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ABSTRACT The conversion of white adipocytes to thermogenic beige adipocytes represents a potential mechanism to treat obesity and related metabolic disorders. However, the mechanisms
involved in converting white to beige adipose tissue remain incompletely understood. Here we show profound beiging in a genetic mouse model lacking the transcriptional repressor Krüppel-like
factor 3 (KLF3). Bone marrow transplants from these animals confer the beige phenotype on wild type recipients. Analysis of the cellular and molecular changes reveal an accumulation of
eosinophils in adipose tissue. We examine the transcriptomic profile of adipose-resident eosinophils and posit that KLF3 regulates adipose tissue function via transcriptional control of
secreted molecules linked to beiging. Furthermore, we provide evidence that eosinophils may directly act on adipocytes to drive beiging and highlight the critical role of these
little-understood immune cells in thermogenesis. SIMILAR CONTENT BEING VIEWED BY OTHERS _EGR1_ LOSS-OF-FUNCTION PROMOTES BEIGE ADIPOCYTE DIFFERENTIATION AND ACTIVATION SPECIFICALLY IN
INGUINAL SUBCUTANEOUS WHITE ADIPOSE TISSUE Article Open access 28 September 2020 AGE-DEPENDENT PDGFRΒ SIGNALING DRIVES ADIPOCYTE PROGENITOR DYSFUNCTION TO ALTER THE BEIGE ADIPOGENIC NICHE IN
MALE MICE Article Open access 31 March 2023 GPR180 IS A COMPONENT OF TGFΒ SIGNALLING THAT PROMOTES THERMOGENIC ADIPOCYTE FUNCTION AND MEDIATES THE METABOLIC EFFECTS OF THE
ADIPOCYTE-SECRETED FACTOR CTHRC1 Article Open access 08 December 2021 INTRODUCTION White adipose tissue (AT), typically regarded as an energy storage site, can acquire the thermogenic
properties of brown AT to become ‘beige’ and drive energy expenditure1,2. The discovery that AT can be activated in this way may be important in combatting obesity and associated
cardiometabolic disorders. It is now apparent that resident immune cells, particularly mediators of type 2 immunity, are involved in beige AT activation and energy expenditure. Eosinophils
have been implicated in beiging3,4,5 but the underlying cellular and molecular mechanisms orchestrating their contributions remain incompletely understood. Obese mice have fewer eosinophils
in their AT than lean counterparts, and the ΔdblGATA transgenic mouse, which lacks eosinophils altogether, displays exaggerated weight gain on a high-calorie diet4. Using the ΔdblGATA model,
it has also been proposed that AT eosinophils facilitate adipocyte maturation to ameliorate diabetic complications of diet-induced obesity6. Conversely, mice genetically engineered to
overexpress interleukin 5 (IL-5) have supraphysiological levels of eosinophils and are protected from diet-induced obesity4. However, a recent study reported that artificially increasing
eosinophils in AT with recombinant IL-5 did not confer the expected metabolic benefits, leading the authors to suggest that the functional activities of eosinophils may be more crucial than
their abundance7. Furthermore, the principal contribution of macrophages to AT energy expenditure—their production of catecholamines8—is currently under debate, with several groups finding
that rather than synthesising catecholamines, macrophages are instead responsible for catecholamine uptake and degradation9,10,11. Thus, interest in the key cellular and molecular drivers of
beiging remains intense. We have previously shown that mice lacking the transcriptional repressor Krüppel-like factor 3 (KLF3) have reduced adiposity and are protected from diet-induced
obesity12,13. Here we report enhanced beige AT activation in _Klf3__−/−_ mice and that bone marrow (BM) transplants from these mice confer the lean, beige phenotype on recipients. In the
absence of KLF3, AT-resident eosinophils are more abundant and exhibit significant deregulation of important secreted molecules, including meteorin-like and IL-33, both of which influence
beiging5,14,15,16. We also report that co-culture of eosinophils with primary adipocytes increases thermogenic gene expression. These findings identify KLF3 as an important regulator of AT
eosinophil gene expression and function, advancing our understanding of how these little-understood immune cells may lead to improved strategies for therapeutically driving energy
expenditure. RESULTS REDUCED ADIPOSITY AND ENHANCED BEIGING IN _KLF3_ −/− MICE Disruption of the gene encoding the transcriptional repressor KLF3 results in mice that are smaller than their
wild type (WT) littermates with less white AT13 (Supplementary Fig. 1a, b), and confers protection from diet-induced obesity12. Body mass composition analysis of chow-fed WT and _Klf3__−/−_
animals housed at room temperature (22 °C) showed that _Klf3__−/−_ mice exhibit reduced total fat mass compared to WT littermates (Fig. 1a and Supplementary Fig. 1a), in addition to
differences in lean body mass, which constitute their reduced body weight (Supplementary Fig. 1b). This is reflected in the reduced size of white AT depots in _Klf3__−/−_ mice seen
previously12 (Fig. 1b and Supplementary Fig. 1c). Visual examination of subcutaneous (subcut) AT depots, the depots most prone to beiging17, revealed a browner complexion and smaller size in
_Klf3__−/−_ mice (Fig. 1c). Furthermore, H&E staining revealed that in the absence of KLF3, adipose cellular architecture is notably altered, with enrichment of multilocular adipocytes
evident that was not seen in the subcut AT of WT mice (Supplementary Fig. 2a, b). These observations also confirm the previous finding that _Klf3__−/−_ mice have smaller-sized
