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Diabetes, Vol 49, Issue 3 319-324, Copyright © 2000 by American Diabetes Association
Induction of fatty acid translocase/CD36, peroxisome proliferator-activated receptor-gamma2, leptin, uncoupling proteins 2 and 3, and tumor necrosis factor-alpha gene expression in human subcutaneous fat by lipid infusion
E Nisoli, MO Carruba, C Tonello, C Macor, G Federspil and R Vettor
Department of Preclinical Sciences, Center for Study and Research on Obesity, L. Sacco Hospital, Univeristy of Milan, Italy. enzo.nisoli@uniml.it
Little is known about the mechanisms involved in the preferential
channeling of different fuels to fat and how the target tissue participates
in this process. Dietary fatty acids have been shown to act as signaling
molecules that bind and activate a new class of nuclear receptors, the
peroxisome proliferator-activated receptors (PPARs). PPAR-gamma is
particularly interesting because it may have the potential to link
particular fatty acids with a program of gene expression involved in lipid
storage and metabolism. We investigated whether a nutrient-sensing pathway
is activated by an increased availability of lipid fuels in nine normal
weight male volunteers. Using reverse transcriptase-polymerase chain
reaction analysis, the mRNA expression of fatty acid translocase
(FAT)/CD36, PPAR-gamma2, leptin, uncoupling protein (UCP)-2 and UCP-3, and
tumor necrosis factor (TNF)-alpha was investigated in gluteal subcutaneous
fat biopsies before and after 5 h infusions of saline or Intralipid
(Pharmacia and Upjohn, Milan, Italy) plus heparin, which does not modify
insulinemia. Marked increases in FAT/CD36 (724+/-18%; P < 0.05),
PPAR-gamma2 (200+/-8%; P < 0.05), leptin (110+/-13%; P < 0.05), UCP-2
(120+/-7%; P < 0.05), UCP-3 (80+/-5%; P < 0.05), and TNF-alpha mRNA
(130+/-12%; P < 0.05) were observed in comparison with pretreatment
levels, whereas there was no change after saline infusion. These data
suggest that the in vivo gene expression of FAT/CD36, PPAR-gamma2, leptin,
UCP-2, UCP-3, and TNF-alpha in subcutaneous adipose tissue is regulated by
circulating lipids independent of insulin and that prolonged hyperlipidemia
may therefore contribute to increased fat metabolism and storage as a
result of the increased expression of these proteins.

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Copyright © 2000 by the American Diabetes Association.
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