Skip to main content
Top
Published in: Diabetologia 9/2011

01-09-2011 | Article

Novel hormone-regulated genes in visceral adipose tissue: cloning and identification of proinflammatory cytokine-like mouse and human MEDA-7: implications for obesity, insulin resistance and the metabolic syndrome

Authors: H. Zhang, X. Chen, M. R. Sairam

Published in: Diabetologia | Issue 9/2011

Login to get access

Abstract

Aims/hypothesis

We sought to characterise novel genes dysregulated by sex hormonal imbalances that induce obesity and metabolic disorder in a setting of oestrogen deficiency and androgen dominance in follicle-stimulating hormone receptor (For [also known as Fshr]) knockout female mice.

Methods

Transcriptome analysis of mesenteric adipose tissue (MAT) of mutants revealed novel genes. One novel gene named Meda-7 was selected for study. Meda-7 was cloned from mouse and human adipose tissue; its expression, hormonal regulation and function were characterised.

Results

Mouse Meda-7 is richly expressed in deep visceral adipose tissue and encodes a 22 kDa secreted protein with 71% homology to human mesenteric oestrogen-dependent adipose gene- 7 (MEDA-7) protein. Both have six conserved cysteines like many cytokines. In obese patients, MEDA-7 is more abundant in omental than subcutaneous fat. Meda-7 is downregulated in For-knockout female MAT at 5 months (obese state) followed by steep upregulation at 9 months (prediabetic condition) when mutants progress towards the metabolic syndrome. Meda-7 is expressed predominantly in the stromal–vascular cell fraction. In this fraction,M1-proinflammatorymacrophages are rich in Meda-7. Meda-7 dysregulation in 5-month-old For-knockout MAT is restored by oestrogen, but treatment has no effect in older mutants. Overabundance of MEDA-7 in HEK-293 cells enhances cell proliferation via p42/44 mitogen-activated protein kinases. Secreted MEDA-7 attenuates insulin-stimulated glucose uptake in 3T3-L1 adipocytes, while downregulating glucose transporter-4 and upregulating both monocyte chemotactic protein-1 and suppressor of cytokine signalling-3. Downstream activity of the insulin signalling mediator, phospho-AKT, is also downregulated.

