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血清分泌型EMC10(scEMC10)水平与人类代谢活跃的棕色脂肪组织呈负相关。

Serum secreted EMC10 (scEMC10) levels are inversely associated with metabolically active brown adipose tissue in humans.

作者信息

Miao Qing, Wang Yahao, Zhang Qiongyue, Wu Wei, Yu Yifei, Zeng Fangfang, Yang Yehong, Zuo Chuantao, Guan Yihui, Liew Chong Wee, Blüher Matthias, Li Yiming, Wang Xuanchun

机构信息

Department of Endocrinology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

PET Center & Department of Nuclear Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.

出版信息

Int J Obes (Lond). 2025 Mar 18. doi: 10.1038/s41366-025-01744-2.

Abstract

BACKGROUND/OBJECTIVES: Secreted endoplasmic reticulum membrane complex subunit 10 (scEMC10) has been implicated in obesity in mice and humans. In this study, the associations of serum scEMC10 levels with thermoneutrality-modulated brown adipose tissue (BAT) activity and thyroid hormone (TH)-dependent thermogenesis were investigated in humans.

SUBJECTS/METHODS: Serum scEMC10 levels were measured in participants from multiple cohorts using enzyme-linked immunosorbent assay, including participants with or without active BAT determined by PET-CT scanning, participants with positive BAT before and after thermoneutrality, and patients with hyperthyroidism before and after anti-thyroid drug (ATD) treatment. The difference in serum scEMC10 between participants with positive or negative BAT, and the changes of serum scEMC10 in participants with positive BAT before and after thermoneutrality and in patients with Grave's disease-caused hyperthyroidism before and after ATD treatment were determined.

RESULTS

PET-CT scan with F-FDG indicated participants with positive BAT were significantly younger and leaner than ones with negative BAT. There was, however, no significant difference in serum scEMC10 between the two groups. Serum scEMC10 levels in participants with positive BAT were significantly elevated by 2-h thermoneutrality (p = 0.0017), concomitant with disappearance of active BAT. No significant association of serum scEMC10 with serum levels of either TSH, FT3, or FT4 was observed in participants from both Chinese and White cohorts. ATD treatment normalized thyroid function and reduced the uptake of F-FDG into skeletal muscle of patients with hyperthyroidism. Serum scEMC10 concentration, however, remained unchanged in these patients before and after ATD treatment.

CONCLUSIONS

Serum scEMC10 levels are inversely associated with BAT activity in humans.

摘要

背景/目的:分泌型内质网膜复合物亚基10(scEMC10)已被证明与小鼠和人类的肥胖有关。在本研究中,我们调查了人类血清scEMC10水平与热中性调节的棕色脂肪组织(BAT)活性以及甲状腺激素(TH)依赖性产热之间的关联。

受试者/方法:使用酶联免疫吸附测定法测量了多个队列参与者的血清scEMC10水平,包括通过PET-CT扫描确定有无活跃BAT的参与者、热中性前后BAT阳性的参与者以及抗甲状腺药物(ATD)治疗前后的甲状腺功能亢进患者。确定了BAT阳性或阴性参与者之间血清scEMC10的差异,以及热中性前后BAT阳性参与者和ATD治疗前后格雷夫斯病所致甲状腺功能亢进患者血清scEMC10的变化。

结果

F-FDG PET-CT扫描显示,BAT阳性的参与者比BAT阴性的参与者显著更年轻、更瘦。然而,两组之间的血清scEMC10没有显著差异。2小时热中性使BAT阳性参与者的血清scEMC10水平显著升高(p = 0.0017),同时活跃BAT消失。在中国人和白人队列的参与者中,均未观察到血清scEMC10与TSH、FT3或FT4血清水平之间存在显著关联。ATD治疗使甲状腺功能正常化,并减少了甲状腺功能亢进患者骨骼肌对F-FDG的摄取。然而,这些患者在ATD治疗前后血清scEMC10浓度保持不变。

结论

在人类中,血清scEMC10水平与BAT活性呈负相关。

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