adipocytes12,13. Given that thermogenic energy expenditure via activation of beige AT may influence adiposity18,19,20, we examined the expression of archetypal thermogenic genes. We observed
upregulation of numerous thermogenic genes in the subcut AT of _Klf3__−/−_ mice – most notably _Ucp1_, _Cpt1b_, _Fatp1_ and the beige-specific marker21 _Tbx1_ (Fig. 1d). We next
investigated the levels of mitochondrial proteins by Western blotting of whole-cell extracts (WCE) from WT and _Klf3__−/−_ subcut AT. Uncoupling protein 1 (UCP1) protein levels were higher
in the subcut AT of _Klf3__−/−_ mice (Fig. 1e), as were mitochondrial oxidative phosphorylation (oxphos) complexes I–V (Fig. 1f). We also observed increased levels of the mitochondrial outer
membrane protein voltage-dependent anion channel (VDAC) in _Klf3__−/−_ subcut AT (Fig. 1g), suggesting higher mitochondrial number. Levels of multiple thermogenic genes were also increased
in the gonadal AT of _Klf3__−/−_ mice (Supplementary Fig. 1d), as were UCP1 and mitochondrial oxphos proteins (Supplementary Fig. 1e, f). Several genes were modestly increased in
interscapular brown AT of _Klf3__−/−_ mice while beige-specific markers1 _Tbx1_, _Tmem26_ and _Cd137_ were undetectable (Supplementary Fig. 1g). UCP1 protein content was mildly decreased in
_Klf3__−/−_ brown AT (Supplementary Fig. 1h, i). While this suggests that brown AT is unlikely to play a major role in the thermogenic phenotype of _Klf3__−/−_ mice, we cannot wholly rule
out its contribution given the existence of UCP1-independent thermogenic mechanisms in beige and brown fat22,23,24,25. Together, these results show that _Klf3__−/−_ mice exhibit reduced fat
mass that may result from enhanced AT beiging, as demonstrated by the widespread de-repression of thermogenic genes and mitochondrial proteins. KLF3 DEFICIENCY ENHANCES THE THERMOGENIC
RESPONSE Cold exposure is a recognised means of promoting adaptive thermogenesis in AT26,27,28. To study whether the absence of KLF3 enhances beige AT activation and influences body
temperature both in the cold and at thermoneutrality, we acutely exposed WT and _Klf3__−/−_ mice to ambient temperatures of 4 °C or 30 °C (Fig. 2a). No statistically significant difference
was seen in the body temperatures of WT and _Klf3__−/−_ mice during cold exposure (Fig. 2b). As expected, there was little disparity in body temperature between WT and _Klf3__−/−_ mice
housed at 30 °C. Subcut (Fig. 2c and Supplementary Fig. 3a) and gonadal AT (Supplementary Fig. 3b, c) from _Klf3__−/−_ mice were smaller than WT depots under both conditions, and
interestingly, interscapular brown AT was smaller in _Klf3__−/−_ mice acutely exposed to 4 °C than in WT mice at 4 °C or in _Klf3__−/−_ mice at thermoneutrality (Supplementary Figs. 3d, e).
Visual inspection of subcut AT depots from mice housed at 30 °C and 4 °C showed that _Klf3__−/−_ mice exhibited distinct, enhanced evidence of browning at 4 °C compared to WT mice, and this
disparity was retained at 30 °C though to a lesser extent (Fig. 2d). This striking change in macroscopic appearance was surprising, given the short period of cold exposure (5 h), and may in
part be strain-dependent and due to the elevated levels of basal thermogenesis in _Klf3__−/−_ mice. To examine beige AT activation at the transcriptional level, we assessed expression of
thermogenic genes in subcut AT from mice housed at 30 °C and 4 °C. At 4 °C, we found that multiple genes were increased in the absence of KLF3, including _Ucp1_, _Pgc1a, Cidea_, _Elovl3_ and
_Cpt1b_ (Fig. 2e), with similar deregulation seen in gonadal AT (Supplementary Fig. 3f) and to a lesser extent, brown AT (Supplementary Fig. 3g). _Ucp1_ mRNA expression was elevated in
subcut AT from _Klf3__−/−_ mice compared to WT mice housed at 30 °C. Western blotting of subcut UCP1 and mitochondrial oxphos complexes confirmed upregulation at the protein level at 4 °C
(Fig. 2f, g). Thus, under thermal stress at 4 °C, activation of beige AT is amplified in _Klf3__−/−_ mice. At thermoneutrality, KLF3 deficiency still augments beige AT activation, suggesting
that the effects seen are not solely due to cold temperature, but that in this model beiging of white AT can occur independently of thermal stress. REDUCED WEIGHT GAIN IN WT MICE
TRANSPLANTED WITH KLF3−/− BM We have previously shown that mice lacking KLF3 are protected from obesity when fed a high-fat diet, with no difference exhibited in food intake on either a chow
or high-fat diet compared to WT mice12. While the mechanisms underlying had remained unclear, evidence of enhanced beiging in _Klf3__−/−_ mice now provides a possible explanation. The role
of haematopoietic cells in AT function and thermogenesis is now widely appreciated, and KLF3 is both active in haematopoietic lineages29,30,31,32,33 and highly expressed in a range of
haematopoietic cell types according to the Immgen34 and Haemopedia35,36 databases. We thus focused on a possible role for KLF3 in BM haematopoietic cells that could give rise to cells
occupying the AT SVF niche and regulate adipose function. We irradiated WT mice and transplanted them with BM from WT or _Klf3__−/−_ mice to produce WTWT and WT_Klf3−/−_ chimeras (Fig. 3a).
Chimeric mice and a control cohort of untransplanted WT and _Klf3__−/−_ animals were fed a high-fat, high-sugar Western diet for 11 weeks in order to investigate resistance to diet-induced
obesity and adiposity. Successful haematopoietic reconstitution was assessed by genotyping tail biopsies (recipient and donor cells) and BM (recipient cells only) (Supplementary Fig. 4a).
