scholarly journals Relative Adipose Tissue Failure in Alström Syndrome Drives Obesity-Induced Insulin Resistance

Diabetes ◽  
2020 ◽  
pp. db200647
Author(s):  
Tarekegn Geberhiwot ◽  
Shanat Baig ◽  
Cathy Obringer ◽  
Dorothée Girard ◽  
Charlotte Dawson ◽  
...  
2020 ◽  
Author(s):  
Ada Admin ◽  
Tarekegn Geberhiwot ◽  
Shanat Baig ◽  
Cathy Obringer ◽  
Dorothée Girard ◽  
...  

Obesity is a major risk factor for insulin resistance (IR) and its attendant complications. The pathogenic mechanisms linking them remain poorly understood, partly due to a lack of intermediary monogenic human phenotypes. Here, we report on a monogenic form of IR-prone obesity, Alström syndrome (ALMS). Twenty-three subjects with monogenic or polygenic obesity underwent hyperinsulinaemic-euglycemic clamping with concomitant adipose tissue (AT) microdialysis and an in-depth analysis of subcutaneous AT histology. We have shown a relative adipose tissue failure in monogenic obese cohort; a finding supported by observations in a novel conditional mouse model (<i>Alms<sup>flin/flin</sup></i>) and ALMS1-silenced human primary adipocytes. Whereas, selective reactivation of ALMS1 gene in adipose tissue of an ALMS conditional knockdown mice model (<i>Alms<sup>flin/flin</sup>;Adipo-Cre<sup>+/-</sup></i>) restores systemic insulin sensitivity and glucose tolerance. Hence, we show for the first time the relative adipose tissue failure in human obese cohorts to be a major determinant of accelerated IR without evidence of lipodystrophy. These new insights into adipocyte driven insulin resistance may assist development of adipose tissue targeted therapeutic strategies for diabetes.


2016 ◽  
Vol 36 (11) ◽  
pp. 1704-1712 ◽  
Author(s):  
Laura L. Gathercole ◽  
Jonathan M. Hazlehurst ◽  
Matthew J. Armstrong ◽  
Rachel Crowley ◽  
Sarah Boocock ◽  
...  

2013 ◽  
Vol 17 (5) ◽  
pp. 949
Author(s):  
IrfanYousuf Wani ◽  
Ashraf Ganie ◽  
Iqra Mehraj ◽  
YasserYousuf Wani ◽  
Muzafar Naik

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