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Adiponectin and leptin content in subcutaneous and visceral adipose tissues, lipolysis and adipocyte size distribution of mice with pharmacological ER stress. Mice were administered vehicle (C), tunicamycin (1 g/kg body weight) for 8 h (T8) or 24 h (T24), pioglitazone (15 mg/kg/day) for 20 days (P) or pioglitazone + tunicamycin 8 h (PT8), and pioglitazone + tunicamycin 24 h (PT24) to evaluate adiponectin multimeric distribution in serum, adiponectin and leptin content in adipose tissue (A), densitometric analysis of adiponectin in serum (B) and adipose tissues (C), adiponectin mRNA content in subcutaneous and visceral adipose tissue (D). Serum leptin content (E) and leptin protein abundance (F) and mRNA content (G) in subcutaneous and visceral adipose tissues. Circulating free fatty acids (H) and glycerol (I). Protein content of p-HSL (Ser660) and total HSL in adipose tissues (J) and densitometric analysis of p-HSL/HSL (K). Size frequency distribution of subcutaneous and visceral adipocytes (L). The band corresponding to the IgG light chain after coomassie blue membrane staining was used as a loading control in serum samples and GAPDH in adipose tissue samples. Error bars represent SEM. n = 8-10. Letters denote significant differences between groups, a > b > c > d (P < 0.05) 

Adiponectin and leptin content in subcutaneous and visceral adipose tissues, lipolysis and adipocyte size distribution of mice with pharmacological ER stress. Mice were administered vehicle (C), tunicamycin (1 g/kg body weight) for 8 h (T8) or 24 h (T24), pioglitazone (15 mg/kg/day) for 20 days (P) or pioglitazone + tunicamycin 8 h (PT8), and pioglitazone + tunicamycin 24 h (PT24) to evaluate adiponectin multimeric distribution in serum, adiponectin and leptin content in adipose tissue (A), densitometric analysis of adiponectin in serum (B) and adipose tissues (C), adiponectin mRNA content in subcutaneous and visceral adipose tissue (D). Serum leptin content (E) and leptin protein abundance (F) and mRNA content (G) in subcutaneous and visceral adipose tissues. Circulating free fatty acids (H) and glycerol (I). Protein content of p-HSL (Ser660) and total HSL in adipose tissues (J) and densitometric analysis of p-HSL/HSL (K). Size frequency distribution of subcutaneous and visceral adipocytes (L). The band corresponding to the IgG light chain after coomassie blue membrane staining was used as a loading control in serum samples and GAPDH in adipose tissue samples. Error bars represent SEM. n = 8-10. Letters denote significant differences between groups, a > b > c > d (P < 0.05) 

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Subcutaneous (SAT) and visceral (VAT) adipose tissues stores excess energy as triglycerides and synthesize adiponectin to prevent ectopic lipid accumulation and lipotoxicity. During obesity, an impairment in the capacity of SAT to store triglycerides and synthesize adiponectin is associated with increased free fatty acids (FFA) release, leading to...

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... is known that endoplasmic reticulum stress stimulates lipolysis in adipocytes. 34 To further investigate the effect of acute ER stress on SAT and VAT in lipolysis and its relative participation to circulating FFA we determined serum FFA and glycerol concentrations and adipose tissue hormone- sensitive lipase (HSL) phosphorylation in ser660. Circulating FFA and glycerol increased after tunicamycin administration in both control and pioglitazone-treated mice (Figures 3H and 3I). Total HSL protein content was higher in SAT than in VAT in all treatment conditions (Figures 3J and 3K). In SAT, HSL phosphorylation at Ser660 increased after 24 h of tunicamycin administration with respect to control. In mice treated with pioglitazone, p-HSL was also higher in tunicamycin-treated mice compared to those administered pioglitazone alone. In contrast to SAT, the phosphorylation of HSL in VAT was lower in mice administered tunicamycin for 24 h than those administered vehicle. Consistent to HSL phosphorylation, subcutaneous adipocytes were reduced in size after tunicamycin administration, whereas adipocytes from the visceral depot increased in size ( Figure 3L). These results indicate that increased circulating FFA are mainly the result of augmented lipolysis in SAT in response to acute ER stress. , and pioglitazone + tunicamycin 24 h (PT24) to evaluate adiponectin multimeric distribution in serum, adiponectin and leptin content in adipose tissue (A), densitometric analysis of adiponectin in serum (B) and adipose tissues (C), adiponectin mRNA content in subcutaneous and visceral adipose tissue (D). Serum leptin content (E) and leptin protein abundance (F) and mRNA content (G) in subcutaneous and visceral adipose tissues. Circulating free fatty acids (H) and glycerol (I). Protein content of p-HSL (Ser660) and total HSL in adipose tissues (J) and densitometric analysis of p-HSL/HSL (K). Size frequency distribution of subcutaneous and visceral adipocytes (L). The band corresponding to the IgG light chain after coomassie blue membrane staining was used as a loading control in serum samples and GAPDH in adipose tissue samples. Error bars represent SEM. n = 8-10. Letters denote significant differences between groups, a > b > c > d (P < ...
