Department of Biochemistry and Molecular Biology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.
Brain Korea 21 PLUS Project for Medical Science, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.
Exp Mol Med. 2019 Jan 11;51(1):1-15. doi: 10.1038/s12276-018-0198-7.
Vinpocetine, a phosphodiesterase (PDE) type-1 inhibitor, increases cAMP and cGMP levels and is currently used for the management of cerebrovascular disorders, such as stroke, cerebral hemorrhage, and cognitive dysfunctions. In this study, we first determined that vinpocetine effectively suppressed adipogenesis and lipid accumulation. However, we questioned which molecular mechanism is involved because the role of PDE in adipogenesis is still controversial. Vinpocetine decreased adipogenic cell signaling, including the phosphorylation of ERK, AKT, JAK2, and STAT3, and adipokine secretion, including IL-6, IL-10, and IFN-α. Interestingly, vinpocetine increased the phosphorylation of HSL, suggesting the induction of the lipolysis pathway. Moreover, vinpocetine increased UCP1 expression via increasing cAMP and PKA phosphorylation. The administration of vinpocetine with a normal-chow diet (NFD) or a high-fat diet (HFD) in mice attenuated body weight gain in mice fed both the NFD and HFD. These effects were larger in the HFD-fed mice, without a difference in food intake. Vinpocetine drastically decreased fat weight and adipocyte cell sizes in gonadal and inguinal white adipose tissues and in the liver in both diet groups. Serum triacylglycerol levels and fasting blood glucose levels were reduced by vinpocetine treatment. This study suggested that vinpocetine prevents adipocyte differentiation through the inhibition of adipogenesis-associated cell signaling in the early stages of adipogenesis. Moreover, upregulating cAMP levels leads to an increase in lipolysis and UCP1 expression and then inhibits lipid accumulation. Therefore, we suggest that vinpocetine could be an effective agent for treating obesity, as well as improving cognition and cardiovascular function in older individuals.
长春西汀是一种磷酸二酯酶 (PDE) 1 型抑制剂,可增加 cAMP 和 cGMP 水平,目前用于治疗脑血管疾病,如中风、脑出血和认知功能障碍。在这项研究中,我们首先确定长春西汀能有效抑制脂肪生成和脂质积累。然而,我们质疑涉及到哪种分子机制,因为 PDE 在脂肪生成中的作用仍存在争议。长春西汀降低了脂肪生成细胞信号,包括 ERK、AKT、JAK2 和 STAT3 的磷酸化,以及脂肪因子的分泌,包括 IL-6、IL-10 和 IFN-α。有趣的是,长春西汀增加了 HSL 的磷酸化,提示诱导了脂肪分解途径。此外,长春西汀通过增加 cAMP 和 PKA 磷酸化来增加 UCP1 的表达。在给予正常饮食(NFD)或高脂肪饮食(HFD)的小鼠中给予长春西汀,可减轻两种饮食组小鼠的体重增加。在 HFD 喂养的小鼠中,这种效果更大,但食物摄入量没有差异。长春西汀在两种饮食组中明显减少了性腺和腹股沟白色脂肪组织和肝脏中的脂肪重量和脂肪细胞大小。血清三酰甘油水平和空腹血糖水平也因长春西汀治疗而降低。本研究表明,长春西汀通过抑制脂肪生成早期与脂肪生成相关的细胞信号,防止脂肪细胞分化。此外,上调 cAMP 水平会导致脂肪分解和 UCP1 表达增加,从而抑制脂质积累。因此,我们认为长春西汀可能是一种有效的肥胖治疗药物,同时还可以改善老年人的认知和心血管功能。