been shown to develop from progenitor cells distinct from those cells giving rise to white adipocytes (6), and cell surface markers such as CD81 are known to enrich beige progenitor cells from white adipose tissue via FACS (7). However, as evidence emerges showing that different programs can be activated to drive thermogenesis in adipocytes, it has become clear that there is heterogeneity among beige cells that may start at or before the preadipocyte stage (8). A better understanding of the signaling events underlying beige preadipocyte specification and/or proliferation may in turn be the key to understanding the factors that drive the development of beige adipocytes in response to environmental and metabolic challenges.
In this issue of the JCI, Yesian and colleagues explored the signaling pathway mediated by the IL-13/IL-13 receptor α1 (IL-13/IL-13Rα1) axis. Notably, IL-13 signaling caused preadipocytes to more readily become metabolically active beige adipocytes (9). While the classical pathway to activate thermogenesis involves stimulation by 3 adrenergic receptors, which are activated by central sympathetic signaling in response to cold (10), thermogenic fat can also be activated by other means. In recent years, a number of studies have investigated the role that immune cells play in regulating brown and beige adipocytes (11). Macrophages have been found to be key players in regulating thermogenesis through both adrenergic and cholinergic signaling (12, 13); and recently, lymphocytes, including γ δ T cells and Tregs, have also emerged as important regulators of adipose tissue thermogenesis (14, 15).
Here, Yesian et al. have identified and clarified the role of type 2 innate lymphoid cell (ILC2) signaling in the regulation of beige preadipocytes and thus whole-body metabolism. The experiments specifically interrogated the role of type 2 cytokine IL-13 signaling through its receptor IL-13Rα1 in priming adipose progenitor cells to become beige adipocytes (9). While it has previously been suggested that the type 2 cytokine IL-4 also plays a role in beige fat biogenesis (16), Yesian and authors found that Il4 whole-body–KO mice had no evident thermogenic defects, yet mice with whole-body Il13 or Il13ra1 KO showed clearly compromised activation of thermogenic responses in subcutaneous adipose tissue when challenged with cold or β3 adrenergic stimulation (9). The findings suggest that IL-13 may serve as the major type 2 cytokine in regulating beige fat differentiation.
Investigating the mechanism by which IL-13 increases thermogenesis, Yesian and authors treated preadipocytes with IL-13. This treatment caused not only the differentiated adipocytes but also the undifferentiated preadipocytes to show increased mitochondrial respiration (9). In the preadipocytes, IL-13 signaled through STAT6 and p38 MAPK, which increased recruitment of PPARγ coactivator 1α (PGC-1α) to PPARγ and drove a thermogenic transcriptional program (9) (Figure 1). These data, therefore, convincingly demonstrate that IL-13 signaling drives preadipocytes toward a more thermogenic phenotype and that the adipocytes that differentiate from these preadipocytes are functional beige adipocytes, regulating whole-body energy homeostasis and metabolism.
IL-13 signaling primes preadipocytes to differentiate into beige adipocytes. ILC2s secrete IL-13, which signals through IL-13Rα1 on preadipocytes. Subsequent activation of STAT6 and p38 MAPK recruits PGC-1α to PPARγ to drive a thermogenic transcriptional program. The expression of thermogenic genes promotes differentiation of the cells into beige adipocytes with elevated mitochondrial respiration capacity.
It is striking that mature beige/brown adipocyte Il13ra1-KO (bIl13ra1-KO) mice displayed rather modest thermogenic defects, indicating that the beiging effect of IL-13 primarily takes place in preadipocytes. Furthermore, when Prx1Cre was used to specifically knock out Il13ra1 in subcutaneous preadipocytes, the preadipocyte Il13ra1-KO (pIl13ra1-KO) mice, when challenged with cold, showed reduced core body temperature and a blunted thermogenic response, even though the KO only affected subcutaneous adipose tissue where beige adipocytes were prominent, and not classical brown fat. This finding, along with the relative lack of a thermogenic defect in the bIl13ra1-KO mice, suggests that the effects mediated via IL-13/IL-13Rα1 in beige adipocytes are sufficient to increase thermogenesis and improve whole-body metabolism, despite the lack of involvement of classical brown fat (9). As studies continue to focus on the heterogeneity in beige adipocytes (17, 18), further work will need to reveal the role of different stimuli and progenitor subpopulations involved with increasing the content and activity of thermogenic beige adipocytes. It is of note that, in adult (20-week-old) pIl13ra1-KO mice, in which minimal thermogenic defects were detected, impaired glucose homeostasis was evident compared with the age-matched control mice. The observation highlights optimal beige fat function as an essential requirement for whole-body metabolic health and further suggests that much of the metabolic beneficial effects from beige adipocytes may be independent of their thermoregulatory function.
Last, but not least, Yesian and authors showed multiple GWAS with hits for BMI and type 2 diabetes are found near the IL13RA1 locus, suggesting that IL-13 signaling may play a role in weight and metabolic regulation in humans (9). The results echo a previous finding involving the fat mass and obesity–associated (FTO) gene variants that influence weight by decreasing thermogenesis in preadipocytes and mature beige adipocytes (19). While treatments that increase adipose thermogenesis have not had a strong effect on body weight thus far, these findings suggest that targeting preadipocyte and beige adipocyte thermogenesis can positively influence body weight in humans. The signaling pathway downstream of IL-13/IL-13Rα1 is mediated through PPARγ and high-affinity ligands for PPARγ, such as thiazolidinedione (TZD), have also been used clinically for treating type 2 diabetes (20). Future investigation will reveal whether further synergistic effects can be achieved when activating IL-13 and PPARγ together in the treatment of obesity and metabolic disorders. Furthermore, it has previously been shown that IL-13 signaling enhances exercise-elicited metabolic adaptation within skeletal muscle (21), suggesting that therapeutic approaches targeting IL-13 may hold great promise for improving systemic fitness through metabolic benefits in various tissues.
This work was supported by NIH grants K01DK134806 (to MPE) and R01DK107583 and R01AA028761 (to JW).
Address correspondence to: Margo P. Emont, Knapp Center for Biomedical Discovery, 900 E. 57th St., Chicago, Illinois 60637, USA. Phone: 773.834.2823; Email: margo.emont@bsd.uchicago.edu. Or to: Jun Wu, Life Sciences Institute, 210 Washtenaw Avenue, Ann Arbor, Michigan 48109, USA. Phone: 734.763.6790; Email: wujunz@umich.edu.
Conflict of interest: The authors have declared no conflict of interest exists.
Copyright: © 2025, Emont et al. This is an open access article published under the terms of the Creative Commons Attribution 4.0 International License.
Reference information: J Clin Invest. 2025;135(11):e191361. https://doi.org/10.1172/JCI191361.
See the related article at Preadipocyte IL-13/IL-13Rα1 signaling regulates beige adipogenesis through modulation of PPARγ activity.