Skip to main content
Top
Published in: Diabetologia 6/2011

01-06-2011 | Article

Hypoxia-induced inflammatory cytokine secretion in human adipose tissue stromovascular cells

Authors: R. W. O’Rourke, A. E. White, M. D. Metcalf, A. S. Olivas, P. Mitra, W. G. Larison, E. C. Cheang, O. Varlamov, C. L. Corless, C. T. Roberts Jr, D. L. Marks

Published in: Diabetologia | Issue 6/2011

Login to get access

Abstract

Aims

Hypoxia has been implicated as a cause of adipose tissue inflammation in obesity, although the inflammatory response of human adipose tissue to hypoxia is not well understood. The goal of this study was to define in vitro inflammatory responses of human adipose tissue to hypoxia and identify molecular mechanisms of hypoxia-induced inflammation.

Methods

The inflammatory milieu and responses of visceral (VAT) and subcutaneous (SAT) adipose tissue explants and purified stromovascular cells (SVFs) from obese and lean humans were studied in an in vitro hypoxic culture system using quantitative real-time PCR, ELISA, western blotting, immunofluorescence microscopy, flow cytometry and immunohistochemistry.

Results

Human adipose tissue in obesity demonstrates an increased leucocyte infiltrate that is greater in VAT than SAT and involves macrophages, T cells and natural killer (NK) cells. Hypoxic culture regulates inflammatory cytokine secretion and transcription of metabolic stress response genes in human adipose tissue SVF. Adipocyte diameter is increased and adipose tissue capillary density is decreased in obese participants. Inhibition of c-Jun terminal kinase (JNK) or p38 significantly attenuates hypoxia-induced SVF inflammatory responses. Hypoxia induces phosphorylation of p38 in adipose tissue.

