Acessibilidade / Reportar erro

Nuclear translocation of STAT3 by in vitro metreleptin administration causes lipolysis in human primary adipocytes

Abstract

We utilized subcutaneous (SC)- and omental (OM)-derived human primary adipocytes (hPA) from obese male, and investigated whether synthetic analog of leptin, metreleptin, may regulate lipolysis via translocation of STAT3 to the nucleus. We observed that 50 ng/mL of metreleptin increases STAT3 phosphorylation in both SC- and OM-derived hPA. Importantly, we found for the first time that metreleptin is capable of trans-locating STAT3 to the nucleus and STAT3 blockade inhibits metreleptin-induced lipolysis. Our initial data provide novel insights into the role of STAT3 as probable mediator of the action of metreleptin in regulating metabolism.

metreleptin; human primary adipocyte; STAT3; differentiation; lipolysis


INTRODUCTION

Obesity is associated with a number of pathological disorders, such as type 2 diabetes, hypertension, hyperlipidemia, cardiovascular disease, respiratory complications, osteoarthritis, and cancer (Kopleman. 2000). Given the global epidemic and its association with many life-threatening chronic diseases, obesity induces a major health problem (James 2008James WP. WHO recognition of the global obesity epidemic. Int J Obes (Lond). 2008; 32: Suppl 7:S120-6. ; James. 2013). Adipose tissue mass is determined by processes governing adipocyte number and size (Greenwood et al. 1993Greenwood M.R., Johnson P.R.. Genetic differences in adipose tissue metabolism and regulation. Ann. N.Y. Acad. Sci. 1993; 676: 253-269.; Shoelson et al. 2007Shoelson SE, Herrero L, Naaz A. Obesity, inflammation, and insulin resistance. Gastroenterology. 2007; 132: 2169-2180.). The number of adipocytes increases as a result of increased adipogenesis, i.e., proliferation and differentiation of pre-adipocytes, whereas adipocyte hypertrophy is determined by unbalanced lipogenesis and lipolysis (Greenwood et al. 1993).

Leptin, the adipocyte-secreted hormone, primarily regulates food intake and body weight by acting in the hypothalamus (Moon et al. 2013Moon HS, Dalamaga M, Kim SY, Polyzos SA, Hamnvik OP, Magkos F, et al. Leptin's role in lipodystrophic and nonlipodystrophic insulin-resistant and diabetic individuals. Endocr Rev. 2013; 34: 377-412. ). Besides, the role of leptin in the brain for regulation of energy balance, it has also been indicated that leptin acts in peripheral tissues as a regulator of energy homeostasis, insulin action, lipid metabolism, and immune function (Carlton et al. 2012Carlton E. D., Demas G. E., French S.S. Leptin, a neuroendocrine mediator of immune responses, inflammation, and sickness behaviors. Horm Behav. 2012; 62: 272-279.; Dardeno et al. 2010Dardeno TA, Chou SH, Moon HS, Chamberland JP, Fiorenza CG, Mantzoros CS. Leptin in human physiology and therapeutics. Front Neuroendocrinol. 2010; 31: 377-393. ). Leptin receptors are found in diverse locations throughout the body supporting the central as well as peripheral role of leptin in metabolism (Lee et al. 2002Lee Y, Yu X, Gonzales F, Mangelsdorf DJ, Wang MY, Richardson C, et al. PPAR alpha is necessary for the lipopenic action of hyperleptinemia on white adipose and liver tissue. Proc Natl Acad Sci U S A. 2002; 99: 11848-11853.; Seufert. 2004Seufert J. Leptin effects on pancreatic beta-cell gene expression and function. Diabetes. 2004; 53:(Suppl. 1): S152-8.; Papathanassoglou et al. 2006Papathanassoglou E, El-Haschimi K, Li XC, Matarese G, Strom T, Mantzoros CS. Leptin receptor expression and signaling in lymphocytes: kinetics during lymphocyte activation, role in lymphocyte survival, and response to high fat diet in mice. J Immunol. 2006; 176: 7745-7752.). Administration of leptin has been observed to decrease insulin and glucose levels before a decrease in food intake or changes in body weight in leptin-deficient rodents (Schwartz et al. 1996Schwartz MW, Baskin DG, Bukowski TR, Kuijper JL, Foster D, Lasser G, et al. Specificity of leptin action on elevated blood glucose levels and hypothalamic neuropeptide Y gene expression in ob/ob mice. Diabetes. 1996; 45: 531-535.). Also, peripheral leptin administration, but not food restriction, was able to completely correct severe insulin resistance in lipoatrophic mice (Ebihara et al. 2001Ebihara K, Ogawa Y, Masuzaki H, Shintani M, Miyanaga F, Aizawa-Abe M, et al. Transgenic overexpression of leptin rescues insulin resistance and diabetes in a mouse model of lipoatrophic diabetes. Diabetes. 2001; 50: 1440-1448.). These results imply that leptin may act at the level of insulin-sensitive tissues independently from leptin's central action in regulating feeding behavior (Schwartz et al. 1996). Thus, it is important from the point of view of biology and human therapeutics to know which downstream signaling pathways are activated by leptin to mediate its effects in the peripheral tissues (Haque et al. 2002Haque WA, Shimomura I, Matsuzawa Y, Garg A. Serum adiponectin and leptin levels in patients with lipodystrophies. J Clin Endocrinol Metab. 2002; 87: 2395.; Fiorenza et al. 2011Fiorenza CG, Chou SH, Mantzoros CS. Lipodystrophy: pathophysiology and advances in treatment. Nat Rev Endocrinol. 2011; 7: 137-150.).

