Obese patients have chronic, low-grade inflammation that predisposes to type 2 diabetes and results, in part, from dysregulated visceral white adipose tissue (WAT) functions. The specific signaling pathways underlying WAT dysregulation, however, remain unclear. Here we report that the PPARγ signaling pathway operates differently in the visceral WAT of lean and obese mice. PPARγ in visceral, but not subcutaneous, WAT from obese mice displayed increased sensitivity to activation by its agonist rosiglitazone. This increased sensitivity correlated with increased expression of the gene encoding the ubiquitin hydrolase/ligase ubiquitin carboxyterminal esterase L1 (UCH-L1) and with increased degradation of the PPARγ heterodimerization partner retinoid X receptor α (RXRα), but not RXRβ, in visceral WAT from obese humans and mice. Interestingly, increased UCH-L1 expression and RXRα proteasomal degradation was induced in vitro by conditions mimicking hypoxia, a condition that occurs in obese visceral WAT. Finally, PPARγ-RXRβ heterodimers, but not PPARγ-RXRα complexes, were able to efficiently dismiss the transcriptional corepressor silencing mediator for retinoid and thyroid hormone receptors (SMRT) upon agonist binding. Increasing the RXRα/RXRβ ratio resulted in increased PPARγ responsiveness following agonist stimulation. Thus, the selective proteasomal degradation of RXRα initiated by UCH-L1 upregulation modulates the relative affinity of PPARγ heterodimers for SMRT and their responsiveness to PPARγ agonists, ultimately activating the PPARγ-controlled gene network in visceral WAT of obese animals and humans.
IntroductionFrom a clinical perspective, visceral obesity predisposes to an increased incidence of type 2 diabetes mellitus (T2DM) and associated cardiovascular diseases (1, 2). The visceral white adipose tissue (visWAT; i.e., epididymal WAT) depot is believed to contribute to the low-grade, chronic inflammatory state that occurs in obese patients and animals and favors the progression toward T2DM. This feature stems from the specific functional properties of adipocytes from this WAT depot, which are highly sensitive to β-adrenergic stimulation and relatively resistant to the antilipolytic effects of insulin compared with subcutaneous adipocytes (3). Indeed, although subcutaneous WAT (scWAT; i.e., inguinal WAT) is predominantly, but not exclusively, a lipid storage tissue exhibiting a high adipocyte plasticity, visWAT also triggers complex endocrine regulations by releasing FFAs, hormones, and cytokines that reach the liver through the portal vein (reviewed in ref. 4). How visWAT functions are affected upon disease progression is unknown, but metabolic challenges increase the release of proinflammatory cytokines and decrease that of insulin-sensitizing adipokines by visWAT.Results from recent clinical trials (ADOPT, DREAM, and PRO-ACTIVE; ref. 5) indicate that the insulin-sensitizing thiazolidin-