Conclusions

Human adipose tissue in obesity is characterised by a depot-specific inflammatory cell infiltrate that involves not only macrophages, but also T cells and NK cells. Hypoxia induces inflammatory cytokine secretion by human adipose tissue SVF, the primary source of which is adipose tissue macrophages. These data implicate p38 in the regulation of hypoxia-induced inflammation and suggest that alterations in adipocyte diameter and adipose tissue capillary density may be potential underlying causes of adipose tissue hypoxia.
Appendix
Available only for authorised users
Literature
1.
go back to reference Trayhurn P, Wang B, Wood IS (2008) Hypoxia in adipose tissue: a basis for the dysregulation of tissue function in obesity? Br J Nutr 100:227–235PubMedCrossRef Trayhurn P, Wang B, Wood IS (2008) Hypoxia in adipose tissue: a basis for the dysregulation of tissue function in obesity? Br J Nutr 100:227–235PubMedCrossRef
2.
go back to reference Ye J, Gao Z, Yin J, He Q (2007) Hypoxia is a potential risk factor for chronic inflammation and adiponectin reduction in adipose tissue of ob/ob and dietary obese mice. Am J Physiol Endocrinol Metab 293:E1118–E1128PubMedCrossRef Ye J, Gao Z, Yin J, He Q (2007) Hypoxia is a potential risk factor for chronic inflammation and adiponectin reduction in adipose tissue of ob/ob and dietary obese mice. Am J Physiol Endocrinol Metab 293:E1118–E1128PubMedCrossRef
3.
go back to reference Capel F, Klimcáková E, Viguerie N et al (2009) Macrophages and adipocytes in human obesity: adipose tissue gene expression and insulin sensitivity during calorie restriction and weight stabilization. Diabetes 58:1558–1567PubMedCrossRef Capel F, Klimcáková E, Viguerie N et al (2009) Macrophages and adipocytes in human obesity: adipose tissue gene expression and insulin sensitivity during calorie restriction and weight stabilization. Diabetes 58:1558–1567PubMedCrossRef
4.
go back to reference Cancello R, Henegar C, Viguerie N et al (2005) Reduction of macrophage infiltration and chemoattractant gene expression changes in white adipose tissue of morbidly obese subjects after surgery-induced weight loss. Diabetes 54:2277–2286PubMedCrossRef Cancello R, Henegar C, Viguerie N et al (2005) Reduction of macrophage infiltration and chemoattractant gene expression changes in white adipose tissue of morbidly obese subjects after surgery-induced weight loss. Diabetes 54:2277–2286PubMedCrossRef
5.
go back to reference Darimont C, Avanti O, Blancher F et al (2008) Contribution of mesothelial cells in the expression of inflammatory-related factors in omental adipose tissue of obese subjects. Int J Obes 32:112–120CrossRef Darimont C, Avanti O, Blancher F et al (2008) Contribution of mesothelial cells in the expression of inflammatory-related factors in omental adipose tissue of obese subjects. Int J Obes 32:112–120CrossRef
6.
go back to reference Fain JN, Buehrer B, Bahouth SW, Tichansky DS, Madan AK (2008) Comparison of messenger RNA distribution for 60 proteins in fat cells vs the nonfat cells of human omental adipose tissue. Metabolism 57:1005–1015PubMedCrossRef Fain JN, Buehrer B, Bahouth SW, Tichansky DS, Madan AK (2008) Comparison of messenger RNA distribution for 60 proteins in fat cells vs the nonfat cells of human omental adipose tissue. Metabolism 57:1005–1015PubMedCrossRef
7.
go back to reference O'Rourke RW, Metcalf MD, White AE et al (2009) Depot-specific differences in inflammatory mediators and a role for NK cells and IFN-gamma in inflammation in human adipose tissue. Int J Obes Lond 33:978–990PubMedCrossRef O'Rourke RW, Metcalf MD, White AE et al (2009) Depot-specific differences in inflammatory mediators and a role for NK cells and IFN-gamma in inflammation in human adipose tissue. Int J Obes Lond 33:978–990PubMedCrossRef
8.
go back to reference Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW Jr (2002) Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 112:1796–1808 Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW Jr (2002) Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 112:1796–1808
9.
go back to reference Xu H, Barnes GT, Yang Q et al (2003) Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Invest 112:1821–1830PubMed Xu H, Barnes GT, Yang Q et al (2003) Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Invest 112:1821–1830PubMed
