Fibroblast growth factor 1 ameliorates adipose tissue inflammation and systemic insulin resistance via enhancing adipocyte mTORC2/Rictor signal

Abstract Obesity‐induced activation and proliferation of resident macrophages and infiltration of circulating monocytes in adipose tissues contribute to adipose tissue inflammation and insulin resistance. These effects further promote the development of metabolic syndromes, such as type 2 diabetes, which is one of the most prevalent health conditions severely threatening human health worldwide. Our study examined the potential molecular mechanism employed by fibroblast growth factor 1 (FGF1) to improve insulin sensitivity. The leptin receptor‐deficient obese mice (db/db) served as an insulin‐resistant model. Our results demonstrated that FGF1‐induced amelioration of insulin resistance in obese mice was related to the decreased levels of pro‐inflammatory adipose tissue macrophages (ATMs) and plasma inflammatory factors. We found that FGF1 enhanced the adipocyte mTORC2/Rictor signalling pathway to inhibit C‐C chemokine ligand 2 (CCL2) production, the major cause of circulating monocytes infiltration, activation and proliferation of resident macrophages in adipose tissues. Conversely, these alleviating effects of FGF1 were substantially abrogated in adipocytes with reduced expression of mTORC2/rictor. Furthermore, a model of adipocyte‐specific mTORC2/Rictor‐knockout (AdRiKO) obese mice was developed to further understand the in vitro result. Altogether, these results demonstrated adipocyte mTORC2/Rictor was a crucial target for FGF1 function on adipose tissue inflammation and insulin sensitivity.


| INTRODUC TI ON
Obesity-induced chronic tissue inflammation is generally considered to be the primary cause for the occurrence and development of insulin resistance and type 2 diabetes mellitus (T2DM). 1 Results from basic research and clinical characterization suggest the inflammation of adipose tissues (especially epididymal white adipose tissue, eWAT) is the main cause of systemic inflammation and insulin resistance. 1,2 Therefore, effective mitigation of WAT inflammation is a crucial strategy for managing systemic insulin resistance in obesity. 1,2 Activation of adipose tissue macrophages (ATMs) usually plays a significant role in obesity-induced inflammation and insulin resistance. Moreover, the subsequent macrophage-induced pro-inflammatory responses cause chronic inflammation in WAT. 3,4 Macrophage scavengers, such as clodronate liposomes, have, therefore, been applied to improve the metabolic profile by reducing the concentration of visceral adipose tissue macrophages in diet-induced obese mice. 5,6 Macrophages are generally classified two groups, namely pro-inflammatory macrophages (M1) and anti-inflammatory macrophages (M2). M1 secrete pro-inflammatory factors, such as Tnf-α and Il-6, 1,7 and express the surface marker Cd11c. 8,9 On the other hand, M2 produce anti-inflammatory cytokines, such as Il-4 and Il-10, and express the surface marker Cd206. 9 Thus, the disproportionate increase in WAT pro-inflammatory macrophages during obesity causes adipose tissue inflammation. 1,7-10 Two theories have been posited to explain the increase in M1 macrophages in WAT during obesity. One view is that bone marrow monocytes are recruited into WAT, where they differentiate into pro-inflammatory macrophages. 9,11 The other is that obesity triggers the proliferation and activation of resident macrophages in WAT. 12 In both theories, the monocyte chemoattractant protein 1/C-C chemokine ligand 2 (CCL2) produced by adipocytes is presumably the predominant contributor to the increase in M1 macrophage levels in WAT. [12][13][14] Therefore, the number of macrophages in WAT during obesity could be dependent on the expression of adipocyte Ccl2. [12][13][14] Loss of rictor, a crucial component of mTORC2 that played a role in growth and metabolism, 15 could lead to overexpression of Ccl2 in the adipocytes. 16 Therefore, adipocyte mTORC2/Rictor is a vital target for inhibiting the infiltration of circulating monocytes and the proliferation and activation of resident macrophages in the adipose tissue.
As an autocrine/paracrine regulator, fibroblast growth factor 1 (FGF1) is mitogenic on cells of various origins, including liver, vasculature, and skin. 17 Therefore, this property has propelled the clinical application of recombinant human Fibroblast Growth Factor 1 (rhFGF1) peptides to facilitate wound/burn repair and ulcer regeneration for over a decade. 18 Recent studies have reported the characteristic of insulin resistance in FGF1 knockout mice fed on a high-fat diet (HFD).
In contrast, the administration of exogenous rhFGF1 significantly improved insulin sensitivity in T2DM, suggesting a potential role in nutrient homeostasis. 19,20 Moreover, the HFD-fed FGF1 −/− mice exhibited a significant increase in serum inflammatory factors, and chronic administration of rhFGF1 could reduce the levels of serum inflammatory cytokines in T2DM. 19,20 However, the precise signalling cascades related to adipose tissue inflammation and regulated by FGF1 have not yet been elucidated, and the underlying mechanism is obscure. Therefore, the FGF1-regulated signalling pathways involved in systemic inflammation, as well as the molecular mechanism by which FGF1 ameliorates insulin resistance, deserve further exploration.
Therefore, in the present study, we explored the possible molecular mechanism by which FGF1 ameliorates adipose inflammation and systemic insulin resistance. Our findings indicated that rhFGF1 significantly reduced pro-inflammatory macrophage levels in adipose tissues by enhancing the mTORC2/Rictor signalling pathway to inhibit Ccl2 expression. Conversely, these alleviating effects of FGF1 were substantially abrogated in adipocytes with reduced mTORC2/Rictor signalling. Further, we developed a model that genetically induced the adipocytes-specific mTORC2/Rictor-knockout (AdRiKO) obese mice to understand the role of mTORC2/Rictor in mediating FGF1 on adipose tissue inflammation and insulin resistance. Thus, our study elucidated the molecular mechanism of FGF1 as an insulin sensitizer on the metabolic profile, and the effect of FGF1 on the ATMs infiltration and proliferation might represent an attractive therapeutic target for preventing the development of adipose tissue inflammation and insulin resistance.

