Estrogen Controls Lipolysis by Up-Regulating 2A-Adrenergic Receptors Directly in Human Adipose Tissue through the Estrogen Receptor . Implications for the Female Fat Distribution
Steen B. Pedersen,
Kurt Kristensen,
Pernille A. Hermann,
John A. Katzenellenbogen and
Bjørn Richelsen
Department of Endocrinology and Metabolism (S.B.P., K.K., P.A.H., B.R.), Aarhus Amtssygehus, Aarhus University Hospital; Faculty of Health Sciences (B.R.), Aarhus University, DK-8000 Aarhus C., Denmark; and Department of Chemistry (J.A.K.), University of Illinois, Urbana, Illinois 61801
Address all correspondence and requests for reprints to: Steen B. Pedersen, M.D., Ph.D., Department of Endocrinology and Metabolism, Aarhus Amtssygehus, Aarhus University Hospital, DK-8000 Aarhus C., Denmark. E-mail: sbp{at}dadlnet.dk.
Estrogen seems to promote and maintain the typical female typeof fat distribution that is characterized by accumulation ofadipose tissue, especially in the sc fat depot, with only modestaccumulation of adipose tissue intraabdominally. However, itis completely unknown how estrogen controls the fat accumulation.
We studied the effects of estradiol in vivo and in vitro onhuman adipose tissue metabolism and found that estradiol directlyincreases the number of antilipolytic 2A-adrenergic receptorsin sc adipocytes. The increased number of 2A-adrenergic receptorscaused an attenuated lipolytic response of epinephrine in scadipocytes; in contrast, no effect of estrogen on 2A-adrenergicreceptor mRNA expression was observed in adipocytes from theintraabdominal fat depot.
These findings show that estrogen lowers the lipolytic responsein sc fat depot by increasing the number of antilipolytic 2A-adrenergicreceptors, whereas estrogen seems not to affect lipolysis inadipocytes from the intraabdominal fat depot. Using estrogenreceptor subtype-specific ligands, we found that this effectof estrogen was caused through the estrogen receptor subtype.
These findings demonstrate that estrogen attenuates the lipolyticresponse through up-regulation of the number of antilipolytic2A-adrenergic receptors only in sc and not in visceral fat depots.Thus, our findings offer an explanation how estrogen maintainsthe typical female sc fat distribution because estrogen seemsto inhibit lipolysis only in sc depots and thereby shifts theassimilation of fat from intraabdominal depots to sc depots.
This work was supported by the Danish Medical Research Council;The Institute of Experimental Clinical Research, Aarhus University,Aarhus University Research Foundation; the Novo Nordic Foundation;and Grant PHS 5R37 DK15556 from the National Institutes of Health(to J.A.K.).
Abbreviations: BMI, Body mass index; Ct, threshold cycle; dbcAMP,dibutryl cAMP; ER, estrogen receptor; HRT, hormone replacementtherapy; HSL, hormone-sensitive lipase; LPL, lipoprotein lipase;PPT, 4,4',4''-(4-propyl-[1H]-pyrazole-1,3,5-triyl)trisphenol;THC, R,R-5,11-diethyl-5,6,11,12-tetrahydrochrysene-2,8,-diol.
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