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脂肪组织透明质酸的产生改善了全身葡萄糖稳态,并为 CL 316,243 刺激的脂肪分解作用做好了脂肪细胞的准备。

Adipose tissue hyaluronan production improves systemic glucose homeostasis and primes adipocytes for CL 316,243-stimulated lipolysis.

机构信息

Touchstone Diabetes Center, Department of Internal Medicine, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA.

Children's Nutrition Research Center, Department of Pediatric, Baylor College of Medicine, Houston, TX, USA.

出版信息

Nat Commun. 2021 Aug 10;12(1):4829. doi: 10.1038/s41467-021-25025-4.

Abstract

Plasma hyaluronan (HA) increases systemically in type 2 diabetes (T2D) and the HA synthesis inhibitor, 4-Methylumbelliferone, has been proposed to treat the disease. However, HA is also implicated in normal physiology. Therefore, we generated a Hyaluronan Synthase 2 transgenic mouse line, driven by a tet-response element promoter to understand the role of HA in systemic metabolism. To our surprise, adipocyte-specific overproduction of HA leads to smaller adipocytes and protects mice from high-fat-high-sucrose-diet-induced obesity and glucose intolerance. Adipocytes also have more free glycerol that can be released upon beta3 adrenergic stimulation. Improvements in glucose tolerance were not linked to increased plasma HA. Instead, an HA-driven systemic substrate redistribution and adipose tissue-liver crosstalk contributes to the systemic glucose improvements. In summary, we demonstrate an unexpected improvement in glucose metabolism as a consequence of HA overproduction in adipose tissue, which argues against the use of systemic HA synthesis inhibitors to treat obesity and T2D.

摘要

血浆透明质酸 (HA) 在 2 型糖尿病 (T2D) 中会全身性增加,而透明质酸合成抑制剂 4-甲基伞形酮已被提议用于治疗该疾病。然而,HA 也与正常生理过程有关。因此,我们生成了一种透明质酸合酶 2 转基因小鼠系,由 tet 反应元件启动子驱动,以了解 HA 在全身代谢中的作用。令我们惊讶的是,脂肪细胞特异性过表达 HA 导致脂肪细胞变小,并保护小鼠免受高脂肪高蔗糖饮食诱导的肥胖和葡萄糖不耐受。脂肪细胞中也有更多的游离甘油,β3 肾上腺素能刺激后可以释放出来。葡萄糖耐量的改善与血浆 HA 的增加无关。相反,HA 驱动的全身底物重新分布和脂肪组织-肝脏串扰有助于全身葡萄糖的改善。总之,我们证明了脂肪组织中 HA 过度产生会意外改善葡萄糖代谢,这表明使用全身性 HA 合成抑制剂来治疗肥胖症和 T2D 是不合适的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e5b/8355239/b1dd0f85ad9d/41467_2021_25025_Fig1_HTML.jpg

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