| Protein expression and purification
FGF1 was expressed and purified, as described in a previous study. 21

| Animals and experiments
Male db/db mice of the C57BL/6J strain were purchased from the Model Animal Research Center of Nanjing University and fed on the standard chow diet. The adipose tissue-specific Rictor-knockout (AdRiKO) mice were described previously. [22][23][24] All animal experiments were performed in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the Center for New Drug Evaluation and Research, China Pharmaceutical University, Nanjing, China.
Given the infertility of AdRiKO mice, Rictor flox/flox mice were bred with Adiponectin-cre +/mice to generate mice for our experiments.
Age-matched cre-negative males were used as controls. Animals were fed on HFD (60% kcal from fat) for 10 weeks (Research Diets Inc).
All animals were maintained under a 12-h light-dark photoperiod at 22±°C (50%-60% humidity, lights on at 7 am) and were allowed free access to food and water. The db/db, HFD and AdRiKO mice were randomly divided into two groups and treated with FGF1, while negative treatment control mice were treated with vehicle (PBS).
For the evaluation of chronic efficacy, db/db and AdRiKO mice were intraperitoneally injected with FGF1 at a dose of 0.5 mg/kg body weight or PBS every other day for 4 weeks, the administration dose of FGF1 was based on our previous study. 21 The control groups were administrated with an equal volume of PBS at the same time. At the indicated time-points, blood glucose level was assessed using a blood glucose meter and calibrated by following its instructions (Roche).

| Evaluation of insulin sensitivity in vivo
We performed intraperitoneal glucose tolerance test (IPGTT) and Intraperitoneal insulin tolerance test (IPITT) to evaluate the effect of FGF1 on insulin sensitivity in obese mice after chronic treatment. Firstly, before IPGTT, mice were fasted overnight

| Pathological, histopathological and immunohistochemical evaluation
eWAT from healthy and obese mice were excised following chronic administration of PBS and FGF1, respectively. Tissues were fixed in 4% paraformaldehyde overnight and embedded in paraffin. For immunocytochemistry, 5 μm thick paraffin sections were incubated overnight with primary antibody (rabbit polyclonal to CD68 Immunofluorescence staining of eWAT was performed as previously described. 25 Briefly, the eWAT paraffin sections were incubated with primary antibody (rabbit polyclonal to F4/80 Tissue sections were imaged on an inverted confocal microscope (Leica SP8 X).

