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Published on: March 28, 2013
Changes in adiponectin receptor expression in muscle and adipose tissue of type 2 diabetic patients during
G D Tan1, C Debard, T Funahashi
1Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, Oxford OX3 7LJ, UK. garry.tan@oxlip.ox.ac.uk
Aims/Hypothesis:
Adiponectin is important in the regulation of insulin sensitivity in man. Its receptors, adipoR1 and R2, have recently been identified, but their expression in adipose tissue and their regulation in response to insulin sensitisation of diabetic patients have never been assessed. We therefore explored the regulation of adipoR1/R2 and adiponectin expression in adipose tissue and skeletal muscle, and of adiponectin plasma concentrations in response to insulin sensitisation by rosiglitazone.
Methods:
Patients with type 2 diabetes were studied in a double-blind, placebo-controlled crossover study, using in vivo arteriovenous techniques of measuring adipose tissue and muscle blood flow, combined with measurement of adipose tissue and skeletal muscle gene expression.
Results:
Rosiglitazone treatment increased adiponectin concentrations by 69%. Skeletal muscle adipoR1 expression was down-regulated from 109.0 (70.1-165.7) (median [interquartile range]) to 82.8 (63.6-89.3) relative units (p=0.04), but adipose tissue adipoR1 expression was up-regulated from 5.3 (4.4-9.4) to 11.2 (4.8-15.3) relative units (p=0.02) by rosiglitazone. In contrast to adipoR1 expression, adipoR2 expression was not altered by rosiglitazone in either of the tissues. The increase in adipose tissue adipoR1 expression with rosiglitazone was associated with increased postprandial triglyceride clearance (r=0.67, p=0.05), and increased fasting fatty acid output (r=0.78, p=0.01) measured in subcutaneous adipose tissue.
Conclusions/Interpretation:
AdipoR1 expression is up-regulated in adipose tissue but down-regulated in skeletal muscle by rosiglitazone. These data suggest that adipoR1 plays a role in mediating the effects of adiponectin in specific tissues in relation to insulin sensitisation.
Insights
Rosiglitazone alters adiponectin receptor 1 (adipoR1) expression differently in adipose tissue and skeletal muscle. This suggests adipoR1 plays a key role in mediating adiponectin
Area of Science:
- Endocrinology and Metabolism
- Molecular Biology
- Pharmacology
Background:
- Adiponectin is crucial for regulating insulin sensitivity in humans.
- Adiponectin receptors (adipoR1 and adipoR2) have been identified but their tissue-specific expression and regulation by insulin-sensitizing agents remain unclear.
Purpose of the Study:
- To investigate the regulation of adiponectin receptors (adipoR1/R2) and adiponectin expression in adipose tissue and skeletal muscle.
- To assess changes in plasma adiponectin concentrations in response to rosiglitazone-induced insulin sensitization in patients with type 2 diabetes.
Main Methods:
- A double-blind, placebo-controlled crossover study involving patients with type 2 diabetes.
- Utilized in vivo arteriovenous techniques to measure adipose tissue and muscle blood flow.
- Quantified adipose tissue and skeletal muscle gene expression and plasma adiponectin levels.
Main Results:
- Rosiglitazone significantly increased plasma adiponectin concentrations by 69%.
- AdipoR1 expression was upregulated in adipose tissue (p=0.02) but downregulated in skeletal muscle (p=0.04).
- Adipose tissue adipoR1 upregulation correlated with improved triglyceride clearance and fatty acid output.
Conclusions:
- AdipoR1 exhibits differential regulation in adipose tissue and skeletal muscle following insulin sensitization with rosiglitazone.
- These findings indicate a tissue-specific role for adipoR1 in mediating the metabolic effects of adiponectin, particularly in relation to insulin sensitization.
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