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Erschienen in: Diabetologia 5/2014

01.05.2014 | Article

Adipocyte-specific deficiency of Janus kinase (JAK) 2 in mice impairs lipolysis and increases body weight, and leads to insulin resistance with ageing

verfasst von: Sally Yu Shi, Cynthia T. Luk, Jara J. Brunt, Tharini Sivasubramaniyam, Shun-Yan Lu, Stephanie A. Schroer, Minna Woo

Erschienen in: Diabetologia | Ausgabe 5/2014

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Abstract

Aims/hypothesis

The growing obesity epidemic necessitates a better understanding of adipocyte biology and its role in metabolism. The Janus kinase (JAK)–signal transducer and activator of transcription (STAT) pathway mediates signalling by numerous cytokines and hormones that regulate adipocyte function, illustrating the physiological importance of adipose JAK–STAT. The aim of this study was to investigate potential roles of adipocyte JAK2, an essential player in the JAK–STAT pathway, in adipocyte biology and metabolism.

Methods

We generated adipocyte-specific Jak2 knockout (A-Jak2 KO) mice using the Cre-loxP system with Cre expression driven by the Ap2 (also known as Fabp4) promoter.

Results

Starting at 2–3 months of age, male and female A-Jak2 KO mice gradually gained more body weight than control littermates primarily due to increased adiposity. This was associated with reduced energy expenditure in A-Jak2 KO mice. In perigonadal adipose tissue, the expression of numerous genes involved in lipid metabolism was differentially regulated. In addition, adipose tissue from A-Jak2 KO mice displayed impaired lipolysis in response to isoprenaline, growth hormone and leptin stimulation, suggesting that adipose JAK2 directly modulates the lipolytic program. Impaired lipid homeostasis was also associated with disrupted adipokine secretion. Accordingly, while glucose metabolism was normal at 2 months of age, by 5–6 months of age, A-Jak2 KO mice had whole-body insulin resistance.

