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Identification of pigment epithelium-derived factor as an adipocyte-derived inflammatory factor.

Abstract
Obesity is a major risk factor for insulin resistance, type 2 diabetes mellitus and cardiovascular disease. The pathophysiology of obesity is associated with chronic low-grade inflammation. Adipose tissue in obesity is significantly infiltrated by macrophages that secrete cytokines. The mechanisms of interaction between macrophages and adipocytes, leading to macrophage activation and increased cytokine release, remain to be elucidated. We reasoned that an adipocyte-derived factor might stimulate activation of macrophages. We have identified pigment epithelium-derived factor (PEDF) as a mediator of inflammation that is secreted by adipocytes and mediates macrophage activation. Recombinant PEDF activates macrophages to release tumor necrosis factor (TNF) and interleukin-1 (IL-1). The PEDF receptor adipose triglyceride lipase (ATGL) is required for PEDF-mediated macrophage activation. Selective inhibition of ATGL on macrophages attenuates PEDF-induced TNF production, and PEDF enhances the phosphorylation of p38 and extracellular signal-regulated kinase 1/2 mitogen-activated protein kinases. PEDF administration to rats results in increased serum TNF levels, and insulin resistance. Together, these findings suggest that PEDF secreted by adipocytes contributes to the onset and maintenance of chronic inflammation in obesity, and may be a therapeutic target in ameliorating insulin resistance.
AuthorsSangeeta S Chavan, LaQueta K Hudson, Jian Hua Li, Mahendar Ochani, Yael Harris, Nirav B Patel, David Katz, Joshua A Scheinerman, Valentin A Pavlov, Kevin J Tracey
JournalMolecular medicine (Cambridge, Mass.) (Mol Med) Vol. 18 Pg. 1161-8 (Oct 24 2012) ISSN: 1528-3658 [Electronic] England
PMID22714715 (Publication Type: Journal Article)
Chemical References
  • Eye Proteins
  • Inflammation Mediators
  • Nerve Growth Factors
  • Serpins
  • Tumor Necrosis Factor-alpha
  • pigment epithelium-derived factor
  • Lipase
  • PNPLA2 protein, mouse
Topics
  • 3T3-L1 Cells
  • Adipocytes (drug effects, metabolism)
  • Animals
  • Eye Proteins (administration & dosage, metabolism, pharmacology)
  • Humans
  • Inflammation (pathology)
  • Inflammation Mediators (metabolism)
  • Insulin Resistance
  • Lipase (metabolism)
  • Macrophage Activation (drug effects)
  • Macrophages (drug effects, metabolism)
  • Male
  • Mice
  • Nerve Growth Factors (administration & dosage, metabolism, pharmacology)
  • Rats
  • Rats, Sprague-Dawley
  • Serpins (administration & dosage, metabolism, pharmacology)
  • Signal Transduction (drug effects)
  • Tumor Necrosis Factor-alpha (biosynthesis, metabolism)

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