Thus far, it has been determined only in animal models that leptin administration activates peripheral intracellular signaling pathways and plays a key role in the pathophysiology of insulin resistance (Margetic et al. 2002Margetic S, Gazzola C, Pegg GG, Hill RA. Leptin: a review of its peripheral actions and interactions. Int J Obes Relat Metab Disord. 2002; 26: 1407-1433.; Guo et al. 2007Guo K, McMinn JE, Ludwig T, Yu YH, Yang G, Chen L, et al. Disruption of peripheral leptin signalingin mice results in hyperleptinemia without associated metabolic abnormalities. Endocrinology. 2007; 148: 3987-3997.; Moon et al. 2012). However, whether metreleptin treatment has a direct effectiveness in metabolically important peripheral tissues, specifically adipose tissue, in humans remains unknown. Hence, in order to present detailed proof on metreleptin signaling in human primary adipocytes (hPA) metabolism, we extended previous observations by studying in vitro metreleptin signaling in cells from human adipose tissues. We also comparatively evaluated whether metreleptin may regulate differentiation and lipolysis in hPA from subcutaneous (SC)- vs. omental (OM)-derived hPA.

MATERIALS AND METHODS

Human primary adipocytes culture - Subcutaneous and omental human adipose tissue (hAT) samples were obtained from obese (aged 34-48 years, BMI 39-50 kg/m2) male. The hAT was then digested with PBS/collagenase solution (3 mg collagenase/g tissue and 1 mL PBS/1 mg collagenase) + 3.5% fatty acid-free BSA and then filtered using a filter bottle unit (sterile funnel with double-layered gauze), and the solution was centrifuged at 1200 rpm for 10 min. The pellets were re-suspended in α-MEM supplemented with 15 mmol/l NaHCO3, 15 mmol/l HEPES, 33 μmol/l biotin, 17 μmol/l pantothenate, 10 mg/ml human transferrin, 0.05 mg/mL gentamicin, and 10% FBS and then were plated overnight. After confluence, α-MEM was removed, and the cells were washed once or twice with Hanks' balanced salt solution. To induce adipocyte differentiation, the cells were exposed to differentiation medium containing 66 nmol/l insulin, 100 nmol/l cortisol, 0.2 nmol/l triiodothyronine, and 1 μg/mL ciglitazone. The medium was changed every 2 days, and cells were kept in culture for 28 days. All subjects provided written informed consent to participate, and the study was approved by the institutional review board at Beth Israel Deaconess Medical Center/Harvard Medical School and Korea University.