Conclusions/interpretation

Our results suggest that adipocyte JAK2 plays a critical role in the regulation of adipocyte biology and whole-body metabolism. Targeting of the JAK–STAT pathway could be a novel therapeutic option for the treatment of obesity and type 2 diabetes.
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Literatur
2.
Zurück zum Zitat Guilherme A, Virbasius JV, Puri V, Czech MP (2008) Adipocyte dysfunctions linking obesity to insulin resistance and type 2 diabetes. Nat Rev Mol Cell Biol 9:367–377PubMedCentralPubMedCrossRef Guilherme A, Virbasius JV, Puri V, Czech MP (2008) Adipocyte dysfunctions linking obesity to insulin resistance and type 2 diabetes. Nat Rev Mol Cell Biol 9:367–377PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Swinburn BA, Sacks G, Hall KD et al (2011) The global obesity pandemic: shaped by global drivers and local environments. Lancet 378:804–814PubMedCrossRef Swinburn BA, Sacks G, Hall KD et al (2011) The global obesity pandemic: shaped by global drivers and local environments. Lancet 378:804–814PubMedCrossRef
6.
Zurück zum Zitat Shi SY, Garcia Martin R, Duncan RE et al (2012) Hepatocyte-specific deletion of Janus kinase 2 (JAK2) protects against diet-induced steatohepatitis and glucose intolerance. J Biol Chem 287:10277–10288PubMedCentralPubMedCrossRef Shi SY, Garcia Martin R, Duncan RE et al (2012) Hepatocyte-specific deletion of Janus kinase 2 (JAK2) protects against diet-induced steatohepatitis and glucose intolerance. J Biol Chem 287:10277–10288PubMedCentralPubMedCrossRef
7.
Zurück zum Zitat Sos BC, Harris C, Nordstrom SM et al (2011) Abrogation of growth hormone secretion rescues fatty liver in mice with hepatocyte-specific deletion of JAK2. J Clin Invest 121:1412–1423PubMedCentralPubMedCrossRef Sos BC, Harris C, Nordstrom SM et al (2011) Abrogation of growth hormone secretion rescues fatty liver in mice with hepatocyte-specific deletion of JAK2. J Clin Invest 121:1412–1423PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Stewart WC, Morrison RF, Young SL, Stephens JM (1999) Regulation of signal transducers and activators of transcription (STATs) by effectors of adipogenesis: coordinate regulation of STATs 1, 5A, and 5B with peroxisome proliferator-activated receptor-gamma and C/AAAT enhancer binding protein-alpha. Biochim Biophys Acta 1452:188–196PubMedCrossRef Stewart WC, Morrison RF, Young SL, Stephens JM (1999) Regulation of signal transducers and activators of transcription (STATs) by effectors of adipogenesis: coordinate regulation of STATs 1, 5A, and 5B with peroxisome proliferator-activated receptor-gamma and C/AAAT enhancer binding protein-alpha. Biochim Biophys Acta 1452:188–196PubMedCrossRef
9.
Zurück zum Zitat Hellgren G, Albertsson-Wikland K, Billig H, Carlsson LM, Carlsson B (2001) Growth hormone receptor interaction with Jak proteins differs between tissues. J Interferon Cytokine Res 21:75–83PubMedCrossRef Hellgren G, Albertsson-Wikland K, Billig H, Carlsson LM, Carlsson B (2001) Growth hormone receptor interaction with Jak proteins differs between tissues. J Interferon Cytokine Res 21:75–83PubMedCrossRef
10.
Zurück zum Zitat Gomez-Ambrosi J, Catalan V, Diez-Caballero A et al (2004) Gene expression profile of omental adipose tissue in human obesity. FASEB J 18:215–217PubMed Gomez-Ambrosi J, Catalan V, Diez-Caballero A et al (2004) Gene expression profile of omental adipose tissue in human obesity. FASEB J 18:215–217PubMed
11.
Zurück zum Zitat Zhang K, Guo W, Yang Y, Wu J (2011) JAK2/STAT3 pathway is involved in the early stage of adipogenesis through regulating C/EBPbeta transcription. J Cell Biochem 112:488–497PubMedCrossRef Zhang K, Guo W, Yang Y, Wu J (2011) JAK2/STAT3 pathway is involved in the early stage of adipogenesis through regulating C/EBPbeta transcription. J Cell Biochem 112:488–497PubMedCrossRef
