Why the study?
Hypertriglyceridemia is linked to increased cardiovascular disease and pancreatitis risk, and adipose tissue plays a key role in lipid metabolism.
Is gene expression in subcutaneous and visceral adipose tissue associated with circulating triglyceride levels in subjects with severe obesity?
Is gene expression in subcutaneous and visceral adipose tissue associated with circulating triglyceride levels in subjects with severe obesity?
FABP4 expression in subcutaneous adipose tissue is independently associated with circulating triglyceride levels in severe obesity, highlighting its potential as a therapeutic target for hypertriglyceridemia.
Answers are grounded in this paper and cite their sources.
SAT FABP4 links adipose tissue to HTG in obesity; leaves open causal role and therapeutic targeting.
Hypertriglyceridemia (HTG) has been associated with an increased risk of pancreatitis and cardiovascular disease. Adipose tissue plays a major role in lipid metabolism, mobilization and distribution. We have compared the histological and transcriptomic profiles of the subcutaneous (SAT) and visceral (VAT) adipose tissues from subjects with severe obesity undergoing bariatric surgery with (Ob-HTG, n = 37) and without HTG (Ob-NTG, n = 67). Mean age and BMI were 51.87 ± 11.21 years, 45.78 ± 6.96 kg/m2 and 50.03 ± 10.17 years, 44.04 ± 4.69 kg/m2, respectively. The Ob-HTG group showed higher levels of glycosylated hemoglobin, fasting plasma glucose, high-sensitivity C-reactive protein and prevalence of hypertension. The degree of fibrosis was increased by 14% in SAT from the Ob-HTG group (p = 0.028), while adipocyte size distribution was comparable. Twenty genes were found differentially expressed in SAT and VAT between study groups. Among them, only SAT expression of FABP4 resulted significantly associated with circulating triglyceride levels after adjusting for other covariates and independently explained 5% of the variance in triglyceride levels in the combined model. This relationship was not found in the cohort of lean or overweight patients with normotriglyceridemia (non-Ob, n = 21). These results emphasize the contribution of SAT to triglyceride concentrations in obesity and indicate that FABP4 may be a potential drug target for the treatment of HTG.
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Osorio-Conles et al. (2023) studied this question.
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