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Regulation of Adipose Tissue Lipolysis, Importance for the Metabolic Syndrome

  • Chapter
New Concepts in the Pathogenesis of NIDDM

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 334))

Abstract

Adipose tissue plays a key role in the regulation of the energy balance. Energy rich free fatty acids are continuously stored as triglycerides in fat cells through esterification and released from adipose tissue through hydrolysis (lipolysis) of triglycsrides in adipocytes. Triglycerides in fat cells and blood can be exchanged through lipoprotein lipase in fat cells, which breaks down triglyceride rich lipoproteins (mainly of the very low density type) into free fatty acids and glycerol. Free fatty acids can then be taken up by the fat cells and be esterified to triglycerides, then they are released again from the fat cells through lipolysis. Fatty acids leaving adipose tissue are bound to albumin and thereafter transported in blood to the liver, where they are used as substrate for esterification to triglycerides and incorporation into lipoproteins. Small changes in the turnover rate of free fatty acids in adipose tissue may in the long-term cause marked alterations of triglycerides in plasma and in adipose tissue leading to hypertriglyceridemia and/or obesity.

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References

  1. R.A. DeFronzo. Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care 14: 173 (1991).

    Article  PubMed  CAS  Google Scholar 

  2. C. Marcus, H. Ehrén, P. Bolme, P, Arner. Regulation of lipolysis during the neonatal period. J Clin Invest 82: 1793 (1988).

    Article  PubMed  CAS  Google Scholar 

  3. A. Taniguchi, K. Kataoka, T. Kono, F. Oseko, H. Okuda, I. Nagata, H. Imura. Parathyroid hormone-induced lipolysis in human adipose tissue. J. Lip. Res. 28: 490 (1987).

    CAS  Google Scholar 

  4. W.O. Richter, P. Schwandt. Cholecystokinin 1–21 stimulates lipolysis in human adipose tissue. Horm. Metabol. Res. 21: 216 (1989).

    Article  CAS  Google Scholar 

  5. G.D. Divertie, M.D. Jensen, J.M. Miles. Stimulation of lipolysis in humans by physiological hypercortisolemia. Diabetes 40:1228 (1991).

    Article  PubMed  CAS  Google Scholar 

  6. M. Amatruda, J. Livingston. D. Lockwood. Insulin receptor: role in the resistance of human obesity to insulin. Science 188: 264 (1975).

    Article  PubMed  CAS  Google Scholar 

  7. A. Green, S. Swenson, J.L. Johnson, M. Partin. Characterization of human adipocyte adenosine receptors. Biochem. Biophys. Res. Commun. 163: 137 (1989).

    Article  PubMed  CAS  Google Scholar 

  8. R. Richelsen, E.F. Eriksen, H. Beck-Nielsen, O. Pedersen. Prostaglandin E2 receptor binding and action in human fat cells. J. Clin. Endocrinol. Metab. 59: 7 (1983).

    Article  Google Scholar 

  9. P.A. Kern, M.E, Svoboda, R.H. Eckel, J.J. van Wyk. Insulinlike growth factor action and production in adipocytes and endothelial cells from human adipose tissue. Diabetes 38: 710 (1989).

    Article  PubMed  CAS  Google Scholar 

  10. P. Arner. Adrenergic receptor function in fat cells. Am. J. Clin. Nutr. 55: 228S (1992).

    PubMed  CAS  Google Scholar 

  11. S. Krief, F. Lönnqvist, S. Raimbault, B. Baude, P. Arner, D. Strosberg, D. Ricquier, L.J. Emorine. Tissue distribution of beta3-adrenergic receptor mRNA in man. J. Clin. Invest. in press (1993).

    Google Scholar 

  12. R.L. Leibel, N.K. Edens, S.K. Fried. Physiologic basis for the control of body fat distribution in humans. Annu. Rev. Nutr. 9: 417 (1989).

    Article  PubMed  CAS  Google Scholar 

  13. P. Arner, E. Kriegholm, P. Engfeldt, J. Bolinder. Adrenergic regulation of lipolysis in situ at rest an during exercise. J. Clin. Invest. 85: 893 (1990).

    Article  PubMed  CAS  Google Scholar 

  14. M.D. Jensen. Regulation of forearm lipolysis in different types of obesity. J. Clin. Invest. 87: 187 (1991).

    Article  PubMed  CAS  Google Scholar 

  15. P. Björntorp. Metabolic implications of body fat distribution. Diabetes Care 14: 1132 (1991).

    Article  PubMed  Google Scholar 

  16. J. Svedberg, G, Strömblad, A. Wirth, U. Smith, P. Björntorp. Fatty acids in the partal vein of the rat regulate hepatic insulin clearance. J. Clin. Invest. 88: 2054 (1991).

    Article  PubMed  CAS  Google Scholar 

  17. J. Svedberg, P. Björntorp, U. Smith, P. Lönnroth. Free-fatty acid inhibition of insulin binding, degradation and action in isolated rat hepatocytes. Diabetes 39: 570 (1990).

    Article  PubMed  CAS  Google Scholar 

  18. P. Arner, T. Pollare, H. Lithell. Different aetiologies of type 2 (non-insulin-dependent) diabetes mellitus in obese and non-obese subjects. Diabetologia 34: 483 (1991).

    Article  PubMed  CAS  Google Scholar 

  19. P. Maurigège, J.P. Després, D. Prudhomme, M.C. Pouliot, M. Marcotte, A. Tremblay, C. Bouchard. Regional variation in adipose tissue lipolysis in lean and obese men. J. Lipid Res. 32: 1625 (1991).