12.
Zurück zum Zitat Yarwood SJ, Sale EM, Sale GJ, Houslay MD, Kilgour E, Anderson NG (1999) Growth hormone-dependent differentiation of 3T3-F442A preadipocytes requires Janus kinase/signal transducer and activator of transcription but not mitogen-activated protein kinase or p70 S6 kinase signaling. J Biol Chem 274:8662–8668PubMedCrossRef Yarwood SJ, Sale EM, Sale GJ, Houslay MD, Kilgour E, Anderson NG (1999) Growth hormone-dependent differentiation of 3T3-F442A preadipocytes requires Janus kinase/signal transducer and activator of transcription but not mitogen-activated protein kinase or p70 S6 kinase signaling. J Biol Chem 274:8662–8668PubMedCrossRef
13.
Zurück zum Zitat Floyd ZE, Stephens JM (2003) STAT5A promotes adipogenesis in nonprecursor cells and associates with the glucocorticoid receptor during adipocyte differentiation. Diabetes 52:308–314PubMedCrossRef Floyd ZE, Stephens JM (2003) STAT5A promotes adipogenesis in nonprecursor cells and associates with the glucocorticoid receptor during adipocyte differentiation. Diabetes 52:308–314PubMedCrossRef
14.
Zurück zum Zitat Shang CA, Waters MJ (2003) Constitutively active signal transducer and activator of transcription 5 can replace the requirement for growth hormone in adipogenesis of 3T3-F442A preadipocytes. Mol Endocrinol 17:2494–2508PubMedCrossRef Shang CA, Waters MJ (2003) Constitutively active signal transducer and activator of transcription 5 can replace the requirement for growth hormone in adipogenesis of 3T3-F442A preadipocytes. Mol Endocrinol 17:2494–2508PubMedCrossRef
15.
Zurück zum Zitat Nanbu-Wakao R, Morikawa Y, Matsumura I et al (2002) Stimulation of 3T3-L1 adipogenesis by signal transducer and activator of transcription 5. Mol Endocrinol 16:1565–1576PubMedCrossRef Nanbu-Wakao R, Morikawa Y, Matsumura I et al (2002) Stimulation of 3T3-L1 adipogenesis by signal transducer and activator of transcription 5. Mol Endocrinol 16:1565–1576PubMedCrossRef
16.
Zurück zum Zitat Siegrist-Kaiser CA, Pauli V, Juge-Aubry CE et al (1997) Direct effects of leptin on brown and white adipose tissue. J Clin Invest 100:2858–2864PubMedCentralPubMedCrossRef Siegrist-Kaiser CA, Pauli V, Juge-Aubry CE et al (1997) Direct effects of leptin on brown and white adipose tissue. J Clin Invest 100:2858–2864PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Trujillo ME, Sullivan S, Harten I, Schneider SH, Greenberg AS, Fried SK (2004) Interleukin-6 regulates human adipose tissue lipid metabolism and leptin production in vitro. J Clin Endocrinol Metab 89:5577–5582PubMedCrossRef Trujillo ME, Sullivan S, Harten I, Schneider SH, Greenberg AS, Fried SK (2004) Interleukin-6 regulates human adipose tissue lipid metabolism and leptin production in vitro. J Clin Endocrinol Metab 89:5577–5582PubMedCrossRef
18.
Zurück zum Zitat van Hall G, Steensberg A, Sacchetti M et al (2003) Interleukin-6 stimulates lipolysis and fat oxidation in humans. J Clin Endocrinol Metab 88:3005–3010PubMedCrossRef van Hall G, Steensberg A, Sacchetti M et al (2003) Interleukin-6 stimulates lipolysis and fat oxidation in humans. J Clin Endocrinol Metab 88:3005–3010PubMedCrossRef
19.
Zurück zum Zitat Memon RA, Feingold KR, Moser AH, Doerrler W, Grunfeld C (1992) In vivo effects of interferon-alpha and interferon-gamma on lipolysis and ketogenesis. Endocrinology 131:1695–1702PubMed Memon RA, Feingold KR, Moser AH, Doerrler W, Grunfeld C (1992) In vivo effects of interferon-alpha and interferon-gamma on lipolysis and ketogenesis. Endocrinology 131:1695–1702PubMed
20.
Zurück zum Zitat Goodman HM (1968) Multiple effects of growth hormone on lipolysis. Endocrinology 83:300–308PubMedCrossRef Goodman HM (1968) Multiple effects of growth hormone on lipolysis. Endocrinology 83:300–308PubMedCrossRef
