2009
DOI: 10.1016/j.cmet.2009.06.001
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Pigment Epithelium-Derived Factor Contributes to Insulin Resistance in Obesity

Abstract: Obesity is a major risk factor for insulin resistance; however, the factors linking these disorders are not well defined. Herein, we show that the noninhibitory serine protease inhibitor, pigment epithelium-derived factor (PEDF), plays a causal role in insulin resistance. Adipocyte PEDF expression and serum levels are elevated in several rodent models of obesity and reduced upon weight loss and insulin sensitization. Lean mice injected with recombinant PEDF exhibited reduced insulin sensitivity during hyperins… Show more

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Cited by 158 publications
(201 citation statements)
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“…These differences likely reflect tissue-specific PEDF gene expression, whereby the liver had the highest expression levels, whereas those in the pancreas were low. 44 Other studies 7,45,46 indicate significant PEDF production by organs, such as the kidney and adipose tissue, and suggest that an increased distribution may occur under inflammatory conditions, such as obesity. Given PEDF's role in ameliorating tissue fibrosis, the contribution of other organs may be reflected in circulating systemic levels.…”
Section: Discussionmentioning
confidence: 99%
“…These differences likely reflect tissue-specific PEDF gene expression, whereby the liver had the highest expression levels, whereas those in the pancreas were low. 44 Other studies 7,45,46 indicate significant PEDF production by organs, such as the kidney and adipose tissue, and suggest that an increased distribution may occur under inflammatory conditions, such as obesity. Given PEDF's role in ameliorating tissue fibrosis, the contribution of other organs may be reflected in circulating systemic levels.…”
Section: Discussionmentioning
confidence: 99%
“…Such regulation is unlikely to occur in other cell types that do not express perilipin A, and potential regulation by other members of the perilipin family, including PLIN2 (adipocyte differentiation-related protein), PLIN3 (tail-interacting protein of 47 kDa), PLIN4 (S3-12), and PLIN5 (LSDP5), requires more study. Finally, recent work shows that the adipokine pigment epithelium-derived factor, which is elevated in obesity (15), associates with ATGL (13) and enhances adipocyte lipolysis (15).…”
Section: Regulation Of Tg Lipasesmentioning
confidence: 99%
“…In type 1 diabetes patients, microvascular complications, vascular stiffness, inflammation and diabetic retinopathy have been significantly correlated with increased serum levels of PEDF (28,29). Systemic PEDF administration to naïve animals induced activation of proinflammatory cytokine responses, and reduced insulin sensitivity (16,18). Inhibition or blockade of PEDF in obese, insulin-resistant mice, significantly improves whole-body insulin sensitivity, even when initial dosing of inhibitors was delayed until after the onset of frank obesity (18).…”
Section: Histologymentioning
confidence: 99%
“…Systemic PEDF administration to naïve animals induced activation of proinflammatory cytokine responses, and reduced insulin sensitivity (16,18). Inhibition or blockade of PEDF in obese, insulin-resistant mice, significantly improves whole-body insulin sensitivity, even when initial dosing of inhibitors was delayed until after the onset of frank obesity (18).…”
Section: Histologymentioning
confidence: 99%