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... is known that endoplasmic reticulum stress stimulates lipolysis in adipocytes. 34 To further investigate the effect of acute ER stress on SAT and VAT in lipolysis and its relative participation to circulating FFA we determined serum FFA and glycerol concentrations and adipose tissue hormone- sensitive lipase (HSL) phosphorylation in ser660. Circulating FFA and glycerol increased after tunicamycin administration in both control and pioglitazone-treated mice (Figures 3H and 3I). Total HSL protein content was higher in SAT than in VAT in all treatment conditions (Figures 3J and 3K). In SAT, HSL phosphorylation at Ser660 increased after 24 h of tunicamycin administration with respect to control. In mice treated with pioglitazone, p-HSL was also higher in tunicamycin-treated mice compared to those administered pioglitazone alone. In contrast to SAT, the phosphorylation of HSL in VAT was lower in mice administered tunicamycin for 24 h than those administered vehicle. Consistent to HSL phosphorylation, subcutaneous adipocytes were reduced in size after tunicamycin administration, whereas adipocytes from the visceral depot increased in size ( Figure 3L). These results indicate that increased circulating FFA are mainly the result of augmented lipolysis in SAT in response to acute ER stress. , and pioglitazone + tunicamycin 24 h (PT24) to evaluate adiponectin multimeric distribution in serum, adiponectin and leptin content in adipose tissue (A), densitometric analysis of adiponectin in serum (B) and adipose tissues (C), adiponectin mRNA content in subcutaneous and visceral adipose tissue (D). Serum leptin content (E) and leptin protein abundance (F) and mRNA content (G) in subcutaneous and visceral adipose tissues. Circulating free fatty acids (H) and glycerol (I). Protein content of p-HSL (Ser660) and total HSL in adipose tissues (J) and densitometric analysis of p-HSL/HSL (K). Size frequency distribution of subcutaneous and visceral adipocytes (L). The band corresponding to the IgG light chain after coomassie blue membrane staining was used as a loading control in serum samples and GAPDH in adipose tissue samples. Error bars represent SEM. n = 8-10. Letters denote significant differences between groups, a > b > c > d (P < ...
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... is known that endoplasmic reticulum stress stimulates lipolysis in adipocytes. 34 To further investigate the effect of acute ER stress on SAT and VAT in lipolysis and its relative participation to circulating FFA we determined serum FFA and glycerol concentrations and adipose tissue hormone- sensitive lipase (HSL) phosphorylation in ser660. Circulating FFA and glycerol increased after tunicamycin administration in both control and pioglitazone-treated mice (Figures 3H and 3I). Total HSL protein content was higher in SAT than in VAT in all treatment conditions (Figures 3J and 3K). In SAT, HSL phosphorylation at Ser660 increased after 24 h of tunicamycin administration with respect to control. In mice treated with pioglitazone, p-HSL was also higher in tunicamycin-treated mice compared to those administered pioglitazone alone. In contrast to SAT, the phosphorylation of HSL in VAT was lower in mice administered tunicamycin for 24 h than those administered vehicle. Consistent to HSL phosphorylation, subcutaneous adipocytes were reduced in size after tunicamycin administration, whereas adipocytes from the visceral depot increased in size ( Figure 3L). These results indicate that increased circulating FFA are mainly the result of augmented lipolysis in SAT in response to acute ER stress. , and pioglitazone + tunicamycin 24 h (PT24) to evaluate adiponectin multimeric distribution in serum, adiponectin and leptin content in adipose tissue (A), densitometric analysis of adiponectin in serum (B) and adipose tissues (C), adiponectin mRNA content in subcutaneous and visceral adipose tissue (D). Serum leptin content (E) and leptin protein abundance (F) and mRNA content (G) in subcutaneous and visceral adipose tissues. Circulating free fatty acids (H) and glycerol (I). Protein content of p-HSL (Ser660) and total HSL in adipose tissues (J) and densitometric analysis of p-HSL/HSL (K). Size frequency distribution of subcutaneous and visceral adipocytes (L). The band corresponding to the IgG light chain after coomassie blue membrane staining was used as a loading control in serum samples and GAPDH in adipose tissue samples. Error bars represent SEM. n = 8-10. Letters denote significant differences between groups, a > b > c > d (P < ...