10.
go back to reference Zhou HR, Kim EK, Kim H, Claycombe KJ (2007) Obesity-associated mouse adipose stem cell secretion of monocyte chemotactic protein-1. Am J Physiol Endocrinol Metab 293:E1153–E1158PubMedCrossRef Zhou HR, Kim EK, Kim H, Claycombe KJ (2007) Obesity-associated mouse adipose stem cell secretion of monocyte chemotactic protein-1. Am J Physiol Endocrinol Metab 293:E1153–E1158PubMedCrossRef
11.
go back to reference Hosogai N, Fukuhara A, Oshima K et al (2007) Adipose tissue hypoxia in obesity and its impact on adipocytokine dysregulation. Diabetes 56:901–911PubMedCrossRef Hosogai N, Fukuhara A, Oshima K et al (2007) Adipose tissue hypoxia in obesity and its impact on adipocytokine dysregulation. Diabetes 56:901–911PubMedCrossRef
12.
go back to reference Ost A, Svensson K, Ruishalme I et al (2010) Attenuated mTOR signaling and enhanced autophagy in adipocytes from obese patients with type 2 diabetes. Mol Med 16:235–246PubMedCrossRef Ost A, Svensson K, Ruishalme I et al (2010) Attenuated mTOR signaling and enhanced autophagy in adipocytes from obese patients with type 2 diabetes. Mol Med 16:235–246PubMedCrossRef
13.
go back to reference Zhang CL, Song F, Zhang J, Song QH (2010) Hypoxia-induced Bcl-2 expression in endothelial cells via p38 MAPK pathway. Biochem Biophys Res Commun 394:976–980PubMedCrossRef Zhang CL, Song F, Zhang J, Song QH (2010) Hypoxia-induced Bcl-2 expression in endothelial cells via p38 MAPK pathway. Biochem Biophys Res Commun 394:976–980PubMedCrossRef
14.
go back to reference Maekawa T, Jin W, Ishii S (2010) The role of ATF-2 family transcription factors in adipocyte differentiation: antiobesity effects of p38 inhibitors. Mol Cell Biol 30:613–625PubMedCrossRef Maekawa T, Jin W, Ishii S (2010) The role of ATF-2 family transcription factors in adipocyte differentiation: antiobesity effects of p38 inhibitors. Mol Cell Biol 30:613–625PubMedCrossRef
15.
go back to reference Ozcan U, Cao Q, Yilmaz E et al (2004) Endoplasmic reticulum stress links obesity, insulin action, and type 2 diabetes. Science 306:457–461PubMedCrossRef Ozcan U, Cao Q, Yilmaz E et al (2004) Endoplasmic reticulum stress links obesity, insulin action, and type 2 diabetes. Science 306:457–461PubMedCrossRef
16.
go back to reference Robidoux J, Cao W, Quan H et al (2005) Selective activation of mitogen-activated protein (MAP) kinase kinase 3 and p38alpha MAP kinase is essential for cyclic AMP-dependent UCP1 expression in adipocytes. Mol Cell Biol 25:5466–5479PubMedCrossRef Robidoux J, Cao W, Quan H et al (2005) Selective activation of mitogen-activated protein (MAP) kinase kinase 3 and p38alpha MAP kinase is essential for cyclic AMP-dependent UCP1 expression in adipocytes. Mol Cell Biol 25:5466–5479PubMedCrossRef
17.
go back to reference NIH conference (1991) Gastrointestinal surgery for severe obesity: Consensus Development Conference Panel. Ann Intern Med 115:956–961 NIH conference (1991) Gastrointestinal surgery for severe obesity: Consensus Development Conference Panel. Ann Intern Med 115:956–961
18.
go back to reference Hsu YL, Cho CY, Kuo PL, Huang YT, Plumbagin LCC (2006) (5-Hydroxy-2-methyl-1, 4-naphthoquinone) induces apoptosis and cell cycle arrest in A549 cells through p53 accumulation via c-Jun NH2-terminal kinase-mediated phosphorylation at serine 15 in vitro and in vivo. J Pharmacol Exp Ther 318:484–494PubMedCrossRef Hsu YL, Cho CY, Kuo PL, Huang YT, Plumbagin LCC (2006) (5-Hydroxy-2-methyl-1, 4-naphthoquinone) induces apoptosis and cell cycle arrest in A549 cells through p53 accumulation via c-Jun NH2-terminal kinase-mediated phosphorylation at serine 15 in vitro and in vivo. J Pharmacol Exp Ther 318:484–494PubMedCrossRef
19.
go back to reference Li G, Barrett EJ, Barrett MO, Cao W, Liu Z (2007) Tumor necrosis factor-alpha induces insulin resistance in endothelial cells via a p38 mitogen-activated protein kinase-dependent pathway. Endocrinology 148:3356–3363PubMedCrossRef Li G, Barrett EJ, Barrett MO, Cao W, Liu Z (2007) Tumor necrosis factor-alpha induces insulin resistance in endothelial cells via a p38 mitogen-activated protein kinase-dependent pathway. Endocrinology 148:3356–3363PubMedCrossRef
20.
