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YSM Issue 90.5

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FOCUS<br />

cell biology<br />

macrophages are actually lining the nerve,”<br />

she said. “They almost look like they’re hugging<br />

it.” This configuration led Camell to conclude<br />

that she had discovered an entirely new<br />

subset of macrophages, termed nerve-associated<br />

macrophages, that represents the intersection<br />

of the nervous, immune, and metabolic<br />

systems. These immune cells directly<br />

access the catecholamines from the nerves,<br />

which allows them to regulate levels of these<br />

hormones in the adipose tissue. Where before,<br />

the exact relationship of the nerve, the<br />

released catecholamine, and the adipocyte<br />

was unclear, now macrophages have been<br />

established as a direct and crucial link. This<br />

immediate connection allows the nerve-associated<br />

macrophages to influence both lipid<br />

metabolism and inflammation, two primary<br />

factors that contribute to aging, via their control<br />

over the concentration of catecholamines<br />

present in the adipose tissue.<br />

Learning how to manipulate this system<br />

was a final step to cement the validity of these<br />

findings. Aged macrohpages were found to<br />

overexpress an enzyme called MAOA that<br />

is implicated in catecholamine degradation,<br />

so the researchers treated aged mice<br />

with a MAOA inhibitor and saw increased<br />

fat breakdown. This result confirms the link<br />

between catecholamine degradation and resistance<br />

to lipolysis in aging. To sum up the<br />

model, when catecholamines are released by<br />

still functional nerves in aged individuals, inflamed<br />

macrophages have excess biological<br />

“machinery” like MAOA that degrades the<br />

catecholamines, so the hormones are broken<br />

down before they can act on the adipocyte to<br />

promote lipolysis. This more complete picture<br />

gives researchers a better comprehension<br />

of the complicated crosstalk between the nervous,<br />

immune, and metabolic systems and<br />

how it influences fat breakdown in aging.<br />

The life in your years<br />

Down the road, an understanding of these<br />

intersecting communication patterns has<br />

far-reaching applications in treatment for aging<br />

in line with its classification as a chronic<br />

disease. The aforementioned class of MAOA<br />

inhibitors is currently used as treatment for<br />

depression, but if research worked to localize<br />

these drugs such that they do not affect<br />

the brain, this therapeutic avenue would<br />

be promising. With lower levels of MAOA<br />

comes higher levels of catecholamines, which<br />

can restore lipolysis in aging individuals. An<br />

IMAGE COURTESY OF CHRISTINA CAMELL<br />

►Nerve-associated macrophages, shown in green, seem to hug sympathetic nerves, shown<br />

in white.<br />

alternative target is GDF3, the NLRP3-dependent<br />

protein that inhibits fat breakdown.<br />

While GDF3 is a single upregulated protein<br />

under the overarching control of the NLRP3<br />

inflammasome, NLRP3 itself is required for<br />

fighting off infection, so drugs to block this<br />

protein can increase the risk of certain infections.<br />

Instead, neutralization of GDF3 is an<br />

indirect way to achieve the same goal. If aberrant<br />

inflammation via GDF3 can be prevented,<br />

cells of the adipose tissue will show better<br />

lipolysis. Regardless of the mechanism, these<br />

strategies work to influence the crosstalk<br />

between macrophages and their associated<br />

nerves, which, in turn, influences fat metabolism.<br />

The communication between the nervous,<br />

immune, and metabolic systems that<br />

this research establishes integrates almost<br />

every organ system and so has clear potential<br />

to address the disease of aging as a condition<br />

that impacts all aspects of human health.<br />

When viewed through an even broader<br />

lens, this research is about improving people’s<br />

healthspan, the time during which an individual<br />

is in good health. To clarify the relationship<br />

between catecholamine degradation<br />

and inflammation is to draw the links between<br />

the immune, nervous, and metabolic<br />

systems that, for example, can be implemented<br />

to mitigate neurodegenerative and other<br />

age-related diseases. Ultimately this research<br />

may represent a key to healthier aging. “Our<br />

goal is not to simply increase lifespan,” Dixit<br />

said, “but to add life to the years that exist.”<br />

An understanding of the mechanisms controlling<br />

lipolysis, however narrow of a focus,<br />

can help to achieve this universal ideal: to add<br />

life to your years.<br />

ABOUT THE AUTHOR<br />

CHARLIE MUSOFF<br />

CHARLIE MUSOFF is a sophomore molecular, cellular, and developmental<br />

biology major in Davenport College. Besides being Yale Scientific’s Outreach<br />

Designer, Charlie enjoys running, singing with the Baker’s Dozen, and<br />

teaching with Community Health Educators.<br />

THE AUTHOR WOULD LIKE TO THANK Christina Camell and Professor<br />

Vishwa Deep Dixit for their time and insights.<br />

FURTHER READING<br />

Pirzgalska, Roksana M, et al. “Sympathetic Neuron-Associated Macrophages<br />

Contribute to Obesity by Importing and Metabolizing Norepinephrine.” Nature<br />

Medicine, 9 Oct. 2017, doi:10.1038/nm.4422.<br />

24 Yale Scientific Magazine December 2017 www.yalescientific.org

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