RT Journal Article T1 Myeloid p38 activation maintains macrophage-liver crosstalk and BAT thermogenesis through IL-12-FGF21 axis A1 Crespo, María A1 Leiva Arjona, María Magdalena A1 Sabio, Guadalupe AB Obesity features excessive fat accumulation in several body tissues and induces a state of chronic low-grade inflammation that contributes to the development of diabetes, steatosis, and insulin resistance. Recent research has shown that this chronic inflammation is crucially dependent on p38 pathway activity in macrophages, suggesting p38 inhibition as a possible treatment for obesity comorbidities. Nevertheless, we report here that lack of p38 activation in myeloid cells worsens high-fat diet-induced obesity, diabetes, and steatosis. Deficient p38 activation increases macrophage IL-12 production, leading to inhibition of hepatic FGF21 and reduction of thermogenesis in the brown fat. The implication of FGF21 in the phenotype was confirmed by its specific deletion in hepatocytes. We also found that IL-12 correlates with liver damage in human biopsies, indicating the translational potential of our results. Our findings suggest that myeloid p38 has a dual role in inflammation and that drugs targeting IL-12 might improve the homeostatic regulation of energy balance in response to metabolic stress. PB Wolters Kluwer SN 0270-9139 YR 2023 FD 2023-03-01 LK https://hdl.handle.net/20.500.14352/131350 UL https://hdl.handle.net/20.500.14352/131350 LA eng NO Crespo, M. et al. (2023) «Myeloid p38 activation maintains macrophage-liver crosstalk and BAT thermogenesis through IL-12-FGF21 axis», Hepatology, 77(3), pp. 874-887. NO IPP FP7 Marie Curie Programme NO Centro Nacional de Investigaciones Cardiovasculares Carlos III NO Comunidad Autónoma de Madrid NO European Foundation for the Study of Diabetes NO Fundación BBVA NO Fundación Científica Asociación Española Contra el Cáncer DS Docta Complutense RD 18 mar 2026