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Endocrinology Vol. 144, No. 9 3765-3773
Copyright © 2003 by The Endocrine Society

Minireview: The Adipocyte—At the Crossroads of Energy Homeostasis, Inflammation, and Atherosclerosis

Michael W. Rajala and Philipp E. Scherer

Department of Cell Biology (M.W.R., P.E.S.) and Diabetes Research and Training Center (P.E.S.), Albert Einstein College of Medicine, Bronx, New York 10461

Address all correspondence and requests for reprints to: Philipp E. Scherer, Diabetes Research and Training Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461. E-mail: scherer{at}aecom.yu.edu.

Adipose tissue evolved to efficiently store energy for times of caloric restriction. The large caloric excess common in many Western diets has negated the need for this thrifty function, leaving adipose tissue ill-equipped to handle this increased load. An excess of adipose tissue increases risk for a number of conditions including coronary artery disease, hypertension, dyslipidemias, type 2 diabetes, and even cancer. Indeed, the ability of the adipocyte to function properly when engorged with lipid can lead to lipid accumulation in other tissues, reducing their ability to function and respond normally. The role of adipose tissue as an endocrine organ capable of secreting a number of adipose tissue-specific or enriched hormones, known as adipokines, is gaining appreciation. The normal balance of these adipose tissue secretory proteins is perturbed in obesity. Paradoxically, the lack of normal adipose tissue, as seen in cases of lipodystrophy and lipoatrophy, is also associated with pathologic sequelae similar to what is seen with obesity. The pathologic findings associated with lack of adipose tissue, largely due to inability to properly store lipids, may also be due to a lack of adipokines. In this review, we highlight the role of adipose tissue as an endocrine organ focusing on some of the recent advances in the identification and pharmacological characterization of adipokines as well as their regulation in the context of obesity and insulin-resistant states.




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DiabetesHome page
C. Kampf, B. Bodin, O. Kallskog, C. Carlsson, and L. Jansson
Marked Increase in White Adipose Tissue Blood Perfusion in the Type 2 Diabetic GK Rat
Diabetes, September 1, 2005; 54(9): 2620 - 2627.
[Abstract] [Full Text] [PDF]


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Exp PhysiolHome page
M. J Morris, E. Velkoska, and T. J Cole
Central and peripheral contributions to obesity-associated hypertension: impact of early overnourishment
Exp Physiol, September 1, 2005; 90(5): 697 - 702.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
P. Trayhurn
White adipose tissue grafts--keeping in contact
Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2005; 289(2): R297 - R298.
[Full Text] [PDF]


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Clin. Chem.Home page
S. M. Grundy
Point: The Metabolic Syndrome Still Lives
Clin. Chem., August 1, 2005; 51(8): 1352 - 1354.
[Full Text] [PDF]


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DiabetesHome page
G. B. Di Gregorio, A. Yao-Borengasser, N. Rasouli, V. Varma, T. Lu, L. M. Miles, G. Ranganathan, C. A. Peterson, R. E. McGehee, and P. A. Kern
Expression of CD68 and Macrophage Chemoattractant Protein-1 Genes in Human Adipose and Muscle Tissues: Association With Cytokine Expression, Insulin Resistance, and Reduction by Pioglitazone
Diabetes, August 1, 2005; 54(8): 2305 - 2313.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. Lappas, M. Permezel, and G. E. Rice
Leptin and Adiponectin Stimulate the Release of Proinflammatory Cytokines and Prostaglandins from Human Placenta and Maternal Adipose Tissue via Nuclear Factor-{kappa}B, Peroxisomal Proliferator-Activated Receptor-{gamma} and Extracellularly Regulated Kinase 1/2
Endocrinology, August 1, 2005; 146(8): 3334 - 3342.
[Abstract] [Full Text] [PDF]


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QJMHome page
D. Hamerman
Osteoporosis and atherosclerosis: biological linkages and the emergence of dual-purpose therapies
QJM, July 1, 2005; 98(7): 467 - 484.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
D. Dietze-Schroeder, H. Sell, M. Uhlig, M. Koenen, and J. Eckel
Autocrine Action of Adiponectin on Human Fat Cells Prevents the Release of Insulin Resistance-Inducing Factors
Diabetes, July 1, 2005; 54(7): 2003 - 2011.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
M. Bullo, M. R. Peeraully, and P. Trayhurn
Stimulation of NGF expression and secretion in 3T3-L1 adipocytes by prostaglandins PGD2, PGJ2, and {Delta}12-PGJ2
Am J Physiol Endocrinol Metab, July 1, 2005; 289(1): E62 - E67.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
T. P. Combs, Nagajyothi, S. Mukherjee, C. J. G. de Almeida, L. A. Jelicks, W. Schubert, Y. Lin, D. S. Jayabalan, D. Zhao, V. L. Braunstein, et al.
The Adipocyte as an Important Target Cell for Trypanosoma cruzi Infection
J. Biol. Chem., June 24, 2005; 280(25): 24085 - 24094.
[Abstract] [Full Text] [PDF]