Prior to commencing the Western diet regimen, WT_Klf3−/−_ chimeras were heavier than WTWT counterparts, then over the 11-week Western diet period, WT_Klf3−/−_ chimeras gained modestly but
significantly less weight than WTWT counterparts (Fig. 3b and Supplementary Fig. 4b, c) and had less body fat (Fig. 3c). Importantly, WT_Klf3−/−_ chimeras gained less subcut AT mass compared
to WTWT animals (Fig. 3d and Supplementary Fig. 4d) and more prominent browning in WT_Klf3−/−_ subcut AT was detected by visual inspection (Fig. 3e). No such differences were observed in
the weights or appearance of gonadal or brown AT (Supplementary Fig. 4e–i). The expression of thermogenic genes in the subcut AT of chimeric mice was tested and _Ucp1_, _Cpt1b_ and _Cd137_
were found to be upregulated in animals that received _Klf3__−/−_ BM compared to mice that received WT BM (Fig. 3f). Several genes were also upregulated in WT_Klf3−/−_ gonadal and brown AT
(Supplementary Fig. 4j, k). We performed biochemical analysis on the peripheral blood of transplanted mice and showed that plasma triglycerides were significantly lower in WT_Klf3−/−_ mice
compared to WTWT, while no difference existed in total cholesterol (Supplementary Fig. 5a, b). We also detected reduced hepatic triglycerides in untransplanted KLF3-deficient mice
(Supplementary Fig. 5c), and observed no difference in liver cholesterol levels (Supplementary Fig. 5d). Together these results demonstrate that transplantation of irradiated WT mice with
KLF3-deficient BM was sufficient to confer metabolic benefits on recipient mice. This suggests that haematopoietic cells may be instrumental in driving beiging and conferring resistance to
obesity in this system. AT-RESIDENT EOSINOPHILS ARE ALTERED IN THE ABSENCE OF KLF3 Given that transplantation with KLF3-deficient haematopoietic cells promoted resistance to obesity, we
sought to identify the important cell types in this process. _KLF3_ is expressed in multiple tissues and cell lineages, including various haematopoietic cells34,35, and the FANTOM5 SSTAR
database that measures transcript levels indicates it is more abundant in human eosinophils than any other cell type37, consistent with its observed presence in murine eosinophils38
(Supplementary Fig. 6a). Given their proposed role in adiposity and thermogenesis3,4,5,39,40,41, we sought to assess the contribution of eosinophils in driving the thermogenic phenotype of
_Klf3__−/−_ mice. We first examined the abundance of eosinophils in subcut AT of WT and _Klf3__−/−_ mice. SVF cells were collected and analysed by flow cytometry (according to the eosinophil
gating strategy in Supplementary Fig. 7a). AT-resident eosinophils were 3-fold more prevalent in _Klf3__−/−_ subcut AT (Fig. 4a). We also sorted eosinophils from whole subcut AT to
determine the number of cells per gram and confirmed that eosinophil abundance is greater in _Klf3__−/−_ subcut AT (Fig. 4b). mRNA levels of the gene encoding the eosinophil surface marker
Siglec-F (_Siglecf_) were also 3-fold higher in _Klf3__−/−_ subcut AT (Fig. 4c). It is noteworthy that while eosinophils are more than 2-fold more abundant in _Klf3__−/−_ gonadal AT
(Supplementary Fig. 7b), no differences in the number of lung or spleen eosinophils were detected (Supplementary Fig. 7c, d). Eosinophils were also found to be over 2-fold more prevalent in
the subcut AT of WT_Klf3−/−_ chimeric mice than in WTWT counterparts on a Western diet (Supplementary Fig. 7e, f). We next compared the genome-wide expression profiles of eosinophils
isolated from subcut SVF by FACS and observed broad deregulation of gene expression in the absence of KLF3 (Fig. 4d), resulting in changes to important cellular pathways including
signalling, localisation, response to stimulus and immune system processes (Supplementary Fig. 6b). Further breakdown of the deregulated immune system processes in _Klf3__−/−_ eosinophils
revealed striking enrichment of various biological pathways such as leukocyte migration and myeloid cell homeostasis (Supplementary Fig. 6c). To explore the transcriptional network further
we interrogated the transcriptional activator _Klf1_, which operates in a regulatory system with _Klf3_ in erythroid cells32,42. _Klf1_ was very lowly expressed in AT eosinophils and showed
no difference between WT and _Klf3__−/−_ (Supplementary Fig. 6d, e), with no expression detected in whole AT or SVF (Supplementary Fig. 6f), suggesting that KLF1 does not play an important
opposing role to KLF3 in AT eosinophils. Inspection of the most significantly deregulated genes in KLF3-deficient adipose eosinophils revealed three genes encoding proteins with reported
roles in beige AT activation—meteorin-like (_Metrnl_)5, met-enkephalin (_Penk_)14,16,43 and IL-33 (_Il33_)14,15 (Fig. 4e). We have previously reported that levels of galectin-3, a proposed
eosinophil chemoattractant44,45, are elevated in _Klf3__−/−_ AT29. Here we found that the eosinophil chemoattractants eotaxin-1 and -2 (_Ccl11_ and _Ccl24_) were upregulated in
KLF3-deficient AT eosinophils (Fig. 4f), providing a possible explanation for the increased eosinophil abundance in _Klf3__−/−_ AT. Given that eosinophil abundance is elevated in _Klf3__−/−_
AT, we sought to quantify other immune cells in the stromal vascular compartment. We did not observe changes to macrophage abundance (M1 or M2), dendritic cells, CD19+ B cells or CD3+ T
cells (Fig. 4g, h and Supplementary Fig. 8a–e). T regulatory lymphocytes (Tregs) were more abundant in KLF3-deficient subcut AT (Fig. 4i and Supplementary Fig. 8a)—unsurprising given the
elevated expression of IL-3346,47,48,49. While no significant differences to the overall lineage− CD127+ CD25+ group 2 innate lymphoid cell (ILC2) population were observed, we did detect a
significant deficit of ILC2s expressing the IL-33 receptor (ST2) in _Klf3__−/−_ subcut AT (Fig. 4j and Supplementary Fig. 8a, f, g). To assess whether changes in the AT immune profile
affected cytokine signalling, we measured expression of various inflammatory and anti-inflammatory genes in the SVF of WT and _Klf3__−/−_ subcut AT. Expression of the classical inflammatory
marker _Tnf_ (encoding the pro-inflammatory molecule TNF-α) was reduced in the absence of KLF3, while the M2 macrophage marker _Arg1_ was increased (Supplementary Fig. 7g). Unexpectedly, we
detected increased expression of _Ifng_ (encoding the inflammatory cytokine interferon-γ) in _Klf3__−/−_, which has been shown to block themogenesis50. On the other hand, levels of _Il10_
were reduced in the absence of KLF3, in line with recent findings that IL-10 blockade protects against diet-induced obesity and elicits browning of AT51. Together these findings demonstrate
that resident eosinophils are more abundant in _Klf3__−/−_ AT and that these cells exhibit widespread deregulated gene expression, including higher levels of genes implicated in beige AT
activation. These changes are accompanied by modifications to the immune and cytokine landscape of subcut AT. KLF3 DIRECTLY REGULATES AT EOSINOPHIL GENE EXPRESSION Our finding that AT
eosinophils lacking KLF3 express higher levels of _Metrnl_, _Penk_ and _Il33_ led us to examine these genes more closely. Using qPCR analysis, we measured higher expression of _Metrnl_ and
_Il33_ in subcut SVF from _Klf3__−/−_ compared to WT mice (Fig. 5a). Likewise, we found that levels _Metrnl_ and _Il33_ were higher in WT_Klf3−/−_ subcut SVF than in WTWT (Fig. 5b).