| 3T3-L1 adipocytes culture
3T3-L1 pre-adipocytes (3T3-L1 MBX ATCC ® CRL-3242™) were cultured as previously described 26 and seeded in 6-well plates at a density of 150 000 cells/well in 1 mL culture medium. The cells were differentiated into mature adipocytes, as previously described. 27 Accumulation of lipid droplets was observed in >95% of cells after 14 days. Cells at day 14-15 were used for experiments. Effect of mTORC2 on the mediation of insulin sensitivity was assayed by stimulating mature adipocytes with 100 ng/mL of FGF1 21 and 100nM of insulin in the presence or absence of torin1 (250 nmol/L, a specific inhibitor of mTORC2). 16 We subsequently measured the levels of CCL2 in adipocyte supernatant using a commercial ELISA kit (R&D Systems) following the manufacturer's instructions.

| RNA extraction, cDNA synthesis and quantitative RT-PCR
Total RNA was extracted from mouse eWAT using a Trizol reagent (Thermo Fisher Scientific) and reverse transcribed into complementary DNA (cDNA) with Prime Script RT reagent kit (Takara).

Quantitative real-time PCR was performed using SYBR Premix
Ex Taq (Takara) with specific primers (listed in the supplemental Table S1) on a Step One Plus Real-Time PCR system (Applied Biosystems ® Quant Studio ® 3). UBC was used as an endogenous control.

| In vitro chemotaxis assay
In vitro chemotaxis assay was performed as previously described 28 using the mouse-derived macrophage cell line RAW264.7. For the migration, 100 000 macrophages were placed in the upper chamber of an 8-μm polycarbonate filter (24-Transwell format; Corning) after treatment with FGF1 (100 ng/mL) for 30 minutes. The specific inhibitor of CCR2 (INCB3344:100 nmol/L) 29 and PBS was, respectively, used as positive and negative controls. The lower chamber contained either 3T3L1 differentiated adipocyte conditioned medium or DMEM complete medium were placed in the lower chamber. After 3 hours of migration, cells were fixed in formalin, stained with crystal violet, imaged and counted using the ImageJ software.

| Proteome analysis
eWAT was isolated from the vehicle group and db/db mice treated with FGF1. Proteome analysis was performed as previously described. 16,30 Details on the experimental procedure are provided in the supplemental information section.

| Statistical analysis
In vitro experiments were repeated in triplicate. The results were expressed as mean ± SEM. The charts in the figures were generated by software of GraphPad Prism 7. Statistical analysis was performed with one-way ANOVA by using statistical software NASDAQ: SPSS from SPSS Inc P < .05 was considered to be statistically significant.

| FGF1 ameliorates insulin resistance in db/db mice
As a classical paracrine FGF molecule, FGF1 has been shown to function as an insulin sensitizer in blood glucose homeostasis. 20 To evaluate the metabolic profile of FGF1 in an insulin-resistant model, 0.5 mg/kg FGF1 was administered daily to db/db mice for four consecutive weeks. As shown in Figure S1A,B, FGF1 showed a robust glucose homeostasis profile, lowed the plasma insulin of db/db mice and did not cause hypoglycaemia and changeable plasma glucagon after chronic administration ( Figure S2). Consistent with our previous report, 21 we found that our data for the present study also indicated that the plasma glucose level of the genetically induced (db/db) mice remained significantly lower throughout the each time point of intraperitoneal glucose tolerance test (IPGTT) after with a prolonged administration of rhFGF1 compared with PBS treatment ( Figure 1A,B). Furthermore, the IPITT results also showed that db/db mice treated with FGF1 had a robust improvement in insulin sensitivity compared to non-treatment mice ( Figure 1C,D).