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Mol. Cell. Biol.Home page
J. Park, H. K. Rho, K. H. Kim, S. S. Choe, Y. S. Lee, and J. B. Kim
Overexpression of Glucose-6-Phosphate Dehydrogenase Is Associated with Lipid Dysregulation and Insulin Resistance in Obesity
Mol. Cell. Biol., June 15, 2005; 25(12): 5146 - 5157.
[Abstract] [Full Text] [PDF]


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GutHome page
A Schaffler and H Herfarth
Creeping fat in Crohn's disease: travelling in a creeper lane of research?
Gut, June 1, 2005; 54(6): 742 - 744.
[Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
E. Bugianesi, U. Pagotto, R. Manini, E. Vanni, A. Gastaldelli, R. de Iasio, E. Gentilcore, S. Natale, M. Cassader, M. Rizzetto, et al.
Plasma Adiponectin in Nonalcoholic Fatty Liver Is Related to Hepatic Insulin Resistance and Hepatic Fat Content, Not to Liver Disease Severity
J. Clin. Endocrinol. Metab., June 1, 2005; 90(6): 3498 - 3504.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
P. Linscheid, D. Seboek, H. Zulewski, U. Keller, and B. Muller
Autocrine/Paracrine Role of Inflammation-Mediated Calcitonin Gene-Related Peptide and Adrenomedullin Expression in Human Adipose Tissue
Endocrinology, June 1, 2005; 146(6): 2699 - 2708.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
F. Capozza, T. P. Combs, A. W. Cohen, Y.-R. Cho, S.-Y. Park, W. Schubert, T. M. Williams, D. L. Brasaemle, L. A. Jelicks, P. E. Scherer, et al.
Caveolin-3 knockout mice show increased adiposity and whole body insulin resistance, with ligand-induced insulin receptor instability in skeletal muscle
Am J Physiol Cell Physiol, June 1, 2005; 288(6): C1317 - C1331.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
E. Velkoska, T. J. Cole, and M. J. Morris
Early dietary intervention: long-term effects on blood pressure, brain neuropeptide Y, and adiposity markers
Am J Physiol Endocrinol Metab, June 1, 2005; 288(6): E1236 - E1243.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
A. H. Berg and P. E. Scherer
Adipose Tissue, Inflammation, and Cardiovascular Disease
Circ. Res., May 13, 2005; 96(9): 939 - 949.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. P. McGillis
White Adipose Tissue, Inert No More!
Endocrinology, May 1, 2005; 146(5): 2154 - 2156.
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EndocrinologyHome page
J. A. Sennello, R. Fayad, A. M. Morris, R. H. Eckel, E. Asilmaz, J. Montez, J. M. Friedman, C. A. Dinarello, and G. Fantuzzi
Regulation of T Cell-Mediated Hepatic Inflammation by Adiponectin and Leptin
Endocrinology, May 1, 2005; 146(5): 2157 - 2164.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
K. Sjoholm, J. Palming, L. E. Olofsson, A. Gummesson, P.-A. Svensson, T. C. Lystig, E. Jennische, J. Brandberg, J. S. Torgerson, B. Carlsson, et al.
A Microarray Search for Genes Predominantly Expressed in Human Omental Adipocytes: Adipose Tissue as a Major Production Site of Serum Amyloid A
J. Clin. Endocrinol. Metab., April 1, 2005; 90(4): 2233 - 2239.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
B. Wang, J. R. Jenkins, and P. Trayhurn
Expression and secretion of inflammation-related adipokines by human adipocytes differentiated in culture: integrated response to TNF-{alpha}
Am J Physiol Endocrinol Metab, April 1, 2005; 288(4): E731 - E740.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
P. Trayhurn
Adipose Tissue in Obesity--An Inflammatory Issue
Endocrinology, March 1, 2005; 146(3): 1003 - 1005.
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DiabetesHome page
S. A. Summers and D. H. Nelson
A Role for Sphingolipids in Producing the Common Features of Type 2 Diabetes, Metabolic Syndrome X, and Cushing's Syndrome
Diabetes, March 1, 2005; 54(3): 591 - 602.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. Lappas, K. Yee, M. Permezel, and G. E. Rice
Sulfasalazine and BAY 11-7082 Interfere with the Nuclear Factor-{kappa}B and I{kappa}B Kinase Pathway to Regulate the Release of Proinflammatory Cytokines from Human Adipose Tissue and Skeletal Muscle in Vitro
Endocrinology, March 1, 2005; 146(3): 1491 - 1497.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
T. Skurk, C. Herder, I. Kraft, S. Muller-Scholze, H. Hauner, and H. Kolb
Production and Release of Macrophage Migration Inhibitory Factor from Human Adipocytes
Endocrinology, March 1, 2005; 146(3): 1006 - 1011.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. P. Reilly, M. Lehrke, M. L. Wolfe, A. Rohatgi, M. A. Lazar, and D. J. Rader
Resistin Is an Inflammatory Marker of Atherosclerosis in Humans
Circulation, February 22, 2005; 111(7): 932 - 939.
[Abstract] [Full Text] [PDF]


