Catholic University of Leuven, Leuven, Belgium.
Diabetologia. 2012 Apr;55(4):1167-78. doi: 10.1007/s00125-011-2427-7. Epub 2012 Jan 12.
AIMS/HYPOTHESIS: Endoplasmic reticulum (ER) stress has been implicated in the development of type 2 diabetes, via effects on obesity, insulin resistance and pancreatic beta cell health. C/EBP homologous protein (CHOP) is induced by ER stress and has a central role in apoptotic execution pathways triggered by ER stress. The aim of this study was to characterise the role of CHOP in obesity and insulin resistance.
Metabolic studies were performed in Chop ( -/- ) and wild-type C57Bl/6 mice, and included euglycaemic-hyperinsulinaemic clamps and indirect calorimetry. The inflammatory state of liver and adipose tissue was determined by quantitative RT-PCR, immunohistology and macrophage cultures. Viability and absence of ER stress in islets of Langerhans was determined by electron microscopy, islet culture and quantitative RT-PCR.
Systemic deletion of Chop induced abdominal obesity and hepatic steatosis. Despite marked obesity, Chop ( -/- ) mice had preserved normal glucose tolerance and insulin sensitivity. This discrepancy was accompanied by lower levels of pro-inflammatory cytokines and less infiltration of immune cells into fat and liver.
CONCLUSIONS/INTERPRETATION: These observations suggest that insulin resistance is not induced by fat accumulation per se, but rather by the inflammation induced by ectopic fat. CHOP may play a key role in the crosstalk between excessive fat deposition and induction of inflammation-mediated insulin resistance.
目的/假设:内质网(ER)应激通过对肥胖、胰岛素抵抗和胰岛β细胞健康的影响,与 2 型糖尿病的发生有关。C/EBP 同源蛋白(CHOP)由 ER 应激诱导,在 ER 应激触发的凋亡执行途径中起核心作用。本研究旨在探讨 CHOP 在肥胖和胰岛素抵抗中的作用。
在 Chop(-/-)和野生型 C57Bl/6 小鼠中进行代谢研究,包括正常血糖高胰岛素钳夹和间接测热法。通过定量 RT-PCR、免疫组织化学和巨噬细胞培养来确定肝脏和脂肪组织的炎症状态。通过电子显微镜、胰岛培养和定量 RT-PCR 来确定胰岛中 Langerhans 的细胞活力和 ER 应激的缺失情况。
Chop 的系统缺失诱导了腹部肥胖和肝脂肪变性。尽管存在明显的肥胖,Chop(-/-)小鼠仍保持正常的葡萄糖耐量和胰岛素敏感性。这种差异伴随着促炎细胞因子水平降低,以及脂肪和肝脏中免疫细胞浸润减少。
结论/解释:这些观察结果表明,胰岛素抵抗不是由脂肪堆积本身引起的,而是由异位脂肪诱导的炎症引起的。CHOP 可能在过度脂肪沉积与诱导炎症介导的胰岛素抵抗之间的串扰中发挥关键作用。