Lipolysis assay - Cells were seeded at 4 × 104 cells/cm2 on 12-well culture plates and allowed to differentiate for 30 days. After cultures were serum-starved, the cells were treated with metreleptin for 24 h in the absence or presence of STAT3 inhibitor (AG549, 0.1% in media), and glycerol in the medium was measured by using a glycerol-3-phosphate oxidase (GPO)-Trinder kit (Sigma-Aldrich). Protein content was determined using the BCA protein assay.

Glycerol-3-phosphate dehydrogenase (GPDH) activity - The GPDH assay was performed by a spectrophotometric method for determination of the disappearance of NADH during GPDH-catalyzed reduction of DHAP under zero-order condition.

Triacylglycerol (TG) content - The TG content was measured by using TG human ELISA kit (Sigma-Aldrich). Protein content was determined using the BCA protein assay.

The total protein extraction and Western Blotting - Cells were suspended in a lysis buffer containing 20 mmol/l Tris-HCl (pH 7.4), 150 mmol/l NaCl, 5 mmol/l EDTA, 0.1 mmol/l phenylmethylsulfonyl fluoride, 0.05% aprotinin, and 0.1% Igepal and then incubated for 30 min at 4°C. The suspension was centrifuged for 25 min at 14,240 g, and the supernatant was saved as the total extract. 50 μg of tissue lysate protein per lane was resolved by SDS-PAGE (8% gel) and transferred to nitrocellulose membranes (Schleicher & Schuell, Inc., Keene, NH). The nitrocellulose membranes were blocked with 5% nonfat dry milk for 1 h at room temperature, incubated with primary antibody (1:500 dilution in 1% nonfat dry milk overnight at 4°C. The membranes were washed with Tris-buffered saline containing 0.05% Tween 20 (TBST) for 30 min, incubated with horseradish peroxidase secondary antibody (1:1000 dilution; Amersham Pharmacia Biotech, Arlington Heights, IL) for 2 h and washed with TBST for 30 min. The bands were visualized using the enhanced chemiluminescence system (Amersham Pharmacia Biotech) and quantified using Image J (http://rsbweb.nih.gov/ij/).

Nuclear fraction - For nuclear extracts, collected cells were suspended in a lysis buffer containing 10 mm Hepes-NaOH (pH 7.8), 10 mm KCl, 2mm MgCl2, 1 mm dithiothreitol (DTT), 0.1 mm EDTA, and 0.1 mm PMSF and then incubated for 15 min at 4°C. After addition of 10% (v/v) Nonidet P-40, the cell suspension was mixed, incubated for 30 min at 4°C and centrifuged for 15 min at 890g. Next, the pellet was re-suspended in a lysis buffer containing 50 mm Hepes-NaOH (pH 7.8), 50 mm KCl, 300 mm NaCl, 0.1 mm EDTA, 1 mm DTT, 0.1 mm PMSF, and 10% (v/v) glycerol. The suspension was mixed and centrifuged, and the supernatant was saved as the nuclear extract.

Lipid staining - Cells were stained with ORO. Briefly, dishes were washed three times with PBS and fixed with 10% formalin for 1 hr at room temperature. After fixation, cells were washed once with PBS and stained with a filtered ORO stock solution (0.5 g ORO in 100 ml of isopropyl alcohol) for 30 min at room temperature. Then, the cells were washed twice with water for 15 min and visualized.

Statistical analysis - All data were analyzed using student t-test and/or one-way ANOVA followed by post-hoc test for multiple comparisons using SPSS (version 11.5).