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... western blotting of mouse serum revealed that total and HMW adiponectin significantly increased after 8 h of tunicamycin administration but decreased after a 24 h tunicamycin challenge (Figures 3A and 3B). Pioglitazone significantly increased circulating adiponectin content with respect to control mice, but it was reduced after 24 h of tunicamycin administration. To evaluate the relative participa- tion of each adipose tissue depot in adiponectin synthesis, we measured adiponectin protein and mRNA abundance in SAT and VAT. Tunicamycin administration reduced adiponectin content in SAT, despite increased mRNA abundance. In contrast, adiponectin content in VAT was lower at 8 h of tunicamycin administration along with a reduction in mRNA content, but both protein abundance and mRNA content increased at 24 h to levels similar to that of the unstressed state ( Figures 3A, 3C, and 3D). Pioglitazone increased adiponectin content in both adipose tissue depots without a significant increase in its mRNA content. Induction of acute ER stress with tunicamycin decreased adiponectin protein content in both adipose tissue depots, however the reduction was more pronounced in SAT with respect to VAT ( Figures 3A, 3C, and 3D). To evaluate if leptin synthesis and secretion is also dependent on ER stress, we determined circulating leptin and leptin protein and mRNA abundance in adipose tissues. The circulating leptin concentration was not modified by acute ER stress as observed in mice administered with tunicamycin ( Figure 3E). However despite that 20 days of pioglitazone , and CHOP (D) and protein content of p-eIF2α, total eIF2α, p-JNK, and total JNK in adipose tissues (E), densitometric analysis of p-eIF2α/eIF2α (F) and p-JNK/JNK (G). Error bars represent SEM. n = 6-8. Letters denote significant differences between groups, a > b > c > d (P < 0.05) treatment increased serum leptin, it was significantly reduced after 24 h of tunicamycin challenge. Tunicamycin also reduced the leptin protein content in SAT, although the leptin gene expression was not reduced with respect to unstressed mice ( Figures 3A 3F, and 3G). In contrast, the increase in leptin protein and mRNA content in VAT in response to pioglitazone were not reduced after tunicamycin administration ( Figures 3A, 3F, and 3G). These results indicate that acute ER stress can impair the synthesis of secretory proteins such as adiponectin and leptin in SAT at a higher extent than in VAT, which associates with the circulating content of these ...
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... western blotting of mouse serum revealed that total and HMW adiponectin significantly increased after 8 h of tunicamycin administration but decreased after a 24 h tunicamycin challenge (Figures 3A and 3B). Pioglitazone significantly increased circulating adiponectin content with respect to control mice, but it was reduced after 24 h of tunicamycin administration. To evaluate the relative participa- tion of each adipose tissue depot in adiponectin synthesis, we measured adiponectin protein and mRNA abundance in SAT and VAT. Tunicamycin administration reduced adiponectin content in SAT, despite increased mRNA abundance. In contrast, adiponectin content in VAT was lower at 8 h of tunicamycin administration along with a reduction in mRNA content, but both protein abundance and mRNA content increased at 24 h to levels similar to that of the unstressed state ( Figures 3A, 3C, and 3D). Pioglitazone increased adiponectin content in both adipose tissue depots without a significant increase in its mRNA content. Induction of acute ER stress with tunicamycin decreased adiponectin protein content in both adipose tissue depots, however the reduction was more pronounced in SAT with respect to VAT ( Figures 3A, 3C, and 3D). To evaluate if leptin synthesis and secretion is also dependent on ER stress, we determined circulating leptin and leptin protein and mRNA abundance in adipose tissues. The circulating leptin concentration was not modified by acute ER stress as observed in mice administered with tunicamycin ( Figure 3E). However despite that 20 days of pioglitazone , and CHOP (D) and protein content of p-eIF2α, total eIF2α, p-JNK, and total JNK in adipose tissues (E), densitometric analysis of p-eIF2α/eIF2α (F) and p-JNK/JNK (G). Error bars represent SEM. n = 6-8. Letters denote significant differences between groups, a > b > c > d (P < 0.05) treatment increased serum leptin, it was significantly reduced after 24 h of tunicamycin challenge. Tunicamycin also reduced the leptin protein content in SAT, although the leptin gene expression was not reduced with respect to unstressed mice ( Figures 3A 3F, and 3G). In contrast, the increase in leptin protein and mRNA content in VAT in response to pioglitazone were not reduced after tunicamycin administration ( Figures 3A, 3F, and 3G). These results indicate that acute ER stress can impair the synthesis of secretory proteins such as adiponectin and leptin in SAT at a higher extent than in VAT, which associates with the circulating content of these ...
