DOC News November 1, 2007
Volume 4 Number 11 p. 15
© 2007 American Diabetes Association
Metabolic Risk Tied to Fat Location
Excess body fat has been long recognized as a risk for the development of
type 2 diabetes. But body fat may pose different risks depending on where it
is deposited, according to new research
findings.
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COMSTOCK/JUPITER IMAGES
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The study, reported in the September issue of Journal of Clinical
Investigation, indicates that obese mice that store excess energy solely
in visceral adipose tissues—and keep fats from infiltrating the liver
and muscle because of genetic modification they've undergone—can retain
insulin sensitivity and other metabolic indicators within a normal range.
Through genetic engineering, the mice were missing leptin—an
appetite- regulating hormone the adipose tissue secretes—and were
overexpressing adiponectin—a protein hormone fat cells release to
regulate metabolism of lipids and glucose. Most obese people have low levels
of adiponectin and high levels of leptin, to which their body becomes
increasingly desensitized. Although the mice in this study over-ate and became
obese, they did not develop type 2 diabetes. In fact, the mice had better
glucose control and serum triglycerides than their unmodified
counterparts.
According to investigators, the modified mice stored excess energy in fat
tissue instead of in the liver, heart, and muscle. Researchers propose that
adiponectin appears to signal the body that it is starving, so that fats are
not deposited in muscle and organs and instead are stored in adipose
tissue.
The observation may explain why some obese people don't develop type 2
diabetes, while some of those with a body mass index (BMI) closer to normal
have insulin insensitivity. The measurement of body fat may not be an adequate
gauge of general metabolic health, the researchers conclude.
Kim JY, van de Wall E, Laplante M, et al.:
Obesity-associated improvements in metabolic profile through expansion of
adipose tissue. J Clin Invest 117: 2621–2637, 2007.[Medline]

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