go back to reference Aron-Wisnewsky J, Tordjman J, Poitou C et al (2009) Human adipose tissue macrophages: m1 and m2 cell surface markers in subcutaneous and omental depots and after weight loss. J Clin Endocrinol Metab 94:4619–4623PubMedCrossRef Aron-Wisnewsky J, Tordjman J, Poitou C et al (2009) Human adipose tissue macrophages: m1 and m2 cell surface markers in subcutaneous and omental depots and after weight loss. J Clin Endocrinol Metab 94:4619–4623PubMedCrossRef
21.
go back to reference Harman-Boehm I, Blüher M, Redel H et al (2007) Macrophage infiltration into omental vs subcutaneous fat across different populations: effect of regional adiposity and the comorbidities of obesity. J Clin Endocrinol Metab 92:2240–2247PubMedCrossRef Harman-Boehm I, Blüher M, Redel H et al (2007) Macrophage infiltration into omental vs subcutaneous fat across different populations: effect of regional adiposity and the comorbidities of obesity. J Clin Endocrinol Metab 92:2240–2247PubMedCrossRef
22.
go back to reference Yang H, Youm YH, Vandanmagsar B et al (2010) Obesity increases the production of proinflammatory mediators from adipose tissue T cells and compromises TCR repertoire diversity: implications for systemic inflammation and insulin resistance. J Immunol 185:1836–1845PubMedCrossRef Yang H, Youm YH, Vandanmagsar B et al (2010) Obesity increases the production of proinflammatory mediators from adipose tissue T cells and compromises TCR repertoire diversity: implications for systemic inflammation and insulin resistance. J Immunol 185:1836–1845PubMedCrossRef
23.
go back to reference Garaulet M, Pérez-Llamas F, Zamora S, Tebar FJ (2002) Interrelationship between serum lipid profile, serum hormones and other components of the metabolic syndrome. J Physiol Biochem 58:151–160PubMedCrossRef Garaulet M, Pérez-Llamas F, Zamora S, Tebar FJ (2002) Interrelationship between serum lipid profile, serum hormones and other components of the metabolic syndrome. J Physiol Biochem 58:151–160PubMedCrossRef
24.
go back to reference Hotamisligil GS, Shargill NS, Spiegelman BM (1993) Adipose expression of tumor necrosis factor-alpha: direct role in obesity-linked insulin resistance. Science 259:87–91PubMedCrossRef Hotamisligil GS, Shargill NS, Spiegelman BM (1993) Adipose expression of tumor necrosis factor-alpha: direct role in obesity-linked insulin resistance. Science 259:87–91PubMedCrossRef
25.
go back to reference Uysal KT, Wiesbrock SM, Marino MW, Hotamisligil GS (1997) Protection from obesity-induced insulin resistance in mice lacking TNF-[alpha] function. Nature 389:610–614PubMedCrossRef Uysal KT, Wiesbrock SM, Marino MW, Hotamisligil GS (1997) Protection from obesity-induced insulin resistance in mice lacking TNF-[alpha] function. Nature 389:610–614PubMedCrossRef
26.
go back to reference Eder K, Baffy N, Falus A, Fulop AK (2009) The major inflammatory mediator interleukin-6 and obesity. Inflamm Res 58:727–736PubMedCrossRef Eder K, Baffy N, Falus A, Fulop AK (2009) The major inflammatory mediator interleukin-6 and obesity. Inflamm Res 58:727–736PubMedCrossRef
27.
go back to reference Kamei N, Tobe K, Suzuki R et al (2006) Over-expression of MCP-1 in adipose tissues causes macrophage recruitment and insulin resistance. J Biol Chem 281:26602–26614PubMedCrossRef Kamei N, Tobe K, Suzuki R et al (2006) Over-expression of MCP-1 in adipose tissues causes macrophage recruitment and insulin resistance. J Biol Chem 281:26602–26614PubMedCrossRef
28.
go back to reference Weisberg SP, Hunter D, Huber R et al (2005) CCR2 modulates inflammatory and metabolic effects of high-fat feeding. J Clin Invest 116:115–124PubMedCrossRef Weisberg SP, Hunter D, Huber R et al (2005) CCR2 modulates inflammatory and metabolic effects of high-fat feeding. J Clin Invest 116:115–124PubMedCrossRef
29.
go back to reference Esposito K, Pontillo A, Giugliano F et al (2003) Association of low interleukin-10 levels with the metabolic syndrome in obese women. J Clin Endocrinol Metab 88:1055–1058PubMedCrossRef Esposito K, Pontillo A, Giugliano F et al (2003) Association of low interleukin-10 levels with the metabolic syndrome in obese women. J Clin Endocrinol Metab 88:1055–1058PubMedCrossRef
30.
go back to reference Zeyda M, Farmer D, Todoric J et al (2007) Human adipose tissue macrophages are of an anti-inflammatory phenotype but capable of excessive pro-inflammatory mediator production. Int J Obes Lond 31:1420–1428PubMedCrossRef Zeyda M, Farmer D, Todoric J et al (2007) Human adipose tissue macrophages are of an anti-inflammatory phenotype but capable of excessive pro-inflammatory mediator production. Int J Obes Lond 31:1420–1428PubMedCrossRef
