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This version published online on March 10, 2005
Endocrinology, doi:10.1210/en.2004-1424
A more recent version of this article appeared on June 1, 2005
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Submitted on October 29, 2004
Accepted on March 1, 2005

Autocrine/paracrine role of inflammation-mediated Calcitonin Gene-Related Peptide and Adrenomedullin expression in human adipose tissue

Philippe Linscheid*, Dalma Seboek, Henryk Zulewski, Ulrich Keller, and Beat Müller

Department of Research (P.L., D.S., H.Z., U.K., B.M.), Department of Endocrinology, Diabetology and Clinical Nutrition (H.Z., U.K., B.M.), University Hospital, CH-4031 Basel, Switzerland

* To whom correspondence should be addressed. E-mail: Philippe.Linscheid{at}unibas.ch.

Human adipose tissue is a contributor to inflammation- and sepsis-induced elevation of serum procalcitonin (ProCT). Several calcitonin (CT)-peptides, including ProCT, CT gene-related peptide (CGRP) and adrenomedullin (ADM) are suspected mediators in human inflammatory diseases. Therefore, we aimed to explore the expression, interactions and potential roles of adipocyte-derived CT-peptide production.

Expression of CT-peptide-specific transcripts was analyzed by RT-PCR and quantitative real-time PCR in human adipose tissue biopsies and in three different inflammation-challenged human adipocyte models. ProCT, CGRP and ADM secretions were assessed by immunological methods. Adipocyte transcriptional activity, glycerol release and insulin-mediated glucose transport were studied after exogenous CGRP and ADM exposure.

With the exception of amylin, CT-peptides were expressed in adipose tissue biopsies from septic patients, inflammation-activated mature explanted adipocytes and macrophage-activated preadipocyte-derived adipocytes. ProCT and CGRP productions were significantly augmented in IL-1{beta} and LPS-challenged mesenchymal stem cell (MSC)-derived adipocytes, but not in undifferentiated MSC. In contrast, ADM expression occurred before and after adipogenic differentiation. IFN{gamma} co-administration inhibited IL-1{beta}-mediated ProCT and CGRP secretion by 78% and 34%, respectively, but augmented IL-1{beta}-mediated ADM secretion by 50%. Exogenous CGRP and ADM administration induced CT, CGRP I and CGRP II mRNAs and dose-dependently (10-10 and 10-6 M) enhanced glycerol release. In contrast, no CGRP- and ADM-mediated effects were noted on ADM, TNF{alpha} and IL-1{beta} mRNA abundances.

In summary, CGRP and ADM are two differentially regulated novel adipose tissue secretion factors exerting autocrine/paracrine roles. Their lipolytic effect (glycerol release) suggests a metabolic role in adipocytes during inflammation.


Key words: Adipocytes • calcitonin gene-related peptide • adrenomedullin • procalcitonin • sepsis • interleukin-1{beta} • interferon-{gamma} • endotoxin




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