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Division of Medical Sciences (P.G.M., L.A.A., A.J.A., M.C.E., A.H.B., P.M.S., S.K.), University of Birmingham, Birmingham B15 2TH; and Cellular Pathology (J.C.) and Department of Medicine (A.H.B., S.K.), Birmingham Heartlands Hospital, Birmingham B9 5SS, United Kingdom
Address all correspondence and requests for reprints to: Dr. P. G. McTernan, Division of Medical Sciences, Department of Medicine, Clinical Research Block, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, United Kingdom. E-mail: . p.g.mcternan.20{at}bham.ac.uk
Abstract
The distinct gender-specific patterns of fat distribution in men and women (android and gynoid) suggest a role for sex steroids. In keeping with these observations, it has been suggested that estrogens can promote preadipocyte cell proliferation and/or differentiation. The enzyme aromatase P450 is responsible for the conversion of androgen precursor steroids to estrogens and may, therefore, have a role in regulating adipose tissue mass and its distribution. We have investigated the glucocorticoid regulation of aromatase expression in human adipose tissue, specifically to define any site- and gender-specific differences. Abdominal subcutaneous (Sc) and omental (Om) adipose tissue was obtained from male and female patients undergoing elective surgery. After collagenase digestion, preadipocytes were cultured in serum-free medium, for 610 d, until confluent with either cortisol (10-6 M, 10-7 M) or insulin (500 nM) or a combination of both treatments. Adipocytes were studied in suspension cultures. Aromatase activity was assessed using tritiated [1ß-3H]-androstenedione as substrate. In Sc preadipocytes, basal aromatase activity increased in females from 11.5 ± 1.4 (mean ± SEM) to 28.0 ± 1.8 pmol/mg·h (n = 17, P < 0.05) with 10-6 M cortisol. By contrast, in males, aromatase activity was inhibited by 10-6 M cortisol (19.4 ± 2.4 pmol/mg·h vs. 7.5 ± 1.3, n = 9, P < 0.01; men vs. women, P < 0.005). These data were endorsed through Western blot analysis using an in-house antihuman aromatase antibody, which recognized a specific 55-kDa species. Aromatase activity was less at Om sites in preadipocytes, increasing in females from 1.1 ± 0.2 to 3.2 ± 0.7 pmol/mg·h with 10-6 M cortisol (P < 0.05) and in males from 2.6 ± 0.1 pmol/mg·h to 7.8 ± 0.3 pmol/mg·h after cortisol (men vs. women, P < 0.001). Cortisol-induced aromatase activity in Om adipocytes from postmenopausal females was higher than that in premenopausal females (P < 0.001). Insulin had no independent effect on aromatase expression, but coincubation of preadipocytes with cortisol and insulin eliminated both gender- and site-specific differences. In conclusion, in women, but not men, cortisol increased aromatase activity at Sc sites, and this may facilitate predilection for Sc adiposity in females. The observed site-, gender-, and menopausal-specific differences in the glucocorticoid regulation of this enzyme may contribute to the gender- and menopausal-specific patterns of fat distribution.
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