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Updated: Jul 16, 2026

Measuring the Rate of Lipolysis in Ex Vivo Murine Adipose Tissue and Primary Preadipocytes Differentiated In Vitro
Published on: March 17, 2023
Adrenomedullin inhibits adipogenesis under transcriptional control of insulin
Romain Harmancey1, Jean-Michel Senard, Philippe Rouet
1I2MR INSERM U858, Laboratoire de Pharmacologie, Faculté de Médecine, Universite Paul Sabatier, Institut Louis Bugnard IFR31, 37 allées Jules Guesde, 31000 Toulouse, France.
Abstract:
We generated preadipocyte cell lines impaired in adrenomedullin production through integration of an adrenomedullin small interfering RNA expression vector. The reduction of adrenomedullin synthesis strongly accelerated adipose differentiation. These results were bolstered when overexpression of active adrenomedullin peptide led to delayed differentiation. Therefore, we propose that adrenomedullin is an antiadipogenic factor. Moreover, we checked whether insulin, a proadipogenic factor, regulates expression of adrenomedullin. We observed that insulin had an inhibitory effect on adrenomedullin expression in isolated human adipocyte cells. This response was dose dependent and was reversed by resistin, a new anti-insulin agent. We quantified circulating adrenomedullin in healthy obese patients and observed a threefold increase of adrenomedullin compared with lean patients. Furthermore, adrenomedullin plasma levels are negatively correlated to plasma insulin levels in these obese patients. The insulin inhibitory response was also observed in vivo in Sprague-Dawley rats but not in the insulin-resistant Zucker rat, suggesting that adrenomedullin expression is upregulated in insulin-resistant adipose cells. Using adrenomedullin promoter-luciferase reporter gene constructs, we have shown that the adrenomedullin response to insulin is mediated by insulin-responsive elements. These findings provide new insight into fat mass development and the relationship between obesity and elevated circulating adrenomedullin levels in diabetic patients.
Insights
Adrenomedullin acts as an antiadipogenic factor, inhibiting fat cell differentiation. Its levels increase in obesity and correlate inversely with insulin, suggesting a role in metabolic regulation.
Area of Science:
- Endocrinology
- Molecular Biology
- Metabolic Research
Background:
- Adrenomedullin (AM) is a peptide hormone with diverse physiological roles.
- The regulation of adipose tissue differentiation and its relationship with metabolic diseases are critical areas of research.
Purpose of the Study:
- To investigate the role of adrenomedullin in adipogenesis.
- To explore the relationship between insulin, adrenomedullin, and insulin resistance.
Main Methods:
- Generation of preadipocyte cell lines with reduced adrenomedullin production using small interfering RNA.
- Overexpression of active adrenomedullin peptide.
- Dose-response studies of insulin on adrenomedullin expression in human adipocytes and in vivo rat models.
- Analysis of adrenomedullin plasma levels in obese and lean individuals.
- Luciferase reporter gene assays to study adrenomedullin promoter activity.
Main Results:
- Reduced adrenomedullin synthesis accelerated adipose differentiation, while its overexpression delayed it, indicating AM is an antiadipogenic factor.
- Insulin inhibited adrenomedullin expression in a dose-dependent manner, an effect reversed by resistin.
- Circulating adrenomedullin levels were threefold higher in obese patients compared to lean individuals.
- Plasma adrenomedullin levels negatively correlated with plasma insulin levels in obese patients.
- Adrenomedullin expression was upregulated in insulin-resistant adipose cells, and insulin's effect was mediated by insulin-responsive elements.
Conclusions:
- Adrenomedullin functions as an endogenous antiadipogenic factor.
- Insulin negatively regulates adrenomedullin expression, potentially contributing to altered fat mass development in obesity and diabetes.
- Elevated circulating adrenomedullin in obesity may reflect an adaptive response to insulin resistance.
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