Conclusions/interpretation

MEDA-7 is a hormone-regulated adipokine/proinflammatory cytokine that is implicated in causing chronic inflammation, affecting cellular expansion and blunting insulin response in adipocytes.
Appendix
Available only for authorised users
Literature
1.
go back to reference Carr MC (2003) The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab 88:2404–2411PubMedCrossRef Carr MC (2003) The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab 88:2404–2411PubMedCrossRef
2.
go back to reference Gambineri A, Pelusi C, Vicennati V, Pagotto U, Pasquali R (2002) Obesity and the polycystic ovary syndrome. Int J Obes 26:883–896CrossRef Gambineri A, Pelusi C, Vicennati V, Pagotto U, Pasquali R (2002) Obesity and the polycystic ovary syndrome. Int J Obes 26:883–896CrossRef
3.
go back to reference Knopp RH (2002) Risk factors for coronary artery disease in women. Am J Cardiol 89:28–34CrossRef Knopp RH (2002) Risk factors for coronary artery disease in women. Am J Cardiol 89:28–34CrossRef
4.
go back to reference Cussons AJ, Stuckey BGA, Watts GF (2006) Cardiovascular disease in the polycystic ovary syndrome: new insights and perspectives. Atherosclerosis 185:227–239PubMedCrossRef Cussons AJ, Stuckey BGA, Watts GF (2006) Cardiovascular disease in the polycystic ovary syndrome: new insights and perspectives. Atherosclerosis 185:227–239PubMedCrossRef
5.
go back to reference Szmuilowicz ED, Stuenkel CA, Seely EW (2009) Influence of menopause on diabetes and diabetes risk. Nat Rev Endocrinol 5:553–558PubMedCrossRef Szmuilowicz ED, Stuenkel CA, Seely EW (2009) Influence of menopause on diabetes and diabetes risk. Nat Rev Endocrinol 5:553–558PubMedCrossRef
6.
go back to reference Munoz J, Derstine A, Gower BA (2002) Fat distribution and insulin sensitivity in postmenopausal women: influence of hormone replacement. Obesity 10:424–431CrossRef Munoz J, Derstine A, Gower BA (2002) Fat distribution and insulin sensitivity in postmenopausal women: influence of hormone replacement. Obesity 10:424–431CrossRef
7.
go back to reference Kanis JA, Delmas P, Burckhardt P, Cooper C, Torgerson D (1997) Guidelines for diagnosis and management of osteoporosis. Osteoporos Int 7:390–406PubMedCrossRef Kanis JA, Delmas P, Burckhardt P, Cooper C, Torgerson D (1997) Guidelines for diagnosis and management of osteoporosis. Osteoporos Int 7:390–406PubMedCrossRef
8.
go back to reference Rosano GMC, Vitale C, Fini M (2009) Cardiovascular aspects of menopausal hormone replacement therapy. Climacteric 12:41–46PubMedCrossRef Rosano GMC, Vitale C, Fini M (2009) Cardiovascular aspects of menopausal hormone replacement therapy. Climacteric 12:41–46PubMedCrossRef
9.
go back to reference Rossouw JE, Prentice RL, Manson JE et al (2007) Postmenopausal hormone therapy and risk of cardiovascular disease by age and years since menopause. JAMA 297:1465–1477PubMedCrossRef Rossouw JE, Prentice RL, Manson JE et al (2007) Postmenopausal hormone therapy and risk of cardiovascular disease by age and years since menopause. JAMA 297:1465–1477PubMedCrossRef
10.
go back to reference Arner P (2001) Regional differences in protein production by human adipose tissue. Biochem Soc Trans 29:72–75PubMedCrossRef Arner P (2001) Regional differences in protein production by human adipose tissue. Biochem Soc Trans 29:72–75PubMedCrossRef
11.
go back to reference Schaffler A, Scholmerich J, Buchler C (2005) Mechanisms of disease: adipocytokines and visceral adipose tissue-emerging role in intestinal and mesenteric diseases. Nat Clin Pract Gastroenterol Hepatol 2:103–111PubMedCrossRef Schaffler A, Scholmerich J, Buchler C (2005) Mechanisms of disease: adipocytokines and visceral adipose tissue-emerging role in intestinal and mesenteric diseases. Nat Clin Pract Gastroenterol Hepatol 2:103–111PubMedCrossRef
12.