31.
go back to reference Wang B, Wood IS, Trayhurn P (2008) PCR arrays identify metallothionein-3 as a highly hypoxia-inducible gene in human adipocytes. Biochem Biophys Res Commun 368:88–93PubMedCrossRef Wang B, Wood IS, Trayhurn P (2008) PCR arrays identify metallothionein-3 as a highly hypoxia-inducible gene in human adipocytes. Biochem Biophys Res Commun 368:88–93PubMedCrossRef
32.
go back to reference Wang B, Wood IS, Trayhurn P (2008) Hypoxia induces leptin gene expression and secretion in human preadipocytes: differential effects of hypoxia on adipokine expression by preadipocytes. J Endocrinol 198:127–134PubMedCrossRef Wang B, Wood IS, Trayhurn P (2008) Hypoxia induces leptin gene expression and secretion in human preadipocytes: differential effects of hypoxia on adipokine expression by preadipocytes. J Endocrinol 198:127–134PubMedCrossRef
33.
go back to reference Wang B, Wood IS, Trayhurn P (2007) Dysregulation of the expression and secretion of inflammation-related adipokines by hypoxia in human adipocytes. Pflugers Arch 455:479–492PubMedCrossRef Wang B, Wood IS, Trayhurn P (2007) Dysregulation of the expression and secretion of inflammation-related adipokines by hypoxia in human adipocytes. Pflugers Arch 455:479–492PubMedCrossRef
34.
go back to reference Xu H, Uysal KT, Becherer JD, Arner P, Hotamisligil GS (2002) Altered tumor necrosis factor-alpha (TNF-alpha) processing in adipocytes and increased expression of transmembrane TNF-alpha in obesity. Diabetes 51:1876–1883PubMedCrossRef Xu H, Uysal KT, Becherer JD, Arner P, Hotamisligil GS (2002) Altered tumor necrosis factor-alpha (TNF-alpha) processing in adipocytes and increased expression of transmembrane TNF-alpha in obesity. Diabetes 51:1876–1883PubMedCrossRef
36.
go back to reference Hirosumi J, Tuncman G, Chang L et al (2002) A central role for JNK in obesity and insulin resistance. Nature 420:333–336PubMedCrossRef Hirosumi J, Tuncman G, Chang L et al (2002) A central role for JNK in obesity and insulin resistance. Nature 420:333–336PubMedCrossRef
37.
go back to reference Cao W, Collins QF, Becker TC et al (2005) p38 Mitogen-activated protein kinase plays a stimulatory role in hepatic gluconeogenesis. J Biol Chem 280:42731–42737PubMedCrossRef Cao W, Collins QF, Becker TC et al (2005) p38 Mitogen-activated protein kinase plays a stimulatory role in hepatic gluconeogenesis. J Biol Chem 280:42731–42737PubMedCrossRef
38.
go back to reference Xiong Y, Collins QF, An J et al (2007) p38 mitogen-activated protein kinase plays an inhibitory role in hepatic lipogenesis. J Biol Chem 282:4975–4982PubMedCrossRef Xiong Y, Collins QF, An J et al (2007) p38 mitogen-activated protein kinase plays an inhibitory role in hepatic lipogenesis. J Biol Chem 282:4975–4982PubMedCrossRef
39.
go back to reference Drolet R, Richard C, Sniderman AD et al (2008) Hypertrophy and hyperplasia of abdominal adipose tissues in women. Int J Obes Lond 32:283–291PubMedCrossRef Drolet R, Richard C, Sniderman AD et al (2008) Hypertrophy and hyperplasia of abdominal adipose tissues in women. Int J Obes Lond 32:283–291PubMedCrossRef
40.
go back to reference Tchoukalova YD, Koutsari C, Karpyak MV, Votruba SB, Wendland E, Jensen M (2008) Subcutaneous adipocyte size and body fat distribution. Am J Clin Nutr 87:56–63PubMed Tchoukalova YD, Koutsari C, Karpyak MV, Votruba SB, Wendland E, Jensen M (2008) Subcutaneous adipocyte size and body fat distribution. Am J Clin Nutr 87:56–63PubMed
41.
go back to reference Winkler G, Kiss S, Keszthelyi L et al (2003) Expression of tumor necrosis factor (TNF)-alpha protein in the subcutaneous and visceral adipose tissue in correlation with adipocyte cell volume, serum TNF-alpha, soluble serum TNF-receptor-2 concentrations and C-peptide level. Eur J Endocrinol 149:129–135PubMedCrossRef Winkler G, Kiss S, Keszthelyi L et al (2003) Expression of tumor necrosis factor (TNF)-alpha protein in the subcutaneous and visceral adipose tissue in correlation with adipocyte cell volume, serum TNF-alpha, soluble serum TNF-receptor-2 concentrations and C-peptide level. Eur J Endocrinol 149:129–135PubMedCrossRef
42.
