Centre de Recherche Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Laval University, Quebec, Canada.
BMC Med Genomics. 2010 Jan 27;3:3. doi: 10.1186/1755-8794-3-3.
Prevalence of obesity is increasing to pandemic proportions. However, obese subjects differ in insulin resistance, adipokine production and co-morbidities. Based on fasting plasma analysis, obese subjects were grouped as Low Acylation Stimulating protein (ASP) and Triglyceride (TG) (LAT) vs High ASP and TG (HAT). Subcutaneous (SC) and omental (OM) adipose tissues (n = 21) were analysed by microarray, and biologic pathways in lipid metabolism and inflammation were specifically examined.
LAT and HAT groups were matched in age, obesity, insulin, and glucose, and had similar expression of insulin-related genes (InsR, IRS-1). ASP related genes tended to be increased in the HAT group and were correlated (factor B, adipsin, complement C3, p < 0.01 each). Differences between LAT and HAT group were almost exclusively in SC tissue, with little difference in OM tissue. Increased C5L2 (p < 0.01), an ASP receptor, in HAT suggests a compensatory ASP pathway, associated with increased TG storage.
HAT adipose tissue demonstrated increased lipid related genes for storage (CD36, DGAT1, DGAT2, SCD1, FASN, and LPL), lipolysis (HSL, CES1, perilipin), fatty acid binding proteins (FABP1, FABP3) and adipocyte differentiation markers (CEBPalpha, CEBPbeta, PPARgamma). By contrast, oxidation related genes were decreased (AMPK, UCP1, CPT1, FABP7). HAT subjects had increased anti-inflammatory genes TGFB1, TIMP1, TIMP3, and TIMP4 while proinflammatory PIG7 and MMP2 were also significantly increased; all genes, p < 0.025.
Taken together, the profile of C5L2 receptor, ASP gene expression and metabolic factors in adipose tissue from morbidly obese HAT subjects suggests a compensatory response associated with the increased plasma ASP and TG.
肥胖的流行程度正在增加到流行的程度。然而,肥胖患者的胰岛素抵抗、脂肪因子产生和合并症存在差异。根据空腹血浆分析,将肥胖患者分为低酰化刺激蛋白(ASP)和甘油三酯(TG)(LAT)与高 ASP 和 TG(HAT)。对 21 例皮下(SC)和网膜(OM)脂肪组织进行微阵列分析,并特别研究了脂质代谢和炎症的生物学途径。
LAT 和 HAT 组在年龄、肥胖、胰岛素和葡萄糖方面相匹配,并且具有相似的胰岛素相关基因(InsR、IRS-1)的表达。ASP 相关基因在 HAT 组中趋于增加,并且相关(因子 B、adipsin、补体 C3,p < 0.01 各)。LAT 和 HAT 组之间的差异几乎完全在 SC 组织中,OM 组织中的差异很小。HAT 脂肪组织中 ASP 受体 C5L2 的增加(p < 0.01)表明存在代偿性 ASP 途径,与 TG 储存增加有关。
HAT 脂肪组织表现出增加的脂质相关基因,用于储存(CD36、DGAT1、DGAT2、SCD1、FASN 和 LPL)、脂肪分解(HSL、CES1、perilipin)、脂肪酸结合蛋白(FABP1、FABP3)和脂肪细胞分化标志物(CEBPalpha、CEBPbeta、PPARgamma)。相比之下,氧化相关基因减少(AMPK、UCP1、CPT1、FABP7)。HAT 患者的抗炎基因 TGFB1、TIMP1、TIMP3 和 TIMP4 增加,而促炎基因 PIG7 和 MMP2 也显著增加;所有基因,p < 0.025。
总之,肥胖 HAT 患者的 C5L2 受体、ASP 基因表达和脂肪组织代谢因子谱表明,与血浆 ASP 和 TG 增加相关的代偿反应。