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Fat Loss Without Dieting? Scientists Discover Potential New Weapon Against Obesity

Editorial Team by Editorial Team
February 28, 2025
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Fat Loss Without Dieting? Scientists Discover Potential New Weapon Against Obesity
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Potential Treatment for Obesity
New research reveals that the protein CD44 plays a crucial role in regulating fat cell formation and metabolic health. Researchers found that CD44-deficient mice remained lean on a high-fat diet, unlike control mice that developed obesity. The study links CD44 inhibition to suppressed fat cell formation in white adipose tissue, a process distinct from GLP-1-based treatments.

A study in The American Journal of Pathology reveals an unexpected discovery: mice lacking the CD44 protein remain lean even when consuming a high-fat diet.

Researchers studying the protein CD44’s role in obesity and metabolism discovered that mice lacking CD44 remained lean despite consuming a high-fat diet, whereas control mice developed obesity. A new study in The American Journal of Pathology, published by Elsevier, reveals CD44’s unexpected influence on fat cell formation and metabolic health.

Lead investigator Cheng Sun, PhD, Key Laboratory of Neuroregeneration of Jiangsu and Ministry of Education, Nantong University, China, says, “We previously reported that CD44 deficiency suppresses neuroinflammation. Given the critical role inflammation plays in the progression of obesity and its related complications, including hyperglycemia and insulin resistance, we hypothesized that CD44 might have a significant role in these processes. Therefore, we investigated the potential link between CD44 and metabolic disorders.”

CD44 Protein Deficiency Diet Infographic
A study in The American Journal of Pathology found that mice with a CD44 protein deficiency remain slim, despite being on a high-fat diet. The image depicts the working model for the study. The intracellular domain of CD44 (CD44-ICD) stimulates the expression of tryptophan 5-hydroxylase 2 (Tph2) in white adipocytes, leading to the production of serotonin (5-HT). This 5-HT, in turn, promotes adipogenesis within white adipose tissue. Consequently, the loss of CD44 disrupts this pathway, repressing adipogenesis and thereby protecting mice from high-fat diet-induced obesity. This model underscores the critical role of CD44 in regulating adipogenesis and metabolic health. Credit: The American Journal of Pathology

Co-investigator Lan Luo, MD, Department of Geriatrics, Affiliated Hospital of Nantong University, China, adds, “We were surprised to observe that mice genetically engineered to lack the CD44 protein maintained a lean phenotype despite having been put on a high-fat diet, while the control mice developed obesity. This unexpected finding highlights CD44’s pivotal role in regulating fat cell formation and metabolic health.”

How CD44 Affects Fat Cell Formation

Recent studies have shown that CD44, a transmembrane protein that plays an essential role in transducing extracellular stimuli into intracellular signaling cascades, contributes to metabolic regulation. In the current study, the effect protecting against obesity was attributed to suppressed adipogenesis (fat cell formation) in white adipose tissue, the most common type of body fat.

Unlike GLP-1 receptor agonists, which primarily regulate appetite and glucose metabolism, CD44 inhibition addresses obesity through a distinct mechanism by directly impairing adipogenesis.

Dr. Sun concludes: “Mechanistically, we found that CD44 deficiency downregulates tryptophan hydroxylase 2 expression in white adipose tissue, leading to reduced serotonin (5-HT) levels, which subsequently impair adipogenesis. These findings reveal a novel mechanism linking CD44 to metabolic regulation, thereby offering a novel therapeutic target for obesity and its related metabolic disorders. This unique mode of action suggests that CD44 inhibitors could serve as a complementary or synergistic treatment alongside GLP-1s, potentially enhancing the overall efficacy of obesity management strategies.”

Reference: “Ablation of CD44 Attenuates Adipogenesis in White Adipocytes via the Tryptophan 5-Hydroxylase 2/5-Hydroxytryptamine Axis to Protect Mice from High-Fat Diet–Induced Obesity” by Yuting Wu, Jinyu Ma, Jing Chen, Xiaoyu Liu, Zhe Wang, Lan Luo and Cheng Sun, 29 October 2024, The American Journal of Pathology.
DOI: 10.1016/j.ajpath.2024.10.005

Funding: National Natural Science Foundation of China, Jiangsu Provincial Research Hospital, Jiangsu Health Commission, Jiangsu Commission of Health, Priority Academic Program Development of Jiangsu Higher Education Institutions



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