go back to reference Bjorntorp P (1990) “Portal” adipose tissue as a generator of risk factors for cardiovascular disease and diabetes. Arterioscler Thromb Vasc Biol 10:493–496CrossRef Bjorntorp P (1990) “Portal” adipose tissue as a generator of risk factors for cardiovascular disease and diabetes. Arterioscler Thromb Vasc Biol 10:493–496CrossRef
13.
go back to reference Catalano KJ, Stefanovski D, Bergman RN (2010) Critical role of the mesenteric depot vs other intra-abdominal adipose depots in the development of insulin resistance in young rats. Diabetes 59:1416–1423PubMedCrossRef Catalano KJ, Stefanovski D, Bergman RN (2010) Critical role of the mesenteric depot vs other intra-abdominal adipose depots in the development of insulin resistance in young rats. Diabetes 59:1416–1423PubMedCrossRef
14.
go back to reference Harman-Boehm I, Bluher 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, Bluher 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
15.
go back to reference Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW (2003) Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 112:1796–1808PubMed Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW (2003) Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 112:1796–1808PubMed
16.
go back to reference Wentworth JM, Naselli G, Brown WA et al (2010) Pro-inflammatory CD11c+CD206+ adipose tissue macrophages are associated with insulin resistance in human obesity. Diabetes 59:1648–1656PubMedCrossRef Wentworth JM, Naselli G, Brown WA et al (2010) Pro-inflammatory CD11c+CD206+ adipose tissue macrophages are associated with insulin resistance in human obesity. Diabetes 59:1648–1656PubMedCrossRef
17.
go back to reference Greenberg AS, Obin MS (2006) Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr 83:461S–465SPubMed Greenberg AS, Obin MS (2006) Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr 83:461S–465SPubMed
18.
go back to reference Maeda K, Okubo K, Shimomura I, Mizuno K, Matsuzawa Y, Matsubara K (1997) Analysis of an expression profile of genes in the human adipose tissue. Gene 190:227–235PubMedCrossRef Maeda K, Okubo K, Shimomura I, Mizuno K, Matsuzawa Y, Matsubara K (1997) Analysis of an expression profile of genes in the human adipose tissue. Gene 190:227–235PubMedCrossRef
19.
go back to reference Danilovich N, Babu PS, Xing W, Gerdes M, Krishnamurthy H, Sairam MR (2000) Estrogen deficiency, obesity, and skeletal abnormalities in follicle-stimulating hormone receptor knockout (FORKO) female mice. Endocrinology 141:4295–4308PubMedCrossRef Danilovich N, Babu PS, Xing W, Gerdes M, Krishnamurthy H, Sairam MR (2000) Estrogen deficiency, obesity, and skeletal abnormalities in follicle-stimulating hormone receptor knockout (FORKO) female mice. Endocrinology 141:4295–4308PubMedCrossRef
20.
go back to reference Dierich A, Sairam MR, Monaco L et al (1998) Impairing follicle-stimulating hormone (FSH) signaling in vivo: targeted disruption of the FSH receptor leads to aberrant gametogenesis and hormonal imbalance. Proc Natl Acad Sci USA 95:13612–13617PubMedCrossRef Dierich A, Sairam MR, Monaco L et al (1998) Impairing follicle-stimulating hormone (FSH) signaling in vivo: targeted disruption of the FSH receptor leads to aberrant gametogenesis and hormonal imbalance. Proc Natl Acad Sci USA 95:13612–13617PubMedCrossRef
21.
go back to reference Sairam MR, Wang M, Danilovich N, Javeshghani D, Maysinger D (2006) Early obesity and age-related mimicry of metabolic syndrome in female mice with sex hormonal imbalances. Obesity 14:1142–1154PubMedCrossRef Sairam MR, Wang M, Danilovich N, Javeshghani D, Maysinger D (2006) Early obesity and age-related mimicry of metabolic syndrome in female mice with sex hormonal imbalances. Obesity 14:1142–1154PubMedCrossRef
22.