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... western blotting of mouse serum revealed that total and HMW adiponectin significantly increased after 8 h of tunicamycin administration but decreased after a 24 h tunicamycin challenge (Figures 3A and 3B). Pioglitazone significantly increased circulating adiponectin content with respect to control mice, but it was reduced after 24 h of tunicamycin administration. To evaluate the relative participa- tion of each adipose tissue depot in adiponectin synthesis, we measured adiponectin protein and mRNA abundance in SAT and VAT. Tunicamycin administration reduced adiponectin content in SAT, despite increased mRNA abundance. In contrast, adiponectin content in VAT was lower at 8 h of tunicamycin administration along with a reduction in mRNA content, but both protein abundance and mRNA content increased at 24 h to levels similar to that of the unstressed state ( Figures 3A, 3C, and 3D). Pioglitazone increased adiponectin content in both adipose tissue depots without a significant increase in its mRNA content. Induction of acute ER stress with tunicamycin decreased adiponectin protein content in both adipose tissue depots, however the reduction was more pronounced in SAT with respect to VAT ( Figures 3A, 3C, and 3D). To evaluate if leptin synthesis and secretion is also dependent on ER stress, we determined circulating leptin and leptin protein and mRNA abundance in adipose tissues. The circulating leptin concentration was not modified by acute ER stress as observed in mice administered with tunicamycin ( Figure 3E). However despite that 20 days of pioglitazone , and CHOP (D) and protein content of p-eIF2α, total eIF2α, p-JNK, and total JNK in adipose tissues (E), densitometric analysis of p-eIF2α/eIF2α (F) and p-JNK/JNK (G). Error bars represent SEM. n = 6-8. Letters denote significant differences between groups, a > b > c > d (P < 0.05) treatment increased serum leptin, it was significantly reduced after 24 h of tunicamycin challenge. Tunicamycin also reduced the leptin protein content in SAT, although the leptin gene expression was not reduced with respect to unstressed mice ( Figures 3A 3F, and 3G). In contrast, the increase in leptin protein and mRNA content in VAT in response to pioglitazone were not reduced after tunicamycin administration ( Figures 3A, 3F, and 3G). These results indicate that acute ER stress can impair the synthesis of secretory proteins such as adiponectin and leptin in SAT at a higher extent than in VAT, which associates with the circulating content of these ...
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... western blotting of mouse serum revealed that total and HMW adiponectin significantly increased after 8 h of tunicamycin administration but decreased after a 24 h tunicamycin challenge (Figures 3A and 3B). Pioglitazone significantly increased circulating adiponectin content with respect to control mice, but it was reduced after 24 h of tunicamycin administration. To evaluate the relative participa- tion of each adipose tissue depot in adiponectin synthesis, we measured adiponectin protein and mRNA abundance in SAT and VAT. Tunicamycin administration reduced adiponectin content in SAT, despite increased mRNA abundance. In contrast, adiponectin content in VAT was lower at 8 h of tunicamycin administration along with a reduction in mRNA content, but both protein abundance and mRNA content increased at 24 h to levels similar to that of the unstressed state ( Figures 3A, 3C, and 3D). Pioglitazone increased adiponectin content in both adipose tissue depots without a significant increase in its mRNA content. Induction of acute ER stress with tunicamycin decreased adiponectin protein content in both adipose tissue depots, however the reduction was more pronounced in SAT with respect to VAT ( Figures 3A, 3C, and 3D). To evaluate if leptin synthesis and secretion is also dependent on ER stress, we determined circulating leptin and leptin protein and mRNA abundance in adipose tissues. The circulating leptin concentration was not modified by acute ER stress as observed in mice administered with tunicamycin ( Figure 3E). However despite that 20 days of pioglitazone , and CHOP (D) and protein content of p-eIF2α, total eIF2α, p-JNK, and total JNK in adipose tissues (E), densitometric analysis of p-eIF2α/eIF2α (F) and p-JNK/JNK (G). Error bars represent SEM. n = 6-8. Letters denote significant differences between groups, a > b > c > d (P < 0.05) treatment increased serum leptin, it was significantly reduced after 24 h of tunicamycin challenge. Tunicamycin also reduced the leptin protein content in SAT, although the leptin gene expression was not reduced with respect to unstressed mice ( Figures 3A 3F, and 3G). In contrast, the increase in leptin protein and mRNA content in VAT in response to pioglitazone were not reduced after tunicamycin administration ( Figures 3A, 3F, and 3G). These results indicate that acute ER stress can impair the synthesis of secretory proteins such as adiponectin and leptin in SAT at a higher extent than in VAT, which associates with the circulating content of these ...