| FGF1 reverses obesity-induced systemic and adipose tissue inflammatory response
Previous reports have indicated that chronic metabolic inflammation induced systemic insulin resistance in obesity, 31,32 and these F I G U R E 1 Chronic administration of FGF1 achieves the robust effect on improving insulin sensitivity in diabetic mice. A and B, Glucose tolerance test (GTT) and area under the curve of GTT (AUC) (B) of type 2 diabetic mice after chronic treatment with FGF1. C and D, Insulin tolerance test (ITT) and area under the curve of ITT (AUC) (D) of the obese mice after chronic treatment with FGF1. Data are presented as mean ± SEM (n = 6). *P < .05, **P < .01, ***P < .001, FGF1 vs db/db. # P < .05, ## P < .01, ### P < .001, db/db vs db/m two conditions were attributed to WAT. 1,2 This study examined the potential effects of FGF1 treatment on adipose tissue and systemic inflammation in obese mice. Using enzyme linked immunosorbent assay (ELISA) kits, we assessed the serum levels of pro-inflammatory cytokines in samples collected from the mice. The results revealed a significant reduction in the plasma levels of TNF-α and IL-6 in db/ db following the administration of FGF1 (Figure 2A,B). Moreover, immunohistochemical analysis showed that the levels of CD68, an F I G U R E 2 Chronic administration of FGF1 achieves the robust effect on ameliorating adipose tissue inflammation and systemic inflammation. A-B, The plasma TNF-α of db/db mice and IL-6 level in obese mice after chronic treatment with FGF1. C-D, The immunohistochemical staining of CD68 in epididymal adipose tissue of db/db mice and the quantitative analysis of positive point in tissue sections. E, The relative mRNA level of inflammatory factors in epididymal adipose tissue of db/db mice after chronic administration of FGF1. The data of quantitative analysis were obtained by ImageJ software. Data are presented as mean ± SEM (n = 6). *P < .05, **P < .01, ***P < .001, FGF1 vs db/db. # P < .05, ## P < .01, ### P < .001, db/db vs db/m inflammatory marker, were reduced in eWAT after chronic treatment in obese mice ( Figure 2C,D). This finding suggested that FGF1 had a robust effect on adipose tissue and systemic inflammation.
Furthermore, in line with previous study, 19 we found the reduced relative size of adipocyte in eWAT after chronic treatment ( Figure 2E).

| Quantitative proteome analysis reveals adipose tissue immune cells mediate the reversal of adipose tissue inflammation by FGF1
We conducted a quantitative proteome analysis of the adipose tissue to explore the mechanism by which FGF1 controlled adipose tissue inflammation. We subsequently identified approximately 5000 proteins. Under the premise of a fold change of 1.5, a total of 68 differential proteins related to adipose tissue inflammation were analysed, out of these, 38 and 30 were respectively up-and downregulated in the treatment group compared with the non-treated F I G U R E 3 Quantitative proteome analysis reveals immune response and inflammation-related biological process mediated the effect of FGF1 on adipose tissue inflammation. A, Cluster analysis of immune response and inflammation-related proteins after treatment with FGF1 (Fold change = 1.5). B, GO term analysis of the regulated proteome. C-D, Confocal merged images of epididymal fat pads from db/db mice, co-stained with anti-F4/80 (green) and CD11c (red), and the quantitative analysis data of double staining of db/db mice (D) were conducted by ImageJ software. Scale bar represents 500 μm for 200×; Data are presented as mean ± SEM (n = 6). *P < .05, **P < .01, ***P < .001, FGF1 vs db/db. # P < .05, ## P < .01, ### P < .001, db/db vs db/m controls ( Figure 3A and Table S2). Furthermore, Gene Ontology (GO) analysis based on the regulated differential proteins revealed enrichment of immune cell migration, proliferation, activation and cytokine production-related biological processes ( Figure 3B), suggesting the effect of FGF1 on adipose tissue inflammation was mainly associated with immune cells migration, proliferation and related chemokines expression in eWAT.
To examine polarized phenotypes of pro-inflammatory macrophages in eWAT, we conducted immunofluorescence analysis on typical macrophages markers (F4/80+ CD11c + ). Consistent with other previous findings, our results demonstrated that db/db mice had a large increase in F4/80 and CD11c merged positive ATMs.
These formed crown-like structures (CLS) around adipocytes in eWAT of obese mice. 1,7 In obese mice, the number of F4/80 + and CD11c + positive ATMs exhibited a significant reduction after chronic treatment with FGF1 ( Figure 3C,D). Moreover, the proliferation of resident ATMs in obese adipose tissues also decreased significantly after treatment ( Figure 4A,B). Altogether, the above results suggested that FGF1 reduced the number of M1 macrophages in the eWAT of obese mice.

