Key result
Patients with impaired fasting glucose and T2D show ~2-fold higher subcutaneous adipose DRD2 expression.
Why the study?
The study evaluated dopaminergic signaling in human adipose tissue in the context of obesity and type 2 diabetes, along with its potential direct implications in adipose tissue metabolism.
Observational (n=179)
Yes
Effect estimate: 2-fold increase
DRD2 protein expression is upregulated in subcutaneous adipose tissue in T2D, and dopamine receptor agonists inhibit beta-adrenergic stimulated lipolysis, suggesting a mechanism for their metabolic benefits.
Adipose DRD2 upregulation may link dopamine signaling to dysglycemia; leaves open whether agonists improve metabolism in T2D.
PURPOSE: To evaluate the dopaminergic signaling in human adipose tissue in the context of obesity and type 2 diabetes (T2D) and potential direct implications in adipose tissue metabolism. METHODS: mRNA and protein expression of dopamine receptors D1 and D2 (DRD1 and DRD2) were determined in subcutaneous adipose tissue from subjects without or with T2D and with different body weight, and correlated with markers of obesity, hyperglycemia, and insulin resistance. Glucose uptake and lipolysis were measured in adipocytes ex vivo following short-term exposure to dopamine, DRD1 receptor agonist (SKF81297), or DRD2 receptor agonist (bromocriptine). RESULTS: DRD1 and DRD2 gene expression in subcutaneous adipose tissue correlated positively with clinical markers of insulin resistance (e.g. HOMA-IR, insulin, and triglycerides) and central obesity in subjects without T2D. Protein expression of DRD2 in subcutaneous adipose tissue, but not DRD1, is higher in subjects with impaired fasting glucose and T2D and correlated positively with hyperglycemia, HbA1c, and glucose AUC, independent of obesity status. DRD1 and DRD2 proteins were mainly expressed in adipocytes, compared to stromal vascular cells. Dopamine and dopaminergic agonists did not affect adipocyte glucose uptake ex vivo, but DRD1 and DRD2 agonist treatment inhibited isoproterenol-stimulated lipolysis. CONCLUSION: The results suggest that protein expression of DRD2 in subcutaneous adipose tissue is up-regulated with hyperglycemia and T2D. Whether DRD2 protein levels contribute to T2D development or occur as a secondary compensatory mechanism needs further investigation. Additionally, dopamine receptor agonists inhibit adipocyte beta-adrenergic stimulation of lipolysis, which might contribute to the beneficial effects in lipid metabolism as observed in patients taking bromocriptine.
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Vranic et al. (2023) conducted an observational in Type 2 Diabetes and Obesity (n=179). Impaired fasting glucose and Type 2 Diabetes vs. Normal glucose tolerance was evaluated on DRD2 protein expression in subcutaneous adipose tissue (2-fold increase). Protein expression of the dopamine D2 receptor in subcutaneous adipose tissue is increased approximately 2-fold in subjects with impaired fasting glucose and type 2 diabetes compared to those with normal glucose tolerance.
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