RESULTS

Metreleptin regulates differentiation and lipolysis in human primary adipocytes - First, we checked whether in vitro metreleptin administration may regulate differentiation in hPA. As shown in Figure 1A and 1B, metreleptin did not regulate cell differentiation in dose- and time-dependent manner. In order to confirm this result, we measured GPDH activity (Supplementary data 1) and/or TG content (Supplementary data 2), showing that in vitro metreleptin administration did not regulate GPDH activity and TG content. Also, we could not find any major differences in differentiation activities at each time-point between SC- and OM-derived hPA in response to in vitro metreleptin administration. By contrast, we observed that in vitro metreleptin administration increases lipolysis in a time-dependent manner in both SC- and OM-derived hPA (Fig.1C and 1D). Also, despite the minor differences in magnitude of the results between SC- and OM-derived hPA, we did not find any major differences in both hPAs in terms of in vitro metreleptin-regulated lipolysis.

Figure 1-
Regulation of cell differentiation and lipolysis byin vitrometreleptin administration in hPA. Cell culture was performed as described in Methods. (A-B) Cells were treated with metreleptin at indicated concentration for 14 and 28 days, respectively, and cell differentiation was measured by Oil-Red O staining as described in Methods. (C-D) Cells were treated with metreleptin (50 ng/mL) for 12 h and 24 h, respectively, and lipolysis assay was performed as described in Methods. Isoproterenol (10 µM for 2 h) was used as a positive control. All data were analyzed using one-way ANOVA followed by a post hoc test for multiple comparisons. Values are means ± SD; n=3; p<0.05 for any given superscript letter vs all others. C, control.

Metreleptin regulates lipolysis in human primary adipocytes via STAT3 signaling pathway -In vitro metreleptin administration activates STAT3 signaling in a time-dependent manner, showing that 50 ng/mL of metreleptin for 10 to 160 min significantly induces phosphorylation of STAT3 in both hPAs (Fig. 2A and 2B). Also, highest phosphorylation status of STAT3 (~5.5-fold higher than control) was observed at 20 min of in vitro metreleptin administration. Moreover, metreleptin showed a biphasic response in STAT3 activation and there was no difference in STAT3 activation in response to in vitro metreleptin administration between SC- and OM-derived hPAs. Importantly, we observed that in vitro metreleptin administration increases nuclear translocation of STAT3 in a dose-dependent manner in both hPAs (Fig. 2C). However, when challenged with STAT3 inhibitor, the metreleptin-stimulated lipolysis was abolished (Fig. 2D), suggesting that metreleptin-increased lipolysis is regulated by STAT3 signaling pathway.

Figure 2-
Regulation of STAT3 activation byin vitrometreleptin administration in hPA. Cell culture was performed as described in Methods. (A-C) Cells were treated with metreleptin (50 ng/mL) at indicated time period, and Western Blotting was performed as described in Methods. (D) Cells were treated with metreleptin (50 ng/mL) for 24 h in the absence or presence of STAT3 inhibitor (AG490 for 4 h), and lipolysis assay was performed as described in Methods. All data were analyzed using one-way ANOVA followed by a post hoc test for multiple comparisons. Values are means ± SD; n=3; p<0.05 for any given superscript letter vs all others. C, control.

DISCUSSION

It has been demonstrated that leptin, adipocyte-derived hormone, plays many roles as a growth factor in several cell types, including adipose tissue and peripheral blood mononuclear cells which play a key role in pathophysiology of insulin resistance (Miyazaki et al. 2008Miyazaki T, Bub JD, Iwamoto Y. c-Jun NH(2)-terminal kinase mediates leptin-stimulated androgen-independent prostate cancer cell proliferation via signal transducer and activator of transcription 3 and Akt. Biochim Biophys Acta. 2008; 1782: 593-604.; Asiamah et al. 2009). However, it has to be elucidated whether synthetic analog of the leptin, metreleptin, may have similar effects on hPA in terms of regulating differentiation and lipolysis. Also, since STAT3 signaling pathway is considered to be primary target of leptin in adipocytes, it has to be confirmed whether metreleptin may stimulate STAT3 activation in hPA. In order to address these questions, we conducted in vitro signaling studies and checked whether metreleptin-regulated differentiation and lipolysis is modulated by STAT3 signaling in hPA.