| Effect of FGF1 on macrophages chemokines transcription and expression
Strategies for reducing the accumulation of ATMs have mainly focused on decreasing macrophage migration into the AT. This occurs by depleting circulating monocytes or genes encoding chemokines that attract macrophages into the AT. 13,29,33,34 To investigate the potential effect of FGF1 on macrophage chemotaxis and migration, we, therefore, conducted a transwell assay to evaluate whether Our results demonstrated a significant decrease in chemokine levels following prolonged administration of FGF1 ( Figure 5D). This confirmed that the robust effect of FGF1 on inhibiting macrophage infiltration and proliferation occurs via transcriptional regulation of chemokine expression. Given that macrophage infiltration and insulin resistance in adipose tissues is mainly mediated by the CCL2/ CCR2 chemotaxis system, 13,35 we further conducted immunofluorescence and Western blot analysis to examine CCL2 protein levels in epididymal adipose tissue. In the results, treated obese mice exhibited lower expression levels of Ccl2 compared with the model. In addition, plasma CCL2 levels decreased in obese mice after chronic treatment with FGF1 ( Figure 5E-H). Based on these findings, we suggested that the metabolic effects of FGF1 on adipose tissue inflammation and systemic insulin resistance occurred by inhibiting the transcription and expression of Ccl2 in eWAT. The inhibition serves to block macrophage proliferation and infiltration.

| Adipocyte mTORC2/rictor mediates the regulation of FGF1 on CCL2 transcription and expression
A previous study demonstrated that in adipose tissues, Ccl2 transcription and expression are mainly controlled by adipocyte mTORC2/ Rictor via the phosphatidic acid phosphatase LIPIN1. 16 Therefore, we confirmed the mTORC2/Rictor expression, AKT (Ser473) phosphorylation and readouts for mTORC2/rictor signalling in eWAT after chronic treatment with FGF1. The results showed a strong signal up of mTORC2/rictor and AKT (Ser473) phosphorylation, but a significant signal down of the inflammatory pathway, including phosphorylation of IKB/α(ser32), IKKα/β(Y199) and JNK(Thr183/Tyr185) ( Figure 6A,B).

F I G U R E 5 FGF1 inhibits macrophages migration by negatively controlling CCL2 transcription and expression. A,
A schematic diagram showing the coculture of adipocytes and macrophages in vitro. B and C, The representative image of the effect of FGF1 (100 ng/mL) and INCB3344 (specific inhibitor of CCR2, 100 nmol/L) on 3T3-L1 CM-induced chemotaxis of macrophages (B) and the quantitative analysis (C). The image was representative of similar results from three independent experiments. Scale bar represents 1000 μm for 100×. D, The relative mRNA level of chemokines in eWAT of db/db mice after chronic administration of FGF1. E and F, Representative confocal merged images of CCL2 from epididymal adipose tissue of db/db mice, stained with anti-CCL2 (red) and DAPI (blue), and the data of quantitative analysis of staining of db/ db mice was conducted by ImageJ software. G, Western blot analysis of CCL2 in epididymal adipose tissue of db/ db mice after treatment with FGF1. H, The plasma CCL2 level of db/db mice after treatment with FGF1. *P < .05, **P < .01, ***P < .001, FGF1 vs db/db. # P < .05, ## P < .01, ### P < .001, db/db vs db/m F I G U R E 6 The adipocyte mTORC2/Rictor mediate the effect of FGF1 on regulating Ccl2 expression. A and B, Western blot analyses of the mTORC2/Rictor and inflammation signalling in epididymal adipose tissue of db/db mice after chronic treatment with FGF1, and (B) the densitometric quantification by ImageJ software. Data are presented as mean ± SEM. *P < .05, **P < .01, ***P < .001, FGF1 vs db/db. # P < .05, ## P < .01, ### P < .001, db/db vs db/m. C, Western blot analysis of adipocyte rictor/mTORC2 mediate the effect of FGF1 (100 ng/ mL) on regulating CCL2 production in the presence or absence of torin1 (250 nmol/L). D, The concentration of CCL2 in 3T3-L1 conditional medial after stimulating with FGF1 in the presence or absence of torin1. Data are presented as mean ± SEM (n = 3). ***P < .001, PBS vs FGF1 + DMSO, ### P < .001, FGF1 + Torin1 vs FGF1 + DMSO To determine whether the regulation of FGF1 on the transcription of Ccl2 was dependent on mTORC2/Rictor, we stimulated differentiated mature 3T3-L1 adipocytes with FGF1 or insulin in the presence or absence of the mTOR inhibitor torin1. 36 The 3T3-L1 adipocytes treated with both FGF1 and insulin in the absence of torin1 exhibited a strong mTORC2/ Rictor signal, as well as AKT (Ser473) phosphorylation in the adipocyte.
Besides, the signal intensity was stronger compared with when either insulin or FGF1 was administered alone, thereby demonstrating synergy between the two. Conversely, the expression level of Ccl2 significantly decreased, especially following co-administration of FGF1 and insulin ( Figure 6C,D). However, treating 3T3-L1 adipocytes with FGF1 or insulin in the presence of torin1 revealed a reverse effect compared with treatment without torin1 ( Figure 6C,D). These findings suggest that FGF1 down-regulates the transcription and expression of Ccl2 by enhancing adipocyte mTORC2/Rictor signalling. This further decreases the levels of pro-inflammatory M1 macrophages and ameliorates adipose tissue inflammation.

