Reversing adipocyte differentiation: implications for treatment of obesity

YT Zhou, ZW Wang, M Higa… - Proceedings of the …, 1999 - National Acad Sciences
YT Zhou, ZW Wang, M Higa, CB Newgard, RH Unger
Proceedings of the National Academy of Sciences, 1999National Acad Sciences
Conventional treatment of obesity reduces fat in mature adipocytes but leaves them with
lipogenic enzymes capable of rapid resynthesis of fat, a likely factor in treatment failure.
Adenovirus-induced hyperleptinemia in normal rats results in rapid nonketotic fat loss that
persists after hyperleptinemia disappears, whereas pair-fed controls regain their weight in 2
weeks. We report here that the hyperleptinemia depletes adipocyte fat while profoundly
down-regulating lipogenic enzymes and their transcription factor, peroxisome proliferator …
Conventional treatment of obesity reduces fat in mature adipocytes but leaves them with lipogenic enzymes capable of rapid resynthesis of fat, a likely factor in treatment failure. Adenovirus-induced hyperleptinemia in normal rats results in rapid nonketotic fat loss that persists after hyperleptinemia disappears, whereas pair-fed controls regain their weight in 2 weeks. We report here that the hyperleptinemia depletes adipocyte fat while profoundly down-regulating lipogenic enzymes and their transcription factor, peroxisome proliferator-activated receptor (PPAR)γ in epididymal fat; enzymes of fatty acid oxidation and their transcription factor, PPARα, normally low in adipocytes, are up-regulated, as are uncoupling proteins 1 and 2. This transformation of adipocytes from cells that store triglycerides to fatty acid-oxidizing cells is accompanied by loss of the adipocyte markers, adipocyte fatty acid-binding protein 2, tumor necrosis factor α, and leptin, and by the appearance of the preadipocyte marker Pref-1. These findings suggest a strategy for the treatment of obesity by alteration of the adipocyte phenotype.
National Acad Sciences