Interestingly, _Penk_ expression was only elevated in subcut SVF from _Klf3__−/−_ mice fed a Western diet, with no differences seen in whole subcut AT or SVF from transplanted mice or from
mice fed a chow diet (Fig. 5a, b and Supplementary Fig. 8a, b). To assess levels of secreted meteorin-like and IL-33 in AT, we quantified their concentration in supernatant from AT explants
cultured for 2 h, using ELISA. We found that both meteorin-like and IL-33 were more highly concentrated in _Klf3__−/−_ AT supernatant, suggesting greater secretion of these proteins (Fig.
5c, d). However, when we measured meteorin-like and IL-33 in peripheral blood plasma we found no difference (Supplementary Fig. 8c, d), which may suggest that these proteins are elevated
locally and have a paracrine effect confined to the AT microenvironment. To determine whether AT eosinophils are able to directly drive beiging of adipocytes, we performed co-culture
experiments. FACS-sorted eosinophils from WT and _Klf3__−/−_ subcut SVF were co-cultured with mature primary adipocytes for 4 h, and the expression of thermogenic genes measured by qPCR
(Fig. 5e). We observed modest but significant increases in the expression of several thermogenic genes in adipocytes co-cultured with WT eosinophils compared to media alone. Additionally,
several genes, including _Ucp1_, _Ptgs2_ and _Cpt2_, were more highly expressed in adipocytes co-cultured with _Klf3__−/−_ AT eosinophils than WT eosinophils. Together these results suggest
that AT eosinophils alone are able to drive beiging of adipocytes, at least in vitro, and that KLF3 may directly regulate gene expression in eosinophils. Given that in the absence of the
transcriptional repressor KLF3, _Metrnl_ and _Il33_ are upregulated and secreted in higher abundance within AT, we sought to determine whether KLF3 directly binds and regulates these genes.
Inspection of ChIP-Seq data from mouse embryonic fibroblasts (Accession No. GSE44748)52 showed distinct KLF3 binding at the _Metrnl_ promoter region, but little enrichment at _Penk_ or
_Il33_ (Fig. 5f). To assess whether KLF3 binds these genes in a relevant cellular setting we performed ChIP in WT and _KLF3__−/−_ EoL-1 cells, a human eosinophilic cell line that highly
expresses _KLF3_ (Supplementary Fig. 8e). _KLF3__−/−_ cells were generated by CRISPR/Cas9 non-homologous end joining following the introduction of a sgRNA targeting exon 3 of _KLF3_ (Fig.
5g). After undertaking immunoprecipitations with an anti-KLF3 antibody or normal goat IgG, we performed qPCR using primers designed to amplify the promoter regions of _METRNL_, _PENK_ and
_IL33_, and to positive control regions based on known ChIP-Seq peaks (_SP1_, _METRNL_ −4.6 kb_, IL33_ −24.5 kb) and a negative control locus (_VEGFA_). We found KLF3 binding was evident at
the _METRNL_ and _IL33_ promoters compared to the negative control region _VEGFA_, and that signals in _KLF3__−/−_ samples were negligible, confirming the specificity of the anti-KLF3
immunoprecipitation (Fig. 5h). This indicates that KLF3 directly binds and regulates the expression of the genes encoding important secreted molecules in adipose-resident eosinophils.
DISCUSSION Type 2 immune cells are now recognised as key players in AT homeostasis and beiging. Much attention has been given to the contribution of macrophages4,8,53,54, however recent
findings suggest that AT macrophages may not perform their previously-defined direct contribution to adaptive thermogenesis via catecholamine production9,10,11. This realisation provides us
with an opportunity to re-evaluate the current model of type 2 immunity in adiposity and beiging by defining previously unknown or under-appreciated immune cells and the mechanisms
underpinning their contribution to AT homeostasis. A recent study found that AT immune cells secrete acetylcholine that elicits beiging, highlighting the importance of haematopoietic cells
in AT homeostasis55. Interestingly though, acetylcholine-producing cells were predominantly B cells, T cells and macrophages, leaving the contribution of other lineages, such as eosinophils,
unresolved. In this study, using a combination of in vitro approaches, transgenic mice and BM transplantation models, we have shown that the transcriptional repressor KLF3 directly
regulates genes encoding secreted factors in AT eosinophils. Our findings from co-culture experiments suggest that eosinophils may be able to directly drive activation of beiging in
adipocytes through paracrine signalling. This highlights the importance of eosinophils in our model of type 2 immunity in AT beiging and suggests that eosinophils may be able to activate
beige fat in an organismal setting, providing protection from obesity. Future work will seek to further characterise the in vivo contribution of eosinophils to adipose homeostasis and
thermogenesis, and to understand the relevance of these cells in human setting. BM transplantation studies have been utilised to explore the contribution of haematopoietic cells in adiposity
and beiging, including the metabolic response to caloric restriction56 and hypermetabolism following burn injury57. We cannot exclude the influence of other haematopoietic cells to the
reduced weight gain and improved metabolic parameters in WT_Klf3−/−_ mice, and while this work explores the contribution of eosinophils, considerable effort in the field is currently being
directed towards understanding the diverse roles of various immune cell populations in beiging. Although eosinophil infiltration has been implicated in beiging3,40, it is also apparent that
artificially increasing their abundance by administration of IL-5 does not appear to significantly improve major metabolic parameters in diet-induced obese mice7. The authors proposed that
eosinophil activity may be more important than total numbers in AT. Significantly, as well as observing increased eosinophil abundance in _Klf3__−/−_ AT, we found considerable deregulation
of biological pathways in these cells and upregulation of genes encoding key secreted factors that activate beige AT. Meteorin-like is secreted by exercised muscle and induced in AT
following cold exposure5, however, a comprehensive understanding of the AT-specific source has remained elusive. Recent studies have reported adipose stromal cells as the primary source of
IL-33, with only a small contribution potentially originating from hematopoietic cells48,49. Here we provide evidence that eosinophils may contribute a portion of local adipose IL-33, as