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... western blotting of mouse serum revealed that total and HMW adiponectin significantly increased after 8 h of tunicamycin administration but decreased after a 24 h tunicamycin challenge (Figures 3A and 3B). Pioglitazone significantly increased circulating adiponectin content with respect to control mice, but it was reduced after 24 h of tunicamycin administration. To evaluate the relative participa- tion of each adipose tissue depot in adiponectin synthesis, we measured adiponectin protein and mRNA abundance in SAT and VAT. Tunicamycin administration reduced adiponectin content in SAT, despite increased mRNA abundance. In contrast, adiponectin content in VAT was lower at 8 h of tunicamycin administration along with a reduction in mRNA content, but both protein abundance and mRNA content increased at 24 h to levels similar to that of the unstressed state ( Figures 3A, 3C, and 3D). Pioglitazone increased adiponectin content in both adipose tissue depots without a significant increase in its mRNA content. Induction of acute ER stress with tunicamycin decreased adiponectin protein content in both adipose tissue depots, however the reduction was more pronounced in SAT with respect to VAT ( Figures 3A, 3C, and 3D). To evaluate if leptin synthesis and secretion is also dependent on ER stress, we determined circulating leptin and leptin protein and mRNA abundance in adipose tissues. The circulating leptin concentration was not modified by acute ER stress as observed in mice administered with tunicamycin ( Figure 3E). However despite that 20 days of pioglitazone , and CHOP (D) and protein content of p-eIF2α, total eIF2α, p-JNK, and total JNK in adipose tissues (E), densitometric analysis of p-eIF2α/eIF2α (F) and p-JNK/JNK (G). Error bars represent SEM. n = 6-8. Letters denote significant differences between groups, a > b > c > d (P < 0.05) treatment increased serum leptin, it was significantly reduced after 24 h of tunicamycin challenge. Tunicamycin also reduced the leptin protein content in SAT, although the leptin gene expression was not reduced with respect to unstressed mice ( Figures 3A 3F, and 3G). In contrast, the increase in leptin protein and mRNA content in VAT in response to pioglitazone were not reduced after tunicamycin administration ( Figures 3A, 3F, and 3G). These results indicate that acute ER stress can impair the synthesis of secretory proteins such as adiponectin and leptin in SAT at a higher extent than in VAT, which associates with the circulating content of these ...
