2014
DOI: 10.1007/s00125-014-3255-3
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Autophagy in adipose tissue and the beta cell: implications for obesity and diabetes

Abstract: Autophagy is a lysosomal degradation pathway recycling intracellular long-lived proteins and damaged organelles, thereby maintaining cellular homeostasis. In addition to inflammatory processes, autophagy has been implicated in the regulation of adipose tissue and beta cell functions. In obesity and type 2 diabetes autophagic activity is modulated in a tissue-dependent manner. In this review we discuss the regulation of autophagy in adipose tissue and beta cells, exemplifying tissue-specific dysregulation of au… Show more

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Cited by 86 publications
(68 citation statements)
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“…In our study, we confirm previous findings (Cummins et al, 2014;Kovsan et al, 2011;Stienstra et al, 2014) of increased autophagy markers in visceral and SC AT of obese and T2D patients compared to lean individuals. However, we extend previous findings by visualizing numerous autophagosomes accumulated within adipocytes using electron transmission microscopy.…”
Section: Discussionsupporting
confidence: 95%
See 1 more Smart Citation
“…In our study, we confirm previous findings (Cummins et al, 2014;Kovsan et al, 2011;Stienstra et al, 2014) of increased autophagy markers in visceral and SC AT of obese and T2D patients compared to lean individuals. However, we extend previous findings by visualizing numerous autophagosomes accumulated within adipocytes using electron transmission microscopy.…”
Section: Discussionsupporting
confidence: 95%
“…Our data support recent studies demonstrating that autophagy is up-regulated in visceral AT of obese patients, leptin-receptor deficient db/db mice (Cinti et al, 2005;Stienstra et al, 2014) and WOKW rats (Kosacka et al, 2013) and that predominantly visceral expression of Atg5, LC3A, and LC3B genes as well as increased autophagic flux of LC3II protein expression are associated with human obesity (Kovsan et al, 2011). Moreover, the observation that visceral AT autophagy is most strongly related to AT apoptosis in obese patients with additional T2D strengthens our previous hypothesis that activation of autophagy occurs together with insulin resistance but may precede obesity-associated disorders (Kovsan et al, 2011).…”
Section: Tablesupporting
confidence: 94%
“…Regardless, our data now suggest that suppression of CHOP would represent a beneficial adaptation to high-fat feeding, albeit one that might come at the cost of reduced insulin secretion due to disruption of lipid signalling pathways [9]. Although it is commonly assumed, based on genetic models [12,13], that modulation of ER stress explains the reciprocal relationship between autophagy and beta cell apoptosis [2,4,14], we believe our CHOP data are the first to confirm this mechanistic link in the context of high-fat feeding. Our results would also tend to counter the idea, suggested by some in vitro studies [3] that lipotoxic ER stress is actually triggered by autophagy.…”
Section: Discussionmentioning
confidence: 82%
“…It is likely that lack of NPC2 impairs the activation of TLR4 by LPS in adipocytes, leading to the failure of the NFB signaling pathway and autophagy activation. Further intracellular homeostasis and limiting cellular dysfunction (50). Mitophagy, a type of selective autophagy, plays an important role in mitochondrial quality control by eliminating damaged mitochondria (51,52).…”
Section: Discussionmentioning
confidence: 99%