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February 20, 2020Frontiers in Cell and Developmental Biology61 citationsOpen Access

C-Reactive Protein Causes Adult-Onset Obesity Through Chronic Inflammatory Mechanism

QLQiling LiQWQi WangQWQi Wang

Key Result

Chronic elevation of human C-reactive protein in transgenic rats caused adult-onset obesity, resulting in a 6- to 9-fold higher total fat mass compared to non-transgenic controls.

Structured PICO

Does chronic elevation of human CRP cause adult-onset obesity in a transgenic rat model?

P
Population
CD IGS Sprague-Dawley rats (transgenic human CRP lines 488 and 519 and non-transgenic littermates)
I
Intervention
Transgenic expression of human CRP causing chronic low-grade elevation
C
Comparator
Non-transgenic littermates (control rats)
O
Outcome
Adult-onset obesity (measured by body weight and total fat mass via whole-body MRI)surrogate

Chronic elevation of human CRP causes adult-onset obesity in a transgenic rat model, suggesting CRP is a causal factor rather than merely a marker of inflammation.

Main Result

Effect estimate: 6- to 9-fold higher

Limitations

  • Animal model results may not directly translate to human pathophysiology
  • Small sample sizes in individual experiments

Abstract

Obesity is characterized by low-grade chronic inflammation. As an acute-phase reactant to inflammation and infection, C-reactive protein (CRP) has been found to be the strongest factor associated with obesity. Here we show that chronic elevation of human CRP at baseline level causes the obesity. The obesity phenotype is confirmed by whole-body magnetic resonance imaging (MRI), in which the total fat mass is 6- to 9- fold higher in the CRP rats than the control rats. Univariate linear regression analysis showed different growth rates between the CRP rats and the control rats, and that the difference appears around 11 weeks old, indicating that they developed adult-onset obesity. We also found that chronic elevation of CRP can prime molecular changes broadly in the innate immune system, energy expenditure systems, thyroid hormones, apolipoproteins, and gut flora. Our data established a causal role of CRP elevation in the development of adult-onset obesity.

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Cite This Study

Li et al. (2020) studied Adult-onset obesity (n=30). Human CRP transgene vs. Non-transgenic littermates was evaluated on Total fat mass by MRI (6- to 9-fold higher). Chronic elevation of human C-reactive protein in transgenic rats caused adult-onset obesity, resulting in a 6- to 9-fold higher total fat mass compared to non-transgenic controls.

synapsesocial.com/papers/6a10f071660e36c398f39948https://doi.org/10.3389/fcell.2020.00018
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