21.
Zurück zum Zitat Fielder PJ, Talamantes F (1987) The lipolytic effects of mouse placental lactogen II, mouse prolactin, and mouse growth hormone on adipose tissue from virgin and pregnant mice. Endocrinology 121:493–497PubMedCrossRef Fielder PJ, Talamantes F (1987) The lipolytic effects of mouse placental lactogen II, mouse prolactin, and mouse growth hormone on adipose tissue from virgin and pregnant mice. Endocrinology 121:493–497PubMedCrossRef
22.
Zurück zum Zitat Buettner C, Muse ED, Cheng A et al (2008) Leptin controls adipose tissue lipogenesis via central, STAT3-independent mechanisms. Nat Med 14:667–675PubMedCentralPubMedCrossRef Buettner C, Muse ED, Cheng A et al (2008) Leptin controls adipose tissue lipogenesis via central, STAT3-independent mechanisms. Nat Med 14:667–675PubMedCentralPubMedCrossRef
23.
Zurück zum Zitat Zvonic S, Cornelius P, Stewart WC, Mynatt RL, Stephens JM (2003) The regulation and activation of ciliary neurotrophic factor signaling proteins in adipocytes. J Biol Chem 278:2228–2235PubMedCrossRef Zvonic S, Cornelius P, Stewart WC, Mynatt RL, Stephens JM (2003) The regulation and activation of ciliary neurotrophic factor signaling proteins in adipocytes. J Biol Chem 278:2228–2235PubMedCrossRef
24.
Zurück zum Zitat Hogan JC, Stephens JM (2005) Effects of leukemia inhibitory factor on 3T3-L1 adipocytes. J Endocrinol 185:485–496PubMedCrossRef Hogan JC, Stephens JM (2005) Effects of leukemia inhibitory factor on 3T3-L1 adipocytes. J Endocrinol 185:485–496PubMedCrossRef
25.
Zurück zum Zitat Ott V, Fasshauer M, Dalski A, Klein HH, Klein J (2002) Direct effects of ciliary neurotrophic factor on brown adipocytes: evidence for a role in peripheral regulation of energy homeostasis. J Endocrinol 173:R1–R8PubMedCrossRef Ott V, Fasshauer M, Dalski A, Klein HH, Klein J (2002) Direct effects of ciliary neurotrophic factor on brown adipocytes: evidence for a role in peripheral regulation of energy homeostasis. J Endocrinol 173:R1–R8PubMedCrossRef
26.
Zurück zum Zitat Song HY, Kim MR, Lee MJ et al (2007) Oncostatin M decreases adiponectin expression and induces dedifferentiation of adipocytes by JAK3- and MEK-dependent pathways. Int J Biochem Cell Biol 39:439–449PubMedCrossRef Song HY, Kim MR, Lee MJ et al (2007) Oncostatin M decreases adiponectin expression and induces dedifferentiation of adipocytes by JAK3- and MEK-dependent pathways. Int J Biochem Cell Biol 39:439–449PubMedCrossRef
27.
Zurück zum Zitat Thompson BR, Mazurkiewicz-Munoz AM, Suttles J, Carter-Su C, Bernlohr DA (2009) Interaction of adipocyte fatty acid-binding protein (AFABP) and JAK2: AFABP/aP2 as a regulator of JAK2 signaling. J Biol Chem 284:13473–13480PubMedCentralPubMedCrossRef Thompson BR, Mazurkiewicz-Munoz AM, Suttles J, Carter-Su C, Bernlohr DA (2009) Interaction of adipocyte fatty acid-binding protein (AFABP) and JAK2: AFABP/aP2 as a regulator of JAK2 signaling. J Biol Chem 284:13473–13480PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat Nordstrom SM, Tran JL, Sos BC, Wagner KU, Weiss EJ (2013) Disruption of JAK2 in adipocytes impairs lipolysis and improves fatty liver in mice with elevated GH. Mol Endocrinol 27:1333–1342PubMedCrossRef Nordstrom SM, Tran JL, Sos BC, Wagner KU, Weiss EJ (2013) Disruption of JAK2 in adipocytes impairs lipolysis and improves fatty liver in mice with elevated GH. Mol Endocrinol 27:1333–1342PubMedCrossRef
29.
Zurück zum Zitat Krempler A, Qi Y, Triplett AA, Zhu J, Rui H, Wagner KU (2004) Generation of a conditional knockout allele for the Janus kinase 2 (Jak2) gene in mice. Genesis 40:52–57PubMedCrossRef Krempler A, Qi Y, Triplett AA, Zhu J, Rui H, Wagner KU (2004) Generation of a conditional knockout allele for the Janus kinase 2 (Jak2) gene in mice. Genesis 40:52–57PubMedCrossRef
30.
Zurück zum Zitat Wagner KU, Krempler A, Triplett AA et al (2004) Impaired alveologenesis and maintenance of secretory mammary epithelial cells in Jak2 conditional knockout mice. Mol Cell Biol 24:5510–5520PubMedCentralPubMedCrossRef Wagner KU, Krempler A, Triplett AA et al (2004) Impaired alveologenesis and maintenance of secretory mammary epithelial cells in Jak2 conditional knockout mice. Mol Cell Biol 24:5510–5520PubMedCentralPubMedCrossRef
31.
Zurück zum Zitat Lemonnier D (1972) Effect of age, sex, and sites on the cellularity of the adipose tissue in mice and rats rendered obese by a high-fat diet. J Clin Invest 51:2907–2915PubMedCentralPubMedCrossRef Lemonnier D (1972) Effect of age, sex, and sites on the cellularity of the adipose tissue in mice and rats rendered obese by a high-fat diet. J Clin Invest 51:2907–2915PubMedCentralPubMedCrossRef
32.
Zurück zum Zitat Choi D, Schroer SA, Lu SY et al (2010) Erythropoietin protects against diabetes through direct effects on pancreatic beta cells. J Exp Med 207:2831–2842PubMedCentralPubMedCrossRef Choi D, Schroer SA, Lu SY et al (2010) Erythropoietin protects against diabetes through direct effects on pancreatic beta cells. J Exp Med 207:2831–2842PubMedCentralPubMedCrossRef
33.
Zurück zum Zitat Bluher M, Michael MD, Peroni OD et al (2002) Adipose tissue selective insulin receptor knockout protects against obesity and obesity-related glucose intolerance. Dev Cell 3:25–38PubMedCrossRef Bluher M, Michael MD, Peroni OD et al (2002) Adipose tissue selective insulin receptor knockout protects against obesity and obesity-related glucose intolerance. Dev Cell 3:25–38PubMedCrossRef
34.
Zurück zum Zitat He W, Barak Y, Hevener A et al (2003) Adipose-specific peroxisome proliferator-activated receptor gamma knockout causes insulin resistance in fat and liver but not in muscle. Proc Natl Acad Sci U S A 100:15712–15717PubMedCentralPubMedCrossRef He W, Barak Y, Hevener A et al (2003) Adipose-specific peroxisome proliferator-activated receptor gamma knockout causes insulin resistance in fat and liver but not in muscle. Proc Natl Acad Sci U S A 100:15712–15717PubMedCentralPubMedCrossRef
35.
Zurück zum Zitat Urs S, Harrington A, Liaw L, Small D (2006) Selective expression of an aP2/fatty acid binding protein 4-Cre transgene in non-adipogenic tissues during embryonic development. Transgenic Res 15:647–653PubMedCrossRef Urs S, Harrington A, Liaw L, Small D (2006) Selective expression of an aP2/fatty acid binding protein 4-Cre transgene in non-adipogenic tissues during embryonic development. Transgenic Res 15:647–653PubMedCrossRef
36.
Zurück zum Zitat List EO, Berryman DE, Funk K et al (2013) The role of GH in adipose tissue: lessons from adipose-specific GH receptor gene-disrupted mice. Mol Endocrinol 27:524–535PubMedCentralPubMedCrossRef List EO, Berryman DE, Funk K et al (2013) The role of GH in adipose tissue: lessons from adipose-specific GH receptor gene-disrupted mice. Mol Endocrinol 27:524–535PubMedCentralPubMedCrossRef
37.
Zurück zum Zitat Cernkovich ER, Deng J, Bond MC, Combs TP, Harp JB (2008) Adipose-specific disruption of signal transducer and activator of transcription 3 increases body weight and adiposity. Endocrinology 149:1581–1590PubMedCentralPubMedCrossRef Cernkovich ER, Deng J, Bond MC, Combs TP, Harp JB (2008) Adipose-specific disruption of signal transducer and activator of transcription 3 increases body weight and adiposity. Endocrinology 149:1581–1590PubMedCentralPubMedCrossRef
38.
Zurück zum Zitat Huan JN, Li J, Han Y, Chen K, Wu N, Zhao AZ (2003) Adipocyte-selective reduction of the leptin receptors induced by antisense RNA leads to increased adiposity, dyslipidemia, and insulin resistance. J Biol Chem 278:45638–45650PubMedCrossRef Huan JN, Li J, Han Y, Chen K, Wu N, Zhao AZ (2003) Adipocyte-selective reduction of the leptin receptors induced by antisense RNA leads to increased adiposity, dyslipidemia, and insulin resistance. J Biol Chem 278:45638–45650PubMedCrossRef
39.
Zurück zum Zitat List EO, Palmer AJ, Berryman DE, Bower B, Kelder B, Kopchick JJ (2009) Growth hormone improves body composition, fasting blood glucose, glucose tolerance and liver triacylglycerol in a mouse model of diet-induced obesity and type 2 diabetes. Diabetologia 52:1647–1655PubMedCrossRef List EO, Palmer AJ, Berryman DE, Bower B, Kelder B, Kopchick JJ (2009) Growth hormone improves body composition, fasting blood glucose, glucose tolerance and liver triacylglycerol in a mouse model of diet-induced obesity and type 2 diabetes. Diabetologia 52:1647–1655PubMedCrossRef
40.
Zurück zum Zitat Stewart WC, Pearcy LA, Floyd ZE, Stephens JM (2011) STAT5A expression in Swiss 3T3 cells promotes adipogenesis in vivo in an athymic mice model system. Obesity (Silver Spring) 19:1731–1734CrossRef Stewart WC, Pearcy LA, Floyd ZE, Stephens JM (2011) STAT5A expression in Swiss 3T3 cells promotes adipogenesis in vivo in an athymic mice model system. Obesity (Silver Spring) 19:1731–1734CrossRef
41.
Zurück zum Zitat Teglund S, McKay C, Schuetz E et al (1998) Stat5a and Stat5b proteins have essential and nonessential, or redundant, roles in cytokine responses. Cell 93:841–850PubMedCrossRef Teglund S, McKay C, Schuetz E et al (1998) Stat5a and Stat5b proteins have essential and nonessential, or redundant, roles in cytokine responses. Cell 93:841–850PubMedCrossRef
42.
Zurück zum Zitat Hunt CR, Ro JH, Dobson DE, Min HY, Spiegelman BM (1986) Adipocyte P2 gene: developmental expression and homology of 5'-flanking sequences among fat cell-specific genes. Proc Natl Acad Sci U S A 83:3786–3790PubMedCentralPubMedCrossRef Hunt CR, Ro JH, Dobson DE, Min HY, Spiegelman BM (1986) Adipocyte P2 gene: developmental expression and homology of 5'-flanking sequences among fat cell-specific genes. Proc Natl Acad Sci U S A 83:3786–3790PubMedCentralPubMedCrossRef
43.
Zurück zum Zitat Fain JN, Ihle JH, Bahouth SW (1999) Stimulation of lipolysis but not of leptin release by growth hormone is abolished in adipose tissue from Stat5a and b knockout mice. Biochem Biophys Res Commun 263:201–205PubMedCrossRef Fain JN, Ihle JH, Bahouth SW (1999) Stimulation of lipolysis but not of leptin release by growth hormone is abolished in adipose tissue from Stat5a and b knockout mice. Biochem Biophys Res Commun 263:201–205PubMedCrossRef
44.
Zurück zum Zitat Girard J, Perdereau D, Foufelle F, Prip-Buus C, Ferre P (1994) Regulation of lipogenic enzyme gene expression by nutrients and hormones. FASEB J 8:36–42PubMed Girard J, Perdereau D, Foufelle F, Prip-Buus C, Ferre P (1994) Regulation of lipogenic enzyme gene expression by nutrients and hormones. FASEB J 8:36–42PubMed
45.
Zurück zum Zitat Saltiel AR, Kahn CR (2001) Insulin signalling and the regulation of glucose and lipid metabolism. Nature 414:799–806PubMedCrossRef Saltiel AR, Kahn CR (2001) Insulin signalling and the regulation of glucose and lipid metabolism. Nature 414:799–806PubMedCrossRef
Metadaten
Titel
Adipocyte-specific deficiency of Janus kinase (JAK) 2 in mice impairs lipolysis and increases body weight, and leads to insulin resistance with ageing
verfasst von
Sally Yu Shi
Cynthia T. Luk
Jara J. Brunt
Tharini Sivasubramaniyam
Shun-Yan Lu
Stephanie A. Schroer
Minna Woo
Publikationsdatum
01.05.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Diabetologia / Ausgabe 5/2014
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-014-3185-0

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