well as meteorin-like. While the absence of _Penk_ deregulation in chow-fed _Klf3__−/−_ mice and lack of evidence for direct binding by chromatin immunoprecipitation led us to emphasize
other putative target genes, we cannot rule out a direct role for KLF3 in the regulation of _Penk_, or a role for Met-Enk in contributing to the phenotype observed—potentially in other cell
types. Overall, our findings demonstrate a mechanism by which type 2 immune cells may influence beiging and adiposity—via KLF3-driven regulation of important eosinophil-derived factors that
we term ‘eosinokines’40, as shown in our proposed model (Fig. 6). Our results not only suggest that eosinophils may play an under-appreciated role as signalling cells in metabolism, but also
reveal that KLF3 is a key regulator of secreted molecules in eosinophils. Multiple KLF family members have been implicated in the control of metabolism58,59,60,61,62 but few clear unifying
models of action have emerged. KLF3, for instance, does not appear to regulate meteorin-like or IL-33 in other cell types, and indeed its role in eosinophils has previously been
unrecognised. Targeting molecules secreted by immune cells and their receptors may have the potential to therapeutically drive energy expenditure via AT beiging to combat obesity. Our
findings advance the search for secreted factors produced by eosinophils and other resident haematopoietic cells, and support the hypothesis that eosinophils and their secreted ‘eosinokines’
are relevant to the type 2 immune network in AT. METHODS ANIMAL HUSBANDRY All animal work was carried out in accordance with approval from the UNSW Animal Care and Ethics Committee
(Approval Nos. 12/150A, 16/5B and 16/141B), the Murdoch Children’s Research Institute Animal Ethics Committee (Approval No. A760) and the University of Sydney Animal Care and Ethics
Committee (Approval No. L02/7-2009/3/5054). Animals were housed in a specific pathogen-free environment at a constant ambient temperature of 22 °C and 50% humidity on a 12 h light–dark
cycle, with _ad libitum_ access to standard chow food and water, unless otherwise specified. Generation of global _Klf3__−/−_ mice on an FVB/NJ background has been previously reported13.
Age-matched WT and _Klf3__−/−_ male littermates derived from _Klf3__+/_− × _Klf3__+/_− crosses were used for all animal studies. Male mice were housed in cages containing bedding, nesting
material and enrichment with up to five individual animals, except for cold and thermoneutral experiments which were undertaken in empty cages containing singly housed mice. ACUTE
THERMONEUTRAL AND COLD TEMPERATURE EXPOSURE For acute temperature exposure experiments, WT and _Klf3__−/−_ mice aged between 12 and 14 weeks were assessed at 30 °C or 4 °C for 5 h. Mice
housed at thermoneutrality (30 °C) were acclimatised at this temperature for 20 h prior to commencement of experiments. Food, water and bedding were removed from cold-exposed mice during the
5 h period. Body temperatures were obtained by rectal probe (BAT-12 microprobe thermometer) over a 5 h period between the times of 0800 h and 1400 h. Temperatures were measured at 0, 30,
60, 90, 120, 180, 240 and 300 min. Body weights were recorded before and after the 5 h temperature measurement period. At the conclusion of the 5 h assessment, all mice were euthanised and
tissues and blood were collected for further analysis. BONE MARROW TRANSPLANTATION STUDIES WT mice aged 7 weeks old were irradiated using an X-RAD 320 with two doses of 500 cGy, 6 h apart.
The following day, 7-week old WT and _Klf3__−/−_ donor mice were euthanised and femora and tibiae harvested. BM cells were flushed with sterile RPMI medium and red blood cells lysed using
distilled and deionised water. Cells were resuspended in phosphate-buffered saline (PBS) and adjusted to 5 × 107/mL. Recipient mice were warmed using infrared heat lamps then 1 × 106 cells
were injected into the tail vein. Transplantation recipients were administered with antibiotics containing 200 mg/L sulfamethoxazole and 40 mg/L trimethoprim via drinking water for 2 weeks.
Following this, recipient mice and a control cohort of WT and _Klf3__−/−_ mice were transferred to a high-fat, high-sugar Western diet for 11 weeks (Supplementary Table 1). Mice were weighed
and assessed for body mass composition using an EchoMRI before and throughout the study, and at the conclusion tissues and blood were collected for further analyses. Genotyping of tail
biopsies and BM was performed to confirm reconstitution of WT or _Klf3__−/−_ cells in the BM of chimeric mice. Genotyping primers can be found in Supplementary Table 2, and gel images were
analysed using Bio-Rad Image Lab software v6.0.1. BLOOD AND PLASMA ANALYSIS Peripheral blood was collected by cardiac bleed using 50 U/mL heparin sulphate as an anti-coagulant, and stored in
K2EDTA collection tubes. Whole blood was sent for biochemical analysis of triglycerides and total cholesterol at the University of Sydney Veterinary Pathology Diagnostic Services. Plasma
was isolated by centrifugation (2000 × _g_ for 15 min) of whole blood and stored for further analysis. MOUSE TISSUE PROCESSING AT was harvested from the posterior subcutaneous white AT depot
(composed of dorsolumbar, inguinal and gluteal portions), gonadal white AT depot and the interscapular brown AT depot. To obtain the AT stromal vascular fraction (SVF), depots were minced
then digested using 1 mg/mL type II collagenase and cells were passed through a 40 μm sieve to remove undigested particles. The same digestion procedure was applied for lung tissue with the
addition of 1 μg/mL DNaseI. Spleens were homogenised in cold PBS. Centrifugation at 500 × _g_ for 10 min was then performed to separate the SVF pellet from floating adipocytes, for
downstream usage. AT explants were performed25, with supernatants harvested after 2 h of culture before being frozen and stored for further analysis. ADIPOSE H&E STAINING Sections of
subcut AT were mounted and stained with haematoxylin and eosin according to routine protocols. H&E sections were imaged on an Aperio XT Slide Scanner and processing was undertaken using
Aperio ImageScope software. LIVER BIOCHEMICAL ASSAYS Liver was snap-frozen in liquid nitrogen and stored at −80 °C until lipid extraction. Lipids were extracted from powdered tissue using a
modified Folch method63. The lipid extract was dried under a steady-stream of nitrogen. Extracts were resuspended in 0.4 mL 95% ethanol and heated to 37 °C prior to lipid assays.
Colorimetric assays were used to measure triglycerides (Point Scientific) and cholesterol (Thermo Fisher). All assays were conducted according to the manufacturer’s protocols and results
were normalised to liver weight. CELL CULTURE All cell lines were incubated in a 37 °C 5% CO2 water-jacketed incubator. COS-7 cells were a gift from Stuart Orkin (Harvard), and were cultured
in DMEM supplemented with 10% foetal bovine serum (FBS) and 1% penicillin–streptomycin–glutamine (PSG). During passaging, adherent cells were lifted after a 5 min incubation at 37 °C with 2
mM PBS-EDTA. EoL-1 cells were grown in RPMI 1640 supplemented with 10% FBS and 1% PSG. The EoL-1 cell line was supplied by the European Collection of Cell Cultures (ECACC; Salisbury, United
Kingdom) as catalogue number 94042252, and purchased from Sigma Aldrich. The cell line has been reported before64. GENOME EDITING For CRISPR-Cas9 genome editing, a plasmid encoding both the
Cas9 protein and the sgRNA was used to delete _KLF3_ in EoL-1 cells via double-strand breakage and non-homologous end joining. pSpCas9(BB)-2A-GFP (PX458) was a gift from Feng Zhang (Addgene
plasmid 48138)65. We designed sgRNA sequences using the Optimized CRISPR-Cas9 design v1 online tool provided by the Zhang laboratory from the Massachusetts Institute of Technology. EoL-1
cells were transfected by nucleofection using a Neon Transfection System (Life Technologies). Cells (5 × 105) were resuspended in nucleofection buffer R (Neon Transfection Kit) and given one
pulse of 1350 V for 30 ms. Cells were then cultured for 72 h in RPMI 1640 with 10% FBS but lacking antibiotics. Transfected cells were enriched by FACS, and clonal populations were
established by sorting single cells into 96-well culture plates. To screen clones for the desired _KLF3_ disruption, PCR was carried out on genomic DNA using Q5 polymerase (New England
BioLabs), before confirmation via Sanger sequencing of PCR products. sgRNA, PCR and sequencing oligonucleotides can be found in Supplementary Table 2. FLOW CYTOMETRY Flow cytometry was
performed using a BD LSRFortessa and BD LSRFortessa X-20. Sorting by FACS was performed using a BD Influx and BD FACS Aria II. All cells were pre-blocked with anti-CD16/32 Fc block to reduce
non-specific binding, and UltraComp eBeads (Invitrogen) were used for single-stained compensation controls. For identifying eosinophils, cells were stained with a combination of the
following antibodies: CD45-biotin (BD Pharmingen), Streptavidin-BV711 (BD Horizon), CD11b-FITC (BD Pharmingen), F4/80-PE/Cy7 (Biolegend) and SiglecF-BV421 (BD Horizon). Live cells were
identified by the addition of TO-PRO-3 viability dye. Eosinophils were defined as live CD45+ CD11b+ F4/80+ Siglec-F+ SSChi cells. For delayed flow cytometric analysis, fully stained cells
were fixed with 1% paraformaldehyde. In these instances, ZombieNIR (Biolegend), a fixable viability dye, was used for identifying live cells, and F4/80 was conjugated to PE/Cy5
(eBioscience). To analyse other AT immune cell populations, various fluorescently-conjugated antibodies were used and detailed antibody information can be found in Supplementary Table 3,
with gating strategies for immune cell populations available in the legends for Fig. 4 and Supplementary Fig. 8. Flow cytometry analysis was performed using FlowJo software v10. CO-CULTURE
EXPERIMENTS Culture and differentiation of primary mouse adipocytes was performed66. Briefly, isolated SVF cells from the inguinal subcutaneous fat of WT mice were differentiated in 12-well
plates for two days using an induction medium of DMEM-F12 GlutaMAX with 10% FBS and 1X PSG, 1 μg/mL insulin, 0.5 mM IBMX, 0.25 μM dexamethasone, 1 μM rosiglitazone and 1 nM triiodothyronine
(T3). Two days after induction, cells were cultured in maintenance medium (DMEM-F12 GlutaMAX containing 10% FBS, 1X PSG, 1 μM rosiglitazone, 1 nM T3 and 1 μg/mL insulin) which was refreshed
every two days. Co-culture experiments were performed in a bicompartmental system using 0.4 μm pore polycarbonate transwell inserts (Corning). A standardised number of adipose eosinophils
were sorted from WT and _Klf3__−/−_ subcutaneous SVF using a BD FACS Aria III then resuspended in RPMI containing 10% FBS, 1X PSG and 10 ng/mL IL-5. Eosinophils (or media alone) were then
added to the upper compartment of the transwell and incubated at 37 °C in 5% CO2 for 4 h. Adipocytes from the lower compartment were then collected for gene expression analysis by qPCR. GENE
EXPRESSION ANALYSIS To assess mRNA expression, total RNA was isolated from cells and tissues then subjected to cDNA synthesis29. Quantitative real-time PCR (qPCR) reactions were set up with
Power SYBR Green PCR Master Mix and were run with default cycle parameters on the Applied Biosystems 7500 Fast Real-Time PCR System (for 96-well plate format) or the Applied Biosystems
ViiA7 Real-Time PCR System (for 384-well plate format). Applied Biosystems 7500 software v2.3 and Applied Biosystems QuantStudio Real-Time PCR software v1.3 were used for qPCR data analysis.
