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CHUNG, SOONKYU, Ph. D. Mechanisms by Which Conjugated ...

CHUNG, SOONKYU, Ph. D. Mechanisms by Which Conjugated ...

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Discussion<br />

Adipose tissue is a source of mediators of inflammation and insulin resistance. We<br />

previously demonstrated that a dietary trans fatty acid (i.e., trans-10, cis-12 conjugated<br />

linoleic acid) induced IL-6 and IL-8 production predominantly from non-adipocytes,<br />

which was associated with insulin resistance in cultures of newly differentiated human<br />

adipocytes (Brown et al. 2004; Chung et al. 2005). By inducing acute inflammation with<br />

LPS in this study, we demonstrate for the first time that preadipocytes are the primary<br />

source of proinflammatory cytokines in these cultures (Fig 4.1-4.4), transmitting<br />

paracrine signals to neighboring adipocytes that suppress glucose uptake (Fig 4.5) and<br />

PPARγ activity (Fig 4.6) via NFκB and MAPK signaling (Fig 4.7-4.8). Based on these<br />

data, we propose a working model in Fig 4.9 showing that LPS initiates proinflammatory<br />

signaling through TLRs primarily in preadipocytes, which triggers activation of NFκB,<br />

MAPK, and PI3K pathways resulting in cytokine (i.e., TNF-α, IL-6, IL-8) production in<br />

preadipocytes. These cytokines, in turn, activate their cognate cell surface receptors on<br />

both adipocytes and preadipocytes, further augmenting cytokine production. In<br />

adipocytes, cytokine activation of NFκB, MEK/ERK, and JNK leads to decreased PPARγ<br />

activity, possibly <strong>by</strong> increasing PPARγ phosphorylation, there<strong>by</strong> attenuating PPARγ<br />

target gene expression and insulin-stimulated glucose uptake.<br />

Characterization of Non-Adipocytes in the Cultures<br />

WAT is composed of several cell types. Of the cells residing in WAT, mature<br />

adipocytes are <strong>by</strong> far the largest in size, but their abundance depends on the specific<br />

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