Recent research links diet-induced obesity (DIO) with impaired immunity, although the underlying mechanisms remain unclear. We find that the induction of inducible NO synthase (iNOS) and cytokines is suppressed in mice with DIO and in bone marrow macrophages (BMM⌽) from mice with DIO exposed to an oral pathogen, Porphyromonas gingivalis. BMM⌽ from lean mice pretreated with free fatty acids (FFAs) and exposed to P. gingivalis also exhibit a diminished induction of iNOS and cytokines. BMM⌽ from lean and obese mice exposed to P. gingivalis and analyzed by a phosphorylation protein array show a reduction of Akt only in BMM⌽ from mice with DIO. This reduction is responsible for diminished NF-B activation and diminished induction of iNOS and cytokines. We next observed that Toll-like receptor 2 (TLR2) is suppressed in BMM⌽ from DIO mice whereas carboxy-terminal modulator protein (CTMP), a known suppressor of Akt phosphorylation, is elevated. This elevation stems from defective TLR2 signaling. In BMM⌽ from lean mice, both FFAs and TNF-␣-via separate pathways-induce an increase in CMTP. However, in BMM⌽ from DIO mice, TLR2 can no longer inhibit the TNF-␣-induced increase in CTMP caused by P. gingivalis challenge. This defect can then be restored by transfecting WT TLR2 into BMM⌽ from DIO mice. Thus, feeding mice a high-fat diet over time elevates the CTMP intracellular pool, initially via FFAs activating TLR2 and later when the defective TLR2 is unable to inhibit TNF-␣-induced CTMP. These findings unveil a link between obesity and innate immunity.O besity has been found to lead to diminished immune response. Several epidemiological studies of obese individuals found evidence of increased susceptibility to infections, including postoperative infectious complications (1), and a positive correlation between body weight index and the incidence of nosocomial infections (2). Diet-induced obesity (DIO) interferes with the ability of the immune system to appropriately respond to Porphyromonas gingivalis infection (3) and causes a higher mortality rate in mice following infection with influenza virus (4).Obesity is known to elevate TNF-␣ levels in the plasma of obese subjects (5, 6). However, macrophage functions are impaired in obese animals, with reduced phagocytic capacity and a defective oxidative burst (7,8). The reduced cytokine expression in response to infection observed in obese mice has been linked to a dysfunction in macrophages and/or a defect in maturation of monocytes (3,4,9). Moreover, the ability of mature macrophages from an obese individual to elicit an antimicrobial and cytotoxic response may be inhibited (10). Macrophages sense the presence of microorganisms via pattern recognition receptors, especially members of the Tolllike receptor (TLR) family, and subsequently activate proinflammatory signal pathways. TLR2 is an important receptor by which macrophages recognize P. gingivalis (11)(12)(13)(14), and mediates destructive chronic inflammatory reactions or confers host protection against P. gingivalis in acut...