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GutHome page
A M Diehl, Z P Li, H Z Lin, and S Q Yang
Cytokines and the pathogenesis of non-alcoholic steatohepatitis
Gut, February 1, 2005; 54(2): 303 - 306.
[Full Text] [PDF]


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ScienceHome page
M. A. Lazar
How Obesity Causes Diabetes: Not a Tall Tale
Science, January 21, 2005; 307(5708): 373 - 375.
[Abstract] [Full Text] [PDF]


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J AndrolHome page
S. T. Page, K. L. Herbst, J. K. Amory, A. D. Coviello, B. D. Anawalt, A. M. Matsumoto, and W. J. Bremner
Testosterone Administration Suppresses Adiponectin Levels in Men
J Androl, January 1, 2005; 26(1): 85 - 92.
[Abstract] [Full Text] [PDF]


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CirculationHome page
W. Verreth, D. De Keyzer, M. Pelat, P. Verhamme, J. Ganame, J. K. Bielicki, A. Mertens, R. Quarck, N. Benhabiles, G. Marguerie, et al.
Weight Loss-Associated Induction of Peroxisome Proliferator-Activated Receptor-{alpha} and Peroxisome Proliferator-Activated Receptor-{gamma} Correlate With Reduced Atherosclerosis and Improved Cardiovascular Function in Obese Insulin-Resistant Mice
Circulation, November 16, 2004; 110(20): 3259 - 3269.
[Abstract] [Full Text] [PDF]


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Mol. Cell. Biol.Home page
J. J. Rochford, R. K. Semple, M. Laudes, K. B. Boyle, C. Christodoulides, C. Mulligan, C. J. Lelliott, S. Schinner, D. Hadaschik, M. Mahadevan, et al.
ETO/MTG8 Is an Inhibitor of C/EBP{beta} Activity and a Regulator of Early Adipogenesis
Mol. Cell. Biol., November 15, 2004; 24(22): 9863 - 9872.
[Abstract] [Full Text] [PDF]


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J EndocrinolHome page
J. Klein, S. Westphal, D. Kraus, B. Meier, N. Perwitz, V. Ott, M. Fasshauer, and H H. Klein
Metformin inhibits leptin secretion via a mitogen-activated protein kinase signalling pathway in brown adipocytes
J. Endocrinol., November 1, 2004; 183(2): 299 - 307.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
S.-k. Park, S.-Y. Oh, M.-Y. Lee, S. Yoon, K.-S. Kim, and J.-w. Kim
CCAAT/Enhancer Binding Protein and Nuclear Factor-Y Regulate Adiponectin Gene Expression in Adipose Tissue
Diabetes, November 1, 2004; 53(11): 2757 - 2766.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
J. R. Schelling and J. R. Sedor
The Metabolic Syndrome as a Risk Factor for Chronic Kidney Disease: More than a Fat Chance?
J. Am. Soc. Nephrol., November 1, 2004; 15(11): 2773 - 2774.
[Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
B. E. Wisse
The Inflammatory Syndrome: The Role of Adipose Tissue Cytokines in Metabolic Disorders Linked to Obesity
J. Am. Soc. Nephrol., November 1, 2004; 15(11): 2792 - 2800.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
K. E. Davis, M. Moldes, and S. R. Farmer
The Forkhead Transcription Factor FoxC2 Inhibits White Adipocyte Differentiation
J. Biol. Chem., October 8, 2004; 279(41): 42453 - 42461.
[Abstract] [Full Text] [PDF]




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