go back to reference Zhang H, Chen X, Aravindakshan J, Sairam MR (2007) Changes in adiponectin and inflammatory genes in response to hormonal imbalances in female mice and exacerbation of depot selective visceral adiposity by high-fat diet: implications for insulin resistance. Endocrinology 148:5667–5679PubMedCrossRef Zhang H, Chen X, Aravindakshan J, Sairam MR (2007) Changes in adiponectin and inflammatory genes in response to hormonal imbalances in female mice and exacerbation of depot selective visceral adiposity by high-fat diet: implications for insulin resistance. Endocrinology 148:5667–5679PubMedCrossRef
23.
go back to reference Aravindakshan J, Chen XL, Sairam MR (2010) Chronology and complexities of ovarian tumorigenesis in FORKO mice: age-dependent gene alterations and progressive dysregulation of major histocompatibility complex (MHC) class I and II profiles. Mol Cell Endocrinol 329:37–46PubMedCrossRef Aravindakshan J, Chen XL, Sairam MR (2010) Chronology and complexities of ovarian tumorigenesis in FORKO mice: age-dependent gene alterations and progressive dysregulation of major histocompatibility complex (MHC) class I and II profiles. Mol Cell Endocrinol 329:37–46PubMedCrossRef
24.
go back to reference Nishimura S, Manabe I, Nagasaki M et al (2009) CD8+ effector T cells contribute to macrophage recruitment and adipose tissue inflammation in obesity. Nat Med 15:914–920PubMedCrossRef Nishimura S, Manabe I, Nagasaki M et al (2009) CD8+ effector T cells contribute to macrophage recruitment and adipose tissue inflammation in obesity. Nat Med 15:914–920PubMedCrossRef
25.
go back to reference Tripathi S, Bruch D, Kittur D (2008) Ginger extract inhibits LPS induced macrophage activation and function. BMC Complement Altern Med 8:1PubMedCrossRef Tripathi S, Bruch D, Kittur D (2008) Ginger extract inhibits LPS induced macrophage activation and function. BMC Complement Altern Med 8:1PubMedCrossRef
26.
go back to reference Medina EA, Afsari RR, Ravid T, Castillo SS, Erickson KL, Goldkorn T (2005) Tumor necrosis factor-α decreases Akt protein levels in 3T3-L1 adipocytes via the caspase-dependent ubiquitination of Akt. Endocrinology 146:2726–2735PubMedCrossRef Medina EA, Afsari RR, Ravid T, Castillo SS, Erickson KL, Goldkorn T (2005) Tumor necrosis factor-α decreases Akt protein levels in 3T3-L1 adipocytes via the caspase-dependent ubiquitination of Akt. Endocrinology 146:2726–2735PubMedCrossRef
27.
go back to reference Choi SS, Cha BY, Iida K et al (2011) Artepillin C, as a PPAR[gamma] ligand, enhances adipocyte differentiation and glucose uptake in 3T3-L1 cells. Biochem Pharmacol 81:925–933PubMedCrossRef Choi SS, Cha BY, Iida K et al (2011) Artepillin C, as a PPAR[gamma] ligand, enhances adipocyte differentiation and glucose uptake in 3T3-L1 cells. Biochem Pharmacol 81:925–933PubMedCrossRef
28.
go back to reference Svenson KL, von Smith R, Magnani PA et al (2007) Multiple trait measurements in 43 inbred mouse strains capture the phenotypic diversity characteristic of human populations. J Appl Physiol 102:2369–2378PubMedCrossRef Svenson KL, von Smith R, Magnani PA et al (2007) Multiple trait measurements in 43 inbred mouse strains capture the phenotypic diversity characteristic of human populations. J Appl Physiol 102:2369–2378PubMedCrossRef
29.
go back to reference Olson TS, Ley K (2002) Chemokines and chemokine receptors in leukocyte trafficking. Am J Physiol Regul Integr Comp Physiol 283:R7–R28PubMed Olson TS, Ley K (2002) Chemokines and chemokine receptors in leukocyte trafficking. Am J Physiol Regul Integr Comp Physiol 283:R7–R28PubMed
30.
go back to reference Walter MR, Cook WJ, Zhao BG et al (1992) Crystal structure of recombinant human interleukin-4. J Biol Chem 267:20371–20376PubMed Walter MR, Cook WJ, Zhao BG et al (1992) Crystal structure of recombinant human interleukin-4. J Biol Chem 267:20371–20376PubMed
31.
go back to reference Riollet C, Mutuel D, Duonor-Cerutti M, Rainard P (2006) Determination and characterization of bovine interleukin-17 cDNA. J Interferon Cytokine Res 26:141–149PubMedCrossRef Riollet C, Mutuel D, Duonor-Cerutti M, Rainard P (2006) Determination and characterization of bovine interleukin-17 cDNA. J Interferon Cytokine Res 26:141–149PubMedCrossRef
