Circulating pigment epithelium-derived factor levels are associated with insulin resistance and decrease after weight loss.

We aimed to study circulating pigment epithelium-derived factor (PEDF) in vivo in association with insulin resistance and in vitro in human adipocytes.
Circulating PEDF (ELISA) and metabolic profile were assessed in 125 Caucasian men. PEDF levels were also assessed in an independent cohort of subjects (n = 33) to study the effects of changing insulin action. PEDF gene expression and secretion were measured during differentiation of human preadipocytes.
In all subjects, PEDF was positively associated with body mass index (r = 0.326; P < 0.0001), waist-to-hip ratio (r = 0.380; P < 0.0001), HbA(1c), and fasting triglycerides and negatively with insulin sensitivity (r = -0.320; P < 0.0001). PEDF levels were significantly increased in subjects with altered glucose tolerance and type 2 diabetes. Of the inflammatory markers measured, PEDF levels were positively associated with serum soluble TNF-α receptor 1 and IL-10 in obese subjects. Interestingly, weight loss led to significantly decreased PEDF concentration from 34.8 ± 19.3 to 22.5 ± 14.2 μg/ml (P < 0.0001). Multiple linear regression analyses revealed that insulin sensitivity contributed independently to explain 14% of the variance in PEDF levels after controlling for the effects of body mass index, age, and log fasting triglycerides. Differences in PEDF observed after weight loss were related to changes in obesity, insulin resistance, and blood pressure measures. PEDF gene expression and secretion increased during differentiation of human preadipocytes.
Circulating PEDF is associated with insulin sensitivity. The findings show, for the first time in humans, that PEDF concentrations decrease significantly after weight loss in association with blood pressure. PEDF seems to be involved in human adipocyte biology.
AuthorsMònica Sabater, Jose M Moreno-Navarrete, Francisco José Ortega, Gerard Pardo, Javier Salvador, Wifredo Ricart, Gema Frühbeck, José Manuel Fernández-Real
JournalThe Journal of clinical endocrinology and metabolism (J Clin Endocrinol Metab) Vol. 95 Issue 10 Pg. 4720-8 (Oct 2010) ISSN: 1945-7197 [Electronic] United States
PMID20631025 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Eye Proteins
  • Nerve Growth Factors
  • Serpins
  • pigment epithelium-derived factor
  • Adipocytes (metabolism, pathology, physiology, secretion)
  • Adult
  • Aged
  • Blood Pressure (physiology)
  • Caloric Restriction
  • Cell Differentiation (genetics)
  • Cells, Cultured
  • Cross-Sectional Studies
  • Diet, Reducing
  • Eye Proteins (blood, genetics, metabolism, secretion)
  • Female
  • Humans
  • Insulin Resistance (physiology)
  • Male
  • Middle Aged
  • Nerve Growth Factors (blood, genetics, metabolism, secretion)
  • Obesity (blood, diet therapy, metabolism, physiopathology)
  • Serpins (blood, genetics, metabolism, secretion)
  • Weight Loss (physiology)

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