    Google Scholar 

  20. P. Arner. Control of lipolysis and its relevance to development of obesity in man. Diabetes/Metabolism Rev 4: 507 (1988).

    Article  CAS  Google Scholar 

  21. P. Engfeldt, J. Hellmér, H. Wahrenberg, P. Arner. Effects of insulin on adreno-ceptor binding and the rate of catecholamine-induced lipolysis in isolated human fat cells. J. Biol. Chem. 263: 15553 (1988).

    PubMed  CAS  Google Scholar 

  22. E. Hagström-Toft, P. Arner, U. Johansson, L.S. Eriksson, U. Ungerstedt, J. Bolinder. Effect of insulin on human adipose tissue metabolism in situ. Interactions with beta-adrenoceptors. Diabetologia 35: 664 (1992).

    Article  PubMed  Google Scholar 

  23. R.R. Wolfe, E.J. Peters, S. Klein, O.B. Holland, J. Rosenblatt, Jr. H. Gary. Effect of short-term fasting on lipolytic responsiveness in normal and obese human subjects. Am. J. Physiol. 252:E189 (1987).

    PubMed  CAS  Google Scholar 

  24. M.D. Jensen, M.W. Haymond, R.A. Rizza, P.E. Cryer, J.M. Miles. Influence of body fat distribution on free fatty acid metabolism in obesity. J. Clin. Invest. 83: 1168 (1989).

    Article  PubMed  CAS  Google Scholar 

  25. A.A. Connacher, W.M. Bennet, et al. Effect of adrenaline infusion on fatty acid and glucose turnover in lean and obese human subjects in the post-absorptive and fed state. Clin. Sci. 81: 635 (1991).

    PubMed  CAS  Google Scholar 

  26. J. Bolinder, P. Arner. Antilipolytic effect of insulin in non-insulin-dependent diabetes mellitus after conventional treatment with diet and sulfonylurea. Acta Med. Scand. 224: 451 (1988).

    Article  PubMed  CAS  Google Scholar 

  27. S. Nordlander, J. Östman, E. Cerasi, R. Luft, L.G. Ekelund. Occurrence of diabetic type of plasma FFA and glycerol response to physical exercise in prediabetic subjects. Acta Med. Scand. 193: 9 (1973).

    Article  PubMed  CAS  Google Scholar 

  28. P. Arner, P. Engfeldt, J. Östman. Blood glucose control and lipolysis in diabetes mellitus. Acta Med. Scand. 208: 297 (1980).

    Article  PubMed  CAS  Google Scholar 

  29. G.M. Reaven. Role of insulin resistance in human disease. Diabetes 37: 1595 (1988).

    Article  PubMed  CAS  Google Scholar 

  30. C. Bogardus, S. Lillioja, B.V. Howard, G.M. Reaven, D. Mott. Relationship between insulin secretion, insulin action and fasting plasma glucose concentration in nondiabetic and non-insulin-dependent diabetic subjects. J. Clin. Invest. 74: 1238 (1984).

    Article  PubMed  CAS  Google Scholar 

  31. M. Greenfield, O. Kolterman, J. Olefsky, G.M. Reaven. Mechanism of hyper-triglyceridaemia in patients with fasting hyperglycaemia. Diabetologia 18: 441 (1980).

    Article  PubMed  CAS  Google Scholar 

  32. G.M. Reaven, M.S. Greenfield. Diabetic hypertriglyceridaemia: evidence for three clinical syndromes. Diabetes 30: 66 (1981).

    PubMed  CAS  Google Scholar 

  33. G.M. Reaven, H. Chang. H. Ho, C.Y. Jeng, B. Hoffman. Lowering of plasma glucose in diabetic rats by antilipolytic agents. Am. J. Physiol. 254:E23 (1988).

    PubMed  CAS  Google Scholar 

  34. A. Vaag, P. Skött, P. Damsbo, M-A. Gall, E.A. Richter, H. Beck-Nielsen. Effect of the antilipolytic nicotinic acid analogue acipimox on whole-body and skeletal muscle glucose metabolism in patients with non-insulin-dependent diabetes mellitus. J. Clin. Invest. 88: 1282 (1991).

    Article  PubMed  CAS  Google Scholar 

  35. B. Larsson, P. Björntorp. J. Holm. T. Schersten, L. Sjöström, U. Smith. Adipocyte metabolism in endogenous hypertriglyceridemia. Metabolism 24: 1375 (1975).

    Article  PubMed  CAS  Google Scholar 

  36. L.A. Carlson, G. Walldius. Fatty acid incorporation into human adipose tissue in hypertriglyceridaemia. Eur. J. Clin. Invest. 6: 195 (1976).

    Article  PubMed  CAS  Google Scholar 

  37. P. Rubba. Fractional fatty acid incorporation into human adipose tissue (FIAT) in hypertriglyceridemia. Atherosclerosis 29: 39 (1978).

    Article  PubMed  CAS  Google Scholar 

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Arner, P. (1993). Regulation of Adipose Tissue Lipolysis, Importance for the Metabolic Syndrome. In: Östenson, C.G., Efendić, S., Vranic, M. (eds) New Concepts in the Pathogenesis of NIDDM. Advances in Experimental Medicine and Biology, vol 334. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2910-1_19

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  • DOI: https://doi.org/10.1007/978-1-4615-2910-1_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6262-3

  • Online ISBN: 978-1-4615-2910-1

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