Institute of Clinical Pharmacology, Hannover Medical School, Hannover, Germany.
Obesity (Silver Spring). 2014 May;22(5):E70-6. doi: 10.1002/oby.20728. Epub 2014 Mar 11.
Endocannabinoid system (ECS) activation promotes obesity-associated metabolic disease. Increased dietary fat intake increases blood endocannabinoids and alters adipose and skeletal muscle ECS gene expression in human.
Two weeks isocaloric low- (LFD) and high-fat diets (HFD) in obese (n = 12) and normal-weight (n = 17) subjects in a randomized cross-over study were compared. Blood endocannabinoids were measured in the fasting condition and after food intake using mass spectrometry. Adipose and skeletal muscle gene expression was determined using real-time RT-PCR.
Baseline fasting plasma endocannabinoids were similar with both diets. Anandamide decreased similarly with high- or low-fat test meals in both groups. Baseline arachidonoylglycerol plasma concentrations were similar between groups and diets, and unresponsive to eating. In subcutaneous adipose tissue, DAGL-α mRNA was upregulated and fatty acid amide hydrolase (FAAH) and monoacylglycerol lipase (MAGL) mRNAs were down-regulated in obese subjects, but the diets had no influence. In contrast, the HFD produced pronounced reductions in skeletal muscle CB1-R and MAGL mRNA expression, whereas obesity did not affect muscular gene expression.
Weight-neutral changes in dietary fat intake cannot explain excessive endocannabinoid availability in human obesity. Obesity and dietary fat intake affect ECS gene expression in a tissue-specific manner.
内源性大麻素系统 (ECS) 的激活会促进与肥胖相关的代谢疾病。增加膳食脂肪的摄入会增加血液中的内源性大麻素,并改变人体脂肪组织和骨骼肌 ECS 基因的表达。
在一项随机交叉研究中,比较了肥胖(n = 12)和正常体重(n = 17)受试者在两周等热量低脂肪(LFD)和高脂肪饮食(HFD)下的情况。使用质谱法在空腹和进食后测量血液内源性大麻素。使用实时 RT-PCR 测定脂肪组织和骨骼肌的基因表达。
基础空腹血浆内源性大麻素在两种饮食中相似。两组的高或低脂肪测试餐均可使花生四烯酸甘油下降。两组和两种饮食的基线花生四烯酰甘油血浆浓度相似,且不受进食影响。在皮下脂肪组织中,DAGL-α mRNA 在肥胖者中上调,脂肪酸酰胺水解酶 (FAAH) 和单酰基甘油脂肪酶 (MAGL) mRNA 下调,但饮食没有影响。相比之下,高脂肪饮食导致骨骼肌 CB1-R 和 MAGL mRNA 表达明显降低,而肥胖对肌肉基因表达没有影响。
膳食脂肪摄入量的体重中性变化不能解释人体肥胖中内源性大麻素的过度存在。肥胖和膳食脂肪摄入以组织特异性的方式影响 ECS 基因表达。