32.
go back to reference Huang N, Chen H, Sun Z (2005) CTKPred: an SVM-based method for the prediction and classification of the cytokine superfamily. Protein Eng Des Sel 18:365–368PubMedCrossRef Huang N, Chen H, Sun Z (2005) CTKPred: an SVM-based method for the prediction and classification of the cytokine superfamily. Protein Eng Des Sel 18:365–368PubMedCrossRef
33.
go back to reference Bradley JR, Pober JS (2001) Tumor necrosis factor receptor-associated factors (TRAFs). Oncogene 20:6482–6491PubMedCrossRef Bradley JR, Pober JS (2001) Tumor necrosis factor receptor-associated factors (TRAFs). Oncogene 20:6482–6491PubMedCrossRef
34.
go back to reference Takeuchi M, Rothe M, Goeddel DV (1996) Anatomy of TRAF2. Distinct domains for nuclear factor-kappaB activation and association with tumor necrosis factor signaling proteins. J Biol Chem 271:19935–19942PubMedCrossRef Takeuchi M, Rothe M, Goeddel DV (1996) Anatomy of TRAF2. Distinct domains for nuclear factor-kappaB activation and association with tumor necrosis factor signaling proteins. J Biol Chem 271:19935–19942PubMedCrossRef
35.
go back to reference Ghilardi N, Ziegler S, Wiestner A, Stoffel R, Heim MH, Skoda RC (1996) Defective STAT signaling by the leptin receptor in diabetic mice. Proc Natl Acad Sci USA 93:6231–6235PubMedCrossRef Ghilardi N, Ziegler S, Wiestner A, Stoffel R, Heim MH, Skoda RC (1996) Defective STAT signaling by the leptin receptor in diabetic mice. Proc Natl Acad Sci USA 93:6231–6235PubMedCrossRef
36.
go back to reference Darnell JE (1996) Reflections on STAT3, STAT5, and STAT6 as fat STATs. Proc Natl Acad Sci USA 93:6221–6224PubMedCrossRef Darnell JE (1996) Reflections on STAT3, STAT5, and STAT6 as fat STATs. Proc Natl Acad Sci USA 93:6221–6224PubMedCrossRef
37.
go back to reference Blank U, Launay P, Benhamou M, Monteiro RC (2009) Inhibitory ITAMs as novel regulators of immunity. Immunol Rev 232:59–71PubMedCrossRef Blank U, Launay P, Benhamou M, Monteiro RC (2009) Inhibitory ITAMs as novel regulators of immunity. Immunol Rev 232:59–71PubMedCrossRef
38.
go back to reference Lumeng CN, Bodzin JL, Saltiel AR (2007) Obesity induces a phenotypic switch in adipose tissue macrophage polarization. J Clin Invest 117:175–184PubMedCrossRef Lumeng CN, Bodzin JL, Saltiel AR (2007) Obesity induces a phenotypic switch in adipose tissue macrophage polarization. J Clin Invest 117:175–184PubMedCrossRef
39.
go back to reference Fujihara M, Muroi M, Ki T, Suzuki T, Azuma H, Ikeda H (2003) Molecular mechanisms of macrophage activation and deactivation by lipopolysaccharide: roles of the receptor complex. Pharmacol Ther 100:171–194PubMedCrossRef Fujihara M, Muroi M, Ki T, Suzuki T, Azuma H, Ikeda H (2003) Molecular mechanisms of macrophage activation and deactivation by lipopolysaccharide: roles of the receptor complex. Pharmacol Ther 100:171–194PubMedCrossRef
40.
go back to reference Bonfoco E, Li E, Kolbinger F, Cooper NR (2001) Characterization of a novel proapoptotic caspase-2- and caspase-9-binding protein. J Biol Chem 276:29242–29250PubMedCrossRef Bonfoco E, Li E, Kolbinger F, Cooper NR (2001) Characterization of a novel proapoptotic caspase-2- and caspase-9-binding protein. J Biol Chem 276:29242–29250PubMedCrossRef
41.
go back to reference Katoh M, Katoh M (2003) MGC29506 gene, frequently down-regulated in intestinal-type gastric cancer, encodes secreted-type protein with conserved cysteine residues. Int J Oncol 23:235–241PubMed Katoh M, Katoh M (2003) MGC29506 gene, frequently down-regulated in intestinal-type gastric cancer, encodes secreted-type protein with conserved cysteine residues. Int J Oncol 23:235–241PubMed
42.
