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Journal of Clinical Endocrinology & Metabolism , doi:10.1210/jc.2008-0574
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The Journal of Clinical Endocrinology & Metabolism Vol. 93, No. 12 4880-4886
Copyright © 2008 by The Endocrine Society

CCAAT/Enhancer Binding Protein {alpha} (C/EBP{alpha}) in Adipose Tissue Regulates Genes in Lipid and Glucose Metabolism and a Genetic Variation in C/EBP{alpha} Is Associated with Serum Levels of Triglycerides

Louise E. Olofsson, Marju Orho-Melander, Lena William-Olsson, Kajsa Sjöholm, Lars Sjöström, Leif Groop, Björn Carlsson, Lena M. S. Carlsson and Bob Olsson

Department of Molecular and Clinical Medicine (L.E.O., K.S., L.S., B.C., L.M.S.C., B.O.), The Sahlgrenska Academy at University of Gothenburg, 413 45 Gothenburg, Sweden; Department of Clinical Sciences (M.O.-M., L.G.), Diabetes and Endocrinology Research Unit and Lund University Diabetes Center, Clinical Research Center, University Hospital Malmö, Lund University, 205 02 Malmö, Sweden; and AstraZeneca Research and Development (L.W.-O., B.C.), 431 83 Mölndal, Sweden

Address all correspondence and requests for reprints to: Bob Olsson, Department of Molecular and Clinical Medicine, Sahlgrenska University Hospital, Vita stråket 15, 413 45 Gothenburg, Sweden. E-mail: bob.olsson{at}medic.gu.se.

Context: CCAAT/enhancer binding protein {alpha} (C/EBP{alpha}) is a transcription factor involved in adipogenesis and hepatic glucose and lipid metabolism.

Objective: The aim of the study was to test the hypothesis that adipose tissue C/EBP{alpha} regulates genes in lipid and glucose metabolism and to test for an association between a polymorphism in C/EBP{alpha} and metabolic parameters.

Design and Methods: Adipose tissue C/EBP{alpha} mRNA expression was analyzed at four time points in obese subjects with (n = 12) and without (n = 12) the metabolic syndrome during caloric restriction (450 kcal/d for 16 wk) using DNA microarray and real-time PCR. Adenoviral overexpression of C/EBP{alpha} was used to identify genes regulated by C/EBP{alpha} in 3T3-L1 cells. Association between a genetic variation in C/EBP{alpha} (rs12691) and metabolic parameters was tested in the Swedish Obese Subjects (SOS) study (n = 528) and replicated in Finnish individuals from the Botnia type 2 diabetes study (n = 4866).

Results: During caloric restriction, adipose tissue C/EBP{alpha} mRNA levels were reduced in subjects with the metabolic syndrome (P = 0.024) and correlated to metabolic parameters. In 3T3-L1 cells, C/EBP{alpha} regulated the expression of adiponectin; hexokinase 2; lipoprotein lipase; diacylglycerol O-acyltransferase 1 and 2; ATP-binding cassette, sub-family D, member 2; acyl-coenzyme A synthetase long-chain family member 1; CD36; and hydroxysteroid 11-β dehydrogenase 1. Furthermore, the expression of the human homologs, except adiponectin, correlated to C/EBP{alpha} mRNA levels in human adipose tissue. The AA genotype of rs12691 was associated with higher serum triglyceride levels in the SOS study (P = 0.022), and this association was replicated in the Botnia study (P = 0.041).

Conclusions: Adipose tissue C/EBP{alpha} regulates several genes in glucose and lipid metabolism, and a genetic variation in C/EBP{alpha} is associated with triglycerides in two independent populations.




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