Key result
Obesity was associated with significantly higher ANGPTL2 mRNA expression in adipose tissues and elevated serum ANGPTL2 levels compared to normal-weight controls, correlating with insulin resistance.
Cross-Sectional (n=77)
Yes
p-value: p=<0.05
ANGPTL2 expression is significantly elevated in the adipose tissue of obese women and correlates with insulin resistance, suggesting it acts as a key mediator linking obesity to metabolic dysfunction.
May identify ANGPTL2 as biomarker for obesity-related insulin resistance; hypothesis-generating and leaves causal role open.
Angiopoietin-like protein 2 has been proposed to be a key mediator linking obesity and insulin resistance. However, no detailed study of ANGPTL2 expression in human adipose tissues has yet been reported. To investigate the pattern and regulation of ANGPTL2 expression in human adipose tissues in obesity and its related diseases, we recruited 32 non-diabetic and 13 type 2 diabetic obese women and 32 normal-weight women. ANGPTL2 mRNA was expressed at a similar level in visceral and subcutaneous adipose tissues. Adipose tissue ANGPTL2 mRNA was much higher in obese patients. Adipose tissue ANGPTL2 mRNA and serum ANGPTL2 levels showed strong associations with metabolic parameters associated with insulin resistance. In adipose tissue, ANGPTL2 mRNA was closely correlated with the expression of genes involved in inflammation and ER stress. ANGPTL2 mRNA was principally expressed in adipocytes, and its expression was markedly higher in the adipocyte but non-adipocyte fraction of obese adipose tissues. Culture of human adipocytes under conditions mimicking the microenvironment of obese adipose tissue (especially, increased ER stress) stimulated ANGPTL2 gene expression and secretion. In addition, co-culture of adipocytes and macrophages suggested that ANGPTL2 excessively produced by adipocytes, may contribute inflammation and remodeling in obese adipose tissues, thereby promoting insulin resistance.
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Kim et al. (2018) conducted a cross-sectional in Obesity and type 2 diabetes (n=77). Obesity vs. Normal weight was evaluated on ANGPTL2 mRNA expression in adipose tissues and serum ANGPTL2 levels (p=<0.05). Obesity was associated with significantly higher ANGPTL2 mRNA expression in adipose tissues and elevated serum ANGPTL2 levels compared to normal-weight controls, correlating with insulin resistance.
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