It has been shown that overexpression of the leptin gene in adipocytes and increased circulating levels of leptin may contribute to enhance lipolysis in obesity (Sadri et al. 2011Sadri H, Mielenz M, Morel I, Bruckmaier RM, van Dorland HA. Plasma leptin and mRNA expression of lipogenesis and lipolysis-related factors in bovine adipose tissue around parturition. J Anim Physiol Anim Nutr (Berl). 2011; 95: 790-797.). Similarly, we observed that in vitro administration of metreleptin induces lipolysis in both SC- and OM-derived hPA. Also, we found that metreleptin increases phosphorylation level of STAT3 in both SC- and OM-derived hPA. STAT3 is the prototype signaling molecule related to the leptin receptor, which modulates food intake and body weight primarily in the hypothalamus (Tanida et al. 2015Tanida M, Yamamoto N, Morgan DA, Kurata Y, Shibamoto T, Rahmouni K. Leptin Receptor Signaling in the Hypothalamus Regulates Hepatic Autonomic Nerve Activity via Phosphatidylinositol 3-Kinase and AMP-Activated Protein Kinase. J Neurosci. 2015; 35: 474-484.). STAT3 mediates the expression of a variety of genes in response to cells stimuli (Moon et al. 2012; Moon et al. 2011) and, therefore, STAT3 plays a central role in cellular processes such as cell growth and apoptosis (Moon et al. 2011). In fact, interrupting the ability of the leptin receptor to activate the STAT3 pathway causes to severe obesity and several other neuroendocrine abnormalities (van den Brink et al. 2000van den Brink GR, O'Toole T, Hardwick JC, van den Boogaardt DE, Versteeg HH, van Deventer SJ, et al. Leptin signaling in human peripheral blood mononuclear cells, activation of p38 and p42/44 mitogen-activated protein (MAP) kinase and p70 S6 kinase. Mol Cell Biol Res Commun. 2000; 4: 144-150.). Also, in response to cytokines and growth factors, STAT family members are phosphorylated by receptor-related kinases and then form homo- or hetero-dimers that translocate to the cell nucleus, where they act as transcription activators (Qin et al. 2008Qin HR, Kim HJ, Kim JY, Hurt EM, Klarmann GJ, Kawasaki BT, Duhagon SMA, et al. Activation of Signal Transducer and Activator of Transcription 3 through a Phosphomimetic Serine 727 Promotes Prostate Tumorigenesis Independent of Tyrosine 705 Phosphorylation. Cancer Res. 2008; 68: 7736-7741.). This protein is activated by phosphorylation of tyrosine 705 in response to diverse cytokines and growth factors including leptin (Qin et al. 2008). Based on these results, we performed whether in vitro metreleptin-regulated lipolysis is modulated by STAT3 signaling, demonstrating that metreleptin increases lipolysis via STAT3 signaling in hPA. Importantly, we found for the first time that metreleptin is capable of trans-locating STAT3 to the nucleus and STAT3 blockade inhibits metreleptin-induced lipolysis. These results are consistent with rodent studies previously demonstrating that leptin-treated rats tend to have a greater number of p-STAT3-positive cells than vehicle controls in hypothalami (Turek et al. 2010Turek VF, Trevaskis JL, Levin BE, Dunn-Meynell AA, Irani B, Gu G, et al. Mechanisms of amylin/leptin synergy in rodent models. Endocrinology. 2010; 151: 143-152.). Although it is important to study the effects of metreleptin in human hypothalamic or other central nervous system cells, our data suggest that metreleptin-increased translocation of STAT3 to the nucleus in hPA may have important clinical implications.

