PPARγ activation in adipocytes is sufficient for systemic insulin sensitization

S Sugii, P Olson, DD Sears, M Saberi… - Proceedings of the …, 2009 - National Acad Sciences
S Sugii, P Olson, DD Sears, M Saberi, AR Atkins, GD Barish, SH Hong, GL Castro, YQ Yin…
Proceedings of the National Academy of Sciences, 2009National Acad Sciences
Although peroxisome proliferator-activated receptor gamma (PPARγ) agonists such as
thiazolidinediones (TZDs) are widely used to treat type 2 diabetes, how its activation in
individual tissues contributes to TZD's therapeutic action remains controversial. As TZDs are
known to have receptor-independent effects, we sought to establish gain-of-function animal
models to delineate the receptor's insulin-sensitizing actions. Unexpectedly, we find that
selective activation of PPARγ in adipocytes, but not in macrophages, is sufficient for whole …
Although peroxisome proliferator-activated receptor gamma (PPARγ) agonists such as thiazolidinediones (TZDs) are widely used to treat type 2 diabetes, how its activation in individual tissues contributes to TZD's therapeutic action remains controversial. As TZDs are known to have receptor-independent effects, we sought to establish gain-of-function animal models to delineate the receptor's insulin-sensitizing actions. Unexpectedly, we find that selective activation of PPARγ in adipocytes, but not in macrophages, is sufficient for whole-body insulin sensitization equivalent to systemic TZD treatment. In addition to improved adipokine, inflammatory, and lipid profiles, PPARγ activation in mature adipocytes normalizes serum insulin without increased adipogenesis. Co-culture studies indicated that PPARγ-activated adipocytes broadly suppress induction of inflammatory cytokines and C-X-C family chemokines in macrophages. Collectively, these data describe an “adipocentric” model in which adipose activation of PPARγ is sufficient for complete insulin sensitization and suggest a specific application for fat selective PPARγ modulators in diabetic therapy.
National Acad Sciences