| D ISCUSS I ON
FGF1 is a member of the paracrine FGF family known for a robust metabolic hormone function on insulin resistance and glucose homeostasis. 19,20 However, the precise FGF1 regulated signalling cascades related to obesity-induced inflammation and systemic insulin resist- ance are yet to be elucidated. Besides, the underlying mechanism is obscure. In this article, we presented evidence that FGF1 ameliorated adipose tissue inflammation and insulin resistance. Specifically, we found that FGF1 significantly reduced obesity-induced infiltration and proliferation of macrophages by enhancing the adipocyte mTORC2/Rictor signalling pathway. This subsequently inhibited the expression of Ccl2 in adipose tissue, thereby ameliorating systemic insulin resistance (Figure 8).
Existing literature shows that chronic insulin resistance established in obesity is largely mediated by macrophage-induced pro-inflammatory responses in adipose tissues. 4 For instance, a previous study using irradiation followed by bone marrow transplantation reported the recruitment of circulating monocytes into adipose tissue (AT) was the primary trigger for macrophage infiltration in WAT. 7 Therefore, strategies for reducing the accumulation of ATMs mainly focus on decreasing the migration of macrophages into the AT by depleting circulating monocytes or genes encoding chemokines that attract macrophages into the AT. 13,29,33,34 The elevated pro-inflammatory macrophage levels in WAT during obesity are mainly mediated by the chemokine Ccl2. Studies have shown CCL2 increases the number of M1 by recruiting the circulating monocytes into WATs and promoting the proliferation of resident macrophages. 9,11,12 Therefore, CCL2 is the primary cause of adipose tissue inflammation. In line with the previous findings, our results indicated that FGF1 ameliorated adipose tissue inflammation and insulin resistance by regulating the transcription and expression of CCL2 ( Figure 5D-H). Although the mechanism of FGF1 for upstream regulation of Ccl2 in adipocytes has not been elucidated yet. The adipocyte mTORC2/Rictor gene could be a potential target. Knocking down the adipocyte mTORC2/ Rictor up-regulates the expression of Ccl2 in 3T3-L1 adipocytes. 16 In addition, the phosphatidic acid phosphatase LIPIN1 may modulate the effect of mTORC2/Rictor by controlling the production of CCL2 in adipocytes. 16,37 In the present study, we investigated the association between FGF1 and the adipocyte mTORC2/Rictor in regulating the expression of Ccl2. First, we revealed a strong signal up of mTORC2/ Rictor and AKT (Ser473) phosphorylation. However, a significant signal down of the inflammatory pathway, including phosphorylation of IKB/α (ser32), IKKα/β (Y199) and JNK (Thr183/Tyr185), was observed in eWAT after chronic treatment with FGF1. These observations suggested that FGF1 possibly targeted mTORC2/Rictor signalling to F I G U R E 8 A working model of the potential protection mechanism of FGF1 against adipose tissue inflammation and systemic insulin resistance inhibit Ccl2 expression and inflammatory pathway ( Figure 6A,B). We further used 3T3-L1 mature adipocytes and mTORC2/Rictor inhibitor to explore the potential mechanism of the Ccl2 regulation. Our in vitro results showed that FGF1 significantly enhanced mTORC2/Rictor signalling pathway to inhibit Ccl2 production. Conversely, these alleviating effects of FGF1 were substantially abrogated in adipocytes with reduced mTORC2/Rictor expression ( Figure 6C). This confirmed that

ACK N OWLED G EM ENTS
This work was supported by grants of National Natural Science

Foundation of China (No. 81571984) and Jiangsu Sports and Health
Engineering Collaborative Innovation Center.

CO N FLI C T O F I NTE R E S T
The authors confirm that there are no conflicts of interest.