In summary, we observed for the first time that metreleptin-modulated lipolysis is regulated by translocation of STAT3 to the nucleus in both SC- and OM-derived hPA. Also, despite minor differences in the timing of signaling activation in hPA studied, we did not observe major differences in the magnitude of STAT3 activation in response to metreleptin administration between SC- and OM-derived hPA. Although we studied the signaling pathway that is considered to be primary target of leptin, on the basis of current evidence deriving mainly from rodent studies (Moon et al. 2012), we did not look at all possible signaling pathways. Thus, much more work needs to be done (additional tissues/cells, other signaling pathways) in the future. Despite these limitations, our initial data suggest that metreleptin may provide novel insights into the role of STAT3 as probable mediators of the action of metreleptin in regulating hypertrophy in hAT.

ACKNOWLEDGEMENT

This work was supported by a Korea University Grant (K1420781), a Korea University Guro Hospital Grant (O1500081) and a Korea Institute of Oriental Medicine (R1508541).

  • Asiamah P. A., Bechtel D. G., Waldner C., Buchanan F. C. Effects of leptin Arg25Cys on peripheral mononuclear cell counts and antibody response to vaccination in beef cattle. Anim Genet. 2009; 40: 783-787.
  • Carlton E. D., Demas G. E., French S.S. Leptin, a neuroendocrine mediator of immune responses, inflammation, and sickness behaviors. Horm Behav. 2012; 62: 272-279.
  • Dardeno TA, Chou SH, Moon HS, Chamberland JP, Fiorenza CG, Mantzoros CS. Leptin in human physiology and therapeutics. Front Neuroendocrinol. 2010; 31: 377-393.
  • Ebihara K, Ogawa Y, Masuzaki H, Shintani M, Miyanaga F, Aizawa-Abe M, et al. Transgenic overexpression of leptin rescues insulin resistance and diabetes in a mouse model of lipoatrophic diabetes. Diabetes. 2001; 50: 1440-1448.
  • Fiorenza CG, Chou SH, Mantzoros CS. Lipodystrophy: pathophysiology and advances in treatment. Nat Rev Endocrinol. 2011; 7: 137-150.
  • Greenwood M.R., Johnson P.R.. Genetic differences in adipose tissue metabolism and regulation. Ann. N.Y. Acad. Sci. 1993; 676: 253-269.
  • Guo K, McMinn JE, Ludwig T, Yu YH, Yang G, Chen L, et al. Disruption of peripheral leptin signalingin mice results in hyperleptinemia without associated metabolic abnormalities. Endocrinology. 2007; 148: 3987-3997.
  • Haque WA, Shimomura I, Matsuzawa Y, Garg A. Serum adiponectin and leptin levels in patients with lipodystrophies. J Clin Endocrinol Metab. 2002; 87: 2395.
  • James WP. WHO recognition of the global obesity epidemic. Int J Obes (Lond). 2008; 32: Suppl 7:S120-6.
  • James WP. Obesity-a modern pandemic: the burden of disease. Endocrinol Nutr. 2013; 60: Suppl 1:3-6.
  • Kopelman PG. Obesity as a medical problem. Nature. 2000; 404: 635-643.
  • Lee Y, Yu X, Gonzales F, Mangelsdorf DJ, Wang MY, Richardson C, et al. PPAR alpha is necessary for the lipopenic action of hyperleptinemia on white adipose and liver tissue. Proc Natl Acad Sci U S A. 2002; 99: 11848-11853.
  • Margetic S, Gazzola C, Pegg GG, Hill RA. Leptin: a review of its peripheral actions and interactions. Int J Obes Relat Metab Disord. 2002; 26: 1407-1433.
