%0 Journal Article %T Tumor Suppressor Par-4 Regulates Complement Factor C3 and Obesity. %A Araujo N %A Sledziona J %A Noothi SK %A Burikhanov R %A Hebbar N %A Ganguly S %A Shrestha-Bhattarai T %A Zhu B %A Katz WS %A Zhang Y %A Taylor BS %A Liu J %A Chen L %A Weiss HL %A He D %A Wang C %A Morris AJ %A Cassis LA %A Nikolova-Karakashian M %A Nagareddy PR %A Melander O %A Evers BM %A Kern PA %A Rangnekar VM %J Front Oncol %V 12 %N 0 %D 2022 %M 35425699 %F 5.738 %R 10.3389/fonc.2022.860446 %X Prostate apoptosis response-4 (Par-4) is a tumor suppressor that induces apoptosis in cancer cells. However, the physiological function of Par-4 remains unknown. Here we show that conventional Par-4 knockout (Par-4-/-) mice and adipocyte-specific Par-4 knockout (AKO) mice, but not hepatocyte-specific Par-4 knockout mice, are obese with standard chow diet. Par-4-/- and AKO mice exhibit increased absorption and storage of fat in adipocytes. Mechanistically, Par-4 loss is associated with mdm2 downregulation and activation of p53. We identified complement factor c3 as a p53-regulated gene linked to fat storage in adipocytes. Par-4 re-expression in adipocytes or c3 deletion reversed the obese mouse phenotype. Moreover, obese human subjects showed lower expression of Par-4 relative to lean subjects, and in longitudinal studies, low baseline Par-4 levels denoted an increased risk of developing obesity later in life. These findings indicate that Par-4 suppresses p53 and its target c3 to regulate obesity.