Key result
Morbid obesity was associated with increased ANGPTL8 protein levels in visceral adipose tissue compared to non-obese patients (p < 0.05), while plasma levels did not change significantly.
Why the study?
ANGPTL8 inhibits lipoprotein lipase in triglyceride metabolism but is the least known member of the ANGPTL family, leaving its expression and localization in human visceral adipose tissue unestablished.
Observational (n=109)
p-value: p=<0.05
ANGPTL8 is expressed in human visceral adipose tissue adipocytes and endothelial cells, with increased protein levels in morbid obesity, suggesting a potential paracrine or endocrine role.
ANGPTL8 rise in visceral fat of obese patients is hypothesis-generating; leaves open any paracrine role or biomarker utility.
The metabolism of triglycerides (TGs) is regulated, among others, by the lipoprotein lipase (LPL) that hydrolyses the TGs on endothelial cells. In turn, LPL is inhibited by the ANGPTLs family of proteins, such as ANGPTL3, 4, and, 8; the latter is the least known. In this work, we have tried to establish the expression and localisation of the Angiopoietin-like 8 (ANGPTL8) protein in the visceral adipose tissue (VAT) of morbid-obese and non-obese patients. 109 subjects (66 women and 43 men) undergoing laparoscopic surgery participated in this study. A blood sample and a portion of the VAT were obtained, and the patients were classified according to their Body Mass Index (BMI) as non-obese (19.5–30 kg/m2) and morbid-obese (40–50 kg/m2). No significant changes in ANGPTL8 plasma levels were determined by EIA in obese patients. The immunocytochemistry and Western blotting showed the presence of increased ANGPTL8 in morbid-obese patients (p < 0.05). In-situ hybridisation and a real time polymerase chain reaction (RT-PCR) confirmed that the mRNA that encodes ANGPTL8 was present in adipocytes, without differences in their nutritional state (p = 0.89), and even in the endothelial cells. Our data suggests that ANGPT8 plasmatic levels do not change significantly in patients with morbid obesity, although there is a modest difference related to gender. Besides, we demonstrate that in visceral adipose tissue, ANGPTL8 is well defined in the cytoplasm of adipocytes coexisting with perilipin-1 and its mRNA, also is present in endothelial cells. These findings suggest the possibility that among other functions, ANGPTL8 could perform either a paracrine and/or an endocrine role in the adipose tissue.
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Catalano‐Iniesta et al. (2020) conducted an observational in Morbid obesity (n=109). Morbid obesity (BMI 40-50 kg/m2) vs. Non-obese (BMI 19.5-30 kg/m2) was evaluated on ANGPTL8 protein levels in visceral adipose tissue (p=<0.05). Morbid obesity was associated with increased ANGPTL8 protein levels in visceral adipose tissue compared to non-obese patients (p < 0.05), while plasma levels did not change significantly.
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