  • Miyazaki T, Bub JD, Iwamoto Y. c-Jun NH(2)-terminal kinase mediates leptin-stimulated androgen-independent prostate cancer cell proliferation via signal transducer and activator of transcription 3 and Akt. Biochim Biophys Acta. 2008; 1782: 593-604.
  • Moon HS, Dalamaga M, Kim SY, Polyzos SA, Hamnvik OP, Magkos F, et al. Leptin's role in lipodystrophic and nonlipodystrophic insulin-resistant and diabetic individuals. Endocr Rev. 2013; 34: 377-412.
  • Moon HS, Chamberland JP, Mantzoros CS. Amylin and leptin activate overlapping signalling pathways in an additive manner in mouse GT1-7 hypothalamic, C₂C₁₂ muscle and AML12 liver cell lines. Diabetologia. 2012; 55: 215-225.
  • Moon HS, Chamberland JP, Diakopoulos KN, Fiorenza C G, Ziemke F, Schneider B, Mantzoros CS. Leptin and amylin act in an additive manner to activate overlapping signaling pathways in peripheral tissues: in vitro and ex vivo studies in humans. Diabetes Care. 2011; 34: 132-138.
  • Papathanassoglou E, El-Haschimi K, Li XC, Matarese G, Strom T, Mantzoros CS. Leptin receptor expression and signaling in lymphocytes: kinetics during lymphocyte activation, role in lymphocyte survival, and response to high fat diet in mice. J Immunol. 2006; 176: 7745-7752.
  • Qin HR, Kim HJ, Kim JY, Hurt EM, Klarmann GJ, Kawasaki BT, Duhagon SMA, et al. Activation of Signal Transducer and Activator of Transcription 3 through a Phosphomimetic Serine 727 Promotes Prostate Tumorigenesis Independent of Tyrosine 705 Phosphorylation. Cancer Res. 2008; 68: 7736-7741.
  • Sadri H, Mielenz M, Morel I, Bruckmaier RM, van Dorland HA. Plasma leptin and mRNA expression of lipogenesis and lipolysis-related factors in bovine adipose tissue around parturition. J Anim Physiol Anim Nutr (Berl). 2011; 95: 790-797.
  • Schwartz MW, Baskin DG, Bukowski TR, Kuijper JL, Foster D, Lasser G, et al. Specificity of leptin action on elevated blood glucose levels and hypothalamic neuropeptide Y gene expression in ob/ob mice. Diabetes. 1996; 45: 531-535.
  • Seufert J. Leptin effects on pancreatic beta-cell gene expression and function. Diabetes. 2004; 53:(Suppl. 1): S152-8.
  • Shoelson SE, Herrero L, Naaz A. Obesity, inflammation, and insulin resistance. Gastroenterology. 2007; 132: 2169-2180.
  • Tanida M, Yamamoto N, Morgan DA, Kurata Y, Shibamoto T, Rahmouni K. Leptin Receptor Signaling in the Hypothalamus Regulates Hepatic Autonomic Nerve Activity via Phosphatidylinositol 3-Kinase and AMP-Activated Protein Kinase. J Neurosci. 2015; 35: 474-484.
  • Turek VF, Trevaskis JL, Levin BE, Dunn-Meynell AA, Irani B, Gu G, et al. Mechanisms of amylin/leptin synergy in rodent models. Endocrinology. 2010; 151: 143-152.
  • van den Brink GR, O'Toole T, Hardwick JC, van den Boogaardt DE, Versteeg HH, van Deventer SJ, et al. Leptin signaling in human peripheral blood mononuclear cells, activation of p38 and p42/44 mitogen-activated protein (MAP) kinase and p70 S6 kinase. Mol Cell Biol Res Commun. 2000; 4: 144-150.

Publication Dates

  • Publication in this collection
    2016

History

  • Received
    07 Oct 2015
  • Accepted
    16 Dec 2015
Instituto de Tecnologia do Paraná - Tecpar Rua Prof. Algacyr Munhoz Mader, 3775 - CIC, 81350-010 Curitiba PR Brazil, Tel.: +55 41 3316-3052/3054, Fax: +55 41 3346-2872 - Curitiba - PR - Brazil
E-mail: babt@tecpar.br