go back to reference Blaak EE, van Baak MA, Kemerink GJ, Pakbiers MT, Heidendal GA, Saris WH (1995) Beta-adrenergic stimulation and abdominal subcutaneous fat blood flow in lean, obese, and reduced-obese subjects. Metabolism 44:183–187PubMedCrossRef Blaak EE, van Baak MA, Kemerink GJ, Pakbiers MT, Heidendal GA, Saris WH (1995) Beta-adrenergic stimulation and abdominal subcutaneous fat blood flow in lean, obese, and reduced-obese subjects. Metabolism 44:183–187PubMedCrossRef
43.
go back to reference Jansson PA, Larsson A, Lönnroth PN (1998) Relationship between blood pressure, metabolic variables and blood flow in obese subjects with or without non-insulin-dependent diabetes mellitus. Eur J Clin Invest 28:813–818PubMedCrossRef Jansson PA, Larsson A, Lönnroth PN (1998) Relationship between blood pressure, metabolic variables and blood flow in obese subjects with or without non-insulin-dependent diabetes mellitus. Eur J Clin Invest 28:813–818PubMedCrossRef
44.
go back to reference Pang C, Gao Z, Yin J, Zhang J, Jia W, Ye J (2008) Macrophage infiltration into adipose tissue may promote angiogenesis for adipose tissue remodeling in obesity. Am J Physiol Endocrinol Metab 295:E313–E322PubMedCrossRef Pang C, Gao Z, Yin J, Zhang J, Jia W, Ye J (2008) Macrophage infiltration into adipose tissue may promote angiogenesis for adipose tissue remodeling in obesity. Am J Physiol Endocrinol Metab 295:E313–E322PubMedCrossRef
45.
go back to reference Pasarica M, Sereda OR, Redman LM et al (2009) Reduced adipose tissue oxygenation in human obesity: evidence for rarefaction, macrophage chemotaxis, and inflammation without an angiogenic response. Diabetes 58:718–725PubMedCrossRef Pasarica M, Sereda OR, Redman LM et al (2009) Reduced adipose tissue oxygenation in human obesity: evidence for rarefaction, macrophage chemotaxis, and inflammation without an angiogenic response. Diabetes 58:718–725PubMedCrossRef
46.
go back to reference Fleischmann E, Kurz A, Niedermayr M et al (2005) Tissue oxygenation in obese and non-obese patients during laparoscopy. Obes Surg 15:813–819PubMedCrossRef Fleischmann E, Kurz A, Niedermayr M et al (2005) Tissue oxygenation in obese and non-obese patients during laparoscopy. Obes Surg 15:813–819PubMedCrossRef
47.
go back to reference Kabon B, Nagele A, Reddy D et al (2004) Obesity decreases perioperative tissue oxygenation. Anesthesiology 100:274–280PubMedCrossRef Kabon B, Nagele A, Reddy D et al (2004) Obesity decreases perioperative tissue oxygenation. Anesthesiology 100:274–280PubMedCrossRef
48.
go back to reference Pérez de Heredia F, Wood IS, Trayhurn P (2010) Hypoxia stimulates lactate release and modulates monocarboxylate transporter (MCT1, MCT2, and MCT4) expression in human adipocytes. Pflugers Arch 459:509–518PubMedCrossRef Pérez de Heredia F, Wood IS, Trayhurn P (2010) Hypoxia stimulates lactate release and modulates monocarboxylate transporter (MCT1, MCT2, and MCT4) expression in human adipocytes. Pflugers Arch 459:509–518PubMedCrossRef
49.
go back to reference Wood IS, Wang B, Lorente-Cebrián S, Trayhurn P (2007) Hypoxia increases expression of selective facilitative glucose transporters (GLUT) and 2-deoxy-D-glucose uptake in human adipocytes. Biochem Biophys Res Commun 361:468–473PubMedCrossRef Wood IS, Wang B, Lorente-Cebrián S, Trayhurn P (2007) Hypoxia increases expression of selective facilitative glucose transporters (GLUT) and 2-deoxy-D-glucose uptake in human adipocytes. Biochem Biophys Res Commun 361:468–473PubMedCrossRef
50.
go back to reference Rius J, Guma M, Schachtrup C et al (2008) NF-kappaB links innate immunity to the hypoxic response through transcriptional regulation of HIF-1alpha. Nature 453:807–811PubMedCrossRef Rius J, Guma M, Schachtrup C et al (2008) NF-kappaB links innate immunity to the hypoxic response through transcriptional regulation of HIF-1alpha. Nature 453:807–811PubMedCrossRef
Metadata
Title
Hypoxia-induced inflammatory cytokine secretion in human adipose tissue stromovascular cells
Authors
R. W. O’Rourke
A. E. White
M. D. Metcalf
A. S. Olivas
P. Mitra
W. G. Larison
E. C. Cheang
O. Varlamov
C. L. Corless
C. T. Roberts Jr
D. L. Marks
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 6/2011
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-011-2103-y

Other articles of this Issue 6/2011

Diabetologia 6/2011 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine