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Diabetes 52:1673-1676, 2003
© 2003 by the American Diabetes Association, Inc.

Expression of Peroxisome Proliferator-Activated Receptor-{gamma}1 and Peroxisome Proliferator-Activated Receptor-{gamma}2 in Visceral and Subcutaneous Adipose Tissue of Obese Women

Vittorio Giusti1, Chantal Verdumo1, Michel Suter2, Rolf Christian Gaillard3, Peter Burckhardt1, and Francois Pralong3

1 Department of Internal Medicine, Diabetology and Metabolism Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
2 Department of Surgery, Diabetology and Metabolism Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
3 Division of Endocrinology, Diabetology and Metabolism Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

Data regarding the expression of peroxisome proliferator-activated receptor (PPAR)-{gamma}1 and PPAR-{gamma}2 in human visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) are conflicting. To clarify this issue, we studied 50 women who had a BMI >35 kg/m2 were undergoing gastric reduction surgery. Phenotyping included recording of anthropometric parameters and of a biological profile. Quantification of the expression of PPAR-{gamma}1 and PPAR-{gamma}2 in samples of VAT and SAT was performed by real-time RT-PCR. In both SAT and VAT, the level of expression of PPAR-{gamma}2 were >20-fold that of PPAR-{gamma}1 (P < 0.001 for both). However, only PPAR-{gamma}1 was differentially expressed, its levels in SAT being 216 ± 34% those in VAT (P < 0.001). In a stepwise, multivariate regression analysis, the levels of PPAR-{gamma}1 in both SAT and VAT were the major determinants of waist circumference (R2 = 21% for both; P < 0.01). Finally, leptin but not PPARs appeared as the single parameter explaining the largest part of the variability of BMI in our cohort of patients (R2 = 22%, P < 0.001). These results are consistent with the putative roles of PPAR-{gamma}1 and PPAR-{gamma}2 in carbohydrate metabolism and energy homeostasis, respectively. As such, they constitute an important step toward the identification of potential targets for novel therapeutic strategies in the fields of obesity.


Address correspondence and reprint requests to Vittorio Giusti, MD, Department of Internal Medicine, Centre Hospitalier Universitaire, Vaudois, 1011 Lausanne, Switzerland. E-mail: vittorio.giusti{at}chuv.hospvd.ch


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