Gene expression was quantified using the 2−ΔΔCT method and relative mRNA expression was normalised to _18__S_ rRNA levels which have been shown to display consistent expression across the
cells and conditions studied. All qPCR primers were designed using primer3 (http://primer3.ut.ee/) and can be found in Supplementary Table 2. For microarrays on eosinophils sorted from
subcut SVF by FACS, RNA was isolated using the RNeasy Micro Kit (Qiagen) then subjected to quality control using an Agilent 2100 Bioanalyzer, following preparation with an Agilent RNA 6000
Pico Kit. An Affymetrix 3’ IVT Pico Kit was used prior to microarrays which were performed on an Affymetrix GeneChip HT MG-430PM Array Plate. Partek Genomics Suite v7 software was used for
data analysis, and microarray datasets are available from GEO (Accession No. GSE117445). PROTEIN EXTRACTION AND QUANTIFICATION Whole-cell protein extracts (WCE) were prepared by homogenising
mouse tissues with a glass dounce, in the presence of radioimmunoprecipitation (RIPA) buffer (50 mM HEPES, pH 7.5; 500 mM LiCl; 1 mM EDTA; 1% NP-40; 0.7% sodium deoxycholate) containing
protease inhibitors (cOmplete, Mini, EDTA-free Protease Inhibitor Cocktail; one tablet dissolved in 10 mL RIPA buffer). Homogenates were rotated at 4 °C for 1 h then centrifuged at 21,000 ×
_g_ for 20 min at 4 °C to obtain the WCE. Protein extracts were subjected to a bicinchoninic acid (BCA) assay using a BCA Protein Assay Kit (Pierce) to determine concentration according to
the manufacturer’s protocol. For detection of UCP1, 25 μg of WCE was loaded onto Novex NuPAGE 10% Bis-Tris gels, following denaturation and boiling (15 μg for brown AT WCE). After blocking,
nitrocellulose membranes were incubated overnight with anti-UCP1 antibody (Abcam). Membranes were then probed with HRP-linked anti-rabbit antibody (GE Healthcare) prior to exposure using the
GE ImageQuant LAS 500 in the presence of Immobilon Western Chemiluminescent HRP Substrate (Millipore). To detect expression of VDAC (voltage-dependent anion channel), 20 μg of WCE was used
and incubation took place overnight with anti-VDAC antibody (Cell Signaling) before probing with HRP-linked anti-rabbit secondary antibody. To detect mitochondrial electron transport chain
complexes, several deviations from the above protocol were performed. Briefly, WCE were boiled for 5 min at 50 °C before SDS-polyacrylamide gel electrophoresis (PAGE) and transferral to a
0.45 μm polyvinyl difluoride (PVDF) membrane. Blocking took place overnight at 4 °C using 5% (w/v) skim milk powder in PBS (pH 7.4) with gentle agitation, followed by washing in PBST (PBS
with 0.1% Tween-20). The membrane was incubated with the primary Total OXPHOS Rodent WB Antibody Cocktail (Abcam) in 1% skim (w/v)/PBS. This optimised primary antibody mix contains five
mouse antibodies, one each against the mitochondrial oxidative phosphorylation (oxphos) complexes (Complex I: NADH dehydrogenase; Complex II: succinate dehydrogenase; Complex III:
CoQH2-cytochrome _c_ reductase; Complex IV: cytochrome _c_ oxidase; Complex V: ATP synthase). The secondary HRP-linked anti-mouse antibody labelling was performed in 1% skim milk (w/v)/PBS
before imaging. All membranes were stripped with 0.5 M NaOH then re-blocked with skim milk before probing with an anti-β-actin antibody (Sigma). Following this, HRP-linked anti-mouse
antibody (GE Healthcare) was incubated on membranes prior to imaging. For measurement of meteorin-like and IL-33 levels in plasma and AT explant supernatant, mouse meteorin-like/METRNL
DuoSet and mouse IL-33 DuoSet ELISA kits were utilised according to manufacturer’s instructions (R&D Systems). Detailed antibody information can be found in Supplementary Table 3.
CHROMATIN IMMUNOPRECIPITATION ChIP experiments were performed67. Briefly, ~7 × 107 cells were used for each immunoprecipitation (IP). Cells were crosslinked with 1% formaldehyde for 10 min
at room temperature, and the reaction was quenched with glycine at a final concentration of 125 mM. Crosslinked cells were then lysed and sonicated to obtain ~200–400 bp fragments of
chromatin. Cross-linked DNA was pulled down at 4 °C overnight using 15 μg anti-KLF3 antibody (Thermo Fisher) or 15 μg control normal goat IgG (Santa Cruz Biotechnology) per IP. qPCR was
performed on ChIP material using an Applied Biosystems ViiA7 Real-Time PCR System. For analysis, IPs were first normalised to the relative amount of input DNA, then to IgG controls. All qPCR
primers for ChIP were designed using primer3 (http://primer3.ut.ee/) and can be found in Supplementary Table 2. A ChIP-Seq data set for V5-tagged KLF3 produced from murine embryonic
fibroblasts was obtained from GEO (Accession No. GSE44748)52 and used to assess genome-wide KLF3 binding using Integrative Genomics Viewer (Broad Institute)68,69. Detailed antibody
information can be found in Supplementary Table 3. SOFTWARE GraphPad Prism v8 was used for generation of graphs and statistical analysis. Adobe Photoshop and Illustrator CS5.1 were used for
compiling and creating figures. FlowJo v10 was used for flow cytometry and cell sorting analysis. Applied Biosystems 7500 v2.3 and QuantStudio Real-Time PCR v1.3 were used for running and
analysing qPCR experiments. Oligonucleotides were designed using the online primer3 tool v4.1.0, and the Optimized CRISPR design v1 online tool was used for designing sgRNAs. Integrative
Genomics Viewer v2.4.9 (Broad Institute) was used for viewing ChIP-Seq data. Bio-Rad Image Lab v6.0.1 software was used for capturing and analysing agarose gels. Aperio ImageScope software
was used for analysing H&E sections. Licensed BioRender.com online software was used for generating cartoons and figures. STATISTICAL ANALYSIS The mean is shown for data in each figure
with individual data points shown, and SEM is shown as error bars. For flow cytometry plots, the median representative plot for each genotype/condition is shown, accompanied by the means ±
SEM. D’Agostino-Pearson normality tests were performed to determine whether data followed a Gaussian distribution. Given the sample sizes, non-normality was determined, and thus
non-parametric one-tailed Mann–Whitney _U_ tests were used to test specific, directional hypotheses. *_P_ < 0.05, **_P_ < 0.01, ***_P_ < 0.001 (or #_P_ < 0.05 where stated).