go back to reference Shoelson SE, Lee J, Goldfine AB (2006) Inflammation and insulin resistance. J Clin Invest 116:1793–1801PubMedCrossRef Shoelson SE, Lee J, Goldfine AB (2006) Inflammation and insulin resistance. J Clin Invest 116:1793–1801PubMedCrossRef
43.
go back to reference Ueki K, Kondo T, Kahn CR (2004) Suppressor of cytokine signaling 1 (SOCS-1) and SOCS-3 cause insulin resistance through inhibition of tyrosine phosphorylation of insulin receptor substrate proteins by discrete mechanisms. Mol Cell Biol 24:5434–5446PubMedCrossRef Ueki K, Kondo T, Kahn CR (2004) Suppressor of cytokine signaling 1 (SOCS-1) and SOCS-3 cause insulin resistance through inhibition of tyrosine phosphorylation of insulin receptor substrate proteins by discrete mechanisms. Mol Cell Biol 24:5434–5446PubMedCrossRef
44.
go back to reference Armoni M, Harel C, Karnieli E (2007) Transcriptional regulation of the GLUT4 gene: from PPAR-[gamma] and FOXO1 to FFA and inflammation. Trends Endocrinol Metab 18:100–107PubMedCrossRef Armoni M, Harel C, Karnieli E (2007) Transcriptional regulation of the GLUT4 gene: from PPAR-[gamma] and FOXO1 to FFA and inflammation. Trends Endocrinol Metab 18:100–107PubMedCrossRef
45.
go back to reference Manson JE, Bassuk SS (2007) Invited commentary: hormone therapy and risk of coronary heart disease why renew the focus on the early years of menopause? Am J Epidemiol 166:511–517PubMedCrossRef Manson JE, Bassuk SS (2007) Invited commentary: hormone therapy and risk of coronary heart disease why renew the focus on the early years of menopause? Am J Epidemiol 166:511–517PubMedCrossRef
46.
go back to reference Cann JA, Register TC, Adams MR, St. Clair RW, Espeland MA, Williams JK (2008) Timing of estrogen replacement influences atherosclerosis progression and plaque leukocyte populations in ApoE−/− mice. Atherosclerosis 201:43–52PubMedCrossRef Cann JA, Register TC, Adams MR, St. Clair RW, Espeland MA, Williams JK (2008) Timing of estrogen replacement influences atherosclerosis progression and plaque leukocyte populations in ApoE−/− mice. Atherosclerosis 201:43–52PubMedCrossRef
47.
go back to reference Rawlings S, Hezaren M (1996) Pituitary adenylate cyclase-activating polypeptide (PACAP) and PACAP/vasoactive intestinal polypeptide receptors: actions on the anterior pituitary gland. Endocr Rev 17:4–29PubMed Rawlings S, Hezaren M (1996) Pituitary adenylate cyclase-activating polypeptide (PACAP) and PACAP/vasoactive intestinal polypeptide receptors: actions on the anterior pituitary gland. Endocr Rev 17:4–29PubMed
48.
go back to reference Shimizu Y, Meunier L, Hendershot LM (2009) pERp1 is significantly up-regulated during plasma cell differentiation and contributes to the oxidative folding of immunoglobulin. Proc Natl Acad Sci USA 106:17013–17018PubMedCrossRef Shimizu Y, Meunier L, Hendershot LM (2009) pERp1 is significantly up-regulated during plasma cell differentiation and contributes to the oxidative folding of immunoglobulin. Proc Natl Acad Sci USA 106:17013–17018PubMedCrossRef
49.
go back to reference van Anken E, Pena F, Hafkemeijer N et al (2009) Efficient IgM assembly and secretion require the plasma cell induced endoplasmic reticulum protein pERp1. Proc Natl Acad Sci USA 106:17019–17024PubMedCrossRef van Anken E, Pena F, Hafkemeijer N et al (2009) Efficient IgM assembly and secretion require the plasma cell induced endoplasmic reticulum protein pERp1. Proc Natl Acad Sci USA 106:17019–17024PubMedCrossRef
Metadata
Title
Novel hormone-regulated genes in visceral adipose tissue: cloning and identification of proinflammatory cytokine-like mouse and human MEDA-7: implications for obesity, insulin resistance and the metabolic syndrome
Authors
H. Zhang
X. Chen
M. R. Sairam
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 9/2011
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-011-2212-7

Other articles of this Issue 9/2011

Diabetologia 9/2011 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

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.