Ellacott Kate L J, Murphy Jonathan G, Marks Daniel L, Cone Roger D
Center for the Study of Weight Regulation and Associated Disorders (L481), Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239-3098, USA.
Endocrinology. 2007 Dec;148(12):6186-94. doi: 10.1210/en.2007-0699. Epub 2007 Sep 27.
Metabolic syndrome, a complex of highly debilitating disorders that includes insulin resistance, hypertension, and dyslipidemia, is associated with the development of obesity in humans as well as rodent models. White adipose tissue (WAT) inflammation, caused in part by macrophage infiltration, and fat accumulation in the liver are both linked to development of the metabolic syndrome. Despite large increases in body fat, melanocortin 3-receptor (MC3-R)-deficient mice do not get fatty liver disease or severe insulin resistance. This is in contrast to obese melanocortin 4-receptor (MC4-R)-deficient mice and diet-induced obese (DIO) mice, which show increased adiposity, fatty liver disease, and insulin resistance. We hypothesized that defects in the inflammatory response to obesity may underlie the protection from metabolic syndrome seen in MC3-R null mice. MC4-R mice fed a chow diet show increased proinflammatory gene expression and macrophage infiltration in WAT, as do wild-type (WT) DIO mice. In contrast, MC3-R-deficient mice fed a normal chow diet show neither of these inflammatory changes, despite their elevated adiposity and a comparable degree of adipocyte hypertrophy to the MC4-R null and DIO mice. Furthermore, even when challenged with high-fat chow for 4 wk, a period of time shown to induce an inflammatory response in WAT of WT animals, MC3-R nulls showed an attenuated up-regulation in both monocyte chemoattractant protein-1 (MCP-1) and TNFalpha mRNA in WAT compared with WT high-fat-fed animals.
代谢综合征是一组严重使人衰弱的疾病,包括胰岛素抵抗、高血压和血脂异常,在人类以及啮齿动物模型中都与肥胖的发展有关。白色脂肪组织(WAT)炎症部分由巨噬细胞浸润引起,肝脏中的脂肪堆积都与代谢综合征的发展有关。尽管体脂大幅增加,但缺乏黑皮质素3受体(MC3-R)的小鼠不会患脂肪肝疾病或严重的胰岛素抵抗。这与肥胖的缺乏黑皮质素4受体(MC4-R)的小鼠和饮食诱导肥胖(DIO)小鼠形成对比,后者表现出肥胖增加、脂肪肝疾病和胰岛素抵抗。我们假设,对肥胖的炎症反应缺陷可能是MC3-R基因敲除小鼠免受代谢综合征影响的基础。喂食普通饲料的MC4-R小鼠和野生型(WT)DIO小鼠一样,WAT中促炎基因表达增加,巨噬细胞浸润增加。相比之下,喂食正常普通饲料的MC3-R基因敲除小鼠尽管肥胖程度升高且脂肪细胞肥大程度与MC4-R基因敲除小鼠和DIO小鼠相当,但均未出现这些炎症变化。此外,即使给MC3-R基因敲除小鼠喂食高脂饲料4周(这段时间已证明会在WT动物的WAT中诱导炎症反应),与喂食高脂饲料的WT动物相比,MC3-R基因敲除小鼠WAT中的单核细胞趋化蛋白-1(MCP-1)和TNFα mRNA的上调也减弱。