Two-way ANOVA followed by post-hoc Tukey testing was carried out to assess significance between genotype, body temperature and time in acute cold and thermoneutral experiments. Two-way ANOVA
followed by False Discovery Rate to test for multiple comparisons was used for significant differentially-expressed genes in microarray studies. Fisher’s Exact test was used to define
significantly enriched GO terms in microarray Forest Plots. All statistical analyses were performed in GraphPad Prism v8. REPORTING SUMMARY Further information on research design is
available in the Nature Research Reporting Summary linked to this article. DATA AVAILABILITY Data supporting the findings of this study can be found within the paper and its Supplementary
Information files, and a Source data file has been provided for data underlying figures. Further information is available upon reasonable request. Full scans of western blots are available
in Supplementary Fig. 10. Datasets are publically available from the NCBI Gene Expression Omnibus (GEO) using Accession Nos. GSE117445 and GSE44748, FANTOM5 SSTAR
https://fantom.gsc.riken.jp/5/sstar/Main_Page) and Haemosphere (haemosphere.org/). A reporting summary has also been provided as part of the Supplementary Information files. Source data are
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PubMed Google Scholar Download references ACKNOWLEDGEMENTS We would like to thank Chris Brownlee and Emma Johansson at the UNSW BRIL Flow Cytometry Facility for their assistance with
flow cytometry and sorting experiments, along with Brendan Lee (UNSW BRIL) and Debbie Burnett (Garvan Institute) for their help with animal experiments. We would like to acknowledge the work
of the Garvan Histopathology Service for histological sample preparation and staining, and the Biomedical Imaging Facility (BMIF) at UNSW Sydney. We are also very grateful for the
assistance of Dr. Axel Kallies, Dr. Ajith Vasanthakumar and Dr. Jon Brestoff with analysing immune cell populations by flow cytometry. We would also like to acknowledge the assistance of the
Ramaciotti Centre for Genomics (UNSW) for their sequencing and microarray assistance. This work was supported by funding from the Australian National Health and Medical Research Council to
M.C. (APP1025873 and APP1025877). A.J.K., J.J.Y. and E.S.S. were supported by Australian Postgraduate Awards. H.M.J. was supported by an Academic Training Scheme (SLAB) scholarship from the
Malaysian Ministry of Higher Education. K.G.R.Q. was supported by a Scientia Fellowship and S.J.A. and E.J.V. were supported by Scientia Scholarships. AUTHOR INFORMATION AUTHORS AND
AFFILIATIONS * School of Biotechnology and Biomolecular Sciences, UNSW Sydney, Sydney, NSW, 2052, Australia Alexander J. Knights, Emily J. Vohralik, Elizabeth S. Stout, Laura J. Norton,
Stephanie J. Alexopoulos, Jinfen. J. Yik, Ellen M. Olzomer, Kyle L. Hoehn, Merlin Crossley & Kate G. R. Quinlan * Murdoch Children’s Research Institute, The Royal Children’s Hospital,
Melbourne, VIC, 3052, Australia Peter J. Houweling & Kathryn N. North * Department of Paediatrics, University of Melbourne, Melbourne, VIC, 3052, Australia Peter J. Houweling &
Kathryn N. North * Charles Perkins Centre, School of Life and Environmental Sciences, University of Sydney, Sydney, NSW, 2006, Australia Hanapi Mat Jusoh & Kim S. Bell-Anderson Authors *
Alexander J. Knights View author publications You can also search for this author inPubMed Google Scholar * Emily J. Vohralik View author publications You can also search for this author
inPubMed Google Scholar * Peter J. Houweling View author publications You can also search for this author inPubMed Google Scholar * Elizabeth S. Stout View author publications You can also
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publications You can also search for this author inPubMed Google Scholar * Jinfen. J. Yik View author publications You can also search for this author inPubMed Google Scholar * Hanapi Mat
Jusoh View author publications You can also search for this author inPubMed Google Scholar * Ellen M. Olzomer View author publications You can also search for this author inPubMed Google
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author inPubMed Google Scholar * Kyle L. Hoehn View author publications You can also search for this author inPubMed Google Scholar * Merlin Crossley View author publications You can also
search for this author inPubMed Google Scholar * Kate G. R. Quinlan View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS A.J.K., K.G.R.Q. and
M.C. wrote the paper. A.J.K. performed most of the experiments; E.J.V., P.J.H. and A.J.K. performed the acute cold and thermoneutral experiments under the supervision of K.G.R.Q. and K.N.N.;
S.J.A. performed liver biochemical assays; J.J.Y. generated the _KLF3_ CRISPR construct; H.M.J. and K.S.B.A. performed the AT explant experiments; E.S.S., L.J.N. and E.M.O. performed
preliminary studies and provided technical assistance with experiments. A.J.K., K.G.R.Q. and M.C. designed the study, with intellectual input provided by K.L.H. All authors reviewed the
results and approved the final version of the paper. CORRESPONDING AUTHOR Correspondence to Kate G. R. Quinlan. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing
interests. ADDITIONAL INFORMATION PEER REVIEW INFORMATION _Nature Communications_ thanks Konstantinos Drosatos and the other, anonymous, reviewer(s) for their contribution to the peer review
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and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Knights, A.J., Vohralik, E.J., Houweling, P.J. _et al._ Eosinophil function in adipose tissue is regulated by Krüppel-like factor 3
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