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... western blotting of mouse serum revealed that total and HMW adiponectin significantly increased after 8 h of tunicamycin administration but decreased after a 24 h tunicamycin challenge (Figures 3A and 3B). Pioglitazone significantly increased circulating adiponectin content with respect to control mice, but it was reduced after 24 h of tunicamycin administration. To evaluate the relative participa- tion of each adipose tissue depot in adiponectin synthesis, we measured adiponectin protein and mRNA abundance in SAT and VAT. Tunicamycin administration reduced adiponectin content in SAT, despite increased mRNA abundance. In contrast, adiponectin content in VAT was lower at 8 h of tunicamycin administration along with a reduction in mRNA content, but both protein abundance and mRNA content increased at 24 h to levels similar to that of the unstressed state ( Figures 3A, 3C, and 3D). Pioglitazone increased adiponectin content in both adipose tissue depots without a significant increase in its mRNA content. Induction of acute ER stress with tunicamycin decreased adiponectin protein content in both adipose tissue depots, however the reduction was more pronounced in SAT with respect to VAT ( Figures 3A, 3C, and 3D). To evaluate if leptin synthesis and secretion is also dependent on ER stress, we determined circulating leptin and leptin protein and mRNA abundance in adipose tissues. The circulating leptin concentration was not modified by acute ER stress as observed in mice administered with tunicamycin ( Figure 3E). However despite that 20 days of pioglitazone , and CHOP (D) and protein content of p-eIF2α, total eIF2α, p-JNK, and total JNK in adipose tissues (E), densitometric analysis of p-eIF2α/eIF2α (F) and p-JNK/JNK (G). Error bars represent SEM. n = 6-8. Letters denote significant differences between groups, a > b > c > d (P < 0.05) treatment increased serum leptin, it was significantly reduced after 24 h of tunicamycin challenge. Tunicamycin also reduced the leptin protein content in SAT, although the leptin gene expression was not reduced with respect to unstressed mice ( Figures 3A 3F, and 3G). In contrast, the increase in leptin protein and mRNA content in VAT in response to pioglitazone were not reduced after tunicamycin administration ( Figures 3A, 3F, and 3G). These results indicate that acute ER stress can impair the synthesis of secretory proteins such as adiponectin and leptin in SAT at a higher extent than in VAT, which associates with the circulating content of these ...

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Purpose This study aimed to investigate the increase in bone marrow adipose tissue (BMAT) in overweight and obese women with polycystic ovary syndrome (PCOS) and its relationship with hyperandrogenism, obesity, and metabolic disorders. Methods The study included 87 overweight or obese women with PCOS (mean age 29 ± 4 years), as well as 87 age-matched controls recruited from a separate population study. All PCOS patients were measured for anthropometric features, abdominal adipose tissue areas, BMAT, biochemistry, and sex hormones. BMAT was compared between the PCOS patients and controls. In PCOS patients, subgroup comparisons of BMAT and its associations with body adiposity indices, biochemistry, and sex hormones were analyzed. The odds ratios (ORs) of elevated BMAT (defined as BMAT ≥ 38%) were calculated. Results On average BMAT was increased by 5.6% ( ± 11.3%) in PCOS patients compared to controls. BMAT were significantly higher in the upper tertiles of total cholesterol (TC) and low density lipoprotein-cholesterol (LDL-C). BMAT was not correlated with abdominal adiposity indices or biochemistry except for LDL-C (r = 0.253—0.263, p = 0.014—0.018). LDL-C was not significantly different between the normal and abnormal androgen PCOS subgroups ( p = 0.10-0.887). LDL-C, follicle stimulating hormone (FSH), and total testosterone (TT) were risk factors for elevated BMAT, with ORs of 1.899 ( p = 0.038-0.040), 1.369 ( p = 0.030-0.042), and 1.002 ( p = 0.040-0.044) for each unit increase, respectively. Conclusion BMAT was increased in overweight and obese PCOS patients, but the increase in BMAT was not associated with the hyperandrogenism related obesity or metabolic disorders.
... Black lines indicate beneficial effects of UPR. Chronical or terminal UPR leads to β cell insulin desensitization in other organs, for one reason that ER stress is linked to reduced adiponectin secretion, [254][255][256] and for another reason that the PERK arm can elevate circulating levels of tumor necrosis factor α (TNFα), interleukin-6 (IL-6), and IL-1β. 251,257 All of these impose a vicious ER stress feedback and further exacerbate the adipose tissue per se and systemic IR. 258 In the skeletal muscle, aberrant activation of UPR pathways is also found in patients with T2DM and pregnant women with obesity or gestational diabetes. ...
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... ER stress has been associated with dysfunctional WAT and BAT during obesity. In WAT, high-fat diet (HFD)-induced obesity enhances expression of UPR markers such as PERK, ATF-6, IRE1-a, ATF-4, and CHOP (29)(30)(31). Furthermore, ER stress affects adipokine secretion and action by impairing adiponectin synthesis and secretion (30,31) and by inducing leptin resistance (32). Lipogenesis and adipogenesis are also modulated by ER stress (33). ...
... In WAT, high-fat diet (HFD)-induced obesity enhances expression of UPR markers such as PERK, ATF-6, IRE1-a, ATF-4, and CHOP (29)(30)(31). Furthermore, ER stress affects adipokine secretion and action by impairing adiponectin synthesis and secretion (30,31) and by inducing leptin resistance (32). Lipogenesis and adipogenesis are also modulated by ER stress (33). ...
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