Key result
Oral lipid ingestion significantly increased serum Angptl4 levels from 252.5 ng/mL to 397.7 ng/mL (p<0.001) and decreased Angptl3 levels, whereas oral glucose had no effect on either protein.
Why the study?
The postprandial regulation of angiopoietin-like proteins (Angptls) and their expression in adipocytes was poorly characterized.
Does oral lipid or glucose ingestion alter circulating Angptl3 and Angptl4 levels in healthy individuals?
Observational (n=197)
No
Does oral lipid or glucose ingestion alter circulating Angptl3 and Angptl4 levels in healthy individuals?
Absolute Event Rate: 397.7% vs 252.5%
p-value: p=<0.001
Oral lipid ingestion, but not glucose, induces a rapid and significant increase in circulating Angptl4 and a decrease in Angptl3, highlighting their dynamic role in postprandial lipid metabolism.
Hypothesis-generating for Angptl regulation by lipids; leaves open metabolic implications without supporting practice change.
BACKGROUND: The postprandial regulation of angiopoietin-like proteins (Angptls) and their expression in adipocytes is poorly characterized. OBJECTIVE: Circulating Angptl3 and 4 were analyzed in healthy individuals undergoing either an oral lipid tolerance test (OLTT; n = 98) or an oral glucose tolerance test (OGTT; n = 99). Venous blood was drawn after 0, 2, 4, and 6 h during OLTT and after 0, 1, and 2 h during OGTT. Anthropometric and laboratory parameters were assessed and concentrations of Angptls were quantified by enzyme-linked immunosorbent assay. Angptl gene expression in 3T3-L1 adipocytes and in murine adipose tissues and cellular fractions was analyzed by quantitative real-time PCR. RESULTS: Angptl3 concentrations significantly decreased while Angptl4 levels continuously increased during OLTT. Both proteins remained unaffected during OGTT. Angptl3 and Angptl4 were expressed in murine subcutaneous and visceral AT with higher mRNA levels in mature adipocytes when compared to the stroma-vascular cell fraction. Both proteins were strongly induced during 3T3-L1 adipocyte differentiation and they were unresponsive to glucose in mature fat cells. Adipocyte Angptl3 (but not Angptl4) mRNA expression was inhibited by the polyunsaturated fatty acids arachidonic acid and docosahexaenoic acid, whereas nine types of dietary fatty acids remained without any effect. CONCLUSIONS: There is evidence of short-time regulation of Angptl3/4 levels upon metabolic stress. Angptl4 expression is high and Angptl3 expression is low in AT and restricted mainly to mature adipocytes without any differences concerning fat compartments. Whereas dietary fatty acids and glucose are without any effect, omega-3/-6-polyunsaturated fatty acids inhibited Anptl3 expression in adipocytes.
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Schmid et al. (2021) conducted an observational in Healthy individuals (n=197). Oral lipid tolerance test (OLTT) vs. Baseline (fasting state) and Oral glucose tolerance test (OGTT) was evaluated on Serum Angptl4 concentration at 6 hours post-lipid ingestion (p=<0.001). Oral lipid ingestion significantly increased serum Angptl4 levels from 252.5 ng/mL to 397.7 ng/mL (p<0.001) and decreased Angptl3 levels, whereas oral glucose had no effect on either protein.
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