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Published on: December 5, 2025
Adipose tissue and circulating endothelial cell specific molecule-1 in human obesity
J Janke1, S Engeli, K Gorzelniak
1Medical Faculty of the Charité, Franz Volhard Clinic, HELIOS Klinikum-Berlin, Germany. janke@fvk.charite-buch.de
Adipocytes produce endothelial-cell specific molecule-1 (ESM-1), which regulates leukocyte adhesion. Obesity reduces circulating ESM-1, suggesting a role in vascular disease, though adipocyte production doesn't fully explain plasma levels.
Area of Science:
- Endocrinology
- Vascular Biology
- Cell Biology
Background:
- Endothelial-cell specific molecule-1 (ESM-1) is produced by adipocytes and inhibits leukocyte adhesion.
- Understanding ESM-1 regulation in human adipose tissue is crucial for its role in vascular health.
Purpose of the Study:
- To investigate ESM-1 expression and regulation in human adipose tissue.
- To explore the relationship between ESM-1, obesity, and weight reduction.
Main Methods:
- Gene expression analysis using TaqMan RT-PCR.
- ESM-1 protein quantification in serum and cell culture via ELISA.
- In vitro studies on isolated human adipocytes and preadipocytes.
Main Results:
- Mature adipocytes actively produce ESM-1, with higher gene expression than preadipocytes.
- Cortisol inhibited ESM-1 in preadipocytes; insulin and cortisol inhibited it in adipocytes.
- Insulin's inhibitory effect was reduced in insulin resistance; obese, hyperinsulinemic women showed increased adipose tissue ESM-1 gene expression.
- Obese women had reduced serum ESM-1 levels, inversely correlated with C-reactive protein.
- Modest weight loss did not significantly alter gene expression but increased circulating ESM-1.
Conclusions:
- Adipocytes are a source of ESM-1, but other sources likely contribute to circulating levels.
- Reduced circulating ESM-1 in obesity suggests a potential role in associated vascular complications.
- ESM-1 regulation is complex, influenced by hormones and metabolic status.
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